Tennova Healthcare-Jefferson Memorial Hospital

110 Hospital Drive, Jefferson City, TN 37760 · (865) 471-2500

Acute Care HospitalsProprietaryCMS rating 2/5Morristown, TN metro Website ↗

Price file

Prices published

File dated 2026-04-01

4,305 price rows for 47 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $79

$79

cash

$4 to $356

48 negotiated rates

$356

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $2,082

$2,082

cash

$99 to $9,408

94 negotiated rates

$9,408

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $898

$898

cash

$42 to $4,060

94 negotiated rates

$4,060

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $986

$986

cash

$99 to $4,457

94 negotiated rates

$4,457

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$1,044 to $17,362

39 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 12 lines · metro median $81

$81

cash

$15 to $386

282 negotiated rates

$368

list

Colonoscopy (diagnostic)

CPT 45378 · metro median $2,664

$2,664

cash

$300 to $12,038

44 negotiated rates

$12,038

list

Colonoscopy with biopsy

CPT 45380 · metro median $3,443

$3,443

cash

$378 to $15,560

44 negotiated rates

$15,560

list

Colonoscopy with polyp removal

CPT 45385 · metro median $3,564

$3,564

cash

$399 to $16,104

44 negotiated rates

$16,104

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $70

$70

cash

$3 to $314

48 negotiated rates

$314

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $169

$169

cash

$5 to $765

48 negotiated rates

$765

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $193

$193

cash

$45 to $1,000

144 negotiated rates

$872

list

Gallbladder removal (laparoscopic)

CPT 47562 · metro median $5,465

$5,465

cash

$587 to $24,693

44 negotiated rates

$24,693

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 10 lines · metro median $76

$76

cash

$15 to $342

235 negotiated rates

$342

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$1,044 to $38,521

38 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$1,044 to $23,210

38 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$1,044 to $41,070

38 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $4,704

$4,704

cash

$466 to $21,255

44 negotiated rates

$21,255

list

Knee arthroscopy with meniscus repair

CPT 29881 · metro median $6,187

$6,187

cash

$490 to $27,959

44 negotiated rates

$27,959

list

Left heart catheterization

CPT 93452 · lowest of 2 lines · metro median $4,337

$4,337

cash

$463 to $19,596

47 negotiated rates

$19,596

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 10 lines · metro median $133

$133

cash

$6 to $601

240 negotiated rates

$601

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $137

$137

cash

$4 to $620

47 negotiated rates

$620

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $2,090

$2,090

cash

$159 to $9,444

94 negotiated rates

$9,444

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,513

$1,513

cash

$84 to $6,837

94 negotiated rates

$6,837

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,391

$1,391

cash

$84 to $6,286

94 negotiated rates

$6,286

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,616

$1,616

cash

$84 to $7,301

94 negotiated rates

$7,301

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$1,044 to $37,090

38 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $102

$102

cash

$8 to $461

94 negotiated rates

$461

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 12 lines · metro median $47

$47

cash

$3 to $211

282 negotiated rates

$211

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $329

$329

cash

$42 to $1,485

47 negotiated rates

$1,485

list

Prostate biopsy

CPT 55700 · metro median $4,831

$4,831

cash

$214 to $21,829

21 negotiated rates

$21,829

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $38

$38

cash

$2 to $172

47 negotiated rates

$172

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $4,263

$4,263

cash

$373 to $19,265

45 negotiated rates

$19,265

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $173

$173

cash

$37 to $932

192 negotiated rates

$782

list

Shoulder arthroscopy with decompression

CPT 29826 · metro median $11,776

$11,776

cash

$134 to $53,213

16 negotiated rates

$53,213

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $3,136

$3,136

cash

$156 to $14,169

47 negotiated rates

$14,169

list

Spinal fusion (not neck), no complications

MS-DRG 460

—

cash

$1,044 to $62,986

25 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,735

$1,735

cash

$203 to $7,840

84 negotiated rates

$7,840

list

TSH test (thyroid)

CPT 84443 · lowest of 8 lines · metro median $4

cash

$3 to $448

188 negotiated rates

$17

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · metro median $4,349

$4,349

cash

$265 to $19,652

44 negotiated rates

$19,652

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $238

$238

cash

$42 to $1,075

96 negotiated rates

$1,075

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $457

$457

cash

$42 to $2,066

94 negotiated rates

$2,066

list

Upper endoscopy (EGD)

CPT 43235 · metro median $2,752

$2,752

cash

$251 to $12,438

44 negotiated rates

$12,438

list

Upper endoscopy with biopsy

CPT 43239 · metro median $3,295

$3,295

cash

$325 to $14,891

44 negotiated rates

$14,891

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $46

$46

cash

$1 to $208

48 negotiated rates

$208

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$1,044 to $16,634

39 negotiated rates

—

list

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

CPT 72110 · lowest of 2 lines · metro median $250

$250

cash

$26 to $1,130

94 negotiated rates

$1,130

list

Source files

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

https://www.tennovajefferson.com/Uploads/Public/Documents/charge-masters/charge-masters-2024/452528414_tennova-jefferson-memorial-hospital_standardcharges.csv
Jefferson Memorial Hospital · parsed · wide v3.0.0 · file dated 2026-04-01 · 113.7 MB · 4305 price rows read · read Nov 2026