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 |
|---|---|---|---|---|
| L/s ratio fetal lung CPT 83661 | $38.55 | $257.00 | $11.00 – $52.78 | 18 |
| Lumbar diskogram s&i CPT 72295 | $1,040.40 | $6,936.00 | $135.67 – $4,445.89 | 18 |
| Lung function test (mbc/mvv) CPT 94200 | $28.95 | $193.00 | $8.75 – $134.31 | 18 |
| Lung Function Test (Spirometry) CPT 94010 | $86.40 | $576.00 | $14.86 – $491.61 | 18 |
| Lung perfusion imaging CPT 78580 | $452.25 | $3,015.00 | $112.72 – $1,174.63 | 18 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $150.15 | $1,001.00 | $151.05 – $46,642.35 | 18 |
| Lymphatics/lymph node imaging CPT 78195 | $452.25 | $3,015.00 | $133.59 – $1,236.21 | 18 |
| Lymphocyte transformation mitogen CPT 86353 | $83.85 | $559.00 | $24.52 – $117.67 | 18 |
| Lymph vessel x-ray arm/leg CPT 75801 | $276.60 | $1,844.00 | $177.96 – $1,457.30 | 18 |
| Lymph vessel x-ray arms/legs CPT 75803 | $414.75 | $2,765.00 | $177.96 – $3,255.45 | 18 |
| Lymph vessel x-ray trunk CPT 75805 | $452.10 | $3,014.00 | $200.16 – $6,529.86 | 18 |
| Lymph vessel x-ray trunk CPT 75807 | $492.60 | $3,284.00 | $200.16 – $6,529.86 | 18 |
| Lysis of labial adhesions CPT 56441 | $1,140.00 | $7,600.00 | $187.12 – $7,370.17 | 18 |
| Macroscopic exam arthropod CPT 87168 | $7.20 | $48.00 | $2.14 – $10.52 | 18 |
| Macroscopic exam parasite CPT 87169 | $7.20 | $48.00 | $2.16 – $10.52 | 18 |
| Magnesium CPT 83735 | $11.85 | $79.00 | $2.31 – $16.08 | 18 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $45.24 | $301.61 | $0.49 – $0.84 | 2 |
| Magnetic image bone marrow CPT 77084 | $537.15 | $3,581.00 | $203.05 – $543.24 | 18 |
| Malaria antibody CPT 86750 | $23.10 | $154.00 | $6.60 – $31.66 | 18 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $28.95 | $193.00 | $12.40 – $275.15 | 18 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $38.85 | $259.00 | $17.83 – $275.15 | 18 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $236.10 | $1,574.00 | $45.82 – $489.71 | 5 |
| Map tachycard site(s) CPT 93609 | $513.90 | $3,426.00 | $97.49 – $22,366.80 | 5 |
| Marker biop eviva buckle ss HCPCS A4648 | $130.20 | $868.00 | $119.73 – $119.73 | 1 |
| Mastoids complete CPT 70130 | $69.30 | $462.00 | $25.93 – $238.03 | 18 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $1,835.67 | $12,237.78 | $31.66 – $257.36 | 17 |
| M.avium-intra dna dir prob CPT 87560 | $18.75 | $125.00 | $10.20 – $65.50 | 18 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $25.35 | $169.00 | $7.23 – $34.70 | 18 |
| Mayo aathr protein s free CPT 85306 | $25.95 | $173.00 | $4.57 – $36.77 | 18 |
| Mayo activated protein c resistance assay CPT 85307 | $25.95 | $173.00 | $6.16 – $36.77 | 18 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $33.45 | $223.00 | $12.56 – $92.57 | 18 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $8.10 | $54.00 | $14.31 – $15.03 | 5 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $8.10 | $54.00 | $14.31 – $15.03 | 5 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $25.05 | $167.00 | $7.39 – $35.47 | 18 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $22.35 | $149.00 | $14.31 – $15.03 | 5 |
| Mayo alpha 1 antitrypsin CPT 82103 | $23.40 | $156.00 | $6.72 – $32.26 | 18 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $26.40 | $176.00 | $7.54 – $36.19 | 18 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $11.70 | $78.00 | $14.31 – $15.03 | 5 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $11.70 | $78.00 | $14.31 – $15.03 | 5 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $212.70 | $1,418.00 | $44.97 – $291.91 | 18 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $160.50 | $1,070.00 | $44.97 – $219.98 | 18 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $175.80 | $1,172.00 | $68.50 – $328.80 | 18 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $622.65 | $4,151.00 | $580.00 – $2,784.00 | 18 |
| Mayo androstenedione CPT 82157 | $51.30 | $342.00 | $13.70 – $70.27 | 18 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $25.65 | $171.00 | $7.30 – $35.04 | 18 |
| Mayo antithrombin iii antigen CPT 85301 | $18.90 | $126.00 | $4.57 – $25.94 | 18 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $25.65 | $171.00 | $7.53 – $36.12 | 18 |
| Mayo avwpr vw factor activity CPT 85397 | $40.20 | $268.00 | $15.43 – $74.06 | 18 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $61.50 | $410.00 | $17.55 – $84.22 | 18 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $8.70 | $58.00 | $14.31 – $15.03 | 5 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $17.85 | $119.00 | $5.09 – $24.43 | 18 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $253.65 | $1,691.00 | $72.42 – $347.62 | 18 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $281.55 | $1,877.00 | $107.31 – $515.09 | 18 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $22.65 | $151.00 | $6.45 – $30.96 | 18 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $13.80 | $92.00 | $14.31 – $15.03 | 5 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $23.10 | $154.00 | $6.60 – $31.66 | 18 |
| Mayo brcmg brucella antibody igm CPT 86622 | $8.55 | $57.00 | $4.47 – $21.43 | 18 |
| Mayo c1 esterase inhibitor CPT 83883 | $22.80 | $152.00 | $6.80 – $32.64 | 18 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $7.05 | $47.00 | $14.31 – $15.03 | 5 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $28.50 | $190.00 | $8.44 – $40.49 | 18 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $46.80 | $312.00 | $13.39 – $64.27 | 18 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $214.05 | $1,427.00 | $44.97 – $293.33 | 18 |
| Mayo ceruloplasmin CPT 82390 | $18.90 | $126.00 | $5.37 – $25.78 | 18 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $13.05 | $87.00 | $7.06 – $33.89 | 18 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $22.50 | $150.00 | $6.44 – $30.91 | 18 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $20.70 | $138.00 | $5.91 – $28.37 | 18 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $22.20 | $148.00 | $6.34 – $30.43 | 18 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $204.00 | $1,360.00 | $58.25 – $279.58 | 18 |
| Mayo chromium CPT 82495 | $34.20 | $228.00 | $10.14 – $48.67 | 18 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $21.00 | $140.00 | $14.31 – $15.03 | 5 |
| Mayo coccidioides antibody CPT 86635 | $19.95 | $133.00 | $5.74 – $27.53 | 18 |
| Mayo cocou cortisone urine CPT 82542 | $16.95 | $113.00 | $12.05 – $57.82 | 18 |
| Mayo cortisol free CPT 82530 | $13.05 | $87.00 | $8.36 – $40.10 | 18 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $12.30 | $82.00 | $11.64 – $91.84 | 18 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $11.10 | $74.00 | $6.06 – $29.09 | 18 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $13.80 | $92.00 | $14.31 – $15.03 | 5 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $32.25 | $215.00 | $14.31 – $15.03 | 5 |
| Mayo cyanide CPT 82600 | $33.90 | $226.00 | $9.70 – $46.56 | 18 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $12.45 | $83.00 | $6.63 – $31.80 | 18 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $44.25 | $295.00 | $12.48 – $60.65 | 18 |
| Mayo dihydrotestosterone CPT 82642 | $41.70 | $278.00 | $13.70 – $70.27 | 18 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | $13.35 | $89.00 | $4.82 – $23.14 | 18 |
| Mayo efpo chloride stool CPT 82438 | $8.40 | $56.00 | $2.50 – $12.00 | 18 |
| Mayo estriol CPT 82677 | $42.30 | $282.00 | $12.09 – $58.03 | 18 |
| Mayo estrone CPT 82679 | $43.65 | $291.00 | $12.48 – $59.88 | 18 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $28.65 | $191.00 | $8.17 – $39.22 | 18 |
| Mayo everolimus therapeutic drug level CPT 80169 | $102.75 | $685.00 | $6.87 – $32.95 | 18 |
| Mayo factor ii CPT 85210 | $22.80 | $152.00 | $4.57 – $31.15 | 18 |
| Mayo factor v CPT 85220 | $30.90 | $206.00 | $4.57 – $42.36 | 18 |
| Mayo factor vii CPT 85230 | $31.50 | $210.00 | $4.57 – $42.96 | 18 |
| Mayo factor viii vw factor antigen CPT 85246 | $40.20 | $268.00 | $11.47 – $55.06 | 18 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $40.20 | $268.00 | $11.47 – $55.06 | 18 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $40.20 | $268.00 | $11.47 – $55.06 | 18 |
| Mayo factor x CPT 85260 | $31.50 | $210.00 | $4.57 – $42.96 | 18 |
| Mayo factor xi CPT 85270 | $31.50 | $210.00 | $4.57 – $42.96 | 18 |
| Mayo fat/lipids feces quantitative CPT 82710 | $29.40 | $196.00 | $8.40 – $40.32 | 18 |
| Mayo fbl culture fungi blood CPT 87103 | $15.75 | $105.00 | $7.66 – $49.10 | 18 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $26.55 | $177.00 | $7.32 – $177.00 | 18 |
| Mayo ffspg allergen clam igg CPT 86001 | $9.15 | $61.00 | $3.91 – $18.77 | 18 |
| Mayo fibrinogen antigen CPT 85385 | $9.15 | $61.00 | $4.57 – $34.70 | 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.