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Healthcare Pricing Data: JOHNSON CITY, TN

2 hospitals with public pricing data · 30 procedures reported to CMS

Hospitals

2

With CMS data

Procedures

30

DRG categories

Avg Charge-to-Medicare Ratio

6.1x

Across all procedures

vs National Average

-20%

Chargemaster rates

About This Data

JOHNSON CITY, TN has 2 hospitals that report pricing data to the Centers for Medicare & Medicaid Services (CMS). Across these facilities, the average chargemaster-to-Medicare reimbursement ratio is 6.1x for the 30 procedures in this dataset.(Source: CMS IPPS Provider Summary)

The procedure with the highest average listed charges in JOHNSON CITY is ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC (DRG 266), with an average chargemaster rate of $358,435 across reporting hospitals.

Important: Chargemaster rates are hospital list prices and are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage. Use this data as a starting point for understanding pricing in your area.

Procedure Pricing Data

ProcedureDRGAvg Listed ChargeHospitals ReportingCharge-to-Medicare Ratio
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$168,24626.3x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC853$127,45324.2x
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$73,59526.5x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC871$56,47224.9x
OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$55,55325.6x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC177$51,75824.7x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$42,87626.6x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$41,28225.3x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$40,21025.4x
HEART FAILURE AND SHOCK WITH MCC291$39,53625.4x
SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC872$34,30426.2x
SIMPLE PNEUMONIA AND PLEURISY WITH CC194$33,04527.1x
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC689$31,84924.5x
CELLULITIS WITHOUT MCC603$28,95325.8x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$27,89426.6x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$25,33225.7x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$25,20925.7x
RENAL FAILURE WITH CC683$24,73425.0x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$24,69025.1x
GASTROINTESTINAL OBSTRUCTION WITH CC389$22,14725.3x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$358,43518.2x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$350,435111.0x
TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITHOU004$251,70613.8x
AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$249,46718.6x
OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC270$238,51316.7x
CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$197,54816.8x
CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC O023$196,56315.1x
SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$195,72217.8x
LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA956$186,42717.4x
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC025$185,92416.0x

Source: CMS IPPS Provider Summary. Listed charges are hospital chargemaster rates, not patient-paid amounts.

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Data from CMS Inpatient Prospective Payment System (IPPS) Provider Summary. All data publicly available under federal law (45 CFR Part 180).

Listed chargemaster rates are not what most insured patients pay. This information is for educational purposes only. Read our methodology·Report a data error