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 |
|---|---|---|---|---|
| Wound closure by adhesive HCPCS G0168 | $17.55 | $117.00 | $44.79 – $249.85 | 5 |
| Wound pouch each HCPCS A6154 | $89.55 | $597.00 | $183.28 – $183.28 | 1 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $75.45 | $503.00 | $38.72 – $840.70 | 18 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $75.45 | $503.00 | $39.09 – $840.70 | 18 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $39.15 | $261.00 | $32.65 – $414.92 | 18 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $54.30 | $362.00 | $35.12 – $840.70 | 18 |
| Wrist X-ray CPT 73110 | $76.35 | $509.00 | $17.78 – $198.14 | 18 |
| Xe133 xenon 10mci HCPCS A9558 | $84.15 | $561.00 | $38.96 – $294.00 | 2 |
| X-linked intellectual dblt CPT 81470 | $1,173.00 | $7,820.00 | $457.00 – $2,193.60 | 18 |
| X-linked intellectual dblt CPT 81471 | $1,173.00 | $7,820.00 | $457.00 – $2,193.60 | 18 |
| Xm archive tissue molec anal CPT 88363 | $26.85 | $179.00 | $6.70 – $65.85 | 18 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $1,379.40 | $9,196.00 | $3,128.89 – $5,331.94 | 5 |
| X-ray abdomen 1 view CPT 74018 | $65.85 | $439.00 | $15.46 – $198.14 | 18 |
| X-ray abdomen 2 views CPT 74019 | $69.30 | $462.00 | $18.51 – $238.03 | 18 |
| X-ray abdomen >=3 views CPT 74021 | $72.75 | $485.00 | $21.56 – $238.03 | 18 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $69.30 | $462.00 | $24.29 – $238.03 | 18 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $69.30 | $462.00 | $22.19 – $198.14 | 18 |
| X-ray ankle 2 views (both sides) CPT 73600 | $69.30 | $462.00 | $16.48 – $99.07 | 18 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $182.55 | $1,217.00 | $68.99 – $794.30 | 18 |
| X-ray bone age studies CPT 77072 | $69.30 | $462.00 | $11.14 – $238.03 | 18 |
| X-ray bone length studies CPT 77073 | $69.30 | $462.00 | $23.77 – $238.03 | 18 |
| X-ray bone survey complete CPT 77075 | $72.75 | $485.00 | $45.29 – $238.03 | 18 |
| X-ray bone survey infant CPT 77076 | $69.30 | $462.00 | $31.96 – $238.03 | 18 |
| X-ray cervical spine 2-3 views CPT 72040 | $69.30 | $462.00 | $19.89 – $198.14 | 18 |
| X-ray cervical spine 4-5 views CPT 72050 | $72.75 | $485.00 | $29.36 – $238.03 | 18 |
| X-ray cervical spine >= 6 views CPT 72052 | $76.35 | $509.00 | $37.04 – $238.03 | 18 |
| X-ray clavicle complete (both sides) CPT 73000 | $69.30 | $462.00 | $17.45 – $198.14 | 18 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $85.50 | $570.00 | $51.50 – $399.35 | 18 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $118.80 | $792.00 | $73.40 – $399.35 | 18 |
| X-ray elbow 2 views (both sides) CPT 73070 | $69.30 | $462.00 | $17.45 – $99.07 | 18 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $76.35 | $509.00 | $18.91 – $198.14 | 18 |
| Xray endovasc thor ao repr CPT 75956 | $336.45 | $2,243.00 | $224.00 – $1,455.11 | 6 |
| Xray endovasc thor ao repr CPT 75957 | $288.30 | $1,922.00 | $224.00 – $1,247.06 | 6 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $69.30 | $462.00 | $38.66 – $399.35 | 18 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $72.75 | $485.00 | $42.29 – $238.03 | 18 |
| X-ray exam entire spi 6/> vw CPT 72084 | $85.20 | $568.00 | $51.07 – $238.03 | 18 |
| X-ray exam of arm infant CPT 73092 | $96.15 | $641.00 | $16.48 – $238.03 | 18 |
| X-ray exam of eye sockets CPT 70200 | $69.30 | $462.00 | $25.93 – $238.03 | 18 |
| X-ray exam of femur 1 CPT 73551 | $65.85 | $439.00 | $16.24 – $198.14 | 18 |
| X-ray exam of jaw joint CPT 70328 | $66.00 | $440.00 | $16.48 – $198.14 | 18 |
| X-ray exam of mastoids CPT 70120 | $66.00 | $440.00 | $20.54 – $238.03 | 18 |
| X-ray exam of middle ear CPT 70134 | $71.40 | $476.00 | $24.29 – $1,130.02 | 18 |
| X-ray exam of salivary gland CPT 70380 | $57.90 | $386.00 | $22.19 – $198.14 | 18 |
| X-ray exam of sinuses CPT 70210 | $34.80 | $232.00 | $20.54 – $198.14 | 18 |
| X-ray exam of tear duct CPT 70170 | $153.90 | $1,026.00 | $31.00 – $543.24 | 18 |
| X-ray exam si joints CPT 72200 | $65.85 | $439.00 | $17.45 – $238.03 | 18 |
| X-ray exam thorac spine4/>vw CPT 72074 | $72.75 | $485.00 | $26.88 – $238.03 | 18 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $69.30 | $462.00 | $13.86 – $198.14 | 18 |
| X-ray facial bones complete > 3 views CPT 70150 | $69.30 | $462.00 | $25.93 – $238.03 | 18 |
| X-ray femur >=2 views (both sides) CPT 73552 | $72.75 | $485.00 | $19.27 – $198.14 | 18 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $72.75 | $485.00 | $13.86 – $198.14 | 18 |
| X-ray foot 2 views (both sides) CPT 73620 | $69.30 | $462.00 | $16.48 – $99.07 | 18 |
| X-ray forearm 2 views (both sides) CPT 73090 | $72.75 | $485.00 | $17.45 – $99.07 | 18 |
| X-ray hand 2 views (both sides) CPT 73120 | $72.75 | $485.00 | $16.48 – $119.01 | 18 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $72.75 | $485.00 | $15.82 – $198.14 | 18 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $72.75 | $485.00 | $31.38 – $238.03 | 18 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $65.85 | $439.00 | $23.50 – $238.03 | 18 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $69.30 | $462.00 | $28.36 – $238.03 | 18 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $72.75 | $485.00 | $34.12 – $238.03 | 18 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $65.85 | $439.00 | $16.84 – $198.14 | 18 |
| X-ray humerus >= 2 views left CPT 73060 | $72.75 | $485.00 | $18.91 – $99.07 | 18 |
| X-ray joint survey 1 view CPT 77077 | $69.30 | $462.00 | $26.88 – $238.03 | 18 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $65.85 | $439.00 | $17.45 – $198.14 | 18 |
| X-ray knee 3 views (both sides) CPT 73562 | $72.75 | $485.00 | $18.91 – $198.14 | 18 |
| X-ray knee ap standing bilateral CPT 73565 | $69.30 | $462.00 | $16.48 – $198.14 | 18 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $69.30 | $462.00 | $16.48 – $198.14 | 18 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $62.55 | $417.00 | $26.88 – $238.03 | 18 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $69.30 | $462.00 | $30.01 – $238.03 | 18 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $72.75 | $485.00 | $38.66 – $238.03 | 18 |
| X-ray mandible complete > 4 views CPT 70110 | $69.30 | $462.00 | $20.54 – $238.03 | 18 |
| X-ray mandible ltd <4 views CPT 70100 | $65.85 | $439.00 | $17.45 – $198.14 | 18 |
| X-ray nasal bones complete > 3 views CPT 70160 | $69.30 | $462.00 | $17.45 – $198.14 | 18 |
| X-ray neck soft tissue CPT 70360 | $69.30 | $462.00 | $13.86 – $198.14 | 18 |
| X-ray nose to rectum for foreign body child CPT 76010 | $69.30 | $462.00 | $17.45 – $198.14 | 18 |
| X-ray of mammary ducts CPT 77054 | $161.55 | $1,077.00 | $90.57 – $543.24 | 18 |
| X-ray optic foramina CPT 70190 | $69.30 | $462.00 | $20.54 – $198.14 | 18 |
| X-ray pelvis 1-2 views CPT 72170 | $65.85 | $439.00 | $17.45 – $238.03 | 18 |
| X-ray pelvis complete > 3 views CPT 72190 | $69.30 | $462.00 | $22.19 – $238.03 | 18 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $119.55 | $797.00 | $86.29 – $794.30 | 18 |
| X-ray ribs 2 views left CPT 71100 | $65.85 | $439.00 | $18.91 – $198.14 | 18 |
| X-ray ribs 3 views bilateral CPT 71110 | $72.75 | $485.00 | $25.93 – $238.03 | 18 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $69.30 | $462.00 | $22.19 – $238.03 | 18 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $76.35 | $509.00 | $29.36 – $238.03 | 18 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $69.30 | $462.00 | $20.54 – $238.03 | 18 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $69.30 | $462.00 | $18.91 – $198.14 | 18 |
| X-ray scapula complete (both sides) CPT 73010 | $69.30 | $462.00 | $17.45 – $238.03 | 18 |
| X-ray sella turcica CPT 70240 | $69.30 | $462.00 | $13.86 – $198.14 | 18 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $69.30 | $462.00 | $15.82 – $198.14 | 18 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $69.30 | $462.00 | $25.93 – $198.14 | 18 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $153.90 | $1,026.00 | $34.41 – $1,130.02 | 18 |
| X-ray skull < 4 views CPT 70250 | $65.85 | $439.00 | $20.54 – $238.03 | 18 |
| X-ray skull > 4 views complete CPT 70260 | $69.30 | $462.00 | $29.36 – $238.03 | 18 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $59.10 | $394.00 | $41.11 – $238.03 | 18 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $69.30 | $462.00 | $42.72 – $399.35 | 18 |
| X-ray small intestine follow-through study CPT 74248 | $69.30 | $462.00 | $40.59 – $152.85 | 5 |
| X-ray spine single view CPT 72020 | $65.85 | $439.00 | $13.86 – $198.14 | 18 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $69.30 | $462.00 | $23.15 – $198.14 | 18 |
| X-ray sternum > 2 views CPT 71120 | $65.85 | $439.00 | $21.54 – $198.14 | 18 |
| X-ray surgical specimen CPT 76098 | $276.60 | $1,844.00 | $13.86 – $1,244.06 | 18 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $69.30 | $462.00 | $42.72 – $399.35 | 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.