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 |
|---|---|---|---|---|
| Prq card angio/athrect addl CPT 92925 | $2,262.00 | $15,080.00 | $10,700.39 – $11,235.41 | 5 |
| Prq cardiac angio addl art CPT 92921 | $2,004.00 | $13,360.00 | $10,700.39 – $11,235.41 | 5 |
| Prq card revasc chronic addl CPT 92944 | $2,004.00 | $13,360.00 | $10,700.39 – $11,235.41 | 5 |
| Prq card revasc mi 1 vsl CPT 92941 | $4,357.65 | $29,051.00 | $638.79 – $11,235.41 | 5 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $4,926.60 | $32,844.00 | $1,164.06 – $11,235.41 | 5 |
| Prq card stent w/angio addl CPT 92929 | $2,186.25 | $14,575.00 | $10,700.39 – $11,235.41 | 5 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $4,357.65 | $29,051.00 | $568.03 – $26,283.39 | 18 |
| Prq revasc byp graft addl CPT 92938 | $2,004.00 | $13,360.00 | $10,700.39 – $11,235.41 | 5 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $3,339.75 | $22,265.00 | $568.39 – $23,874.08 | 18 |
| Prq trlml c athrc st angiop1 CPT 92933 | $3,339.75 | $22,265.00 | $637.55 – $37,910.94 | 18 |
| Prq trluml c angiop 1art&/br CPT 92920 | $4,357.65 | $29,051.00 | $510.91 – $12,958.35 | 18 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $4,357.65 | $29,051.00 | $609.44 – $26,283.39 | 18 |
| Prq trluml revsc ch occ ant CPT 92943 | $4,357.65 | $29,051.00 | $638.42 – $26,283.39 | 18 |
| Pr removal drug delivery implant CPT 11982 | $128.40 | $856.00 | $79.05 – $923.85 | 18 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $64.20 | $428.00 | $23.55 – $302.92 | 17 |
| Pr removal intrauterine device CPT 58301 | $87.90 | $586.00 | $23.55 – $630.20 | 18 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $129.15 | $861.00 | $145.89 – $861.00 | 18 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $89.40 | $596.00 | $47.08 – $456.80 | 18 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $94.05 | $627.00 | $56.50 – $456.80 | 18 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $84.00 | $560.00 | $42.37 – $456.80 | 18 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $85.50 | $570.00 | $50.23 – $456.80 | 18 |
| Pr tube thoracostomy w/connection to drainage open CPT 32551 | $490.80 | $3,272.00 | $1,264.94 – $3,272.00 | 18 |
| PSA (Prostate) Test CPT 84153 | $32.25 | $215.00 | $9.20 – $44.14 | 18 |
| Psychotherapy group therapy CPT 90853 | $49.65 | $331.00 | $26.30 – $325.27 | 18 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | $44.10 | $294.00 | $49.72 – $367.07 | 18 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | $44.85 | $299.00 | $66.10 – $367.07 | 18 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | $49.65 | $331.00 | $66.10 – $367.07 | 18 |
| Psycl/nrpsyc tech 1st CPT 96138 | $163.50 | $1,090.00 | $10.30 – $932.51 | 18 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $18.45 | $123.00 | $13.01 – $36.17 | 18 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $28.20 | $188.00 | $15.18 – $43.13 | 18 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $16.35 | $109.00 | $12.62 – $36.17 | 18 |
| Pt application of modality traction mechanical CPT 97012 | $20.10 | $134.00 | $12.70 – $36.17 | 18 |
| Pten gene dup/delet variant CPT 81323 | $68.85 | $459.00 | $52.56 – $654.00 | 18 |
| Pten gene full sequence CPT 81321 | $472.05 | $3,147.00 | $115.92 – $1,440.00 | 18 |
| Pt evaluation high complexity patient/family CPT 97163 | $81.75 | $545.00 | $61.00 – $300.88 | 18 |
| Pt evaluation low complexity patient/family CPT 97161 | $73.80 | $492.00 | $61.00 – $300.88 | 18 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $77.85 | $519.00 | $61.00 – $300.88 | 18 |
| Pt re-evaluation patient/family CPT 97164 | $48.60 | $324.00 | $52.36 – $300.88 | 18 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $42.30 | $282.00 | $36.28 – $93.62 | 18 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $15.90 | $106.00 | $11.12 – $36.17 | 18 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $27.45 | $183.00 | $15.36 – $66.38 | 18 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $25.35 | $169.00 | $14.60 – $67.10 | 18 |
| Pt wheelchair management each 15 minutes CPT 97542 | $29.55 | $197.00 | $15.85 – $70.97 | 18 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | $7,058.25 | $47,055.00 | $2,423.66 – $12,983.04 | 18 |
| Pulmonary vent imaging CPT 78579 | $452.25 | $3,015.00 | $121.45 – $1,174.63 | 18 |
| Pulse ox continuous overnight monitoring CPT 94762 | $69.15 | $461.00 | $39.23 – $292.96 | 18 |
| Pulse ox multiple CPT 94761 | $31.65 | $211.00 | $19.05 – $211.00 | 2 |
| Pulse ox single CPT 94760 | $21.00 | $140.00 | $9.08 – $140.00 | 2 |
| Pump on-q 100mlx2ml/hr 2 day delivery HCPCS C9804 | $458.92 | $3,059.45 | $264.15 – $681.69 | 17 |
| Punc of shunt for asp or inj CPT 61070 | $280.35 | $1,869.00 | $502.08 – $1,607.12 | 18 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $18.75 | $125.00 | $22.28 – $275.15 | 18 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $253.65 | $1,691.00 | $29.82 – $925.54 | 18 |
| Puncture spinal lumbar diagnostic CPT 62270 | $282.90 | $1,886.00 | $34.53 – $1,607.12 | 18 |
| Pvb thoracic 2nd+ inj site CPT 64462 | $91.20 | $608.00 | $608.00 – $1,003.32 | 5 |
| Pvb thoracic single inj site CPT 64461 | $320.10 | $2,134.00 | $669.64 – $1,607.12 | 18 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $40.52 | $270.14 | $0.49 – $10.65 | 2 |
| Pyruvate CPT 84210 | $19.05 | $127.00 | $7.24 – $34.75 | 18 |
| Pyruvate kinase CPT 84220 | $16.50 | $110.00 | $4.72 – $22.66 | 18 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $452.25 | $3,015.00 | $189.80 – $1,236.21 | 18 |
| Quant diff pulm perf w/imaging CPT 78597 | $452.25 | $3,015.00 | $121.45 – $1,174.63 | 18 |
| Quest t3 uptake CPT 84479 | $10.80 | $72.00 | $3.24 – $15.53 | 18 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,711.38 | $24,742.51 | $110.63 – $1,605.58 | 18 |
| Radiation handling CPT 77790 | $251.40 | $1,676.00 | $16.81 – $157.08 | 5 |
| Radiation physics consult CPT 77336 | $149.70 | $998.00 | $64.54 – $306.02 | 18 |
| Radiation therapy dose plan CPT 77300 | $116.55 | $777.00 | $44.05 – $306.02 | 18 |
| Radiation treatment aid(s) CPT 77332 | $217.05 | $1,447.00 | $29.19 – $306.02 | 18 |
| Radiation treatment aid(s) CPT 77333 | $238.65 | $1,591.00 | $26.58 – $306.02 | 18 |
| Radiation treatment aid(s) CPT 77334 | $262.50 | $1,750.00 | $106.52 – $852.49 | 18 |
| Radiation treatment delivery CPT 77402 | $157.80 | $1,052.00 | $58.23 – $232.30 | 18 |
| Radiation treatment delivery CPT 77412 | $190.95 | $1,273.00 | $76.51 – $1,258.01 | 18 |
| Radiology port images(s) CPT 77417 | $25.65 | $171.00 | $19.57 – $73.11 | 5 |
| Radiotherapy dose plan imrt CPT 77301 | $1,739.10 | $11,594.00 | $572.12 – $3,151.34 | 18 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $72.00 | $480.00 | $72.39 – $17,640.44 | 18 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $452.25 | $3,015.00 | $181.73 – $1,236.21 | 18 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $640.50 | $4,270.00 | $142.32 – $1,236.21 | 18 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $644.40 | $4,296.00 | $543.69 – $2,947.61 | 18 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $452.25 | $3,015.00 | $215.32 – $1,236.21 | 18 |
| Radphm lcl tumor plr sgl day CPT 78800 | $452.25 | $3,015.00 | $111.58 – $1,174.63 | 18 |
| Radphm quant measure sgl area add-on CPT 78835 | $452.25 | $3,015.00 | $70.34 – $485.39 | 5 |
| Rapid Strep Test CPT 87880 | $20.10 | $134.00 | $8.27 – $39.67 | 18 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $5,610.71 | $37,404.76 | $110.82 – $2,246.80 | 18 |
| Rbc count only automated CPT 85041 | $5.25 | $35.00 | $1.51 – $7.25 | 18 |
| Rbc deglycerolized each unit HCPCS P9039 | $131.40 | $876.00 | $143.03 – $751.20 | 18 |
| Rbc irradiated each unit HCPCS P9038 | $108.15 | $721.00 | $119.27 – $348.53 | 18 |
| Rbc osmotic fragility CPT 85555 | $11.85 | $79.00 | $3.74 – $17.93 | 18 |
| Rbc serum pretx incubj drugs CPT 86975 | $91.65 | $611.00 | $7.32 – $923.85 | 18 |
| Reconstruction of nail bed CPT 11762 | $780.45 | $5,203.00 | $213.39 – $4,697.60 | 18 |
| Red blood cells each unit HCPCS P9021 | $108.15 | $721.00 | $40.69 – $361.37 | 18 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $411.30 | $2,742.00 | $170.61 – $1,014.46 | 18 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $108.15 | $721.00 | $170.61 – $598.56 | 18 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $108.15 | $721.00 | $86.51 – $443.78 | 18 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $108.15 | $721.00 | $156.56 – $636.98 | 18 |
| Red blood cells washed each unit HCPCS P9022 | $114.15 | $761.00 | $102.60 – $803.50 | 18 |
| Red cell mass multiple CPT 78121 | $221.70 | $1,478.00 | $95.43 – $1,236.21 | 18 |
| Redo endovas vena cava filtr CPT 37192 | $1,952.55 | $13,017.00 | $2,995.35 – $7,188.84 | 18 |
| Reduction of procidentia 45900 CPT 45900 | $1,226.10 | $8,174.00 | $106.92 – $2,117.29 | 18 |
| Refill/maint pump/resvr syst CPT 96522 | $132.00 | $880.00 | $64.68 – $484.27 | 18 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $528.12 | $3,520.77 | $5.32 – $31.04 | 3 |
| Relocation skin pocket aicd CPT 33223 | $1,818.15 | $12,121.00 | $456.24 – $4,697.60 | 18 |
| Relocation skin pocket pm CPT 33222 | $1,818.15 | $12,121.00 | $381.10 – $4,697.60 | 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.