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 |
|---|---|---|---|---|
| Hpv low-risk types CPT 87623 | $29.10 | $194.00 | $17.55 – $84.22 | 18 |
| Hpv types 16 & 18 only CPT 87625 | $33.90 | $226.00 | $20.28 – $97.32 | 18 |
| H pylori (c-13) breath CPT 83013 | $117.90 | $786.00 | $33.68 – $161.66 | 18 |
| H pylori drug admin CPT 83014 | $8.40 | $56.00 | $3.93 – $18.86 | 18 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | $732.00 | $4,880.00 | $558.89 – $3,129.48 | 18 |
| Hrdtry cardmypy gene panel CPT 81439 | $511.65 | $3,411.00 | $292.45 – $1,403.76 | 18 |
| Htt gene detc abnor alleles CPT 81271 | $175.80 | $1,172.00 | $68.50 – $328.80 | 18 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | $202.37 | $1,349.13 | $0.40 – $140.30 | 6 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | $117.76 | $785.05 | $0.40 – $0.63 | 2 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | $89.61 | $597.37 | $7.99 – $9.86 | 2 |
| Hydration IV infusion each additional hour CPT 96361 | $27.60 | $184.00 | $14.70 – $662.08 | 18 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $79.95 | $533.00 | $43.62 – $484.27 | 18 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | $197.56 | $1,317.06 | $3.08 – $37.51 | 2 |
| Hydromorphone injection HCPCS J1170 | $9.78 | $65.21 | $0.92 – $8.08 | 2 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | $62.63 | $417.52 | $0.74 – $26.93 | 2 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $30.60 | $204.00 | $8.95 – $42.96 | 18 |
| Hymenotomy CPT 56442 | $1,140.00 | $7,600.00 | $42.03 – $7,370.17 | 18 |
| Hyoscyamine sulfate inj HCPCS J1980 | $29.29 | $195.29 | $7.22 – $96.94 | 2 |
| #hypersens-actinomyces ab CPT 86602 | $11.55 | $77.00 | $5.09 – $24.43 | 18 |
| Hysterosalpingography s&i CPT 74740 | $153.90 | $1,026.00 | $42.72 – $543.24 | 18 |
| I-123 iobenguane diag HCPCS A9582 | $1,109.70 | $7,398.00 | $498.00 – $5,052.15 | 17 |
| I-123 ioflupane diag HCPCS A9584 | $1,135.80 | $7,572.00 | $1,387.74 – $3,330.58 | 17 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $48.00 | $320.00 | $75.00 – $190.71 | 2 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $646.80 | $4,312.00 | $527.31 – $2,287.22 | 17 |
| I131 iodide cap, rx HCPCS A9517 | $71.70 | $478.00 | $10.35 – $528.55 | 18 |
| I131 iodide sol, rx HCPCS A9530 | $32.40 | $216.00 | $6.31 – $528.55 | 18 |
| Iaadi respiratory synctial virus CPT 87280 | $20.10 | $134.00 | $6.71 – $32.21 | 18 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $33.15 | $221.00 | $17.55 – $84.22 | 18 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $22.65 | $151.00 | $9.05 – $43.42 | 18 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $13.20 | $88.00 | $11.64 – $98.71 | 18 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $1,099.35 | $7,329.00 | $1,224.28 – $5,876.54 | 18 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $959.22 | $6,394.78 | $107.59 – $476.42 | 18 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | $1,326.15 | $8,841.00 | $360.21 – $7,548.52 | 18 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | $1,444.95 | $9,633.00 | $302.83 – $7,449.57 | 18 |
| Idh1 common variants CPT 81120 | $167.55 | $1,117.00 | $96.63 – $463.80 | 18 |
| Idh2 common variants CPT 81121 | $256.35 | $1,709.00 | $147.90 – $709.90 | 18 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $757.65 | $5,051.00 | $202.64 – $6,007.13 | 18 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | $172.05 | $1,147.01 | $18.86 – $116.06 | 3 |
| Igh@/bcl2 translocation alys CPT 81278 | $265.95 | $1,773.00 | $103.66 – $497.54 | 18 |
| Igh gene rearrange amp meth CPT 81261 | $346.65 | $2,311.00 | $99.00 – $475.18 | 18 |
| Igh@ var region somatic mutation analy CPT 81263 | $515.70 | $3,438.00 | $115.92 – $706.85 | 18 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $60.45 | $403.00 | $27.28 – $137.86 | 6 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $52.50 | $350.00 | $46.18 – $741.29 | 18 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $54.90 | $366.00 | $22.09 – $366.00 | 18 |
| Ikbkap gene CPT 81260 | $179.55 | $1,197.00 | $19.66 – $94.34 | 18 |
| Iliac/fem angio cath insert HCPCS G0278 | $63.90 | $426.00 | $12.34 – $6,121.76 | 5 |
| Iliac revasc add-on 37222 CPT 37222 | $1,564.20 | $10,428.00 | $861.52 – $14,437.68 | 5 |
| Img rta detcj/mntr ds staff CPT 92227 | $25.05 | $167.00 | $10.79 – $134.31 | 18 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $12.45 | $83.00 | $25.48 – $170.88 | 17 |
| Immobilizer shldr sling med HCPCS L3660 | $21.75 | $145.00 | $112.95 – $264.77 | 17 |
| Immune complex assay CPT 86332 | $42.75 | $285.00 | $11.64 – $58.49 | 18 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $9,316.39 | $62,109.25 | $22.33 – $2,246.80 | 18 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $36.45 | $243.00 | $10.41 – $49.94 | 18 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $36.45 | $243.00 | $10.41 – $49.94 | 18 |
| Immunoassay tumor qual CPT 86294 | $29.55 | $197.00 | $11.64 – $61.37 | 18 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $21.00 | $140.00 | $5.99 – $28.75 | 18 |
| Immunodiffusion nes CPT 86329 | $22.80 | $152.00 | $7.03 – $33.72 | 18 |
| Immunofixation electrophoresis serum CPT 86334 | $39.15 | $261.00 | $11.17 – $53.62 | 18 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $52.35 | $349.00 | $26.23 – $185.94 | 6 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $93.75 | $625.00 | $22.09 – $387.89 | 18 |
| Immunoglobulin assay CPT 86023 | $21.90 | $146.00 | $6.23 – $29.90 | 18 |
| Immunology procedure CPT 86849 | $28.95 | $193.00 | $11.64 – $16.21 | 6 |
| Impl neurostim electr perc CPT 63650 | $3,136.65 | $20,911.00 | $703.83 – $14,509.80 | 18 |
| In-111 autol wbc diag per dose HCPCS A9570 | $654.30 | $4,362.00 | $618.83 – $2,647.66 | 17 |
| In-111 capromab pendet HCPCS A9507 | $851.70 | $5,678.00 | $1,513.26 – $4,152.70 | 17 |
| In-111 ibritumomab tiux dx HCPCS A9542 | $1,595.25 | $10,635.00 | $478.81 – $5,956.05 | 2 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $592.95 | $3,953.00 | $429.17 – $1,789.49 | 17 |
| In-111 pentetreotide HCPCS A9572 | $1,179.75 | $7,865.00 | $1,148.77 – $4,802.26 | 17 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $471.15 | $3,141.00 | $85.01 – $3,415.60 | 18 |
| Incision of achilles tendon CPT 27605 | $690.90 | $4,606.00 | $1,525.42 – $3,661.02 | 18 |
| Incision of breast lesion CPT 19020 | $757.65 | $5,051.00 | $224.48 – $3,760.30 | 18 |
| Incision of burn scab initi CPT 16035 | $63.15 | $421.00 | $265.85 – $840.70 | 18 |
| Incision of tongue fold CPT 41010 | $670.95 | $4,473.00 | $1,471.91 – $3,532.59 | 18 |
| Incisn of toe tndn CPT 28010 | $753.60 | $5,024.00 | $1,525.42 – $3,661.02 | 18 |
| Incisn windpipe CPT 31600 | $1,298.70 | $8,658.00 | $2,795.61 – $7,548.52 | 18 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $30.15 | $201.00 | $35.10 – $168.48 | 17 |
| Infect ag drug suscept pheno predict CPT 87900 | $228.15 | $1,521.00 | $65.18 – $312.84 | 18 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $388.80 | $2,592.00 | $128.73 – $617.88 | 18 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $388.80 | $2,592.00 | $128.73 – $617.88 | 18 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $178.05 | $1,187.00 | $64.37 – $308.95 | 18 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $388.35 | $2,589.00 | $128.73 – $617.88 | 18 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $42.00 | $280.00 | $16.39 – $78.65 | 18 |
| Infect ag ia optc obs influenza CPT 87804 | $20.10 | $134.00 | $8.28 – $39.72 | 18 |
| Infect ag if hep delta agent CPT 87380 | $28.80 | $192.00 | $9.18 – $44.06 | 18 |
| Infect ag if influenza a CPT 87276 | $10.35 | $69.00 | $8.04 – $38.57 | 18 |
| Infect ag if influenza b CPT 87275 | $10.35 | $69.00 | $6.13 – $29.40 | 18 |
| Infect ag if legionella pneumophila CPT 87278 | $20.10 | $134.00 | $7.80 – $37.44 | 18 |
| Infect ag if nos ea CPT 87299 | $20.10 | $134.00 | $8.05 – $38.64 | 18 |
| Infect ag if varicella zoster CPT 87290 | $20.10 | $134.00 | $6.71 – $32.21 | 18 |
| Infect ag na hep b amp CPT 87516 | $61.50 | $410.00 | $17.55 – $84.22 | 18 |
| Infect ag na herpes simplex quant CPT 87530 | $75.15 | $501.00 | $21.42 – $102.82 | 18 |
| Infect ag na hpv high-risk types CPT 87624 | $30.75 | $205.00 | $17.55 – $84.22 | 18 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $148.95 | $993.00 | $47.90 – $229.92 | 18 |
| Infect ag na influenza revr/amp ea type CPT 87501 | $89.85 | $599.00 | $25.66 – $123.14 | 18 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $15.00 | $100.00 | $25.66 – $111.86 | 18 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $374.85 | $2,499.00 | $185.90 – $1,000.27 | 18 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $855.60 | $5,704.00 | $244.33 – $1,172.78 | 18 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $45.75 | $305.00 | $13.04 – $62.57 | 18 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $12.15 | $81.00 | $10.20 – $90.21 | 18 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $20.10 | $134.00 | $5.99 – $28.75 | 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.