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 |
|---|---|---|---|---|
| Ultrasound retroperitoneal limited CPT 76775 | $96.45 | $643.00 | $46.49 – $238.03 | 18 |
| Ultrasound scrotum and contents CPT 76870 | $101.55 | $677.00 | $50.23 – $238.03 | 18 |
| Ultrasound spinal canal and contents CPT 76800 | $101.55 | $677.00 | $46.49 – $238.03 | 18 |
| Ultrasound transabd ea addl gest CPT 76812 | $50.70 | $338.00 | $37.75 – $238.14 | 6 |
| Ultrasound transvaginal non obstetric CPT 76830 | $101.55 | $677.00 | $50.23 – $238.03 | 18 |
| Ultrasound trgt dyn mbubb 1st les CPT 76978 | $199.20 | $1,328.00 | $121.04 – $794.30 | 18 |
| Ultrasound trgt dyn mbubb ea addl CPT 76979 | $145.50 | $970.00 | $153.62 – $217.17 | 5 |
| Umbilical artery cath newborn 36660 CPT 36660 | $31.65 | $211.00 | $89.41 – $93.88 | 5 |
| Unlisted chemotherapy px CPT 96549 | $16.95 | $113.00 | $14.89 – $366.15 | 18 |
| Unlisted CT procedure CPT 76497 | $559.65 | $3,731.00 | $64.01 – $198.14 | 18 |
| Unlisted dialysis procedure CPT 90999 | $301.05 | $2,007.00 | $81.00 – $1,166.39 | 5 |
| Unlisted fluoroscopic px CPT 76496 | $63.90 | $426.00 | $52.88 – $198.14 | 18 |
| Unlisted mr procedure CPT 76498 | $537.15 | $3,581.00 | $82.56 – $309.51 | 18 |
| Unlisted muscskel px head CPT 21499 | $113.40 | $756.00 | $224.69 – $3,421.73 | 18 |
| Unlisted neurological dx px CPT 95999 | $71.55 | $477.00 | $26.50 – $292.96 | 18 |
| Unlisted procedure microbiology CPT 87999 | $51.75 | $345.00 | $10.20 – $16.21 | 6 |
| Unlisted procedure rectum CPT 45999 | $379.05 | $2,527.00 | $882.21 – $2,117.29 | 18 |
| Unlisted px biliary tract CPT 47999 | $377.85 | $2,519.00 | $860.41 – $2,965.28 | 18 |
| Unlisted px casting/strpg CPT 29799 | $54.30 | $362.00 | $92.91 – $362.00 | 18 |
| Unlisted px small intestine CPT 44799 | $1,100.70 | $7,338.00 | $860.41 – $2,654.92 | 18 |
| Unlisted spec derm svc/px CPT 96999 | $86.85 | $579.00 | $16.27 – $456.80 | 18 |
| Unlisted special svc px/rprt CPT 99199 | $1.20 | $8.00 | $2.46 – $2.46 | 1 |
| Unlisted transfusion med px CPT 86999 | $12.30 | $82.00 | $4.49 – $65.85 | 18 |
| Unlisted ultrasound procedure CPT 76999 | $93.90 | $626.00 | $37.75 – $198.14 | 18 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $166.80 | $1,112.00 | $81.00 – $1,419.34 | 18 |
| Upgrade pm system CPT 33214 | $4,780.35 | $31,869.00 | $498.19 – $23,796.73 | 18 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $668.55 | $4,457.00 | $320.42 – $794.30 | 18 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $636.75 | $4,245.00 | $261.50 – $794.30 | 18 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $604.95 | $4,033.00 | $203.05 – $543.24 | 18 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | $426.60 | $2,844.00 | $282.31 – $2,064.99 | 18 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $384.60 | $2,564.00 | $311.30 – $2,064.99 | 18 |
| Urea nitrogen CPT 84520 | $6.90 | $46.00 | $1.98 – $9.48 | 18 |
| Urea nitrogen 24 hour urine CPT 84540 | $7.95 | $53.00 | $2.78 – $13.34 | 18 |
| Ureteral reflux study CPT 78740 | $182.70 | $1,218.00 | $69.65 – $910.18 | 18 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $119.55 | $797.00 | $48.13 – $543.24 | 18 |
| Urethrocystography void s&i CPT 74455 | $119.55 | $797.00 | $51.86 – $543.24 | 18 |
| Uric acid blood CPT 84550 | $7.95 | $53.00 | $2.26 – $10.85 | 18 |
| Uric acid urine CPT 84560 | $8.40 | $56.00 | $2.54 – $12.19 | 18 |
| Urinalysis microscopic only CPT 81015 | $5.40 | $36.00 | $1.53 – $7.32 | 18 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $3.75 | $25.00 | $1.09 – $5.21 | 18 |
| Urinalysis (with microscopy) CPT 81001 | $5.70 | $38.00 | $1.59 – $7.61 | 18 |
| Urinalysis (without microscopy) CPT 81003 | $3.90 | $26.00 | $1.13 – $5.40 | 18 |
| Urine Culture Test CPT 87086 | $13.95 | $93.00 | $4.04 – $19.37 | 18 |
| Urine flow measurement 51736 CPT 51736 | $54.75 | $365.00 | $5.42 – $302.92 | 18 |
| Urine pregnancy test CPT 81025 | $11.10 | $74.00 | $3.04 – $20.66 | 18 |
| Urography, antegrade CPT 74425 | $119.55 | $797.00 | $42.72 – $794.30 | 18 |
| Urography inf drip &/or bolus CPT 74410 | $119.55 | $797.00 | $63.94 – $399.35 | 18 |
| Use 1st target lesion CPT 76982 | $152.10 | $1,014.00 | $57.11 – $238.03 | 18 |
| Vaccine dtap < 7 years im CPT 90700 | $57.05 | $380.30 | $25.50 – $58.33 | 6 |
| Vaccine dtap-hep b-ipv im CPT 90723 | $129.87 | $865.78 | $31.88 – $204.25 | 6 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | $29.35 | $195.67 | $18.61 – $33.47 | 6 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | $55.58 | $370.51 | $14.53 – $57.66 | 6 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | $24.23 | $161.50 | $11.65 – $38.90 | 6 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | $290.32 | $1,935.45 | $115.65 – $467.44 | 6 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | $207.95 | $1,386.33 | $55.25 – $328.70 | 6 |
| Vaccine mmr live subcutaneous CPT 90707 | $155.02 | $1,033.45 | $31.88 – $187.65 | 6 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | $326.57 | $2,177.13 | $77.57 – $446.34 | 6 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | $359.12 | $2,394.13 | $153.94 – $541.29 | 6 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | $68.78 | $458.56 | $23.75 – $88.18 | 6 |
| Vaccine rabies im CPT 90675 | $546.67 | $3,644.47 | $53.19 – $767.40 | 18 |
| Vaccine tdap >=7 years im CPT 90715 | $79.54 | $530.25 | $31.88 – $96.10 | 6 |
| Vaccine td preservative free >= 7 years im CPT 90714 | $67.32 | $448.79 | $21.50 – $83.28 | 6 |
| Valproic acid total therapeutic drug level CPT 80164 | $23.70 | $158.00 | $6.77 – $32.50 | 18 |
| Valvuloplasty aortic CPT 92986 | $4,357.65 | $29,051.00 | $1,264.39 – $12,958.35 | 18 |
| Valvuloplasty mitral CPT 92987 | $4,357.65 | $29,051.00 | $1,305.46 – $26,283.39 | 18 |
| Vancomycin 1,000 mg intravenous injection HCPCS J3373 | $313.30 | $2,088.67 | $0.05 – $0.09 | 2 |
| Vancomycin 750 mg intravenous solution HCPCS J3374 | $58.98 | $393.23 | $0.21 – $0.22 | 2 |
| Vancomycin peak therapeutic drug level CPT 80202 | $23.70 | $158.00 | $6.77 – $32.50 | 18 |
| Varicella zoster antibody igg CPT 86787 | $22.50 | $150.00 | $6.44 – $30.91 | 18 |
| Vasectomy CPT 55250 | $898.95 | $5,993.00 | $111.43 – $4,759.31 | 18 |
| Veeg cont 2-12 hrs CPT 95713 | $505.35 | $3,369.00 | $291.33 – $849.59 | 18 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $945.90 | $6,306.00 | $545.30 – $1,955.15 | 18 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $289.80 | $1,932.00 | $151.84 – $849.59 | 18 |
| Veeg unmon 12-26 hrs CPT 95714 | $505.35 | $3,369.00 | $291.33 – $849.59 | 18 |
| Veeg unmon 2-12 hrs CPT 95711 | $263.55 | $1,757.00 | $151.84 – $491.61 | 18 |
| Vein x-ray adrenal gland CPT 75840 | $1,357.80 | $9,052.00 | $140.43 – $7,188.84 | 18 |
| Vein x-ray adrenal glands CPT 75842 | $2,036.70 | $13,578.00 | $166.11 – $6,121.76 | 6 |
| Vein x-ray eye socket CPT 75880 | $429.15 | $2,861.00 | $31.00 – $1,457.30 | 18 |
| Vein x-ray kidney CPT 75831 | $1,293.15 | $8,621.00 | $128.53 – $7,188.84 | 18 |
| Vein x-ray liver CPT 75891 | $1,293.15 | $8,621.00 | $136.68 – $7,188.84 | 18 |
| Vein x-ray liver w/hemodynam CPT 75885 | $1,357.80 | $9,052.00 | $135.42 – $7,188.84 | 18 |
| Vein x-ray liver w/hemodynam CPT 75889 | $1,357.80 | $9,052.00 | $135.42 – $7,188.84 | 18 |
| Vein x-ray liver without hemodyn CPT 75887 | $452.10 | $3,014.00 | $136.68 – $6,529.86 | 18 |
| Vein x-ray skull CPT 75870 | $492.60 | $3,284.00 | $183.65 – $6,529.86 | 18 |
| Vein x-ray skull epidural CPT 75872 | $376.95 | $2,513.00 | $140.43 – $1,457.30 | 18 |
| Vein x-ray spleen/liver CPT 75810 | $1,357.80 | $9,052.00 | $224.00 – $7,188.84 | 18 |
| Venipuncture >= 3 years diagnostic/therapeutic (not to be used for routine venipuncture) CPT 36410 | $496.20 | $3,308.00 | $89.41 – $93.88 | 5 |
| Venogram ext bil s&i CPT 75822 | $450.60 | $3,004.00 | $48.78 – $3,255.45 | 18 |
| Venogram extremity supervision & interpretation unilateral CPT 75820 | $429.15 | $2,861.00 | $31.00 – $3,255.45 | 18 |
| Venous mech thrombectomy CPT 37187 | $2,004.00 | $13,360.00 | $2,661.00 – $23,874.08 | 18 |
| Venous m-thrombectomy add-on CPT 37188 | $1,564.20 | $10,428.00 | $2,295.58 – $7,188.84 | 18 |
| Venous sampling s&i CPT 75893 | $1,357.80 | $9,052.00 | $149.83 – $11,507.70 | 18 |
| Ventilator each subsequent day CPT 94003 | $405.60 | $2,704.00 | $59.04 – $1,539.13 | 18 |
| Ventilator initial day CPT 94002 | $198.90 | $1,326.00 | $81.31 – $1,539.13 | 18 |
| Ventricular puncture prev burr hole without inj 61020 CPT 61020 | $384.45 | $2,563.00 | $169.55 – $2,013.74 | 18 |
| Version cephalic external CPT 59412 | $863.40 | $5,756.00 | $12.00 – $6,694.57 | 18 |
| Vincristine 1 mg/ml intravenous solution HCPCS J9370 | $65.19 | $434.63 | $14.47 – $29.45 | 2 |
| Viper venom prothrombin time CPT 85612 | $16.65 | $111.00 | $4.57 – $41.98 | 18 |
| Virus isolation addl studies ea CPT 87253 | $34.20 | $228.00 | $10.10 – $48.48 | 18 |
| Visit established high 40-54 minutes/level 5 HCPCS G0463 | $65.55 | $437.00 | $38.68 – $275.33 | 17 |
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.