Visits & medical services prices at Johnson County Community Hospital

Mountain City, TN · every code in this section with a posted price and a Medicare benchmark.

124 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $77.97 $339 0.4×
Analyze neurostim no prog (95970) $53.82 $234 0.4×
Assessment of aphasia (96105) $97.06 $422 1.0×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $191.13 $831 0.6×
Canalith Repositioning (95992) $33.81 $147 0.8×
Cardiac Stress Tst,Tracing Only (93017) $219.88 $956 1.1×
Cardiopulmonary resuscitation (92950) $504.16 $2,192 2.6×
Cardioversion (92960) $504.16 $2,192 0.8×
Caregiver training 1st 30 min (97550) $66.01 $287 1.3×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $33.12 $144 1.3×
Cbt 1st hour (94644) $42.55 $185 0.4×
Color/duplex Doppler, complete (93975) $337.87 $1,469 1.6×
Color/duplex Doppler, limited (93976) $225.17 $979 2.4×
Cpap initiation and management (94660) $230.23 $1,001 1.2×
Cpt initial (94667) $38.18 $166 0.3×
Critical care (99291) $686.32 $2,984 0.9×
Debridement Open Wound 20 Sq Cm< (97597) $72.91 $317 0.4×
Demo &/or eval,pt use,aerosol device (94664) $34.04 $148 0.2×
Developmental tst admin phys/qhp 1st hour (96112) $66.01 $287 0.6×
Dialysis other/than hemodialysis 1 phys/qhp eval (90945) $191.13 $831 0.5×
Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) $337.87 $1,469 1.6×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $225.17 $979 2.4×
Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) $337.87 $1,469 1.6×
Dup-scan lxtr art/artl bpgs uni/lmtd study (93926) $225.17 $979 2.4×
Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) $337.87 $1,469 1.6×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $225.17 $979 2.4×
Dup-scan xtr veins unilateral/limited study (93971) $225.17 $979 2.4×
Duplex scan extracranial art compl bi study (93880) $225.17 $979 1.0×
Echo Heart Xthoracic,Limited (93308) $172.04 $748 0.8×
Echo Transesophageal - Congenital Tee Complete (93315) $287.73 $1,251 0.6×
Echo Transthoracic - Congenital Tte Complete (93303) $439.99 $1,913 0.9×
Echo Transthoracic - Congenital Tte Limited (93304) $205.85 $895 0.4×
EKG (93005) $69.69 $303 1.3×
Elec alys nstim pls gen smpl sc/perph w/prgrmg (95971) $58.88 $256 0.7×
Er level 1 (99281) $66.93 $291 0.9×
Er level ii (99282) $92.46 $402 0.7×
Er level iii (99283) $201.02 $874 0.8×
Er level IV (99284) $294.63 $1,281 0.8×
Er level v (99285) $447.58 $1,946 0.8×
Evaluation of swallowing function (92610) $80.73 $351 1.0×
Exercise tst brncspsm (94617) $59.11 $257 0.5×
External ECG rec>48hr<7d recording (93242) $158.93 $691 4.7×
External ECG rec>7d<15d recording (93246) $158.93 $691 4.7×
External Ecg Scanning Analysis Report (93226) $242.65 $1,055 4.5×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $80.73 $351 0.4×
Flow volume loop (94375) $90.62 $394 0.5×
Holter Monitor Recording (93225) $242.65 $1,055 2.0×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $17.48 $76 0.5×
Immunization Admin (90471) $25.07 $109 0.4×
Immunotherapy, 2+ Injections (95117) $12.88 $56 0.3×
Injection intra arterial (96373) $52.67 $229 0.3×
Ins swan ganz bedside (93503) $1,784.11 $7,757 1.2×
Interrog&prgrmg impl phrenic nrv stimulator sys (93151) $46.69 $203 0.5×
Interrog&prgrmg ipnss during polysomnography (93152) $144.21 $627 0.5×
Interrogation without programming ipnss (93153) $144.21 $627 1.7×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $28.98 $126 0.5×
IV infusion hydration each additional hour (96361) $27.14 $118 0.6×
IV infusion hydration initial 31 min-1 hour (96360) $78.66 $342 0.4×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $43.24 $188 0.7×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $90.85 $395 0.5×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $35.42 $154 0.8×
IV push initial (96374) $58.65 $255 0.3×
Manual therapy 15 min (97140) $28.52 $124 1.0×
Massage 15 min (97124) $24.84 $108 0.8×
Maximum voluntary ventilation (94200) $28.52 $124 0.5×
Mechanical traction (97012) $19.78 $86 1.4×
Methacholine challenge (94070) $214.36 $932 0.6×
Neg press wnd tx </=50 sq cm (97607) $74.06 $322 0.2×
Neg press wound tx >50 cm (97608) $74.06 $322 0.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $60.03 $261 0.3×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $53.59 $233 0.1×
Neurobehavioral Status Exam (96116) $126.04 $548 0.6×
Neuromuscular junction test (95937) $53.59 $233 0.5×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $225.17 $979 1.9×
Non-Invasive Physiologic Study Extremity 3 Levls (93923) $247.71 $1,077 1.3×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $67.85 $295 0.6×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $35.65 $155 0.8×
Ot eval high complex 60 min (97167) $77.74 $338 0.8×
Ot eval low complex 30 min (97165) $70.38 $306 0.7×
Ot eval mod complex 45 min (97166) $74.06 $322 0.7×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $45.31 $197 0.9×
Ot Prosthetic Training, Each 15 Min (97761) $31.51 $137 0.8×
Ot re-eval est plan care (97168) $44.85 $195 0.7×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $24.84 $108 0.2×
Paraffin bath (97018) $24.61 $107 4.1×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $52.67 $229 0.3×
Phy/qhp op pulm rhb w/mntr (94626) $37.03 $161 0.7×
Phy/qhp op pulm rhb w/o mntr (94625) $33.58 $146 0.6×
Plethysmography (94726) $90.85 $395 0.3×
Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) $5.75 $25 0.1×
Psycl/nrpsycl tst tech 2+ tst 1st 30 min (96138) $160.54 $698 0.4×
Pt Electric Current Therapy (97033) $27.60 $120 1.4×
Pt Electrical Stimulation (97032) $18.17 $79 1.2×
Pt eval high complex 45 min (97163) $80.27 $349 0.8×
Pt eval low complex 20 min (97161) $72.45 $315 0.7×
Pt Gait Training Therapy (97116) $26.91 $117 0.9×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $31.74 $138 1.0×
Pt Physical Performance Test (97750) $31.51 $137 0.9×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $76.36 $332 0.8×
Pt re-evaluation (97164) $47.61 $207 0.7×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $33.12 $144 1.0×
Pt Ultrasound Therapy (97035) $15.87 $69 1.1×
Pt Whirlpool Therapy (97022) $21.39 $93 1.4×
Pulm function test by gas (94727) $46.69 $203 0.2×
Pulmonary stress testing (94618) $90.16 $392 0.7×
Refill/maint, portable pump (96521) $157.55 $685 0.8×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $242.65 $1,055 7.2×
Remote dx retinal imaging (92227) $24.61 $107 0.5×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $82.34 $358 0.5×
Rt Chest Wall Manipulation,Subsequent (94668) $28.52 $124 0.2×
Sleep study unattended (95806) $255.76 $1,112 1.3×
Speech sound lang comprehen (92523) $173.88 $756 0.8×
Spirometry (94010) $85.10 $370 0.4×
Temp transcutaneous pacing (92953) $504.16 $2,192 0.8×
Ther/prop/diag inj/inf proc (96379) $19.09 $83 0.4×
Ther/Proph/Diag Inj Sc/Im (96372) $31.51 $137 0.5×
Therapeutic Activities (97530) $33.12 $144 0.9×
Therapeutic phlebotomy (99195) $63.94 $278 0.5×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $439.99 $1,913 0.9×
Tx/Pro/Dx Inj New Drug Addon (96375) $27.37 $119 0.6×
Vasc Duplex Extrem Venous,Bilat (93970) $337.87 $1,469 1.6×
Ventilation assist & mgmt inpatient 1st day (94002) $195.27 $849 0.3×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $397.67 $1,729 0.7×
Vital capacity total (94150) $27.60 $120 0.2×