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 |
|---|---|---|---|---|
| Meperidine (pf) 25 mg/ml injection (wrapper) HCPCS J2175 | $15.27 | $101.78 | $0.62 – $19.50 | 2 |
| Meropenem 1 gram intravenous solution HCPCS J2185 | $71.26 | $475.07 | $0.74 – $4.62 | 2 |
| Mesna 100 mg/ml intravenous solution HCPCS J9209 | $137.57 | $917.14 | $3.27 – $27.37 | 2 |
| Metabolic Blood Panel (Basic) CPT 80048 | $14.40 | $96.00 | $4.23 – $20.30 | 18 |
| Metabolic Blood Panel (Comprehensive) CPT 80053 | $17.70 | $118.00 | $5.28 – $25.34 | 18 |
| Methacholine chloride 0.0625 mg/ml nebulization soln HCPCS J7674 | $74.85 | $498.97 | $153.18 – $1,087.75 | 17 |
| Methadone injection HCPCS J1230 | $951.23 | $6,341.54 | $0.62 – $34.02 | 2 |
| Methocarbamol ivpb 250 mg in 50 ml ns - cnr (headpain) HCPCS J2800 | $161.60 | $1,077.30 | $4.31 – $8.43 | 2 |
| Methotrexate sodium 2.5 mg tablet HCPCS J8610 | $0.50 | $3.36 | $1.03 – $7.32 | 17 |
| Methotrexate sodium (pf) 1 gram solution for injection HCPCS J9260 | $78.43 | $522.87 | $4.96 – $5.20 | 2 |
| Methotrexate therapeutic drug level CPT 80204 | $49.50 | $330.00 | $12.56 – $92.57 | 18 |
| Methylergonovine 0.2 mg/ml (1 ml) injection solution HCPCS J2210 | $71.73 | $478.17 | $2.77 – $36.47 | 2 |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous injection (wrapper) HCPCS J2212 | $139.55 | $930.35 | $0.23 – $2.55 | 3 |
| Methylphenidate CPT 80360 | $11.70 | $78.00 | $14.31 – $15.03 | 5 |
| Methylprednisolone 4 mg tablet HCPCS J7509 | $0.31 | $2.09 | $0.40 – $2.83 | 17 |
| Metoclopramide in d5w IV syringe 0.2 mg/ml (neo/ped) - cnr HCPCS J2765 | $4.10 | $27.31 | $1.92 – $2.15 | 2 |
| Metoprolol tartrate 5 mg/5 ml intravenous (wrapper) HCPCS J0616 | $6.59 | $43.94 | $0.21 – $0.48 | 2 |
| Micafungin 100 mg intravenous solution HCPCS J2248 | $269.70 | $1,798.01 | $0.46 – $1.11 | 3 |
| Microalbumin urine screen CPT 82044 | $7.50 | $50.00 | $3.04 – $14.95 | 18 |
| Microdissection manual CPT 88381 | $239.10 | $1,594.00 | $40.79 – $314.20 | 6 |
| Microsatellite instability CPT 81301 | $507.00 | $3,380.00 | $165.36 – $836.54 | 18 |
| Midazolam 1 mg/ml injection solution HCPCS J2250 | $28.22 | $188.14 | $0.26 – $1.85 | 2 |
| Middle cerebral artery echo CPT 76821 | $93.90 | $626.00 | $37.75 – $238.03 | 18 |
| Milrinone 20 mg/100 ml(200 mcg/ml) in 5 % dextrose intravenous piggybk HCPCS J2260 | $97.82 | $652.12 | $2.55 – $31.68 | 2 |
| Mitochondrial gene CPT 81440 | $4,265.70 | $28,438.00 | $1,662.00 – $7,977.60 | 18 |
| Mlh1 gene CPT 81288 | $290.40 | $1,936.00 | $96.16 – $461.57 | 18 |
| Mlh1 gene dup/delete variant CPT 81294 | $149.70 | $998.00 | $101.20 – $485.76 | 18 |
| Mlh1 gene full seq CPT 81292 | $2,599.35 | $17,329.00 | $337.70 – $1,620.96 | 18 |
| Mlh1 gene known variants CPT 81293 | $332.55 | $2,217.00 | $47.12 – $794.40 | 18 |
| Mnl appl strs jt radiography CPT 77071 | $63.90 | $426.00 | $24.92 – $198.14 | 17 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $28.95 | $193.00 | $7.23 – $90.55 | 18 |
| Mopath procedure level 1 CPT 81400 | $157.80 | $1,052.00 | $31.98 – $153.50 | 18 |
| Mopath procedure level 3 CPT 81402 | $191.10 | $1,274.00 | $75.17 – $360.79 | 18 |
| Mopath procedure level 5 CPT 81404 | $231.30 | $1,542.00 | $137.42 – $659.59 | 18 |
| Mopath procedure level 6 CPT 81405 | $254.55 | $1,697.00 | $150.68 – $723.24 | 18 |
| Mopath procedure level 7 CPT 81406 | $280.05 | $1,867.00 | $141.44 – $678.91 | 18 |
| Mopath procedure level 8 CPT 81407 | $746.70 | $4,978.00 | $423.14 – $2,031.05 | 18 |
| Mopath procedure level 9 CPT 81408 | $1,296.75 | $8,645.00 | $1,000.00 – $4,800.00 | 18 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | $13.21 | $88.04 | $1.11 – $3.84 | 2 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | $29.35 | $195.64 | $21.21 – $21.21 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $113.55 | $757.00 | $110.17 – $387.89 | 18 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $117.45 | $783.00 | $34.60 – $783.00 | 18 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $86.40 | $576.00 | $22.09 – $387.89 | 18 |
| Motor &/ sens nrve cndj test CPT 95905 | $55.20 | $368.00 | $26.50 – $923.85 | 18 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $52.05 | $347.00 | $23.41 – $93.55 | 6 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $105.75 | $705.00 | $110.17 – $387.89 | 18 |
| M/phmtrc alysishquant/semiq CPT 88369 | $33.30 | $222.00 | $29.21 – $207.59 | 6 |
| M/phmtrc alys skeletal musc CPT 88355 | $105.60 | $704.00 | $22.09 – $387.89 | 18 |
| Mpl gene analysis common variants CPT 81338 | $192.90 | $1,286.00 | $75.17 – $360.79 | 18 |
| MRA abdomen post contrast CPT 74185 | $636.75 | $4,245.00 | $229.64 – $786.00 | 6 |
| MRA chest w IV cont HCPCS C8909 | $537.15 | $3,581.00 | $261.50 – $794.30 | 18 |
| MRA chest wo IV cont HCPCS C8910 | $636.75 | $4,245.00 | $203.05 – $659.65 | 18 |
| MRA chest wwo IV cont HCPCS C8911 | $668.55 | $4,457.00 | $320.42 – $794.30 | 18 |
| MRA ext low(run-off)pst cntrst CPT 73725 | $636.75 | $4,245.00 | $230.55 – $786.00 | 6 |
| MRA pelvis CPT 72198 | $537.15 | $3,581.00 | $230.55 – $786.00 | 6 |
| MRA pelvis w IV cont HCPCS C8918 | $636.75 | $4,245.00 | $261.50 – $794.30 | 18 |
| MRA pelvis wo IV cont HCPCS C8919 | $537.15 | $3,581.00 | $203.05 – $659.65 | 18 |
| MRA spinal canal CPT 72159 | $537.15 | $3,581.00 | $231.16 – $786.00 | 6 |
| MRA w/cont, abd HCPCS C8900 | $604.95 | $4,033.00 | $261.50 – $794.30 | 18 |
| MRA w/cont, lwr ext HCPCS C8912 | $636.75 | $4,245.00 | $261.50 – $794.30 | 18 |
| Mra, w/dye, spinal canal HCPCS C8931 | $537.15 | $3,581.00 | $261.50 – $794.30 | 18 |
| Mra, w/dye, upper extremity HCPCS C8934 | $537.15 | $3,581.00 | $261.50 – $794.30 | 18 |
| MRA without cont, abd HCPCS C8901 | $636.75 | $4,245.00 | $203.05 – $659.65 | 18 |
| MRA without cont, lwr ext HCPCS C8913 | $537.15 | $3,581.00 | $203.05 – $659.65 | 18 |
| Mra, without dye, spinal canal HCPCS C8932 | $537.15 | $3,581.00 | $203.05 – $659.65 | 18 |
| Mra, without dye, upper extr HCPCS C8935 | $537.15 | $3,581.00 | $203.05 – $659.65 | 18 |
| MRA without fol w/cont, abd HCPCS C8902 | $668.55 | $4,457.00 | $320.42 – $794.30 | 18 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $668.55 | $4,457.00 | $320.42 – $794.30 | 18 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $659.55 | $4,397.00 | $320.42 – $794.30 | 18 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $537.15 | $3,581.00 | $320.42 – $794.30 | 18 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $537.15 | $3,581.00 | $320.42 – $794.30 | 18 |
| MRI breast c- unilateral CPT 77046 | $636.75 | $4,245.00 | $138.34 – $543.24 | 18 |
| MRI breast c-+ w/cad uni CPT 77048 | $702.00 | $4,680.00 | $215.19 – $786.00 | 6 |
| MRI breast without cont bi CPT 77047 | $668.55 | $4,457.00 | $138.34 – $543.24 | 18 |
| MRI breast w IV cont bi CPT 77049 | $737.10 | $4,914.00 | $212.16 – $786.00 | 6 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $636.75 | $4,245.00 | $203.05 – $543.24 | 18 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $668.55 | $4,457.00 | $320.42 – $794.30 | 18 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $664.80 | $4,432.00 | $320.42 – $1,784.80 | 18 |
| MRI chest without contrast CPT 71550 | $604.95 | $4,033.00 | $203.05 – $543.24 | 18 |
| MRI chest without & w/contrast CPT 71552 | $668.55 | $4,457.00 | $320.42 – $794.30 | 18 |
| MRI chest w IV cont CPT 71551 | $636.75 | $4,245.00 | $261.50 – $1,784.80 | 18 |
| MRI fetal ea addl gestation CPT 74713 | $538.20 | $3,588.00 | $120.16 – $786.00 | 6 |
| MRI fetal sngl/1st gestation CPT 74712 | $897.00 | $5,980.00 | $164.12 – $543.24 | 18 |
| MRI guid ndl plc s&i CPT 77021 | $537.15 | $3,581.00 | $262.23 – $786.00 | 6 |
| MRI guid parenchymal tiss ablation CPT 77022 | $537.15 | $3,581.00 | $105.53 – $786.00 | 6 |
| MRI loex nonjt w IV cont CPT 73719 | $971.40 | $6,476.00 | $261.50 – $794.30 | 18 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $679.80 | $4,532.00 | $203.05 – $543.24 | 18 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $668.55 | $4,457.00 | $320.42 – $794.30 | 18 |
| MRI orbit/face/neck without contrast CPT 70540 | $604.95 | $4,033.00 | $203.05 – $543.24 | 18 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $668.55 | $4,457.00 | $320.42 – $794.30 | 18 |
| MRI orbit fac&nck w IV cont CPT 70542 | $636.75 | $4,245.00 | $261.50 – $794.30 | 18 |
| MRI tmj CPT 70336 | $636.75 | $4,245.00 | $203.05 – $543.24 | 18 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $636.75 | $4,245.00 | $203.05 – $543.24 | 18 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $668.55 | $4,457.00 | $320.42 – $794.30 | 18 |
| MRI upper extremity w/dye CPT 73219 | $971.40 | $6,476.00 | $261.50 – $794.30 | 18 |
| MRI without fol w/cont, breast HCPCS C8908 | $668.55 | $4,457.00 | $320.42 – $794.30 | 18 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $636.75 | $4,245.00 | $320.42 – $794.30 | 18 |
| Mr safety determination physician/other qhp CPT 76016 | $39.90 | $266.00 | $36.93 – $198.14 | 17 |
| Mr safety implant elec prepj CPT 76018 | $39.45 | $263.00 | $55.07 – $216.45 | 17 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | $5.55 | $37.00 | $37.00 – $37.00 | 3 |
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.