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 |
|---|---|---|---|---|
| Assay myeloperoxidase CPT 83876 | $30.75 | $205.00 | $17.83 – $122.06 | 18 |
| Assay of adp & amp CPT 82030 | $45.15 | $301.00 | $12.90 – $61.92 | 18 |
| Assay of androsterone CPT 82160 | $26.70 | $178.00 | $12.78 – $61.32 | 18 |
| Assay of chloramphenicol CPT 82415 | $22.20 | $148.00 | $6.34 – $30.41 | 18 |
| Assay of digoxin free CPT 80163 | $23.10 | $154.00 | $6.64 – $31.87 | 18 |
| Assay of estrogen CPT 84233 | $112.80 | $752.00 | $35.92 – $210.91 | 18 |
| Assay of feces for trypsin CPT 84490 | $8.70 | $58.00 | $4.97 – $23.83 | 18 |
| Assay of feces porphyrins CPT 84126 | $44.70 | $298.00 | $19.56 – $93.86 | 18 |
| Assay of galactose CPT 82760 | $19.65 | $131.00 | $5.60 – $26.88 | 18 |
| Assay of glucosidase CPT 82963 | $22.95 | $153.00 | $10.74 – $51.55 | 18 |
| Assay of glutathione CPT 82978 | $25.05 | $167.00 | $7.73 – $37.08 | 18 |
| Assay of interleukin-6 (il-6) CPT 83529 | $31.80 | $212.00 | $8.64 – $41.45 | 18 |
| Assay of lap enzyme CPT 83670 | $15.60 | $104.00 | $4.91 – $23.54 | 18 |
| Assay of leflunomide CPT 80193 | $49.50 | $330.00 | $12.56 – $92.57 | 18 |
| Assay of lrh hormone CPT 83727 | $17.40 | $116.00 | $8.60 – $41.26 | 18 |
| Assay of osteocalcin CPT 83937 | $30.60 | $204.00 | $14.93 – $71.64 | 18 |
| Assay of procainamide w/metab CPT 80192 | $29.25 | $195.00 | $8.38 – $40.20 | 18 |
| Assay of prostaglandin CPT 84150 | $20.85 | $139.00 | $20.89 – $100.25 | 18 |
| Assay of PSA complexed CPT 84152 | $19.65 | $131.00 | $9.20 – $44.14 | 18 |
| Assay of salicylate CPT 80179 | $24.00 | $160.00 | $9.32 – $44.74 | 18 |
| Assay of somatostatin CPT 84307 | $21.75 | $145.00 | $9.14 – $43.87 | 18 |
| Assay of thiocyanate CPT 84430 | $11.25 | $75.00 | $5.82 – $27.91 | 18 |
| Assay of tyrosine CPT 84510 | $18.30 | $122.00 | $5.32 – $25.51 | 18 |
| Assay of urine sulfate CPT 84392 | $8.40 | $56.00 | $2.75 – $13.18 | 18 |
| Assay of urine urobilinogen CPT 84580 | $12.00 | $80.00 | $4.78 – $22.92 | 18 |
| Assay phosphatidylglycerol CPT 84081 | $28.95 | $193.00 | $8.26 – $39.65 | 18 |
| Assay phosphohexose enzymes CPT 84087 | $18.00 | $120.00 | $5.37 – $25.75 | 18 |
| Assay toxin or antitoxin CPT 87230 | $34.50 | $230.00 | $9.87 – $47.38 | 18 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $98.70 | $658.00 | $61.00 – $792.94 | 18 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | $39.45 | $263.00 | $43.16 – $231.30 | 18 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $7.35 | $49.00 | $2.14 – $10.25 | 18 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | $16.50 | $110.00 | $39.21 – $266.10 | 18 |
| Assistive tech assessment, ot CPT 97755 | $35.25 | $235.00 | $33.55 – $300.88 | 18 |
| Ast/sgot CPT 84450 | $9.15 | $61.00 | $2.59 – $12.43 | 18 |
| Asxl1 full gene sequence CPT 81175 | $555.60 | $3,704.00 | $338.25 – $1,623.60 | 18 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $4,121.25 | $27,475.00 | $10,155.59 – $14,437.68 | 5 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $4,568.55 | $30,457.00 | $10,066.81 – $14,437.68 | 5 |
| Atn1 gene detc abnor alleles CPT 81177 | $107.70 | $718.00 | $68.50 – $328.80 | 18 |
| Atomic absorption CPT 82190 | $25.05 | $167.00 | $7.95 – $38.16 | 18 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | $30.84 | $205.58 | $0.04 – $0.18 | 2 |
| Atxn10 gene detc abnor allel CPT 81183 | $107.70 | $718.00 | $68.50 – $328.80 | 18 |
| Atxn1 gene detc abnor allele CPT 81178 | $107.70 | $718.00 | $68.50 – $328.80 | 18 |
| Atxn2 gene detc abnor allele CPT 81179 | $107.70 | $718.00 | $68.50 – $328.80 | 18 |
| Atxn3 gene detc abnor allele CPT 81180 | $107.70 | $718.00 | $68.50 – $328.80 | 18 |
| Atxn7 gene detc abnor allele CPT 81181 | $107.70 | $718.00 | $68.50 – $328.80 | 18 |
| Atxn8os gen detc abnor allel CPT 81182 | $107.70 | $718.00 | $68.50 – $328.80 | 18 |
| Audiometry air + bone CPT 92553 | $27.45 | $183.00 | $23.91 – $266.10 | 18 |
| Auditory function + 15 min CPT 92621 | $4.80 | $32.00 | $9.87 – $368.42 | 5 |
| Auditory function 60 min CPT 92620 | $57.30 | $382.00 | $39.89 – $361.76 | 18 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $182.25 | $1,215.00 | $1,215.00 – $6,589.02 | 5 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $3,454.50 | $23,030.00 | $6,275.26 – $16,520.69 | 18 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | $511.65 | $3,411.00 | $354.37 – $2,017.56 | 18 |
| Autologous blood op salvage CPT 86891 | $207.75 | $1,385.00 | $8.96 – $1,666.19 | 18 |
| Autologous blood process CPT 86890 | $80.55 | $537.00 | $21.23 – $387.89 | 18 |
| Autonomic nrv syst funj test CPT 95923 | $88.50 | $590.00 | $13.29 – $302.92 | 18 |
| Avul nail plate addl CPT 11732 | $41.10 | $274.00 | $33.13 – $87.33 | 5 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $92.55 | $617.00 | $29.82 – $456.80 | 18 |
| Azacitidine injection HCPCS J9025 | $782.97 | $5,219.83 | $1.00 – $57.61 | 6 |
| Azathioprine 50 mg tablet HCPCS J7500 | $0.20 | $1.30 | $0.40 – $2.83 | 17 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $24.47 | $163.16 | $3.59 – $27.20 | 2 |
| Baclofen eval charges CPT 97750 | $31.95 | $213.00 | $26.11 – $76.58 | 18 |
| Bacterial meningitis antigen CPT 86403 | $17.85 | $119.00 | $5.77 – $27.70 | 18 |
| Bacterial vaginosis pcr CPT 87801 | $57.00 | $380.00 | $35.10 – $168.48 | 18 |
| #bac vag cand-c. albicans naa CPT 87481 | $61.50 | $410.00 | $17.55 – $84.22 | 18 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | $1,140.00 | $7,600.00 | $278.24 – $7,370.17 | 18 |
| Bartonella dna pcr-sendout CPT 87471 | $61.50 | $410.00 | $17.55 – $84.22 | 18 |
| B cells total count CPT 86355 | $66.00 | $440.00 | $18.87 – $90.55 | 18 |
| Bckdhb gene CPT 81205 | $263.25 | $1,755.00 | $44.97 – $227.98 | 18 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $3,295.24 | $21,968.29 | $2.05 – $2,246.80 | 18 |
| Benign lesion paring 2-4 CPT 11056 | $48.90 | $326.00 | $29.07 – $414.92 | 18 |
| Benign lesion paring 4+ CPT 11057 | $58.50 | $390.00 | $31.54 – $414.92 | 18 |
| #_benzodiazconfur CPT 80346 | $13.80 | $92.00 | $14.31 – $15.03 | 5 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $146.73 | $978.18 | $6.76 – $26.96 | 2 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $20.70 | $138.00 | $11.64 – $61.08 | 18 |
| Beta-2 microglobulin CPT 82232 | $28.35 | $189.00 | $8.09 – $38.83 | 18 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $128.17 | $854.44 | $4.00 – $12.25 | 2 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $1,064.39 | $7,095.91 | $35.96 – $2,246.80 | 18 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $11.40 | $76.00 | $61.00 – $167.42 | 18 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $6.30 | $42.00 | $28.74 – $125.30 | 18 |
| B-hexosaminidase ea assay CPT 83080 | $28.50 | $190.00 | $8.44 – $40.49 | 18 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $298.50 | $1,990.00 | $98.00 – $1,990.00 | 18 |
| Bilateral n block inj occipital 64405 CPT 64405 | $290.40 | $1,936.00 | $40.81 – $634.79 | 18 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $195.45 | $1,303.00 | $74.80 – $698.86 | 18 |
| Bile acids cholylglycine CPT 82240 | $33.30 | $222.00 | $13.29 – $63.79 | 18 |
| Bilirubin direct CPT 82248 | $8.85 | $59.00 | $2.51 – $12.05 | 18 |
| Bilirubin total CPT 82247 | $8.85 | $59.00 | $2.51 – $12.05 | 18 |
| Biofeedback, pt CPT 90901 | $38.85 | $259.00 | $35.78 – $125.30 | 18 |
| Biopsy abdominal mass CPT 49180 | $402.15 | $2,681.00 | $922.06 – $3,415.60 | 18 |
| Biopsy bone trocar/needle superficial CPT 20220 | $338.25 | $2,255.00 | $1,566.79 – $3,415.60 | 17 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $138.30 | $922.00 | $87.39 – $1,904.79 | 18 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $767.70 | $5,118.00 | $2,353.19 – $6,007.13 | 18 |
| Biopsy muscle percutaneous needle CPT 20206 | $418.80 | $2,792.00 | $1,566.79 – $3,415.60 | 17 |
| Biopsy needle liver percutaneous CPT 47000 | $691.80 | $4,612.00 | $922.06 – $3,760.30 | 18 |
| Biopsy needle lymph node superficial CPT 38505 | $337.05 | $2,247.00 | $1,553.12 – $3,415.60 | 18 |
| Biopsy of nail unit 11755 CPT 11755 | $293.70 | $1,958.00 | $92.93 – $1,612.25 | 18 |
| Biopsy of prostate CPT 55700 | $390.30 | $2,602.00 | $96.26 – $2,256.24 | 5 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $1,159.80 | $7,732.00 | $257.73 – $6,319.52 | 18 |
| Biopsy of salivary gland 42400 CPT 42400 | $300.45 | $2,003.00 | $671.77 – $1,620.88 | 18 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $458.55 | $3,057.00 | $1,566.79 – $3,415.60 | 18 |
| Biopsy skin incisional single lesion CPT 11106 | $114.15 | $761.00 | $188.45 – $1,528.45 | 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.