How many shoppable procedure prices are published for Johnson City Medical Center?

Johnson City Medical Center in Johnson City, TN currently has 103 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Johnson City Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Johnson City Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Johnson City Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Johnson City Medical Center an overall hospital quality rating of 1 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 569 Beds · rural Updated: 3/23/2026

Johnson City Medical Center

400 N State of Franklin Rd, Johnson City, TN 37604 · 103 Priced Procedures · 54% Patient Recommendation

CMS Overall Rating 1 / 5 Stars

Good Deal · Below Fair Market

0.91×vs. Fair Market Price

Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.

82/100 · Corroborated

82/100Self-Pay Cash Beats Insurance 69% of the Time

File Completeness51

Price Logic98

Peer Alignment82

Clean Billing80

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 0.91× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Johnson City Medical Center maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.89× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.97× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#18 of 84 in TN · 20th State Percentile#743 of 3,385 in U.S. · 21st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
Self-pay cash beats commercial insurance on 69% of shoppable procedures (99/100 Cash Honesty)
1-Star CMS clinical rating with 54% patient recommendation (55/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (17.9% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.91× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.89× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Specialty infusion drugs (J-codes) average 2.0× Medicare — verify per-unit billing on itemized statements
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+9% Upper Tail

Q25 0.83× · Q50 0.89× · Q75 0.97×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.5× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.9× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

69% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

1 CMS · 55/100Elevated

Procedure Prices at Johnson City Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 103 published procedures.

Sort:

Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Trauma team activation HCPCS Code: `G0390`	$989	$2,163	$1,453	unverified
Colonoscopy with biopsy CPT Code: `45380`	$484	$1,172	$1,256	0.9×
Upper endoscopy with biopsy CPT Code: `43239`	$385	$859	$987	0.9×
Sleep study (overnight, in lab) CPT Code: `95810`	$549	$841	$1,021	0.8×
Injection procedure for pain management HCPCS Code: `G0260`	$418	$704	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$448	$525	$583	0.9×
MRI, knee or other leg joint CPT Code: `73721`	$610	$485	$369	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	$669	$496	$511	1.0×
Psychological testing by technician CPT Code: `96138`	$164	$397	$395	1.0×
Blood transfusion CPT Code: `36430`	$119	$412	$498	0.8×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$560	$343	$448	0.8×
Rabies immune globulin HCPCS Code: `90375`	$2,232	$291	$322	0.9×
MRI, lower back (no contrast) CPT Code: `72148`	$605	$304	$338	0.9×
MRI, brain (no contrast) CPT Code: `70551`	$605	$304	$343	0.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$588	$236	$258	0.9×
Neurobehavioral status check CPT Code: `96116`	$128	$208	$231	0.9×
CT scan, head (with contrast) CPT Code: `70460`	$560	$213	$242	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$344	$223	$272	0.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$532	$234	$303	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$79	$204	$201	unverified
CT scan, head (no contrast) CPT Code: `70450`	$532	$155	$160	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$45	$171	$166	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$50	$171	$181	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	$628	$144	$151	1.0×
Family therapy session CPT Code: `90847`	$81	$168	$173	unverified
CT scan, pelvis CPT Code: `72192`	$588	$137	$163	0.8×
CT scan, sinuses CPT Code: `70486`	$532	$137	$166	0.8×
CT scan, chest (no contrast) CPT Code: `71250`	$532	$137	$167	0.8×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$532	$137	$168	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$532	$137	$169	0.8×
X-ray, chest (single view) CPT Code: `71045`	$66	$81	$92	0.9×
X-ray, shoulder CPT Code: `73030`	$75	$81	$92	0.9×
X-ray, foot CPT Code: `73630`	$75	$81	$92	0.9×
X-ray, lower back CPT Code: `72110`	$69	$98	$112	0.9×
X-ray, chest (two views) CPT Code: `71046`	$69	$81	$93	0.9×
X-ray, hand CPT Code: `73130`	$78	$81	$93	0.9×
X-ray, hip CPT Code: `73502`	$69	$81	$93	0.9×
X-ray, ankle CPT Code: `73610`	$75	$81	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$96	$102	$126	0.8×
Ultrasound, pelvis CPT Code: `76856`	$102	$102	$130	0.8×
New patient office visit (30-44 min) CPT Code: `99203`	$39	$86	$110	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$102	$102	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$102	$103	$134	0.8×
Office visit, established patient (30-39 min) CPT Code: `99214`	$42	$86	$123	0.7×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$86	$103	$148	0.7×
Screening mammogram (both breasts) CPT Code: `77067`	$72	$85	$123	0.7×
X-ray, neck (cervical spine) CPT Code: `72040`	$69	$81	$93	unverified
X-ray, pelvis CPT Code: `72170`	$66	$98	$110	unverified
Group therapy session CPT Code: `90853`	$50	$96	$100	unverified
Typhoid vaccine HCPCS Code: `90675`	$566	$325	$347	0.9×
Drug screening test HCPCS Code: `G0480`	$77	$114	$116	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$77	$76	$86	0.9×
Hospital observation (per hour) HCPCS Code: `G0378`	$11	$74	$86	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$14	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$18	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$23	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	$14	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	$52	$31	$31	1.0×
Flu vaccine injection HCPCS Code: `G0008`	$15	$45	$48	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$32	$34	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$32	$40	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$37	$45	$51	0.9×
Physical therapy (gait training) CPT Code: `97116`	$27	$29	$33	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$32	$33	$38	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$71	$55	$64	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$36	$65	$87	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$29	$33	$39	0.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$157	$50	$111	0.5×
Blood antibody screen CPT Code: `86850`	$20	$49	$46	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$34	$35	$40	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$13	$45	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$13	$45	$49	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	$6	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$11	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$9	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$9	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$26	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$24	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$7	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$17	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$12	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$12	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$8	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$9	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$7	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$14	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$7	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$11	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$25	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$18	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$15	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$32	$20	$20	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$32	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$29	$17	$18	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$16	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$23	$24	$27	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$34	$32	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$31	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$29	$28	$34	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$28	$29	$37	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$40	$33	$56	0.6×
Blood test, hemoglobin CPT Code: `85018`	$4	$2	$3	0.7×
Diagnostic procedure preparation HCPCS Code: `G0279`	$74	$12	$35	0.3×

Showing top 25 high-impact procedures of 103 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 17.9%

Audit a Bill or Quote at Johnson City Medical Center (Zero PHI Required)

CMS CCN: 440063

CPT G0390

Select Procedure to Audit:

Fair BaseRate™ $1,453

Medicare Rate $1,362

Self-Pay Cash $989

Insurer Median $2,163

1. Amount on Your Bill or Quote ($) Pre-filled with Johnson City Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $1,180 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $1,180

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (17.9% of gross = $1,180).

Step 2 · Cash vs. Insurance Arbitrage Save $5,602 Paying Cash

Self-Pay Cash Rate ($989) Beats Your Bill

Johnson City Medical Center's published 45 CFR § 180 self-pay cash rate is $989 (vs. $2,163 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$5,138 Above Fair BaseRate

Negotiate Toward $1,453 Fair BaseRate ($1,362 Medicare)

Your bill ($6,591) is $5,138 above the denoised Fair BaseRate ($1,453) and 4.8× the $1,362 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (17.9% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite55/100

Would Recommend54%

Rated 9 or 10 (HCAHPS)56%

Median ER Wait208 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Johnson City Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-09·administrative_or_closure
Met Requirements
Recorded
2025-03-25·administrative_or_closure
Met Requirements
Recorded
2023-10-18·administrative_or_closure
Closure Notice
Recorded
2023-06-13·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,297 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Johnson City Medical Center.

Price Index: 1.02× regional baseline

Quality: 45/100 CMS composite

Median Household Income$61,051U.S. Census ACS

Local Uninsured Share10.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 82/100 · Corroborated CMS CCN 440063

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 440063) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage3/23/2026

Validated Rate Rows4,507 (CMS v3.0.0)

File Integrity DigestVerified · CCN 440063

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy