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 |
|---|---|---|---|---|
| Cmv pcr-sendout CPT 87496 | $61.50 | $410.00 | $17.55 – $84.22 | 18 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | $11,735.79 | $78,238.60 | $0.92 – $6,187.35 | 18 |
| Coagulation time activated teg CPT 85347 | $7.35 | $49.00 | $2.14 – $10.27 | 18 |
| Cold agglutinin screen (arc) CPT 86156 | $11.85 | $79.00 | $4.04 – $19.37 | 18 |
| Cold agglutinin titer CPT 86157 | $13.95 | $93.00 | $4.03 – $19.34 | 18 |
| Colistimethate sodium inj HCPCS J0770 | $68.47 | $456.48 | $22.99 – $35.98 | 2 |
| Collagen based wound filler HCPCS A6010 | $4,635.84 | $30,905.58 | $11.44 – $11.44 | 1 |
| Collar cerv ascend 172 reg HCPCS L0172 | $26.10 | $174.00 | $12.89 – $324.77 | 17 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $33.90 | $226.00 | $18.42 – $275.15 | 18 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $25.50 | $170.00 | $89.41 – $275.15 | 18 |
| Collection of venous blood by venipuncture CPT 36415 | $6.90 | $46.00 | $1.80 – $22.42 | 18 |
| Colonoscopy (with biopsy) CPT 45380 | $484.05 | $3,227.00 | $1,135.20 – $2,724.47 | 18 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $246.60 | $1,644.00 | $654.96 – $1,904.79 | 18 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | $1,140.00 | $7,600.00 | $331.93 – $7,370.17 | 18 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $37.20 | $248.00 | $31.39 – $675.26 | 18 |
| Colposcopy vulva 56820 CPT 56820 | $37.20 | $248.00 | $78.59 – $418.10 | 18 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | $61.65 | $411.00 | $135.70 – $675.26 | 18 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $61.65 | $411.00 | $135.70 – $675.26 | 18 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $62.25 | $415.00 | $14.92 – $387.89 | 18 |
| Compatibility test each unit electronic CPT 86923 | $31.20 | $208.00 | $8.96 – $352.34 | 18 |
| Compatibility test each unit immediate spin technique CPT 86920 | $62.25 | $415.00 | $8.96 – $387.89 | 18 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $300.15 | $2,001.00 | $172.05 – $1,587.58 | 18 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $125.40 | $836.00 | $177.17 – $1,442.05 | 18 |
| Complement antigen each component c3 CPT 86160 | $21.00 | $140.00 | $6.00 – $28.80 | 18 |
| Complex cystometrogram 51726 CPT 51726 | $309.00 | $2,060.00 | $18.34 – $568.85 | 18 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $416.40 | $2,776.00 | $192.71 – $925.54 | 18 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $424.65 | $2,831.00 | $238.49 – $1,682.69 | 18 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $47.10 | $314.00 | $7.69 – $516.55 | 18 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $441.75 | $2,945.00 | $131.83 – $1,682.69 | 18 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $473.55 | $3,157.00 | $441.75 – $1,682.69 | 18 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $417.00 | $2,780.00 | $136.94 – $1,630.78 | 5 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $429.00 | $2,860.00 | $109.86 – $925.54 | 18 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $430.50 | $2,870.00 | $385.64 – $925.54 | 18 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $312.60 | $2,084.00 | $127.41 – $567.38 | 5 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $387.00 | $2,580.00 | $82.30 – $567.38 | 5 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $265.95 | $1,773.00 | $81.62 – $1,682.69 | 18 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $387.00 | $2,580.00 | $69.16 – $567.38 | 5 |
| Comprehensive hearing test CPT 92557 | $44.25 | $295.00 | $42.42 – $292.96 | 18 |
| Compre oph exam est pt 1/> CPT 92014 | $58.35 | $389.00 | $43.27 – $303.12 | 17 |
| Compre oph exam new pt 1/> CPT 92004 | $58.35 | $389.00 | $57.07 – $303.12 | 17 |
| Concentration infection agents any type CPT 87015 | $11.85 | $79.00 | $3.34 – $16.03 | 18 |
| Condylomata destruction 56420 CPT 56420 | $222.45 | $1,483.00 | $121.96 – $460.30 | 18 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | $490.81 | $3,272.08 | $38.14 – $940.23 | 18 |
| Consultation pathology during surgery CPT 88329 | $52.05 | $347.00 | $10.25 – $134.31 | 18 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $207.75 | $1,385.00 | $10.25 – $1,666.19 | 18 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $14.25 | $95.00 | $6.70 – $125.93 | 6 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $47.40 | $316.00 | $18.91 – $352.34 | 18 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $68.40 | $456.00 | $11.10 – $123.65 | 18 |
| Consult comp w/report rfrd material CPT 88325 | $135.15 | $901.00 | $34.60 – $387.89 | 18 |
| Contrast baths charges CPT 97034 | $17.40 | $116.00 | $11.70 – $36.17 | 18 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $1,357.80 | $9,052.00 | $112.49 – $7,188.84 | 18 |
| Contrast exam thoracic aorta CPT 75600 | $1,357.80 | $9,052.00 | $224.00 – $7,188.84 | 18 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $1,357.80 | $9,052.00 | $127.91 – $11,507.70 | 18 |
| Contrast x-ray gallbladder CPT 74290 | $63.90 | $426.00 | $24.29 – $399.35 | 18 |
| Contrast x-ray of ankle CPT 73615 | $69.30 | $462.00 | $68.99 – $721.49 | 18 |
| Contrast x-ray of brain CPT 70015 | $321.60 | $2,144.00 | $44.51 – $1,784.80 | 18 |
| Contrast x-ray of elbow CPT 73085 | $182.55 | $1,217.00 | $68.99 – $794.30 | 18 |
| Contrast x-ray of hip CPT 73525 | $182.55 | $1,217.00 | $68.99 – $794.30 | 18 |
| Contrast x-ray of knee joint CPT 73580 | $182.55 | $1,217.00 | $86.29 – $794.30 | 18 |
| Contrast x-ray of wrist CPT 73115 | $182.55 | $1,217.00 | $51.86 – $794.30 | 18 |
| Controller infinity pt dbs HCPCS C1787 | $2,177.91 | $14,519.40 | $4,145.43 – $4,145.43 | 1 |
| Control nosebleed pack+caut 30905 CPT 30905 | $245.85 | $1,639.00 | $117.78 – $302.92 | 18 |
| Control of nosebleed ant comp 30903 CPT 30903 | $211.95 | $1,413.00 | $74.84 – $302.92 | 18 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $77.40 | $516.00 | $34.53 – $302.92 | 18 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $211.95 | $1,413.00 | $171.14 – $1,836.55 | 18 |
| Conversion ext bil drg cath CPT 47535 | $1,105.80 | $7,372.00 | $2,876.12 – $7,404.49 | 18 |
| Convert nephrostomy catheter CPT 50434 | $369.60 | $2,464.00 | $1,865.72 – $4,323.04 | 18 |
| Coombs direct CPT 86880 | $16.65 | $111.00 | $4.49 – $122.00 | 18 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $44.85 | $299.00 | $4.49 – $352.34 | 18 |
| Coombs indirect titer reference CPT 86886 | $44.85 | $299.00 | $4.49 – $352.34 | 18 |
| Core ndl bx lng/med perq CPT 32408 | $667.95 | $4,453.00 | $1,264.94 – $3,760.30 | 18 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $2,405.40 | $16,036.00 | $713.38 – $7,381.11 | 18 |
| Coronary angio/lv gram/lt heart CPT 93458 | $2,405.40 | $16,036.00 | $649.72 – $7,381.11 | 18 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $2,576.70 | $17,178.00 | $755.50 – $7,381.11 | 18 |
| Coronary art/grft angio s&i CPT 93455 | $1,818.15 | $12,121.00 | $638.43 – $7,381.11 | 18 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $1,818.15 | $12,121.00 | $545.07 – $7,381.11 | 18 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $394.05 | $2,627.00 | $96.79 – $674.28 | 5 |
| Cortisol acth stimulation test - sendout CPT 80400 | $30.60 | $204.00 | $16.31 – $78.29 | 18 |
| Cortisol total am CPT 82533 | $28.65 | $191.00 | $8.15 – $39.12 | 18 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | $189.22 | $1,261.48 | $44.65 – $91.20 | 2 |
| Co-treatment - group 15 mins, st CPT 92508 | $22.65 | $151.00 | $16.50 – $54.58 | 18 |
| Counseling visit to discuss need for ldct g0296 HCPCS G0296 | $38.55 | $257.00 | $41.79 – $231.30 | 17 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $17.85 | $119.00 | $24.91 – $92.53 | 18 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $130.20 | $868.00 | $142.00 – $911.91 | 18 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $130.20 | $868.00 | $142.00 – $911.91 | 18 |
| Covid-19 lab test non-cdc HCPCS U0002 | $15.00 | $100.00 | $10.20 – $111.86 | 18 |
| #covid19rsv-rsv CPT 87634 | $111.15 | $741.00 | $35.10 – $168.48 | 18 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $22.80 | $152.00 | $6.52 – $31.27 | 18 |
| C-peptide CPT 84681 | $36.45 | $243.00 | $10.41 – $49.94 | 18 |
| Crbrospnl fld flw imag cistern CPT 78630 | $452.25 | $3,015.00 | $165.24 – $1,236.21 | 18 |
| C-reactive protein CPT 86140 | $9.15 | $61.00 | $2.59 – $12.43 | 18 |
| C-reactive protein high sensitivity CPT 86141 | $22.65 | $151.00 | $6.48 – $31.08 | 18 |
| C-reactive protein, quantitative CPT 86406 | $18.75 | $125.00 | $5.32 – $25.54 | 18 |
| Creatine kinase CPT 82550 | $11.40 | $76.00 | $3.26 – $15.62 | 18 |
| Creatine kinase isoenzymes CPT 82552 | $11.25 | $75.00 | $6.70 – $32.14 | 18 |
| Creatine kinase mb CPT 82553 | $20.10 | $134.00 | $5.78 – $27.72 | 18 |
| Creatine - sendout CPT 82540 | $8.10 | $54.00 | $2.32 – $11.14 | 18 |
| Creatinine CPT 82565 | $9.00 | $60.00 | $2.31 – $12.29 | 18 |
| Creatinine 24 hour urine CPT 82570 | $9.15 | $61.00 | $2.59 – $12.43 | 18 |
| Creatinine clearance urine CPT 82575 | $16.50 | $110.00 | $4.73 – $22.70 | 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.