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 |
|---|---|---|---|---|
| Intrinsic factor antibody CPT 86340 | $26.40 | $176.00 | $7.54 – $36.19 | 18 |
| Intrm oph exam est patient CPT 92012 | $58.35 | $389.00 | $41.42 – $303.12 | 17 |
| Intro cath dialysis circuit CPT 36901 | $736.65 | $4,911.00 | $1,493.32 – $3,583.98 | 18 |
| Intro cath dialysis circuit w/pta CPT 36902 | $2,648.25 | $17,655.00 | $4,801.66 – $12,958.35 | 18 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $5,352.30 | $35,682.00 | $10,951.41 – $26,283.39 | 18 |
| Intro catheter aorta CPT 36200 | $67.35 | $449.00 | $449.00 – $883.70 | 5 |
| Intro cath svc/ivc CPT 36010 | $1,818.15 | $12,121.00 | $205.98 – $883.70 | 5 |
| Intro long gi tube CPT 44500 | $329.25 | $2,195.00 | $449.35 – $2,064.99 | 18 |
| Intro long gi tube w/mult fluo CPT 74340 | $71.70 | $478.00 | $86.29 – $268.86 | 5 |
| Intubation endotracheal emergency procedure CPT 31500 | $235.05 | $1,567.00 | $224.69 – $957.78 | 18 |
| Iodine i-123 sod iodide mil HCPCS A9509 | $49.95 | $333.00 | $133.96 – $252.14 | 2 |
| Iodine i-125 sodium iodide HCPCS A9527 | $30.75 | $205.00 | $10.08 – $863.98 | 17 |
| Ionm in operatng room 15 min CPT 95940 | $77.55 | $517.00 | $30.74 – $517.00 | 2 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $45.83 | $305.52 | $1.14 – $55.88 | 2 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $60.90 | $406.02 | $0.30 – $10.76 | 2 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | $72.15 | $481.00 | $66.58 – $97.09 | 2 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | $91.95 | $613.00 | $95.99 – $134.43 | 2 |
| Ip/obs consltj new/est hi 80 CPT 99255 | $106.50 | $710.00 | $116.00 – $182.00 | 2 |
| Ip/obs consltj new/est sf 35 CPT 99252 | $56.85 | $379.00 | $43.70 – $73.58 | 2 |
| Ipratropium bromide non-comp HCPCS J7644 | $1.09 | $7.25 | $0.40 – $15.81 | 17 |
| Iron CPT 83540 | $11.40 | $76.00 | $2.31 – $15.53 | 18 |
| Iron binding capacity CPT 83550 | $15.45 | $103.00 | $2.31 – $20.98 | 18 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $19.69 | $131.27 | $7.10 – $137.76 | 18 |
| Iron stain peripheral blood CPT 85536 | $11.40 | $76.00 | $3.44 – $16.51 | 18 |
| Irradiation of blood product each unit reference CPT 86945 | $122.10 | $814.00 | $8.96 – $111.02 | 18 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $29.40 | $196.00 | $24.74 – $134.31 | 18 |
| Ivc venogram s&i CPT 75825 | $1,357.80 | $9,052.00 | $115.63 – $7,188.84 | 18 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $43.95 | $293.00 | $20.89 – $366.15 | 18 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $25.65 | $171.00 | $18.55 – $372.90 | 5 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $36.00 | $240.00 | $19.87 – $662.08 | 18 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $92.55 | $617.00 | $61.37 – $484.27 | 18 |
| IV inj ra drug dx study CPT 78808 | $452.25 | $3,015.00 | $37.46 – $910.18 | 18 |
| Ivp w/nephrotomography CPT 74415 | $105.90 | $706.00 | $69.65 – $399.35 | 18 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $119.55 | $797.00 | $55.30 – $399.35 | 18 |
| Jak2 targeted sequence analysis CPT 81279 | $121.05 | $807.00 | $92.60 – $444.48 | 18 |
| John cunningham antibody CPT 86711 | $25.20 | $168.00 | $8.45 – $40.54 | 18 |
| J-tube placement CPT 44015 | $73.50 | $490.00 | $490.00 – $5,326.03 | 5 |
| Ketamine and metabolite screen - quest CPT 80357 | $20.25 | $135.00 | $14.31 – $15.03 | 5 |
| Ketogenic steroids fract CPT 83582 | $24.15 | $161.00 | $7.74 – $37.13 | 18 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $14.40 | $96.00 | $4.09 – $19.61 | 18 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $15.50 | $103.36 | $0.33 – $0.80 | 17 |
| Kidney imaging morphology CPT 78700 | $452.25 | $3,015.00 | $99.84 – $910.18 | 18 |
| Kidney imag w/bld flow multi CPT 78709 | $452.25 | $3,015.00 | $145.14 – $1,236.21 | 18 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $452.25 | $3,015.00 | $146.97 – $1,236.21 | 18 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $101.55 | $677.00 | $57.79 – $238.03 | 18 |
| Kit gene analys d816 variant CPT 81273 | $108.15 | $721.00 | $44.97 – $299.69 | 18 |
| Knee MRI (with and without contrast) CPT 73723 | $668.55 | $4,457.00 | $320.42 – $794.30 | 18 |
| Knee MRI (with contrast) CPT 73722 | $636.75 | $4,245.00 | $261.50 – $1,784.80 | 18 |
| Knee MRI (without contrast) CPT 73721 | $614.85 | $4,099.00 | $203.05 – $543.24 | 18 |
| Knee X-ray CPT 73564 | $80.10 | $534.00 | $20.54 – $238.03 | 18 |
| Lacosamide 200 mg/20 ml intravenous solution HCPCS C9254 | $213.59 | $1,423.90 | $0.09 – $0.35 | 2 |
| Lactate dehydrogenase (ldh) CPT 83615 | $10.50 | $70.00 | $3.02 – $14.50 | 18 |
| Lactated ringers intravenous solution HCPCS J7120 | $7.26 | $48.38 | $12.61 – $14.85 | 2 |
| Lactic acid CPT 83605 | $18.75 | $125.00 | $5.79 – $27.77 | 18 |
| Lactoferrin fecal qualitative CPT 83630 | $34.35 | $229.00 | $9.85 – $47.28 | 18 |
| Lactoferrin fecal quant CPT 83631 | $21.00 | $140.00 | $9.82 – $47.11 | 18 |
| Laryngoscopy direct w/wo tracheoscopy dx exc newborn CPT 31525 | $398.85 | $2,659.00 | $203.94 – $3,680.94 | 18 |
| Laryngoscopy w/fb removal CPT 31530 | $599.25 | $3,995.00 | $298.66 – $3,995.00 | 18 |
| Lb with mastopexy 15839 CPT 15839 | $1,223.85 | $8,159.00 | $490.40 – $6,613.35 | 18 |
| Lead capillary CPT 83655 | $21.15 | $141.00 | $6.06 – $29.06 | 18 |
| Legion pneumo dna dir prob CPT 87540 | $35.10 | $234.00 | $10.03 – $48.12 | 18 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $344.25 | $2,295.00 | $91.28 – $543.24 | 18 |
| Leishmania antibody CPT 86717 | $20.70 | $138.00 | $6.13 – $29.40 | 18 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $76.03 | $506.87 | $3.26 – $23.17 | 17 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $47.57 | $317.11 | $0.07 – $0.48 | 2 |
| Levetiracetam therapeutic drug level CPT 80177 | $23.10 | $154.00 | $6.63 – $31.80 | 18 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $7.26 | $48.38 | $4.47 – $21.00 | 2 |
| Lidocaine therapeutic drug level CPT 80176 | $25.80 | $172.00 | $7.35 – $35.26 | 18 |
| Ligation/major artery/extremity 37618 CPT 37618 | $644.55 | $4,297.00 | $1,208.73 – $2,797.48 | 5 |
| Ligation of inf vena cava CPT 37619 | $1,690.80 | $11,272.00 | $5,078.04 – $11,507.70 | 18 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | $1,070.70 | $7,138.00 | $2,995.35 – $7,138.00 | 18 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $27.09 | $180.63 | $3.99 – $21.22 | 3 |
| Lipase CPT 83690 | $12.15 | $81.00 | $3.45 – $16.54 | 18 |
| Lipoprotein blood high res frac & quant CPT 83701 | $43.50 | $290.00 | $16.93 – $81.26 | 18 |
| Lipoprotein blood quant CPT 83704 | $55.35 | $369.00 | $17.10 – $82.06 | 18 |
| Lipoprotein direct measurement hdl CPT 83718 | $14.40 | $96.00 | $4.10 – $19.66 | 18 |
| Lipoprotein direct measurement ldl CPT 83721 | $16.65 | $111.00 | $5.25 – $25.20 | 18 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $45.00 | $300.00 | $17.10 – $82.06 | 18 |
| Listeria monocytogenes CPT 86723 | $15.00 | $100.00 | $6.60 – $31.66 | 18 |
| Lithium therapeutic drug level CPT 80178 | $11.70 | $78.00 | $3.31 – $15.86 | 18 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $2,285.10 | $15,234.00 | $10,700.39 – $11,235.41 | 5 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $79.65 | $531.00 | $88.10 – $422.86 | 18 |
| Liver elastography 91200 CPT 91200 | $91.65 | $611.00 | $19.34 – $292.96 | 18 |
| Liver Function Test CPT 80076 | $13.65 | $91.00 | $4.09 – $19.61 | 18 |
| Liver imaging CPT 78201 | $452.25 | $3,015.00 | $77.48 – $1,236.21 | 18 |
| Liver imag w/vasclr flow CPT 78202 | $474.90 | $3,166.00 | $94.78 – $1,236.21 | 18 |
| Liver/spleen imag static only CPT 78215 | $474.90 | $3,166.00 | $96.41 – $1,174.63 | 18 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $498.60 | $3,324.00 | $114.34 – $1,174.63 | 18 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $7.25 | $48.34 | $2.43 – $10.46 | 2 |
| Low cost skin substitute app HCPCS C5271 | $267.00 | $1,780.00 | $258.07 – $2,547.48 | 5 |
| Low cost skin substitute app HCPCS C5275 | $267.00 | $1,780.00 | $258.07 – $2,547.48 | 5 |
| Low cost skin substitute app HCPCS C5272 | $112.05 | $747.00 | $229.33 – $2,547.48 | 5 |
| Low cost skin substitute app HCPCS C5276 | $112.05 | $747.00 | $229.33 – $2,547.48 | 5 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $587.70 | $3,918.00 | $166.39 – $414.08 | 18 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $559.65 | $3,731.00 | $180.29 – $794.30 | 18 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $531.75 | $3,545.00 | $99.18 – $238.03 | 18 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $668.55 | $4,457.00 | $320.42 – $794.30 | 18 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $636.75 | $4,245.00 | $261.50 – $794.30 | 18 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $604.95 | $4,033.00 | $203.05 – $543.24 | 18 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $65.85 | $439.00 | $22.19 – $238.03 | 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.