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 |
|---|---|---|---|---|
| Rem/biv cast full arm/leg CPT 29705 | $28.95 | $193.00 | $33.21 – $578.42 | 18 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $1,271.63 | $8,477.56 | $3.31 – $620.66 | 18 |
| Rem endovas vena cava filter CPT 37193 | $1,952.55 | $13,017.00 | $2,995.35 – $7,188.84 | 18 |
| Removal biliary drg cath CPT 47537 | $346.65 | $2,311.00 | $449.35 – $2,064.99 | 18 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $245.70 | $1,638.00 | $595.09 – $1,428.22 | 18 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $680.10 | $4,534.00 | $924.57 – $3,583.98 | 18 |
| Removal cerumen impacted (both sides) CPT 69210 | $46.65 | $311.00 | $15.69 – $134.31 | 17 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $84.00 | $560.00 | $11.14 – $515.04 | 5 |
| Removal duct glbldr calculi CPT 47544 | $841.05 | $5,607.00 | $5,607.00 – $7,484.46 | 5 |
| Removal embedded foreign body vestibule mouth smpl CPT 40804 | $384.30 | $2,562.00 | $34.53 – $2,064.99 | 18 |
| Removal foreign body foot subcutaneous right CPT 28190 | $308.40 | $2,056.00 | $47.08 – $1,612.25 | 18 |
| Removal implant superficial separate procedure CPT 20670 | $400.20 | $2,668.00 | $47.08 – $3,415.60 | 18 |
| Removal of foot lesion CPT 28080 | $665.25 | $4,435.00 | $285.06 – $3,661.02 | 18 |
| Removal of foreign body CPT 27372 | $934.95 | $6,233.00 | $410.97 – $6,233.00 | 18 |
| Removal of infusion pump CPT 36262 | $1,399.20 | $9,328.00 | $1,903.69 – $8,508.17 | 18 |
| Removal of skin tags each add'l 10 CPT 11201 | $83.55 | $557.00 | $7.85 – $229.48 | 5 |
| Removal/replacement ppm generator dual lead system CPT 33228 | $3,880.65 | $25,871.00 | $9,910.06 – $23,796.73 | 18 |
| Removal skin tags fibrocutaneous any area <= 15 lesions CPT 11200 | $38.25 | $255.00 | $21.97 – $414.92 | 18 |
| Removal sutr/staple req anes CPT 15851 | $830.25 | $5,535.00 | $53.95 – $4,697.60 | 18 |
| Removal tunnled intprtnl cath CPT 49422 | $996.45 | $6,643.00 | $922.06 – $6,643.00 | 18 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $180.30 | $1,202.00 | $79.05 – $1,017.09 | 18 |
| Remove cva lumen obstruct CPT 75902 | $69.30 | $462.00 | $54.73 – $268.86 | 5 |
| Remove hip foreign body 27086 CPT 27086 | $757.65 | $5,051.00 | $97.57 – $6,007.13 | 18 |
| Remove pilonidal cyst compl CPT 11772 | $1,421.40 | $9,476.00 | $490.92 – $6,613.35 | 18 |
| Remove pilonidal cyst exten CPT 11771 | $1,292.10 | $8,614.00 | $440.15 – $6,613.35 | 18 |
| Remove renal tube w/fluoro CPT 50389 | $547.20 | $3,648.00 | $501.02 – $1,587.58 | 18 |
| Remove shoulder foreign body subq 23330 CPT 23330 | $319.20 | $2,128.00 | $84.09 – $3,415.60 | 18 |
| Remove ureter stent percut CPT 50384 | $9,426.90 | $62,846.00 | $1,865.72 – $4,759.31 | 18 |
| Remove vaginal foreign body 57415 CPT 57415 | $450.45 | $3,003.00 | $3,003.00 – $6,694.57 | 18 |
| Renal cyst study s&i CPT 74470 | $153.90 | $1,026.00 | $41.11 – $1,130.02 | 18 |
| Renal function panel CPT 80069 | $14.70 | $98.00 | $4.34 – $20.83 | 18 |
| Renal venogram bil s&i CPT 75833 | $1,357.80 | $9,052.00 | $148.58 – $7,188.84 | 18 |
| Repair blood ves direct neck 35201 CPT 35201 | $1,238.70 | $8,258.00 | $901.82 – $11,507.70 | 18 |
| Repair blood vessel direct hand finger CPT 35207 | $687.60 | $4,584.00 | $967.94 – $6,529.86 | 18 |
| Repair blood vessel dir lower extr CPT 35226 | $698.10 | $4,654.00 | $671.77 – $2,746.86 | 18 |
| Repair blood vessel dir upper extr CPT 35206 | $693.15 | $4,621.00 | $874.00 – $6,529.86 | 18 |
| Repair complex wound scalp/arms/legs 2.6 - 7.5 cm CPT 13121 | $424.20 | $2,828.00 | $274.31 – $925.54 | 18 |
| Repair dental ellis ii fx CPT 41899 | $74.10 | $494.00 | $224.69 – $1,620.88 | 18 |
| Repair extns tendon finger without grft ea CPT 26418 | $354.75 | $2,365.00 | $335.87 – $3,325.42 | 18 |
| Repair of digit nerve hand/foot 1 nerve CPT 64831 | $685.95 | $4,573.00 | $551.96 – $4,445.89 | 18 |
| Repair of eye wound CPT 65270 | $784.95 | $5,233.00 | $86.97 – $5,233.00 | 18 |
| Repair pm/icd lead dual CPT 33220 | $2,481.00 | $16,540.00 | $376.81 – $8,508.17 | 18 |
| Repair pm/icd lead sgl CPT 33218 | $2,481.00 | $16,540.00 | $370.85 – $8,508.17 | 18 |
| Repair rpr lac tongue floor mouth > 2.6 cm/cmplx CPT 41252 | $257.70 | $1,718.00 | $192.97 – $539.25 | 18 |
| Repair rpr lip full thickness vermilion only CPT 40650 | $316.35 | $2,109.00 | $232.02 – $1,227.92 | 18 |
| Repair tendon extensor foot 1/2 each tendon CPT 28208 | $1,327.65 | $8,851.00 | $220.51 – $7,449.57 | 18 |
| Repair tendon/muscle forearm/wrist prime sngl ea CPT 25260 | $692.40 | $4,616.00 | $504.44 – $6,766.69 | 18 |
| Replace aortic valve open axillry 33363 CPT 33363 | $414.00 | $2,760.00 | $2,760.00 – $19,178.27 | 5 |
| Replace aortic valve open femoral 33362 CPT 33362 | $2,262.75 | $15,085.00 | $15,085.00 – $19,178.27 | 5 |
| Replace aortic valve open transaortic 33365 CPT 33365 | $414.00 | $2,760.00 | $2,760.00 – $19,178.27 | 5 |
| Replace duod/jej tube perc CPT 49451 | $346.80 | $2,312.00 | $449.35 – $2,064.99 | 18 |
| Replace g/c tube perc CPT 49450 | $333.00 | $2,220.00 | $449.35 – $2,064.99 | 18 |
| Replace g-j tube perc CPT 49452 | $361.05 | $2,407.00 | $449.35 – $2,064.99 | 18 |
| Replace tunneled cv cath CPT 36578 | $820.95 | $5,473.00 | $924.57 – $6,529.86 | 18 |
| Reposg phrnc nrv stim trnsvn CPT 33281 | $1,554.60 | $10,364.00 | $3,316.59 – $7,959.81 | 18 |
| Reposition pm/icd lead CPT 33215 | $1,818.15 | $12,121.00 | $307.21 – $7,188.84 | 18 |
| Reposition vad w/image rt/lt sep session CPT 33993 | $693.60 | $4,624.00 | $4,624.00 – $9,478.79 | 5 |
| Repos lv lead pm/icd CPT 33226 | $1,818.15 | $12,121.00 | $483.32 – $9,307.27 | 18 |
| Repos sq defib eltrd CPT 33273 | $1,432.35 | $9,549.00 | $1,408.34 – $8,508.17 | 18 |
| Reptilase test CPT 85635 | $17.10 | $114.00 | $4.93 – $23.64 | 18 |
| Respirator motion mgmt simul CPT 77293 | $426.45 | $2,843.00 | $149.60 – $570.48 | 6 |
| #resp virpnl dfa-adenovirus CPT 87260 | $11.10 | $74.00 | $7.22 – $34.63 | 18 |
| #resp virpnl dfa-parainfluenza CPT 87279 | $10.35 | $69.00 | $8.22 – $39.43 | 18 |
| Resp virus 6-11 targets CPT 87632 | $373.80 | $2,492.00 | $109.03 – $523.34 | 18 |
| Resuscitation cardiopulmonary CPT 92950 | $513.90 | $3,426.00 | $93.64 – $957.78 | 18 |
| Resuscitation delivery/birthing room CPT 99465 | $130.20 | $868.00 | $12.00 – $1,366.87 | 18 |
| Reticulated platelet assay CPT 85055 | $46.95 | $313.00 | $17.87 – $85.78 | 18 |
| Reticulocyte automated CPT 85045 | $6.90 | $46.00 | $2.00 – $9.58 | 18 |
| Revasc intra lithotrip-ather HCPCS C9766 | $8,623.20 | $57,488.00 | $8,224.84 – $41,736.81 | 18 |
| Revasc intra lithotrip-stent HCPCS C9765 | $8,623.20 | $57,488.00 | $8,224.84 – $41,736.81 | 18 |
| Revasc intravasc lithotripsy HCPCS C9764 | $4,311.45 | $28,743.00 | $4,801.66 – $26,283.39 | 18 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $7,624.35 | $50,829.00 | $13,750.17 – $41,736.81 | 18 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $13,872.30 | $92,482.00 | $13,750.17 – $41,736.81 | 18 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $4,766.55 | $31,777.00 | $8,224.84 – $26,283.39 | 18 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $7,624.35 | $50,829.00 | $13,750.17 – $41,736.81 | 18 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $7,624.35 | $50,829.00 | $13,750.17 – $41,736.81 | 18 |
| Revise vag graft via vagina CPT 57295 | $1,245.00 | $8,300.00 | $3,070.90 – $7,370.17 | 18 |
| Revision of cervix CPT 59320 | $1,582.20 | $10,548.00 | $173.18 – $7,370.17 | 18 |
| Revision of infusion pump CPT 36261 | $1,399.20 | $9,328.00 | $1,903.69 – $8,508.17 | 18 |
| Revision of iris CPT 66761 | $251.55 | $1,677.00 | $521.76 – $1,363.00 | 18 |
| Revision tips CPT 37183 | $2,983.35 | $19,889.00 | $5,399.31 – $12,958.35 | 18 |
| Revsc opn/prq tib/pero stent CPT 37234 | $2,004.00 | $13,360.00 | $3,661.98 – $14,437.68 | 5 |
| Rheumatoid factor qualitative CPT 86430 | $9.90 | $66.00 | $3.07 – $14.74 | 18 |
| Rheumatoid factor quantitative CPT 86431 | $9.90 | $66.00 | $2.84 – $13.61 | 18 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $284.74 | $1,898.26 | $3.05 – $140.30 | 6 |
| Rho d immune globulin inj HCPCS J2790 | $135.94 | $906.28 | $48.38 – $145.32 | 6 |
| Right ventric recording CPT 93603 | $379.35 | $2,529.00 | $59.45 – $8,802.65 | 18 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $7,301.56 | $48,677.08 | $57.24 – $5,551.55 | 18 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $6,571.77 | $43,811.78 | $30.15 – $2,246.80 | 18 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $319.20 | $2,128.00 | $87.89 – $1,612.25 | 18 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $1,309.95 | $8,733.00 | $329.21 – $6,613.35 | 18 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $211.95 | $1,413.00 | $118.49 – $3,415.60 | 18 |
| Rmvl icd by tv extr CPT 33244 | $1,818.15 | $12,121.00 | $653.76 – $8,508.17 | 18 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $12,081.60 | $80,544.00 | $21,101.41 – $50,643.37 | 18 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $12,081.60 | $80,544.00 | $28,056.98 – $71,465.04 | 18 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $12,081.60 | $80,544.00 | $21,101.41 – $50,643.37 | 18 |
| Rmvl icd pulse gen only CPT 33241 | $1,435.50 | $9,570.00 | $215.37 – $9,307.27 | 18 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | $296.40 | $1,976.00 | $1,976.00 – $10,463.01 | 5 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $242.10 | $1,614.00 | $595.09 – $1,428.22 | 18 |
| Rmvl perm pm pulse gen CPT 33233 | $1,339.05 | $8,927.00 | $222.45 – $17,114.01 | 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.