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Johnson County Community Hospital

1901 S Shady St, Mountain City, TN 37683 · (423) 727-1110

Critical Access HospitalsVoluntary non-profit - PrivateWebsite ↗

Price file

Prices published

File dated 2026-03-23

6,912 price rows for 40 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines

$14
cash
$549
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines

$522
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines

$605
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 4 lines

$60
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 4 lines

$475
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines

$13
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines

$17
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines

$84
cash
$45
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 4 lines

$80
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 4 lines

$76
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines

$60
cash
Group psychotherapy

CPT 90853 · lowest of 4 lines

$49
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 4 lines

$23
cash
Liver function panel

CPT 80076 · lowest of 4 lines

$14
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 4 lines

$656
cash
$594
cash
$594
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines

$594
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines

$39
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines

$50
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines

$64
cash
PSA test (prostate)

CPT 84153 · lowest of 4 lines

$32
cash
$10
cash
$30
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines

$100
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines

$7
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 4 lines

$43
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 4 lines

$44
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 4 lines

$49
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines

$73
cash
TSH test (thyroid)

CPT 84443 · lowest of 4 lines

$29
cash
Transvaginal ultrasound

CPT 76830 · lowest of 4 lines

$100
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines

$100
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 4 lines

$419
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 4 lines

$377
cash
Urinalysis with microscope

CPT 81001 · lowest of 4 lines

$6
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 4 lines

$68
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.