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 |
|---|---|---|---|---|
| Ghs block ilioinguinal/gentitofemoral CPT 64425 | $313.50 | $2,090.00 | $98.99 – $1,607.12 | 18 |
| Ghs central line insert < age 5, failed CPT 36555 | $574.35 | $3,829.00 | $331.53 – $6,529.86 | 18 |
| Ghs change cysto/gastrost CPT 43762 | $52.05 | $347.00 | $237.02 – $516.70 | 18 |
| Ghs chemo >8 hrs CPT 96416 | $279.90 | $1,866.00 | $124.66 – $752.03 | 18 |
| Ghs chemo IV push, ea addtl CPT 96411 | $106.95 | $713.00 | $43.62 – $163.93 | 18 |
| Ghs chlamydia pneumoniae by pcr (arup) (306630) CPT 87486 | $61.50 | $410.00 | $17.55 – $84.22 | 18 |
| Ghs closd tx interphalang jt disloc w/ma CPT 26770 | $129.90 | $866.00 | $70.63 – $628.19 | 18 |
| Ghs closed reduction ankle dislocation CPT 27840 | $211.95 | $1,413.00 | $234.00 – $628.19 | 18 |
| Ghs closed tx bimalleolar fracture w/manip CPT 27810 | $211.95 | $1,413.00 | $404.42 – $3,325.42 | 18 |
| Ghs closed tx radiocarpal disloc w manip CPT 25660 | $265.35 | $1,769.00 | $234.00 – $628.19 | 18 |
| Ghs closed tx tibial fracture w/manip CPT 27752 | $578.40 | $3,856.00 | $448.54 – $3,661.02 | 18 |
| Ghs clsd red med malleolus fx without manip CPT 27760 | $191.10 | $1,274.00 | $234.00 – $628.19 | 18 |
| Ghs clsd red med malleolus fx w manip CPT 27762 | $578.40 | $3,856.00 | $357.33 – $3,661.02 | 18 |
| Ghs clsd tx frac distal tibia w/manipulation CPT 27825 | $283.95 | $1,893.00 | $492.23 – $3,325.42 | 18 |
| Ghs cl tx knee disl; wo anesth CPT 27550 | $205.50 | $1,370.00 | $234.00 – $628.19 | 18 |
| Ghs cl tx metacarpophal disloc without anes CPT 26700 | $79.20 | $528.00 | $178.74 – $628.19 | 18 |
| Ghs community re-entry 15 minutes CPT 97537 | $29.25 | $195.00 | $18.90 – $73.15 | 18 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $144.15 | $961.00 | $25.11 – $961.00 | 18 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $73.20 | $488.00 | $21.97 – $302.92 | 18 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $73.20 | $488.00 | $23.55 – $923.85 | 18 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $72.90 | $486.00 | $28.25 – $302.92 | 18 |
| Ghs cricothyroidotomy CPT 31605 | $235.35 | $1,569.00 | $224.69 – $2,882.27 | 18 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $26.10 | $174.00 | $7.61 – $36.50 | 18 |
| Ghs dislocation elbow closed treatment CPT 24600 | $245.85 | $1,639.00 | $234.00 – $628.19 | 18 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | $221.40 | $1,476.00 | $860.41 – $1,875.70 | 18 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $55.35 | $369.00 | $23.55 – $578.42 | 18 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $310.05 | $2,067.00 | $669.64 – $1,607.12 | 18 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $263.55 | $1,757.00 | $151.84 – $491.61 | 18 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $111.15 | $741.00 | $50.23 – $840.70 | 18 |
| Ghs excision ingrown nail CPT 11765 | $69.15 | $461.00 | $21.97 – $840.70 | 18 |
| Ghs eye exam CPT 92002 | $58.35 | $389.00 | $50.59 – $303.12 | 17 |
| Ghs fb removal foot - deep - left CPT 28192 | $418.95 | $2,793.00 | $268.45 – $3,415.60 | 18 |
| Ghs fb removal from muscle - complicated CPT 20525 | $811.65 | $5,411.00 | $220.05 – $6,007.13 | 18 |
| Ghs fb removal - incisional CPT 10121 | $717.30 | $4,782.00 | $157.00 – $3,760.30 | 18 |
| Ghs fb removal - non-incisional CPT 20520 | $211.95 | $1,413.00 | $48.65 – $3,415.60 | 18 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $12.30 | $82.00 | $3.49 – $16.75 | 18 |
| Ghs fish cytogen CPT 88271 | $36.00 | $240.00 | $10.71 – $51.41 | 18 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $70.20 | $468.00 | $25.60 – $122.86 | 18 |
| Ghs flow volume loop CPT 94375 | $92.25 | $615.00 | $17.31 – $491.61 | 18 |
| Ghs gastric intub aspiration lavage CPT 43753 | $64.20 | $428.00 | $20.04 – $446.54 | 17 |
| Ghs hcv amplificaiton CPT 87521 | $61.50 | $410.00 | $17.55 – $84.22 | 18 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | $26.25 | $175.00 | $7.75 – $37.18 | 18 |
| Ghs hgb stability-thal CPT 83068 | $14.40 | $96.00 | $4.64 – $22.73 | 18 |
| Ghs histoplasma antigen CPT 87385 | $20.10 | $134.00 | $6.63 – $31.80 | 18 |
| Ghs HIV antibody CPT 86703 | $24.00 | $160.00 | $6.86 – $32.90 | 18 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $881.70 | $5,878.00 | $242.12 – $2,724.47 | 18 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $541.35 | $3,609.00 | $150.37 – $1,612.25 | 18 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $122.70 | $818.00 | $40.81 – $1,464.46 | 18 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $245.85 | $1,639.00 | $37.67 – $1,899.63 | 18 |
| Ghs inf midline insertion CPT 36140 | $1,818.15 | $12,121.00 | $161.01 – $883.70 | 5 |
| Ghs inhibitor screen CPT 85335 | $22.50 | $150.00 | $4.57 – $30.89 | 18 |
| Ghs init tx 1st degree burn CPT 16000 | $65.25 | $435.00 | $51.94 – $435.00 | 18 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $538.05 | $3,587.00 | $80.04 – $2,013.74 | 18 |
| Ghs inj tendon origin/insertion CPT 20551 | $56.85 | $379.00 | $56.91 – $634.79 | 18 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $511.65 | $3,411.00 | $955.54 – $1,003.32 | 5 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $879.75 | $5,865.00 | $839.06 – $2,013.74 | 18 |
| Ghs insertion of needle - bone CPT 36680 | $63.00 | $420.00 | $105.48 – $923.85 | 18 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $311.10 | $2,074.00 | $211.63 – $925.54 | 18 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $322.50 | $2,150.00 | $263.66 – $1,682.69 | 18 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $136.50 | $910.00 | $314.56 – $4,266.99 | 18 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $256.35 | $1,709.00 | $105.01 – $568.85 | 18 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $27.00 | $180.00 | $44.42 – $106.61 | 18 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $1,512.60 | $10,084.00 | $313.35 – $752.03 | 18 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $255.60 | $1,704.00 | $106.86 – $1,017.09 | 18 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $100.05 | $667.00 | $58.07 – $840.70 | 18 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $112.05 | $747.00 | $61.21 – $840.70 | 18 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $127.95 | $853.00 | $65.92 – $853.00 | 18 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $174.90 | $1,166.00 | $171.16 – $925.54 | 18 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $150.90 | $1,006.00 | $173.66 – $925.54 | 18 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $247.80 | $1,652.00 | $193.92 – $925.54 | 18 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $296.55 | $1,977.00 | $177.75 – $925.54 | 18 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $251.40 | $1,676.00 | $191.54 – $1,676.00 | 18 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $272.55 | $1,817.00 | $234.84 – $925.54 | 18 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $309.45 | $2,063.00 | $229.02 – $1,682.69 | 18 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $299.85 | $1,999.00 | $298.29 – $925.54 | 18 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $136.50 | $910.00 | $287.99 – $1,528.45 | 18 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $329.85 | $2,199.00 | $385.64 – $925.54 | 18 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $819.45 | $5,463.00 | $344.42 – $4,697.60 | 18 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $362.70 | $2,418.00 | $385.64 – $925.54 | 18 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $15.15 | $101.00 | $4.30 – $20.64 | 18 |
| Ghs mbp CPT 83873 | $30.15 | $201.00 | $8.60 – $41.28 | 18 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $121.65 | $811.00 | $27.32 – $28.69 | 5 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $91.80 | $612.00 | $27.32 – $28.69 | 5 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $75.15 | $501.00 | $27.32 – $28.69 | 5 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $39.00 | $260.00 | $27.32 – $28.69 | 5 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $56.85 | $379.00 | $27.32 – $28.69 | 5 |
| Ghs musc test done w/n test comp CPT 95886 | $42.00 | $280.00 | $36.32 – $176.34 | 5 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $37.80 | $252.00 | $34.48 – $176.34 | 5 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $45.00 | $300.00 | $26.50 – $176.34 | 5 |
| Ghs myocardial strain img spckl track CPT 93356 | $513.90 | $3,426.00 | $37.47 – $617.23 | 5 |
| Ghs nailbed repair/nail removal CPT 11760 | $63.75 | $425.00 | $83.17 – $1,528.45 | 18 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $366.75 | $2,445.00 | $56.50 – $2,013.74 | 18 |
| Ghs nerve blk intercostal, single level CPT 64420 | $298.50 | $1,990.00 | $40.81 – $1,607.12 | 18 |
| Ghs nerve block axillary nerve CPT 64417 | $156.45 | $1,043.00 | $92.94 – $1,829.14 | 18 |
| Ghs nerve block brachial plexus CPT 64415 | $187.95 | $1,253.00 | $81.67 – $1,894.76 | 18 |
| Ghs nerve block interscaline CPT 64510 | $828.60 | $5,524.00 | $839.06 – $2,013.74 | 18 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $828.60 | $5,524.00 | $839.06 – $2,013.74 | 18 |
| Ghs nerve block sciatic nerve CPT 64445 | $298.50 | $1,990.00 | $92.25 – $1,607.12 | 18 |
| Ghs ng placement w fluoro guidance CPT 43752 | $241.50 | $1,610.00 | $423.79 – $1,017.09 | 18 |
| Ghs o2 saturation CPT 82810 | $15.30 | $102.00 | $4.89 – $23.45 | 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.