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 |
|---|---|---|---|---|
| Rmvl perq right heart vad CPT 33997 | $414.00 | $2,760.00 | $2,760.00 – $9,478.79 | 5 |
| Rmvl phrnc nrv stim pg only CPT 33280 | $1,554.60 | $10,364.00 | $3,316.59 – $7,959.81 | 18 |
| Rmvl phrnc nrv stim sys CPT 33278 | $1,554.60 | $10,364.00 | $3,316.59 – $7,959.81 | 18 |
| Rmvl phrnc nrv stim transvns CPT 33279 | $1,554.60 | $10,364.00 | $3,316.59 – $7,959.81 | 18 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $4,025.10 | $26,834.00 | $9,910.06 – $39,834.35 | 18 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $3,737.25 | $24,915.00 | $7,850.46 – $18,841.11 | 18 |
| Rmvl pq iabp CPT 33968 | $784.95 | $5,233.00 | $5,233.00 – $9,478.79 | 5 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $784.95 | $5,233.00 | $5,233.00 – $9,478.79 | 5 |
| Rmvl sq defib electrode CPT 33272 | $1,432.35 | $9,549.00 | $1,408.34 – $8,508.17 | 18 |
| Rmvl subq card rhythm mntr CPT 33286 | $513.90 | $3,426.00 | $347.60 – $1,962.70 | 18 |
| Rmvl tv pm lead dual CPT 33235 | $1,361.10 | $9,074.00 | $487.04 – $8,508.17 | 18 |
| Rmvl tv pm lead sgl CPT 33234 | $1,818.15 | $12,121.00 | $413.73 – $8,508.17 | 18 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | $5,332.95 | $35,553.00 | $7,807.22 – $25,369.29 | 18 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | $13,975.20 | $93,168.00 | $24,264.35 – $70,255.70 | 18 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $188.79 | $1,258.59 | $0.07 – $0.09 | 2 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $778.20 | $5,188.00 | $1,474.44 – $3,583.98 | 18 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $474.90 | $3,166.00 | $138.65 – $1,174.63 | 18 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $513.30 | $3,422.00 | $366.36 – $2,947.61 | 18 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $582.30 | $3,882.00 | $718.20 – $3,255.65 | 18 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $496.20 | $3,308.00 | $1,474.44 – $3,308.00 | 18 |
| Rpl tun cvc wo subq port CPT 36581 | $910.35 | $6,069.00 | $2,690.37 – $6,529.86 | 18 |
| Rpr cgen av fistula thrx&abd CPT 35182 | $523.80 | $3,492.00 | $1,208.73 – $11,240.68 | 5 |
| Rsv assay w/optic CPT 87807 | $20.55 | $137.00 | $6.55 – $31.44 | 18 |
| Rubella antibody igg CPT 86762 | $25.20 | $168.00 | $7.20 – $34.54 | 18 |
| Rubeola antibody igg CPT 86765 | $22.50 | $150.00 | $6.44 – $30.91 | 18 |
| Runx1 gene targeted seq alys CPT 81334 | $422.85 | $2,819.00 | $164.76 – $790.82 | 18 |
| Russell viper venom diluted CPT 85613 | $16.65 | $111.00 | $4.57 – $22.99 | 18 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $810.00 | $5,400.00 | $458.54 – $2,200.99 | 18 |
| Salivary glnd img serial img CPT 78231 | $158.55 | $1,057.00 | $103.91 – $910.18 | 18 |
| Salmonella antibody CPT 86768 | $23.10 | $154.00 | $6.60 – $31.66 | 18 |
| Sarscov coronavirus ag ia CPT 87426 | $10.20 | $68.00 | $10.20 – $77.02 | 18 |
| Sbsq nurs facil care/day unstabl/new prob 35 min 99310 CPT 99310 | $71.25 | $475.00 | $94.97 – $94.97 | 1 |
| Sbsq nursing facil care/day minor complj 15 min CPT 99308 | $34.05 | $227.00 | $53.84 – $53.84 | 1 |
| Sbsq nursing facil care/day new problem 25 min CPT 99309 | $45.30 | $302.00 | $75.90 – $75.90 | 1 |
| Sbsq nursing facility care/day e/m stable 10 min CPT 99307 | $22.05 | $147.00 | $32.45 – $32.45 | 1 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $344.25 | $2,295.00 | $91.28 – $543.24 | 18 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $229.50 | $1,530.00 | $91.28 – $238.03 | 18 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $344.25 | $2,295.00 | $91.28 – $543.24 | 18 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $229.50 | $1,530.00 | $57.79 – $238.03 | 18 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $229.50 | $1,530.00 | $74.94 – $238.03 | 18 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $229.50 | $1,530.00 | $57.79 – $238.03 | 18 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $344.25 | $2,295.00 | $91.28 – $543.24 | 18 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $229.50 | $1,530.00 | $57.79 – $238.03 | 18 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $229.50 | $1,530.00 | $57.79 – $238.03 | 18 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $647.70 | $4,318.00 | $922.06 – $3,760.30 | 18 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $5,437.00 | $36,246.65 | $4,775.85 – $4,775.85 | 1 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $25.20 | $168.00 | $9.03 – $43.32 | 18 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | $42.30 | $282.00 | $11.64 – $57.79 | 18 |
| Screening Mammogram CPT 77067 | $74.10 | $494.00 | $29.34 – $198.62 | 18 |
| Screening prostate cancer PSA HCPCS G0103 | $32.25 | $215.00 | $9.66 – $46.34 | 18 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $9.15 | $61.00 | $1.84 – $10.90 | 2 |
| Sc ther infusion reset pump CPT 96371 | $37.80 | $252.00 | $64.35 – $366.15 | 18 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $1,818.15 | $12,121.00 | $1,844.05 – $14,437.68 | 5 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $121.65 | $811.00 | $27.32 – $28.69 | 5 |
| Sedimentation rate erythrocyte automated CPT 85652 | $4.80 | $32.00 | $1.35 – $6.48 | 18 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $12.30 | $82.00 | $29.01 – $56.25 | 5 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $9.00 | $60.00 | $31.46 – $56.25 | 5 |
| Semen analysis presence/motility CPT 89321 | $21.15 | $141.00 | $5.10 – $28.92 | 18 |
| Semen analysis w/count CPT 89310 | $9.15 | $61.00 | $4.31 – $20.66 | 18 |
| Sept9 promoter methylation analysis CPT 81327 | $53.25 | $355.00 | $50.20 – $418.56 | 18 |
| Serpina1 gene CPT 81332 | $134.10 | $894.00 | $21.83 – $104.76 | 18 |
| Sertraline (zoloft) - sendout CPT 80332 | $24.90 | $166.00 | $71.76 – $75.35 | 5 |
| Set radiation therapy field CPT 77280 | $265.20 | $1,768.00 | $64.54 – $306.02 | 18 |
| Set radiation therapy field CPT 77285 | $415.65 | $2,771.00 | $158.18 – $852.49 | 18 |
| Set radiation therapy field CPT 77290 | $480.60 | $3,204.00 | $158.18 – $852.49 | 18 |
| Sewho cap design without jnts cf HCPCS L3961 | $730.95 | $4,873.00 | $1,889.33 – $5,419.62 | 17 |
| Sex chromatin identification CPT 88130 | $14.40 | $96.00 | $5.10 – $43.15 | 18 |
| Sf3b1 gene common variants CPT 81347 | $248.10 | $1,654.00 | $96.63 – $463.80 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $39.15 | $261.00 | $26.68 – $414.92 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $43.20 | $288.00 | $36.10 – $414.92 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $47.40 | $316.00 | $43.94 – $840.70 | 18 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $52.20 | $348.00 | $59.64 – $840.70 | 18 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $83.55 | $557.00 | $23.55 – $456.80 | 18 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $39.15 | $261.00 | $32.96 – $414.92 | 18 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $43.20 | $288.00 | $39.24 – $414.92 | 18 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $91.95 | $613.00 | $53.36 – $840.70 | 18 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $83.55 | $557.00 | $20.40 – $840.70 | 18 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $91.95 | $613.00 | $29.82 – $456.80 | 18 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $101.10 | $674.00 | $39.24 – $456.80 | 18 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $1,172.70 | $7,818.00 | $2,248.47 – $2,248.47 | 1 |
| Shoulder MRI (with and without contrast) CPT 73223 | $668.55 | $4,457.00 | $320.42 – $794.30 | 18 |
| Shoulder MRI (with contrast) CPT 73222 | $971.40 | $6,476.00 | $261.50 – $1,784.80 | 18 |
| Shoulder MRI (without contrast) CPT 73221 | $636.75 | $4,245.00 | $203.05 – $543.24 | 18 |
| Shoulder X-ray CPT 73030 | $76.35 | $509.00 | $18.91 – $198.14 | 18 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $69.30 | $462.00 | $25.93 – $238.03 | 18 |
| Sialidase enzyme assay CPT 87905 | $21.30 | $142.00 | $6.11 – $29.33 | 18 |
| Sialography s&i CPT 70390 | $155.40 | $1,036.00 | $58.56 – $543.24 | 18 |
| Sickling rbc CPT 85660 | $9.60 | $64.00 | $2.76 – $13.22 | 18 |
| Sigmoidoscopy w/resection CPT 45349 | $1,159.80 | $7,732.00 | $2,633.14 – $6,319.52 | 18 |
| Simple cystometrogram 51725 CPT 51725 | $118.20 | $788.00 | $13.97 – $568.85 | 18 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $197.06 | $1,313.70 | $44.48 – $217.11 | 6 |
| Sinus CT scan (with and without contrast) CPT 70488 | $587.70 | $3,918.00 | $166.39 – $414.08 | 18 |
| Sinus CT scan (with contrast) CPT 70487 | $559.65 | $3,731.00 | $166.39 – $414.08 | 18 |
| Sinus CT scan (without contrast) CPT 70486 | $531.75 | $3,545.00 | $99.18 – $238.03 | 18 |
| Sinus/juglr venogram s&i CPT 75860 | $452.10 | $3,014.00 | $136.68 – $6,529.86 | 18 |
| Sirolimus, oral HCPCS J7520 | $5.58 | $37.22 | $1.53 – $7.55 | 2 |
| Skeletal muscle relaxant 1/2 CPT 80369 | $13.35 | $89.00 | $14.31 – $15.03 | 5 |
| Skel musc relaxant 3 or more CPT 80370 | $13.35 | $89.00 | $14.31 – $15.03 | 5 |
| Skin Biopsy CPT 11102 | $39.15 | $261.00 | $80.13 – $840.70 | 18 |
| Sleep study attended CPT 95807 | $520.05 | $3,467.00 | $181.48 – $990.34 | 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.