Holston Valley Medical Center
130 W. RAVINE RD., KINGSPORT, TN · Balladhealth · · NPI 1487690400
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Fibrin degrade semiquant CPT 85378 | $12.60 | $84.00 | $4.57 – $23.33 | 18 |
| Fibrin degradj d-dimer CPT 85380 | $20.25 | $135.00 | $5.09 – $24.43 | 18 |
| Fibrinogen activity CPT 85384 | $15.00 | $100.00 | $4.57 – $23.33 | 18 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $7.50 | $50.00 | $4.39 – $37.15 | 18 |
| Fibrinolytic antiplasmin CPT 85410 | $4.35 | $29.00 | $3.86 – $18.50 | 18 |
| Fibrinolytic plasminogen CPT 85415 | $28.95 | $193.00 | $4.57 – $41.26 | 18 |
| Fibrinolytic plasminogen CPT 85421 | $17.85 | $119.00 | $4.57 – $24.43 | 18 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $10.80 | $72.00 | $3.27 – $15.67 | 18 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | $633.12 | $4,220.79 | $0.31 – $155.03 | 18 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $804.60 | $5,364.00 | $975.34 – $975.34 | 1 |
| Filter vena cava fem denali HCPCS C1880 | $583.20 | $3,888.00 | $1,193.62 – $1,193.62 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $304.05 | $2,027.00 | $671.77 – $1,612.25 | 17 |
| Fine needle asp without image guide 10021 CPT 10021 | $136.65 | $911.00 | $18.27 – $911.00 | 17 |
| Fix g/colon tube w/device CPT 49460 | $280.35 | $1,869.00 | $449.35 – $1,875.70 | 18 |
| Flecainide (tambocor)-sendout CPT 80181 | $24.00 | $160.00 | $9.32 – $44.74 | 18 |
| Fl exam g/colon tube w contrast CPT 49465 | $228.45 | $1,523.00 | $145.57 – $543.24 | 18 |
| Flexible Sigmoidoscopy CPT 45330 | $393.75 | $2,625.00 | $43.94 – $2,117.29 | 18 |
| Flow cytometry marker each additional CPT 88185 | $61.80 | $412.00 | $10.25 – $51.25 | 6 |
| Flow cytometry one marker technical component CPT 88184 | $101.10 | $674.00 | $10.25 – $741.29 | 18 |
| Flt3 gene CPT 81245 | $213.00 | $1,420.00 | $82.76 – $397.22 | 18 |
| Flt3 gene analysis CPT 81246 | $106.50 | $710.00 | $41.50 – $199.20 | 18 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | $8.19 | $54.59 | $3.98 – $48.38 | 2 |
| Fluidotherapy charges pt CPT 97022 | $22.05 | $147.00 | $13.63 – $36.17 | 18 |
| Fluid pressure muscle 20950 CPT 20950 | $319.20 | $2,128.00 | $45.52 – $1,612.25 | 18 |
| Fluorescent antibody titer dna CPT 86256 | $21.15 | $141.00 | $6.03 – $28.92 | 18 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $69.30 | $462.00 | $37.11 – $268.86 | 5 |
| Fluoroguide needle placement CPT 77002 | $69.30 | $462.00 | $40.58 – $268.86 | 5 |
| Fluoro polarize fetal lung CPT 83663 | $29.25 | $195.00 | $9.46 – $45.38 | 18 |
| Fluoroscopy up to 1 hour CPT 76000 | $69.30 | $462.00 | $42.72 – $493.44 | 18 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | $11.01 | $73.42 | $2.77 – $3.50 | 2 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | $327.04 | $2,180.27 | $12.85 – $18.45 | 2 |
| Fmri brain by phys/psych CPT 70555 | $591.00 | $3,940.00 | $122.73 – $543.24 | 18 |
| Fmri brain by tech CPT 70554 | $537.15 | $3,581.00 | $203.05 – $543.24 | 18 |
| Fna bx w/ct gdn 1st les CPT 10009 | $747.90 | $4,986.00 | $671.77 – $1,612.25 | 17 |
| Fna bx w/mr gdn 1st les CPT 10011 | $304.05 | $2,027.00 | $671.77 – $1,612.25 | 17 |
| Folic acid CPT 82746 | $25.80 | $172.00 | $7.35 – $35.28 | 18 |
| Follow-up angiography CPT 75898 | $492.60 | $3,284.00 | $34.41 – $6,529.86 | 18 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | $1,917.15 | $12,781.02 | $4.57 – $246.67 | 18 |
| Fondaparinux sodium HCPCS J1652 | $188.75 | $1,258.32 | $1.27 – $9.11 | 2 |
| Fo nontorsion joint cf HCPCS L3935 | $96.15 | $641.00 | $248.47 – $712.81 | 17 |
| Foot arch support remov prem HCPCS L3030 | $36.75 | $245.00 | $94.31 – $271.30 | 17 |
| Foot insert plastazote or eq HCPCS L3002 | $78.15 | $521.00 | $199.55 – $575.17 | 17 |
| Foot longitud/metatarsal sup HCPCS L3020 | $65.70 | $438.00 | $245.15 – $618.51 | 17 |
| Foot X-ray CPT 73630 | $76.35 | $509.00 | $17.78 – $198.14 | 18 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $474.30 | $3,162.00 | $1,070.75 – $3,246.02 | 17 |
| Forearm/arm cuffs free motio HCPCS L3720 | $360.30 | $2,402.00 | $813.40 – $2,465.84 | 17 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $106.50 | $710.00 | $74.82 – $568.85 | 18 |
| Formoterol fumarate, inh HCPCS J7606 | $20.70 | $138.02 | $2.20 – $300.88 | 17 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | $482.62 | $3,217.47 | $0.16 – $1.01 | 3 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | $117.38 | $782.54 | $1.04 – $3.22 | 17 |
| Fracture assessment via dxa CPT 77086 | $63.90 | $426.00 | $22.57 – $198.14 | 18 |
| _fragile x methylation-sendout CPT 81244 | $96.75 | $645.00 | $22.45 – $107.74 | 18 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $59.40 | $396.00 | $43.65 – $177.05 | 18 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $108.15 | $721.00 | $20.34 – $206.35 | 18 |
| Fresh frozen plasma thawing ea un CPT 86927 | $47.40 | $316.00 | $8.96 – $352.34 | 18 |
| Frozen blood thaw CPT 86931 | $93.75 | $625.00 | $28.24 – $387.89 | 18 |
| Fructosamine glycated protein CPT 82985 | $26.40 | $176.00 | $8.38 – $40.22 | 18 |
| Ftl cgen abnor four anal CPT 81511 | $197.10 | $1,314.00 | $76.75 – $368.40 | 18 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $638.10 | $4,254.00 | $599.61 – $4,266.99 | 18 |
| Fundus photography with i&r 92250 CPT 92250 | $54.75 | $365.00 | $6.12 – $302.92 | 18 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $15.20 | $101.34 | $0.03 – $0.04 | 2 |
| Fxn gene detc abnor alleles CPT 81284 | $107.70 | $718.00 | $68.50 – $328.80 | 18 |
| Fxn gene full gene sequence CPT 81286 | $216.00 | $1,440.00 | $137.42 – $659.59 | 18 |
| G6pc gene CPT 81250 | $157.80 | $1,052.00 | $29.25 – $140.38 | 18 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $27.30 | $182.00 | $30.36 – $165.00 | 2 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $330.00 | $2,200.00 | $40.04 – $119.11 | 17 |
| Gabapentin non-blood CPT 80355 | $17.70 | $118.00 | $14.31 – $15.03 | 5 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $58.56 | $390.37 | $90.36 – $90.36 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $84.35 | $562.30 | $13.50 – $25.92 | 2 |
| Galectin-3 CPT 82777 | $23.55 | $157.00 | $10.68 – $106.20 | 18 |
| Gammaglobulin iga CPT 82784 | $16.20 | $108.00 | $4.65 – $22.32 | 18 |
| Gammaglobulin ige CPT 82785 | $28.80 | $192.00 | $8.23 – $39.50 | 18 |
| Gamma glutamyltransferase CPT 82977 | $12.60 | $84.00 | $2.31 – $17.28 | 18 |
| Gamunex-c/gammaked HCPCS J1561 | $10,673.55 | $71,156.97 | $22.15 – $1,605.58 | 18 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $150.27 | $1,001.80 | $30.45 – $69.59 | 3 |
| Gardner vag dna quant CPT 87512 | $73.05 | $487.00 | $20.88 – $100.22 | 18 |
| Gastric emptying imag study CPT 78265 | $418.80 | $2,792.00 | $199.59 – $910.18 | 18 |
| Gastric emptying imag study CPT 78266 | $418.80 | $2,792.00 | $264.82 – $1,236.21 | 18 |
| Gastrin test CPT 82938 | $30.90 | $206.00 | $8.85 – $42.46 | 18 |
| Gastroesophageal reflux study CPT 78262 | $452.25 | $3,015.00 | $139.30 – $910.18 | 18 |
| Gated heart multiple CPT 78473 | $452.25 | $3,015.00 | $178.55 – $910.18 | 18 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | $27.60 | $184.00 | $56.49 – $56.49 | 1 |
| Gba gene CPT 81251 | $167.10 | $1,114.00 | $23.63 – $113.40 | 18 |
| General health panel CPT 80050 | $49.20 | $328.00 | $9.36 – $87.34 | 6 |
| Genetic tstg severe inh cond CPT 81443 | $3,142.35 | $20,949.00 | $1,224.28 – $5,876.54 | 18 |
| Genome re-evaluation CPT 81427 | $2,999.85 | $19,999.00 | $1,168.83 – $5,610.36 | 18 |
| Genome sequence analysis CPT 81425 | $6,456.60 | $43,044.00 | $2,423.66 – $12,074.88 | 18 |
| Genome sequence analysis CPT 81426 | $3,477.60 | $23,184.00 | $1,354.98 – $6,503.88 | 18 |
| Gentamicin 10 mg/ml liquid compound - enteral use only HCPCS J1580 | $62.16 | $414.42 | $3.20 – $3.89 | 2 |
| Gentamicin peak therapeutic drug level CPT 80170 | $28.80 | $192.00 | $8.19 – $39.31 | 18 |
| G-esoph reflx tst w/electrod CPT 91035 | $227.25 | $1,515.00 | $449.35 – $1,775.93 | 18 |
| Ghs abscess perianal iandd CPT 46050 | $211.95 | $1,413.00 | $75.15 – $1,923.21 | 18 |
| Ghs abscess postoperative iandd complex CPT 10180 | $756.90 | $5,046.00 | $131.08 – $6,007.13 | 18 |
| Ghs acetylcholinesterase, rbc CPT 82482 | $13.35 | $89.00 | $4.91 – $23.54 | 18 |
| Ghs alcohol, methyl (methanol)-medtox CPT 84600 | $28.20 | $188.00 | $8.56 – $41.06 | 18 |
| Ghs alpha thalasemia, 7 deletions CPT 81257 | $565.05 | $3,767.00 | $44.97 – $245.42 | 18 |
| Ghs analysis neurostim without reprogramming CPT 95970 | $54.75 | $365.00 | $23.35 – $302.92 | 18 |
| Ghs antibodies (torch) igm CPT 86694 | $25.20 | $168.00 | $7.20 – $34.54 | 18 |
| Ghs bladder cath - complex-foley CPT 51703 | $79.80 | $532.00 | $105.01 – $292.96 | 18 |
| Ghs bleeding time (ivy) CPT 85002 | $7.95 | $53.00 | $2.41 – $11.57 | 18 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.