Tennova Jefferson Memorial Hospital

Jefferson City, TN

Posts prices for 43 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-17.

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ProcedureCash priceGross charge× Medicare
Breast lesion removal (open) (19120) $4,263.36 $19,265.09 1.2×
Shoulder arthroscopy with decompression (29826) $11,776.01 $53,212.90
Knee arthroscopy with meniscectomy (29881) $6,187.23 $27,958.58 2.1×
Tonsillectomy and adenoidectomy (under age 12) (42820) $4,348.98 $19,651.95 0.8×
Upper GI endoscopy (EGD), diagnostic (43235) $2,752.47 $12,437.72 3.3×
Upper GI endoscopy (EGD) with biopsy (43239) $3,295.43 $14,891.23 4.0×
Diagnostic colonoscopy (45378) $2,664.03 $12,038.10 3.2×
Colonoscopy with biopsy (45380) $3,443.44 $15,560.07 3.2×
Colonoscopy with lesion removal (45385) $3,563.75 $16,103.72 3.3×
Laparoscopic gallbladder removal (47562) $5,464.61 $24,693.22 1.0×
Inguinal hernia repair (age 5+) (49505) $4,703.75 $21,255.07 1.4×
CT head/brain without contrast (70450) $898.43 $4,059.79 9.5×
MRI brain without contrast (70551) $1,309.24 $5,916.13 6.0×
MRI brain with contrast (70552) $1,715 $7,749.68 5.4×
MRI brain without and with contrast (70553) $2,089.88 $9,443.65 6.6×
X-ray lower spine, 4+ views (72110) $250 $1,129.71 2.6×
MRI lumbar spine without contrast (72148) $1,391.15 $6,286.26 6.4×
CT pelvis with contrast (72193) $986.26 $4,456.68 6.2×
MRI lower-extremity joint without contrast (73721) $1,941.72 $8,774.16 9.0×
CT abdomen and pelvis with contrast (74177) $2,082.03 $9,408.16 6.6×
Ultrasound, abdomen complete (76700) $457.13 $2,065.64 4.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $328.73 $1,485.47 3.5×
Ultrasound, transvaginal (76830) $237.95 $1,075.25 2.5×
Mammography, one breast (diagnostic) (77065) $167.09 $755.04 1.9×
Mammography, both breasts (diagnostic) (77066) $214.06 $967.26 1.9×
Mammography, screening (bilateral) (77067) $178.96 $808.68 2.0×
Basic metabolic panel (80048) $78.86 $356.35 9.3×
Comprehensive metabolic panel (80053) $169.30 $765.01 16.0×
Obstetric panel (80055) $335.28 $1,515.06 7.0×
Lipid panel (80061) $132.94 $600.71 9.9×
Renal function panel (80069) $82.16 $371.28 9.5×
Hepatic function panel (80076) $137.26 $620.26 16.8×
Urinalysis, non-automated, with microscopy (81000) $12.77 $57.72 3.2×
Urinalysis, non-automated, without microscopy (81002) $24.26 $109.64 7.0×
PSA, total (84153) $102.13 $461.48 5.6×
Thyroid stimulating hormone (TSH) (84443) $99.14 $447.98 5.9×
CBC with automated differential (85025) $69.52 $314.14 8.9×
CBC, automated (85027) $11.81 $53.37 1.8×
Prothrombin time (PT) (85610) $38.05 $171.96 8.9×
Partial thromboplastin time (PTT) (85730) $46.69 $210.99 7.8×
Left heart catheterization (93452) $4,336.50 $19,595.56 1.5×
Sleep study (attended polysomnography) (95810) $3,135.71 $14,169.49 4.0×
Physical therapy, therapeutic exercise (per 15 min) (97110) $45.75 $206.74 1.6×

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