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 |
|---|---|---|---|---|
| Sleep Study (Polysomnography) CPT 95810 | $548.85 | $3,659.00 | $181.48 – $1,955.15 | 18 |
| Sleep study unattended CPT 95806 | $260.70 | $1,738.00 | $102.04 – $491.61 | 18 |
| Sleeve fing rolyan med HCPCS L3933 | $45.00 | $300.00 | $234.30 – $549.22 | 17 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $31.95 | $213.00 | $61.00 – $368.42 | 5 |
| Slp eval non-spch gen comm dev CPT 92605 | $90.45 | $603.00 | $61.00 – $368.42 | 5 |
| Slp pure tone screening CPT 92551 | $5.55 | $37.00 | $7.15 – $43.07 | 5 |
| Slp stdy unatnd w/anal CPT 95801 | $161.70 | $1,078.00 | $42.89 – $197.86 | 18 |
| Slp ther svc non-spch gen CPT 92606 | $79.20 | $528.00 | $35.08 – $36.83 | 5 |
| Sm-153 lexidron ther HCPCS A9604 | $2,932.80 | $19,552.00 | $3,159.80 – $17,640.44 | 18 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $9.15 | $61.00 | $2.70 – $12.94 | 18 |
| Smear gram stain CPT 87205 | $7.35 | $49.00 | $2.14 – $10.52 | 18 |
| Smear nasal eosinophil CPT 89190 | $7.95 | $53.00 | $2.90 – $13.90 | 18 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $10.35 | $69.00 | $3.00 – $14.38 | 18 |
| Smear wet mount CPT 87210 | $7.20 | $48.00 | $2.91 – $13.97 | 18 |
| Smn1 gene full gene sequence CPT 81336 | $236.70 | $1,578.00 | $150.68 – $723.24 | 18 |
| Snrpn/ube3a gene CPT 81331 | $74.25 | $495.00 | $25.54 – $122.57 | 18 |
| So airplane w/wo joint cf HCPCS L3674 | $588.75 | $3,925.00 | $1,329.23 – $4,029.48 | 17 |
| So cap design without jnts cf HCPCS L3671 | $190.20 | $1,268.00 | $989.70 – $2,319.94 | 17 |
| Sodium 24 hour urine CPT 84300 | $8.70 | $58.00 | $2.53 – $12.14 | 18 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $7.26 | $48.38 | $7.99 – $14.85 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $7.26 | $48.38 | $2.22 – $14.85 | 3 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $7.26 | $48.38 | $7.08 – $14.85 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $77.77 | $518.44 | $3.56 – $9.01 | 2 |
| Sodium serum/plasma/whole blood CPT 84295 | $8.55 | $57.00 | $2.41 – $11.54 | 18 |
| Somatosensory testing CPT 95927 | $85.80 | $572.00 | $17.54 – $491.61 | 18 |
| Somatropin injection HCPCS J2941 | $64.06 | $427.09 | $36.80 – $279.07 | 3 |
| Special physics consult CPT 77370 | $175.05 | $1,167.00 | $64.54 – $306.02 | 18 |
| Special radiation dosimetry CPT 77331 | $116.55 | $777.00 | $16.81 – $306.02 | 18 |
| Special radiation treatment CPT 77470 | $560.40 | $3,736.00 | $67.15 – $1,258.01 | 18 |
| Special teletx port plan CPT 77321 | $285.90 | $1,906.00 | $83.68 – $852.49 | 18 |
| Specific gravity body fluid CPT 84315 | $4.20 | $28.00 | $1.64 – $7.87 | 18 |
| Specimen fat stain CPT 89125 | $7.50 | $50.00 | $2.94 – $14.11 | 18 |
| Speech audiometry complete CPT 92556 | $9.45 | $63.00 | $20.60 – $122.00 | 18 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $310.05 | $2,067.00 | $669.64 – $1,607.12 | 18 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $194.55 | $1,297.00 | $32.89 – $849.59 | 18 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $122.25 | $815.00 | $474.38 – $1,182.66 | 17 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | $11.25 | $75.00 | $58.14 – $136.28 | 17 |
| Splint finger fold over sm HCPCS L3924 | $98.70 | $658.00 | $75.00 – $203.28 | 17 |
| Splint finger frog med HCPCS L3927 | $7.05 | $47.00 | $38.01 – $89.10 | 17 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | $18.45 | $123.00 | $95.65 – $224.21 | 17 |
| Split blood or products CPT 86985 | $38.55 | $257.00 | $7.32 – $352.34 | 18 |
| Sputum specimen collection CPT 89220 | $47.40 | $316.00 | $10.25 – $352.34 | 18 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $583.95 | $3,893.00 | $572.80 – $17,640.44 | 18 |
| Srs linear based CPT 77372 | $4,102.20 | $27,348.00 | $724.40 – $16,769.03 | 18 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $92.55 | $617.00 | $61.00 – $361.76 | 18 |
| Staph a dna amp probe CPT 87640 | $61.50 | $410.00 | $17.55 – $84.22 | 18 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $46.05 | $307.00 | $61.00 – $792.94 | 18 |
| Stem cells total count CPT 86367 | $66.00 | $440.00 | $32.06 – $186.67 | 18 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $7,137.15 | $47,581.00 | $13,730.88 – $14,437.68 | 5 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $875.70 | $5,838.00 | $165.17 – $165.17 | 1 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $3,725.40 | $24,836.00 | $4,422.96 – $14,437.68 | 5 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $2,004.00 | $13,360.00 | $2,436.03 – $14,437.68 | 5 |
| Stent placemt retro carotid CPT 37217 | $5,679.00 | $37,860.00 | $17,378.50 – $18,247.43 | 5 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $4,533.30 | $30,222.00 | $7,910.90 – $14,437.68 | 5 |
| St evaluate speech sound production CPT 92522 | $89.85 | $599.00 | $61.00 – $361.76 | 18 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $185.85 | $1,239.00 | $61.00 – $521.76 | 18 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $83.70 | $558.00 | $41.02 – $207.72 | 18 |
| St evaluation swallow function CPT 92610 | $82.20 | $548.00 | $37.68 – $361.76 | 18 |
| Stimulants synthetic CPT 80371 | $21.60 | $144.00 | $14.31 – $15.03 | 5 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $51.60 | $344.00 | $15.69 – $344.00 | 18 |
| Strapping of elbow or wrist 29260 CPT 29260 | $37.35 | $249.00 | $15.69 – $134.31 | 18 |
| Strapping of hand or finger CPT 29280 | $56.70 | $378.00 | $15.69 – $134.31 | 18 |
| Strapping of knee CPT 29530 | $56.85 | $379.00 | $18.84 – $302.92 | 18 |
| Strapping of toes 29550 CPT 29550 | $51.60 | $344.00 | $15.69 – $134.31 | 18 |
| Strep a ag ia CPT 87430 | $20.10 | $134.00 | $8.41 – $40.34 | 18 |
| Strep b dna amp probe CPT 87653 | $61.50 | $410.00 | $17.55 – $84.22 | 18 |
| Stress test pulmonary CPT 94618 | $91.80 | $612.00 | $10.35 – $302.92 | 18 |
| Stress tte complete CPT 93351 | $448.35 | $2,989.00 | $149.95 – $1,244.06 | 18 |
| Str markers specimen anal CPT 81265 | $396.00 | $2,640.00 | $115.92 – $559.37 | 18 |
| St treatment speech individual CPT 92507 | $77.40 | $516.00 | $32.54 – $361.76 | 18 |
| St treatment swallow dysfunction/oral CPT 92526 | $84.00 | $560.00 | $37.22 – $193.10 | 18 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $47.37 | $315.79 | $0.30 – $1.62 | 2 |
| Sugars multiple quant CPT 84379 | $12.30 | $82.00 | $5.77 – $27.67 | 18 |
| Sugars single quant CPT 84378 | $20.10 | $134.00 | $5.77 – $27.67 | 18 |
| Sulfonylurea screen qn-sendout CPT 80377 | $18.75 | $125.00 | $14.31 – $15.03 | 5 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $52.76 | $351.73 | $33.21 – $66.42 | 3 |
| Surgical pathology level 1 gross examination only CPT 88300 | $19.20 | $128.00 | $6.70 – $65.85 | 18 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $39.60 | $264.00 | $10.25 – $85.04 | 18 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $45.15 | $301.00 | $16.17 – $118.65 | 18 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $75.45 | $503.00 | $18.48 – $118.65 | 18 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $235.20 | $1,568.00 | $34.60 – $816.10 | 18 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $333.45 | $2,223.00 | $23.66 – $1,834.34 | 18 |
| Susceptibility agar dilution per agent CPT 87181 | $8.40 | $56.00 | $2.38 – $11.40 | 18 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $3.75 | $25.00 | $2.38 – $11.40 | 18 |
| Susceptibility mic per plate CPT 87186 | $15.30 | $102.00 | $4.33 – $20.76 | 18 |
| Suscept studies macrobroth dilution ea CPT 87188 | $7.20 | $48.00 | $3.32 – $15.94 | 18 |
| Svc venogram s&i CPT 75827 | $429.15 | $2,861.00 | $123.77 – $3,255.45 | 18 |
| Sweat collection by iontophoresis CPT 89230 | $23.40 | $156.00 | $6.21 – $118.65 | 18 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $7.65 | $51.00 | $2.20 – $12.00 | 18 |
| T3 (triiodothyronine) free CPT 84481 | $29.55 | $197.00 | $8.47 – $40.66 | 18 |
| T3 (triiodothyronine) total CPT 84480 | $24.90 | $166.00 | $7.09 – $34.03 | 18 |
| T4 (thyroxine) free CPT 84439 | $15.75 | $105.00 | $4.51 – $21.65 | 18 |
| T4 (thyroxine) total CPT 84436 | $12.15 | $81.00 | $3.44 – $16.49 | 18 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $0.33 | $2.23 | $0.40 – $2.83 | 17 |
| Tacrolimus therapeutic drug level CPT 80197 | $24.00 | $160.00 | $6.87 – $32.95 | 18 |
| Target gsa panel hmtlmph neop CPT 81450 | $832.20 | $5,548.00 | $53.90 – $1,822.87 | 18 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $3,746.70 | $24,978.00 | $1,459.80 – $7,007.04 | 18 |
| Target gsa panel organ neop CPT 81445 | $373.65 | $2,491.00 | $53.90 – $1,434.98 | 18 |
| Tavr perq femoral CPT 33361 | $2,262.75 | $15,085.00 | $15,085.00 – $19,178.27 | 5 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $360.36 | $2,402.43 | $0.25 – $246.67 | 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.