Indian Path Community Hospital
2000 BROOKSIDE DR., KINGSPORT, TN · Balladhealth · · NPI 1992813240
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $27.90 | $186.00 | $13.25 – $70.27 | 18 |
| 17-hydroxypregnenolone CPT 84143 | $40.05 | $267.00 | $11.41 – $54.74 | 18 |
| 17-ketosteroids CPT 83586 | $22.50 | $150.00 | $6.40 – $30.72 | 18 |
| 2019-ncov diagnostic p HCPCS U0001 | $10.35 | $69.00 | $9.86 – $78.31 | 18 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $595.80 | $3,972.00 | $501.02 – $1,706.95 | 18 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $183.75 | $1,225.00 | $501.02 – $1,550.48 | 18 |
| 2nd order venous cath CPT 36012 | $1,818.15 | $12,121.00 | $282.68 – $846.79 | 5 |
| 3-d radiotherapy plan CPT 77295 | $1,404.15 | $9,361.00 | $481.81 – $3,013.89 | 18 |
| 3d recon without postprocess indpndt CPT 76376 | $559.65 | $3,731.00 | $99.49 – $2,582.00 | 3 |
| 5' nucleotidase - sendout CPT 83915 | $19.35 | $129.00 | $5.58 – $26.76 | 18 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $29.55 | $197.00 | $11.12 – $120.66 | 6 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | $1,441.50 | $9,609.99 | $18.70 – $2,108.27 | 18 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $21.00 | $140.00 | $6.01 – $28.82 | 18 |
| Abd aorta w/runoff s&i CPT 75630 | $1,357.80 | $9,052.00 | $121.02 – $6,875.28 | 18 |
| Abd/low ext cath 1st CPT 36245 | $813.30 | $5,422.00 | $354.29 – $846.79 | 5 |
| Abd/low ext cath 2nd CPT 36246 | $894.75 | $5,965.00 | $390.01 – $846.79 | 5 |
| Abd/low ext cath 3rd CPT 36247 | $984.15 | $6,561.00 | $461.76 – $846.79 | 5 |
| Abd/low ext cath addl CPT 36248 | $393.60 | $2,624.00 | $85.21 – $846.79 | 5 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $617.10 | $4,114.00 | $159.14 – $388.56 | 18 |
| Abdominal CT scan (with contrast) CPT 74160 | $587.70 | $3,918.00 | $159.14 – $388.56 | 18 |
| Abdominal CT scan (without contrast) CPT 74150 | $559.65 | $3,731.00 | $94.85 – $227.64 | 18 |
| Abdominal MRI (with and without contrast) CPT 74183 | $668.55 | $4,457.00 | $316.52 – $759.66 | 18 |
| Abdominal MRI (with contrast) CPT 74182 | $636.75 | $4,245.00 | $316.52 – $759.66 | 18 |
| Abdominal MRI (without contrast) CPT 74181 | $604.95 | $4,033.00 | $214.55 – $519.55 | 18 |
| Abdominal paracentesis w/image guidance CPT 49083 | $324.60 | $2,164.00 | $686.66 – $1,974.92 | 18 |
| Abdominal Ultrasound (complete) CPT 76700 | $101.55 | $677.00 | $64.60 – $227.64 | 18 |
| Abdominal Ultrasound (limited) CPT 76705 | $96.45 | $643.00 | $46.49 – $227.64 | 18 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $407.25 | $2,715.00 | $822.88 – $1,974.92 | 18 |
| Abl1 gene CPT 81170 | $285.45 | $1,903.00 | $150.00 – $720.00 | 18 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $366.15 | $2,441.00 | $320.00 – $320.00 | 1 |
| Ablate arrhythmia add on CPT 93655 | $513.90 | $3,426.00 | $408.64 – $21,432.36 | 5 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $13,934.40 | $92,896.00 | $2,210.60 – $15,800.11 | 18 |
| Ablate heart dysrhythm focus CPT 93650 | $3,730.80 | $24,872.00 | $566.85 – $20,608.03 | 18 |
| Ablation cryo abd perit om CPT 49999 | $3,139.50 | $20,930.00 | $822.88 – $1,974.92 | 18 |
| Ablation of upper extremity nerves rf CPT 64999 | $2,473.80 | $16,492.00 | $190.09 – $668.37 | 18 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $732.45 | $4,883.00 | $320.00 – $3,596.29 | 17 |
| Abscess drain retroperitoneal surg code CPT 49406 | $1,161.30 | $7,742.00 | $892.03 – $3,596.29 | 18 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | $11.29 | $75.24 | $0.10 – $0.11 | 2 |
| Acetaminophen level CPT 80143 | $24.00 | $160.00 | $9.32 – $44.74 | 18 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $84.41 | $562.76 | $31.98 – $34.92 | 2 |
| Acetone qualitative CPT 82009 | $7.95 | $53.00 | $2.26 – $10.85 | 18 |
| Acetylcholine receptor modulating antibody CPT 86043 | $21.15 | $141.00 | $6.03 – $28.92 | 18 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | $459.77 | $3,065.13 | $0.59 – $2.52 | 3 |
| Acetylcysteine non-comp unit HCPCS J7608 | $14.25 | $94.99 | $2.70 – $15.81 | 17 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $94.35 | $629.00 | $47.63 – $289.90 | 18 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $5.25 | $35.00 | $13.18 – $250.01 | 18 |
| Acute hepatitis panel CPT 80074 | $80.70 | $538.00 | $9.06 – $114.31 | 18 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $85.59 | $570.61 | $0.02 – $0.07 | 2 |
| #acylcarnitineprfl CPT 82017 | $28.50 | $190.00 | $8.44 – $40.49 | 18 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $479.28 | $3,195.22 | $0.99 – $0.99 | 1 |
| Adenovirus ag ia CPT 87301 | $20.10 | $134.00 | $5.99 – $28.75 | 18 |
| Adh-sendout CPT 84588 | $30.75 | $205.00 | $16.97 – $81.46 | 18 |
| Adj gastric band via subq port CPT 43999 | $331.80 | $2,212.00 | $686.66 – $4,097.80 | 18 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $309.82 | $2,065.44 | $0.12 – $15.81 | 17 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $58.95 | $393.00 | $31.33 – $621.26 | 18 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $126.90 | $846.00 | $53.75 – $343.58 | 18 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $260.40 | $1,736.00 | $152.43 – $719.23 | 18 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $184.05 | $1,227.00 | $62.58 – $719.23 | 18 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $53.55 | $357.00 | $31.33 – $156.78 | 18 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $88.05 | $587.00 | $31.33 – $156.78 | 18 |
| Administration immunization 1 vaccine CPT 90471 | $25.50 | $170.00 | $5.19 – $156.78 | 18 |
| Administration immunization each additional vaccine CPT 90472 | $14.70 | $98.00 | $5.30 – $50.23 | 5 |
| Administration vaccine hepatitis b HCPCS G0010 | $13.35 | $89.00 | $4.71 – $92.61 | 18 |
| Administration vaccine influenza virus HCPCS G0008 | $15.30 | $102.00 | $4.71 – $101.96 | 18 |
| Administration vaccine pneumococcal HCPCS G0009 | $13.35 | $89.00 | $4.71 – $92.61 | 18 |
| Aep hearing status deter i&r CPT 92651 | $66.30 | $442.00 | $85.53 – $442.00 | 18 |
| Aep thrshld est mlt freq i&r CPT 92652 | $125.55 | $837.00 | $96.66 – $470.16 | 18 |
| _afb id by dna probe rflx ast CPT 87149 | $35.10 | $234.00 | $9.86 – $48.12 | 18 |
| #afb mycobacteria suscep. #1 CPT 87190 | $9.45 | $63.00 | $1.42 – $17.54 | 18 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $201.90 | $1,346.00 | $57.68 – $276.86 | 18 |
| Afo molded to patient plasti HCPCS L1940 | $248.55 | $1,657.00 | $614.33 – $1,793.84 | 17 |
| After cataract laser surgery CPT 66821 | $251.55 | $1,677.00 | $450.68 – $1,197.60 | 18 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $42.90 | $286.00 | $27.05 – $280.18 | 18 |
| Albumin body fluid quantitative each specimen CPT 82042 | $9.00 | $60.00 | $3.89 – $18.67 | 18 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $54.19 | $361.26 | $53.08 – $165.05 | 18 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $34.77 | $231.81 | $53.08 – $370.15 | 18 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $9.75 | $65.00 | $2.89 – $13.87 | 18 |
| Albumin serum plasma or whole blood CPT 82040 | $8.70 | $58.00 | $2.48 – $11.88 | 18 |
| Albuterol ipratrop non-comp HCPCS J7620 | $1.09 | $7.25 | $0.20 – $2.70 | 2 |
| Albuterol non-comp con HCPCS J7611 | $1.09 | $7.25 | $0.26 – $15.81 | 17 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $22.20 | $148.00 | $8.64 – $41.45 | 18 |
| Alkaline phosphatase CPT 84075 | $9.15 | $61.00 | $2.59 – $12.43 | 18 |
| Allergen alpha lactalbumin ige CPT 86008 | $28.50 | $190.00 | $8.97 – $43.03 | 18 |
| Allergen egg white ige CPT 86003 | $9.15 | $61.00 | $2.61 – $12.53 | 18 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $13.80 | $92.00 | $3.99 – $19.13 | 18 |
| Allergy injections; 2 or more 95117 CPT 95117 | $12.90 | $86.00 | $15.70 – $92.61 | 18 |
| Allergy injection; single 95115 CPT 95115 | $6.00 | $40.00 | $10.47 – $92.61 | 18 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | $25,702.08 | $171,347.17 | $40.73 – $246.13 | 17 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $304.95 | $2,033.00 | $1.00 – $246.13 | 17 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | $186.21 | $1,241.41 | $112.91 – $270.97 | 17 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | $346.95 | $2,313.00 | $1.00 – $246.13 | 17 |
| Alloskin HCPCS Q4115 | $1,843.45 | $12,289.64 | $8.65 – $270.97 | 17 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $1,006.88 | $6,712.50 | $0.30 – $1,506.59 | 18 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | $112.80 | $752.00 | $28.05 – $154.58 | 18 |
| Alpha-fetoprotein tumor marker CPT 82105 | $29.40 | $196.00 | $8.39 – $40.25 | 18 |
| Alprostadil for injection HCPCS J0270 | $189.90 | $1,266.03 | $2.15 – $18.44 | 2 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $4,871.66 | $32,477.73 | $30.45 – $225.20 | 18 |
| Alt/sgpt CPT 84460 | $9.30 | $62.00 | $2.65 – $12.72 | 18 |
| Aluminum - quest CPT 82108 | $42.30 | $282.00 | $12.15 – $61.15 | 18 |
| Amantadine (symmetrel)-sendout CPT 80375 | $7.05 | $47.00 | $47.00 – $72.20 | 5 |
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.