Tennessee / Johnson City Medical Center
CMS certification 440063 · Johnson City, TN · 4 entries in CMS's price-transparency list
Johnson City Medical Center: charges and Medicare payments
Johnson City Medical Center reported 3,236 Medicare inpatient stays across 110 DRGs in 2024. Across them it charged 5.11 times what it was paid — mid-range in Tennessee, number 25 of 65 hospitals with at least 100 stays (state median 4.42×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 253 stays at an average charge of $70,183, 22% below the national average. It also billed 1,783 outpatient services, charging 9.7 times what Medicare paid.
- 1Medicare inpatient stays 3,236
- 2Charge ÷ paid, inpatient 5.11×
- 3Rank in TN (highest ratio = 1) 25 of 65
- 4CMS price-transparency actions 4
Inpatient stays
For the 110 DRGs that can be compared with the national average, Johnson City Medical Center charged more than the national average in 15 (14%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 253 | $70,183 | -22% | $15,307 |
| 291 Heart Failure and Shock with MCC | 104 | $53,043 | -6% | $11,310 |
| 885 Psychoses | 95 | $11,748 | -73% | $11,164 |
| 193 Simple Pneumonia and Pleurisy with MCC | 86 | $52,171 | -13% | $11,136 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 72 | $73,908 | -26% | $15,508 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 67 | $99,204 | -13% | $14,632 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 65 | $25,830 | -28% | $6,918 |
| 177 Respiratory Infections and Inflammations with MCC | 64 | $79,186 | +12% | $13,785 |
| 378 Gastrointestinal Hemorrhage with CC | 61 | $34,572 | -29% | $8,823 |
| 481 Hip and Femur Procedures except Major Joint with CC | 59 | $106,759 | +6% | $15,977 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 55 | $52,683 | -5% | $8,973 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 55 | $51,153 | -30% | $13,282 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 52 | $45,286 | -20% | $10,426 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 47 | $57,310 | -24% | $13,073 |
| 552 Medical Back Problems without MCC | 46 | $36,878 | -25% | $8,292 |
| 683 Renal Failure with CC | 46 | $28,893 | -29% | $7,742 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 45 | $31,130 | -22% | $7,000 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 43 | $42,185 | -14% | $8,778 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 42 | $35,603 | -29% | $8,412 |
| 682 Renal Failure with MCC | 42 | $46,845 | -29% | $12,910 |
| 689 Kidney and Urinary Tract Infections with MCC | 42 | $44,998 | -12% | $9,692 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 41 | $96,399 | -6% | $16,069 |
| 690 Kidney and Urinary Tract Infections without MCC | 41 | $27,564 | -27% | $7,255 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 40 | $29,427 | -21% | $6,941 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 40 | $211,740 | -8% | $45,746 |
| 069 Transient Ischemia without Thrombolytic | 39 | $39,623 | -21% | $6,871 |
| 189 Pulmonary Edema and Respiratory Failure | 39 | $39,670 | -31% | $10,083 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 38 | $18,972 | -34% | $5,612 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 37 | $210,007 | +34% | $23,733 |
| 377 Gastrointestinal Hemorrhage with MCC | 36 | $53,945 | -37% | $14,328 |
| 039 Extracranial Procedures without CC/MCC | 35 | $49,347 | -23% | $9,256 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 35 | $140,534 | -14% | $23,576 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 34 | $42,976 | -33% | $9,686 |
| 312 Syncope and Collapse | 34 | $35,243 | -23% | $8,003 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 33 | $199,481 | -5% | $35,790 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 32 | $43,955 | -27% | $11,749 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 31 | $42,644 | -16% | $9,878 |
| 314 Other Circulatory System Diagnoses with MCC | 30 | $72,773 | -23% | $16,192 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 27 | $69,701 | -49% | $19,204 |
| 493 Lower Extremity and Humerus Procedures except Hip, Foot and... | 27 | $114,895 | -3% | $17,792 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 26 | $378,857 | +33% | $45,919 |
| 086 Traumatic Stupor and Coma <1 Hour with CC | 25 | $50,158 | -27% | $10,303 |
| 184 Major Chest Trauma with CC | 25 | $55,150 | -1% | $9,236 |
| 305 Hypertension without MCC | 25 | $29,384 | -27% | $7,158 |
| 812 Red Blood Cell Disorders without MCC | 24 | $30,740 | -31% | $7,929 |
| 638 Diabetes with CC | 23 | $34,090 | -18% | $8,101 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 22 | $106,082 | -4% | $17,390 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 22 | $109,846 | +18% | $14,839 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 22 | $141,776 | +2% | $22,927 |
| 023 Craniotomy with Major Device Implant or Acute Complex Cns... | 21 | $228,137 | -19% | $42,785 |
| 603 Cellulitis without MCC | 21 | $34,056 | -9% | $7,682 |
| 445 Disorders of The Biliary Tract with CC | 20 | $66,827 | +15% | $9,657 |
| 536 Fractures of Hip and Pelvis without MCC | 20 | $35,566 | -6% | $7,155 |
| 981 Extensive O.R. Procedures Unrelated To Principal Diagnosis... | 20 | $207,751 | -4% | $37,852 |
| 083 Traumatic Stupor and Coma >1 Hour with CC | 19 | $67,125 | -8% | $11,299 |
| 164 Major Chest Procedures with CC | 19 | $153,651 | +21% | $19,500 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 19 | $66,241 | -41% | $17,248 |
| 394 Other Digestive System Diagnoses with CC | 19 | $39,950 | -15% | $8,415 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 19 | $40,582 | -15% | $8,889 |
| 282 Acute Myocardial Infarction, Discharged Alive without CC/MCC | 18 | $26,513 | -39% | $7,285 |
Showing the 60 most frequent of 110 DRGs.
Outpatient services
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Johnson City Medical Center charged $70,183 on average, 0% less than the Tennessee average of $70,379, and was paid $15,307 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Johnson City Medical Center charged $53,043 on average, 15% more than the Tennessee average of $46,128, and was paid $11,310 against a state average of $10,346. For Psychoses (DRG 885), Johnson City Medical Center charged $11,748 on average, 74% less than the Tennessee average of $44,615, and was paid $11,164 against a state average of $11,248. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Johnson City Medical Center charged $52,171 on average, 8% more than the Tennessee average of $48,160, and was paid $11,136 against a state average of $10,379. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $20,548 was 26% below the state average of $27,751. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,847 was 15% below the state average of $19,917. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $11,831 was 15% above the state average of $10,318. For Level 3 Endovascular Procedures (outpatient APC 5193), its average charge of $76,210 was 1% below the state average of $76,764.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Johnson City Medical Center in Johnson City, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2023-06-13 (CMS case 1212)
- Closure Notice — 2023-10-18 (CMS case 1212)
- Met Requirements — 2025-03-25 (CMS case 3383)
- Met Requirements — 2026-04-09 (CMS case 7408)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.