How many shoppable procedure prices are published for Johnson County Community Hospital?

Johnson County Community Hospital in Mountain City, TN currently has 96 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Johnson County Community Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Johnson County Community Hospital's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

Hospital Profile Critical Access Hospital Voluntary non-profit - Private 2 Beds · rural Updated: 2026-03-23

Johnson County Community Hospital

1901 S Shady St, Mountain City, TN 37683 · 96 Priced Procedures

CMS Overall Rating No CMS Rating

Above Fair Market · Negotiate

1.39×vs. Fair Market Price

Typical commercial prices here are +39% above the fair benchmark (1.39×) even after accounting for local nurse/doctor wages and patient complexity.

84/100 · Corroborated

84/100Self-Pay Cash Beats Insurance 77% of the Time

File Completeness66

Price Logic96

Peer Alignment79

Clean Billing78

Real Cash Discount100

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

Johnson County Community Hospital prices routine shoppable procedures near 1.6× Medicare (p50 1.28×) while skewing captive emergency, lab, and upper-quartile codes to 1.7× Medicare (p75 1.78×, +39% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#76 of 84 in TN · 89th State Percentile#2,436 of 3,385 in U.S. · 71st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.98× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 77% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (83/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (30.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.39× 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.
Captive ER (2.3×) & laboratory (2.2×) services average 1.06× higher multiples than routine shoppable care (1.6×)
Upper-quartile procedures (Q75 1.78×) jump +39% above the median procedure ratio (Q50 1.28×)
Unnegotiated chargemaster list prices average 6.4× Medicare (19¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.6× Medicare

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

Back-Door Captive & ER1.06× Divergence

1.7× Medicare

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

Quantile Tail Spread+39% Upper Tail

Q25 0.98× · Q50 1.28× · Q75 1.78×

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

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.6× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.1× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.3× MedicareFair

Inpatient Lab & PathologyBack-Door Captive

2.2× MedicareFair

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

2.2× MedicareFair

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

77% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 83/100Good

Procedure Prices at Johnson County Community Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Colonoscopy with biopsy CPT Code: `45380`	$475	$1,525	$1,256	unverified
MRI, brain (with and without contrast) CPT Code: `70553`	$656	$870	$511	1.7×
MRI, brain (no contrast) CPT Code: `70551`	$594	$740	$343	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$594	$762	$338	unverified
Psychological testing by technician CPT Code: `96138`	$161	$698	$395	unverified
MRI, knee or other leg joint CPT Code: `73721`	$599	$664	$369	1.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$440	$666	$583	1.1×
Upper endoscopy with biopsy CPT Code: `43239`	$377	$589	$987	0.6×
Rabies immune globulin HCPCS Code: `90375`	$5,502	$481	$322	1.5×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$549	$498	$448	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$549	$459	$242	1.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$577	$459	$258	1.8×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$522	$459	$303	1.5×
CT scan, head (no contrast) CPT Code: `70450`	$522	$448	$160	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$522	$393	$167	2.4×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$522	$393	$168	2.3×
CT scan, neck (cervical spine) CPT Code: `72125`	$522	$393	$169	2.3×
CT scan, sinuses CPT Code: `70486`	$522	$369	$166	2.2×
CT scan, pelvis CPT Code: `72192`	$577	$391	$163	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$338	$330	$272	1.2×
Blood transfusion CPT Code: `36430`	$117	$304	$498	0.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$100	$236	$134	1.8×
Neurobehavioral status check CPT Code: `96116`	$126	$248	$231	1.1×
Ultrasound, pelvis CPT Code: `76856`	$100	$236	$130	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$49	$207	$181	1.1×
Family therapy session CPT Code: `90847`	$80	$195	$173	1.1×
Group therapy session CPT Code: `90853`	$49	$157	$100	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$95	$160	$126	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$100	$160	$132	1.2×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$84	$140	$148	0.9×
X-ray, ankle CPT Code: `73610`	$73	$96	$93	1.0×
X-ray, foot CPT Code: `73630`	$73	$92	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$73	$88	$92	1.0×
X-ray, hand CPT Code: `73130`	$77	$88	$93	0.9×
X-ray, chest (two views) CPT Code: `71046`	$68	$80	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$68	$80	$93	0.9×
X-ray, hip CPT Code: `73502`	$68	$80	$93	0.9×
X-ray, lower back CPT Code: `72110`	$68	$89	$112	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$71	$85	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$867	$338	$347	1.0×
Drug screening test HCPCS Code: `G0480`	$101	$98	$116	0.8×
Electrical stimulation therapy HCPCS Code: `G0283`	$15	$43	$14	3.1×
Blood test, vitamin D CPT Code: `82306`	$51	$63	$31	2.0×
X-ray, chest (single view) CPT Code: `71045`	$65	$78	$92	0.8×
X-ray, pelvis CPT Code: `72170`	$65	$79	$110	0.7×
Physical therapy (manual therapy) CPT Code: `97140`	$29	$51	$34	1.5×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$30	$51	$35	1.5×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$33	$53	$40	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$112	$57	$56	1.0×
Breathing treatment (nebulizer) CPT Code: `94640`	$78	$78	$201	0.4×
Physical therapy (gait training) CPT Code: `97116`	$27	$46	$33	1.4×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$32	$52	$38	1.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$32	$52	$38	1.4×
Occupational therapy (self-care training) CPT Code: `97535`	$33	$49	$38	1.3×
Prosthetic fitting and training CPT Code: `97761`	$32	$58	$45	1.3×
Orthotic fitting and training CPT Code: `97760`	$36	$62	$51	1.2×
Flu vaccine injection HCPCS Code: `G0008`	$15	$57	$48	1.2×
Pneumonia vaccine injection HCPCS Code: `G0009`	$13	$57	$49	1.2×
Colorectal cancer screening HCPCS Code: `G0010`	$13	$57	$49	1.2×
New patient office visit (30-44 min) CPT Code: `99203`	$39	$71	$110	0.6×
Office visit, established patient (20-29 min) CPT Code: `99213`	$35	$52	$87	0.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$41	$68	$123	0.6×
Hospital observation (per hour) HCPCS Code: `G0378`	$11	$47	$86	0.5×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$238	$50	$111	0.5×
Psychotherapy session (45 minutes) CPT Code: `90834`	$44	$44	$166	0.3×
Blood test, hemoglobin CPT Code: `85018`	$4	$7	$3	2.3×
Blood test, sodium CPT Code: `84295`	$9	$10	$5	2.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$7	$8	$4	2.0×
Culture, blood CPT Code: `87040`	$18	$22	$11	2.0×
Hepatitis C antibody test CPT Code: `86803`	$25	$29	$15	1.9×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$17	$19	$10	1.9×
Culture, bacterial CPT Code: `87070`	$15	$17	$9	1.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	$13	$15	$8	1.9×
Blood test, clotting time (PTT) CPT Code: `85730`	$10	$11	$6	1.8×
Hepatitis B vaccine HCPCS Code: `90744`	$85	$36	$37	1.0×
Blood test, calcium CPT Code: `82310`	$9	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$9	$9	$5	1.8×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$70	$34	$64	0.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$7	$7	$4	1.8×
Blood test, lipase CPT Code: `83690`	$12	$12	$7	1.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$23	$23	$14	1.6×
Blood test, ferritin (iron stores) CPT Code: `82728`	$23	$23	$14	1.6×
Blood test, vitamin B12 CPT Code: `82607`	$26	$26	$16	1.6×
Blood test, potassium CPT Code: `84132`	$8	$8	$5	1.6×
Blood test, amylase CPT Code: `82150`	$11	$11	$7	1.6×
Blood test, magnesium CPT Code: `83735`	$11	$11	$7	1.6×
Blood test, thyroid (TSH) CPT Code: `84443`	$29	$28	$18	1.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$7	$7	$5	1.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$6	$4	$3	1.3×
Blood test, basic metabolic panel CPT Code: `80048`	$14	$11	$9	1.2×
Blood test, liver function panel CPT Code: `80076`	$14	$11	$9	1.2×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$32	$24	$20	1.2×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$17	$13	$11	1.2×
Blood test, PSA (prostate screen) CPT Code: `84153`	$32	$21	$19	1.1×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$87	$37	$39	0.9×
Blood antibody screen CPT Code: `86850`	$20	$15	$46	0.3×

Showing top 25 high-impact procedures of 96 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 30.0%

Audit a Bill or Quote at Johnson County Community Hospital (Zero PHI Required)

CMS CCN: 441304

CPT 45380

Select Procedure to Audit:

Fair BaseRate™ $1,256

Medicare Rate $1,223

Self-Pay Cash $475

Insurer Median $1,525

1. Amount on Your Bill or Quote ($) Pre-filled with Johnson County Community Hospital’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: $619 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $619

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (30.0% of gross = $619).

Step 2 · Cash vs. Insurance Arbitrage Save $1,590 Paying Cash

Self-Pay Cash Rate ($475) Beats Your Bill

Johnson County Community Hospital's published 45 CFR § 180 self-pay cash rate is $475 (vs. $1,525 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$809 Above Fair BaseRate

Negotiate Toward $1,256 Fair BaseRate ($1,223 Medicare)

Your bill ($2,065) is $809 above the denoised Fair BaseRate ($1,256) and 1.7× the $1,223 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 (30.0% 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

Safety Composite83/100

Median ER Wait126 min

Left ER Before Seen1%

Source: CMS Hospital Care Compare. 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

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Johnson County Community Hospital.

Price Index: 1.01× regional baseline

Quality: 56/100 CMS composite

Median Household Income$52,152U.S. Census ACS

Local Uninsured Share12.5%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 84/100 · Corroborated CMS CCN 441304

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 441304) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-03-23

Validated Rate Rows4,098 (CMS v3.0.0)

File Integrity DigestVerified · CCN 441304

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