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JOHNSON CITY MEDICAL CENTER

JOHNSON CITY, TN 37604 · Acute Care Hospitals

116 procedures with CMS pricing data · Source: CMS IPPS Provider Summary, FY2024

By BillRazor Research · Last updated March 27, 2026 · Methodology

Procedures Analyzed

116

With CMS pricing data

Avg Charge-to-Medicare Ratio

6.0x

Chargemaster ÷ Medicare

CMS Quality Rating

Not rated

No CMS star rating available

Hospital Type

Acute Care Hospitals

Voluntary non-profit - Private

Above 90th Percentile

0%

Compared to TN hospitals

Understanding Your Costs

When you receive a bill from JOHNSON CITY MEDICAL CENTER, you are typically seeing the hospital's “chargemaster” rate — its published list price for each service. According to CMS data, JOHNSON CITY MEDICAL CENTER lists chargemaster rates that average 6.0x the corresponding Medicare reimbursement amount across 116 procedures with publicly available pricing data (Source: CMS IPPS Provider Summary, FY2024).

The median hospital in TN has a chargemaster-to-Medicare ratio of 4.9x, with ratios across the state ranging from 1.4x to 13.4x. At 6.0x, this facility’s average ratio is above the state median. 74 hospitals in TN report pricing data to CMS (Source: CMS IPPS Provider Summary).

The procedure with the largest gap between the listed price and Medicare reimbursement at JOHNSON CITY MEDICAL CENTER is ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC (DRG 267). The listed chargemaster rate is $350,435, while Medicare reimburses $31,765 for the same procedure — a ratio of 11.0x (Source: CMS IPPS Provider Summary, FY2024).

What does this actually mean for your bill? Chargemaster rates are rarely what patients pay. If you have insurance, your insurer has negotiated a separate rate — often 40–60% less than the listed price. If you are uninsured, you may be able to negotiate directly with the hospital or request financial assistance. The chargemaster-to-Medicare ratio is a useful reference point for understanding listed pricing, but it does not represent what most patients will owe out of pocket.

JOHNSON CITY MEDICAL CENTER is a voluntary non-profit - private acute care hospitals facility. Note: CMS quality ratings measure patient outcomes and experience, not pricing. A hospital with high listed prices may provide excellent care, and pricing data alone should not be used to evaluate the quality of a healthcare provider.

Listed Chargemaster Rates vs Medicare Reimbursement — Top Procedures by Ratio

Listed Chargemaster Rate Medicare Reimbursement

Source: CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Procedure Pricing Lookup

Search for a specific procedure or DRG code to see listed chargemaster rates and Medicare reimbursement amounts.

ProcedureDRGListed ChargeMedicare Reimb.RatioState Position
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$350,435$31,76511.0x
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INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC854$112,291$11,7599.6x
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CERVICAL SPINAL FUSION WITH CC472$180,005$18,8639.5x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$37,165$4,0579.2x
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MAJOR CHEST PROCEDURES WITH CC164$143,607$16,3628.8x
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TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC084$44,573$5,1778.6x
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AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC269$249,467$29,0258.6x
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MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$134,509$15,7768.5x
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TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$41,471$4,8698.5x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$34,935$4,2158.3x
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ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC266$358,435$43,9538.2x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$107,268$13,4168.0x
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REVISION OF HIP OR KNEE REPLACEMENT WITH CC467$182,007$23,1087.9x
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PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$177,639$22,5447.9x
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DIABETES WITH CC638$43,606$5,5667.8x
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SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC460$195,722$25,0697.8x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITH MCC OR 4+ ARTERIES/321$138,881$18,0527.7x
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LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC493$109,071$14,2937.6x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH INTRALUMINAL DEVICE WITHOUT MCC322$87,799$11,5247.6x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$115,805$15,1907.6x
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OTHER DISORDERS OF NERVOUS SYSTEM WITH CC092$42,387$5,6027.6x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$92,109$12,2447.5x
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LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA956$186,427$25,1987.4x
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PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$159,596$21,5687.4x
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MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC435$72,482$9,8527.4x
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HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$143,063$19,5677.3x
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PERIPHERAL VASCULAR DISORDERS WITH MCC299$70,785$9,7627.3x
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SIMPLE PNEUMONIA AND PLEURISY WITH CC194$35,245$4,9177.2x
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MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$85,888$11,9967.2x
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DISORDERS OF THE BILIARY TRACT WITH CC445$53,933$7,5877.1x
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CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$171,863$24,4697.0x
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OTHER VASCULAR PROCEDURES WITH CC253$109,364$15,8656.9x
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COAGULATION DISORDERS813$88,470$12,8356.9x
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CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC234$197,548$29,0186.8x
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LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC494$76,475$11,2396.8x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$59,073$8,7336.8x
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PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$128,573$19,0726.7x
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CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$21,986$3,2776.7x
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OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC270$238,513$35,7886.7x
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MAJOR CHEST TRAUMA WITH CC184$46,041$6,9386.6x
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MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC329$200,340$30,3556.6x
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ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$36,335$5,5446.5x
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INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$41,039$6,3816.4x
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TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC083$56,881$8,9306.4x
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TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC086$49,743$7,9506.3x
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HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$84,375$13,4896.3x
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OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC698$64,621$10,4136.2x
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PNEUMOTHORAX WITH CC200$43,832$7,0986.2x
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FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC563$29,952$4,8626.2x
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PULMONARY EDEMA AND RESPIRATORY FAILURE189$48,221$7,9366.1x
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Showing 50 of 116 procedures

All data from CMS IPPS Provider Summary, FY2024. Chargemaster rates are list prices and may not reflect actual patient costs.

Statewide Context

Charge-to-Medicare ratio range across TN hospitals

1.4x
Median: 4.9x
13.4x
6.0x

74 hospitals in TN report pricing data to CMS. This facility's average ratio of 6.0x places it at the lower-middle range of the state range (Source: CMS IPPS Provider Summary).

What You Can Do

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Learn how

Check for Common Errors

Research suggests 49-80% of hospital bills contain errors — from duplicate charges to incorrect procedure codes.

How it works

Data: CMS Inpatient Prospective Payment System (IPPS) Provider Summary, FY2024. All data is publicly available under federal law (45 CFR Part 180).

Important: Listed chargemaster rates are not what most insured patients pay. Actual costs depend on your insurance plan's negotiated rates, deductibles, and coverage terms. This information is for educational purposes only and does not constitute medical, legal, or financial advice.

Read our methodology·Report a data error

Frequently Asked Questions About JOHNSON CITY MEDICAL CENTER

How much does JOHNSON CITY MEDICAL CENTER charge compared to Medicare?

According to CMS IPPS data, JOHNSON CITY MEDICAL CENTER's listed chargemaster rates average 6.0x the Medicare reimbursement amount across 116 procedures. Chargemaster rates are list prices and are not what most insured patients pay — actual costs depend on insurance negotiations and coverage terms.

What is the most expensive procedure at JOHNSON CITY MEDICAL CENTER?

The procedure with the highest chargemaster-to-Medicare ratio at JOHNSON CITY MEDICAL CENTER is ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC (DRG 267), with a listed charge of $350,435 compared to Medicare reimbursement of $31,765 — a ratio of 11.0x. Source: CMS IPPS Provider Summary.

Is JOHNSON CITY MEDICAL CENTER expensive compared to other TN hospitals?

JOHNSON CITY MEDICAL CENTER's average chargemaster-to-Medicare ratio is 6.0x. Ratios vary significantly across TN hospitals. This ratio reflects listed chargemaster prices, not what patients actually pay. CMS quality ratings, which measure patient outcomes and experience, are separate from pricing data.

Where does the pricing data for JOHNSON CITY MEDICAL CENTER come from?

All pricing data comes from the Centers for Medicare & Medicaid Services (CMS) Inpatient Prospective Payment System (IPPS) Provider Summary, published under federal price transparency law (45 CFR Part 180). This data is publicly available and updated annually.

How can I check if my bill from JOHNSON CITY MEDICAL CENTER is correct?

You can upload your bill to BillRazor for a free comparison against publicly available Medicare reimbursement data. Our system analyzes every line item in 60 seconds. Research suggests 49-80% of hospital bills contain errors, including duplicate charges, incorrect procedure codes, and unbundling.

Does JOHNSON CITY MEDICAL CENTER in JOHNSON CITY, TN accept Medicare?

JOHNSON CITY MEDICAL CENTER is included in the CMS IPPS Provider Summary, which covers Medicare-participating hospitals. For specific coverage questions, contact JOHNSON CITY MEDICAL CENTER directly or check with your insurance provider.

Data sourced from CMS IPPS Provider Summary, FY2024. All information is for educational purposes only.