CostGrade
D

34/100

#1,768 nationally

Johnson City Medical Center

400 N State Of Franklin Rd, Johnson City, TN 37604 · (423) 431-6111

Charges far above the national norm

For every $1 of care Medicare actually paid for here, Johnson City Medical Center billed $5.65 in list charges. That gap does not change a Medicare patient's bill — but it is where an uninsured or out-of-network bill starts.

Charge-to-payment
5.6x
volume-weighted across all its priced work
Procedures priced
137
inpatient and outpatient combined
Rank in TN
#37
lower markup ranks higher
CMS quality stars
1/5
shown for context, not in the grade

How this grade was reached

Each component is scored against every other U.S. hospital in the same federal files, so the grade is a position in the country, not a pass mark we invented.

Inpatient charge markup 10.2/35

Better than 29% of U.S. hospitals.

Outpatient charge markup 7.2/25

Better than 29% of U.S. hospitals.

Price level vs national median 12.6/30

Better than 42% of U.S. hospitals.

Price consistency 3.8/10

Better than 38% of U.S. hospitals.

What this hospital treats most

The ten procedures it billed Medicare for most often, with its charge beside the national middle.

Procedure Patients Charged Actually paid vs national
Level 1 Endovascular Procedures

APC 5191 · Hospital outpatient visit

301 $20,548 $2,775 -19%
Sepsis (severe)

MS-DRG 871 · Inpatient stay

253 $70,183 $15,307 +8%
Comprehensive Observation Services

APC 8011 · Hospital outpatient visit

219 $16,847 $2,317 -13%
Level 2 Excision/ Biopsy/ Incision and Drainage

APC 5072 · Hospital outpatient visit

129 $11,831 $1,394 +17%
Level 3 Endovascular Procedures

APC 5193 · Hospital outpatient visit

122 $76,210 $9,486 +13%
Level 3 Vascular Procedures

APC 5183 · Hospital outpatient visit

107 $20,512 $2,732 +7%
Heart Failure (severe)

MS-DRG 291 · Inpatient stay

104 $53,043 $11,310 +22%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

102 $31,955 $2,451 +81%
Psychoses

MS-DRG 885 · Inpatient stay

95 $11,748 $11,164 -67%
Level 4 Endovascular Procedures

APC 5194 · Hospital outpatient visit

88 $113,519 $12,958 +19%

Where its charges run furthest above the national middle

Only procedures it performed at least eleven times, so a single unusual case cannot produce the headline.

Procedure Charged Actually paid vs national
Aortic and Heart Assist Procedures Except Pulsation Balloon without Major Complications

MS-DRG 269 · Inpatient stay

$331,849 $32,611 +101%
Level 5 Neurostimulator and Related Procedures

APC 5465 · Hospital outpatient visit

$222,786 $24,988 +98%
Level 3 Excision/ Biopsy/ Incision and Drainage

APC 5073 · Hospital outpatient visit

$31,955 $2,451 +81%
Level 2 Pacemaker and Similar Procedures

APC 5222 · Hospital outpatient visit

$68,095 $7,125 +80%
Spinal Fusion Except Cervical without Major Complications

MS-DRG 460 · Inpatient stay

$259,647 $47,838 +79%
Level 2 Icd and Similar Procedures

APC 5232 · Hospital outpatient visit

$258,460 $28,498 +74%
Percutaneous and Other Intracardiac Procedures without Major Complications

MS-DRG 274 · Inpatient stay

$210,007 $23,733 +69%
Revision of Hip or Knee Replacement with Complications

MS-DRG 467 · Inpatient stay

$215,186 $25,669 +66%

Where it charges least relative to everyone else

Procedure Charged Actually paid vs national
Psychoses

MS-DRG 885 · Inpatient stay

$11,748 $11,164 -67%
Disorders of Liver Except Malignancy, Cirrhosis or Alcoholic Hepatitis with Major

MS-DRG 441 · Inpatient stay

$39,419 $14,000 -48%
Organic Disturbances and Intellectual Disability

MS-DRG 884 · Inpatient stay

$26,863 $12,824 -46%
Major Chest Trauma with Major Complications

MS-DRG 183 · Inpatient stay

$40,331 $12,830 -42%
Respiratory System Diagnosis with Ventilator Support <=96 Hours

MS-DRG 208 · Inpatient stay

$69,701 $19,204 -39%
Gastrointestinal Obstruction with Complications

MS-DRG 389 · Inpatient stay

$20,475 $6,993 -35%
Sepsis

MS-DRG 870 · Inpatient stay

$175,987 $46,394 -34%
Pneumothorax with Complications

MS-DRG 200 · Inpatient stay

$31,512 $9,250 -34%

What this page cannot tell you

  • It is not your bill. These are averages across Medicare patients. What you pay depends on your insurance, your plan's negotiated rate and your own case.
  • It is not a quality rating. A hospital with a high markup may be excellent, and one with a low markup may not be. We checked: across every U.S. hospital, markup and the CMS quality star rating barely move together.
  • A charge is not a cost. Hospitals do not collect their list charges from insured patients. The number matters because it is the opening figure on an uninsured or out-of-network bill.
  • Ask for the real number. Every U.S. hospital must publish a machine-readable price file and give you a written good-faith estimate on request.