Ballad Health · Kingsport, TN
30
In-network payers
536
Disclosed rate categories
505
Beds
2
Care quality
Holston Valley Hosp & Med Ctr is a 505-bed voluntary non-profit - private hospital in Kingsport, TN, affiliated with Ballad Health. Below you'll find publicly disclosed negotiated rates and facility details, including 30 in-network payers and 536 disclosed rate categories.
CCN (Medicare provider number)
440017
NPI
1487690400
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
505
Care Quality
2
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Holston Valley Hosp & Med Ctr most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$4,677 - $9,349
from 4 insurers · median $6,930
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$6,348 - $12,918
from 4 insurers · median $9,187
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 460
$31,373 - $96,036
from 4 insurers · median $50,788
15 Medicare discharges for this DRG in CMS hospital data
Childbirth · Inpatient
MS-DRG 807
$4,677 - $9,349
from 4 insurers · median $6,930
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery · Inpatient
MS-DRG 470
$11,411 - $34,773
from 4 insurers · median $22,171
25 Medicare discharges for this DRG in CMS hospital data
Medicine & Surgery
CPT 47562
$7,409 - $8,720
from 3 insurers · median $8,298
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$56,235 - $144,248
from 4 insurers · median $100,767
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 74177
$287 - $1,555
from 4 insurers · median $659
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$7,762 - $12,698
from 3 insurers · median $8,298
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 70450
$86 - $1,373
from 4 insurers · median $431
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$658 - $1,166
from 4 insurers · median $897
Common here, based on CMS Medicare volume
Digestive procedures
CPT 47563
$7,921 - $8,577
from 3 insurers · median $8,298
70 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,206 - $2,059
from 4 insurers · median $1,826
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78815
$1,178 - $4,487
from 4 insurers · median $3,211
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$4,724 - $9,202
from 3 insurers · median $8,463
14 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
Mammography
CPT 77067
$82 - $196
from 4 insurers · median $148
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45378
$1,206 - $2,601
from 3 insurers · median $2,059
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$197 - $931
from 4 insurers · median $505
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$287 - $1,726
from 4 insurers · median $988
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$1,066 - $2,365
from 4 insurers · median $1,235
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 473
$14,304 - $37,537
from 4 insurers · median $25,009
Hospital reports neurosurgical services to CMS
CT imaging
CPT 71275
$144 - $1,138
from 4 insurers · median $514
Common here, based on CMS Medicare volume
MRI imaging
CPT 70551
$197 - $1,601
from 4 insurers · median $821
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$4,210 - $8,298
from 3 insurers · median $7,762
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 18 | 244% | 6 | 3 |
| Insurer B* | 24 | 238% | 15 | 0 |
| Insurer C* | 24 | 161% | 9 | 11 |
| Insurer D* | 24 | 81% | 1 | 20 |
How we chose these services: 6 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 6 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Holston Valley Hosp & Med Ctr.
130 West Ravine Street, Kingsport, TN 37660
(423) 224-4000
The nearest hospitals of similar type and size. Their rates are compared with Holston Valley Hosp & Med Ctr for the same insurers and services above.
Hazard Arh Regional Medical Center
▼ Rates typically 6% lower than Holston Valley Hosp & Med Ctr (15 services)
Pikeville Medical Center
▲ Rates typically 47% higher than Holston Valley Hosp & Med Ctr (21 services)
Mission Hospital - Memorial Campus
▲ Rates typically 175% higher than Holston Valley Hosp & Med Ctr (21 services)
Unc Health Blue Ridge - Morganton
▲ Rates typically 78% higher than Holston Valley Hosp & Med Ctr (21 services)
Fort Sanders Regional Medical Center
Rates about the same as Holston Valley Hosp & Med Ctr (21 services)
Frye Regional Medical Center
Rates about the same as Holston Valley Hosp & Med Ctr (21 services)
Indian Path Medical Center
Greenvile Community Hospital West
Unicoi County Memorial Hospital
Johnson City Medical Center
About Holston Valley Hosp & Med Ctr's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Holston Valley Hosp & Med Ctr range from $287 to $1,726 across 4 insurers. Cigna's rate is $1,169. The median at nearby comparable hospitals is $1,322. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Holston Valley Hosp & Med Ctr range from $287 to $1,555 across 4 insurers. Blue Cross Blue Shield's rate is $700. The median at nearby comparable hospitals is $1,147. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Diagnostic colonoscopy (CPT 45378), published negotiated rates at Holston Valley Hosp & Med Ctr range from $1,206 to $2,601 across 3 insurers. UnitedHealthcare's rate is $1,206. The median at nearby comparable hospitals is $1,633. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Holston Valley Hosp & Med Ctr range from $4,677 to $9,349 across 4 insurers. Cigna's rate is $9,349. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Holston Valley Hosp & Med Ctr range from $82 to $196 across 4 insurers. Aetna's rate is $196. The median at nearby comparable hospitals is $154. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Holston Valley Hosp & Med Ctr range from $11,411 to $34,773 across 4 insurers. Aetna's rate is $16,032. The median at nearby comparable hospitals is $26,130. What a patient pays depends on their plan's deductible, coinsurance and network status.
Holston Valley Hosp & Med Ctr has 505 beds. Facility type: Short Term Acute Care Hospital.
Holston Valley Hosp & Med Ctr is located at 130 West Ravine Street, Kingsport, TN 37660. Its main phone number is (423) 224-4000.
Holston Valley Hosp & Med Ctr's CMS Certification Number (CCN), also called its Medicare provider number, is 440017.
The National Provider Identifier (NPI) on file for Holston Valley Hosp & Med Ctr is 1487690400.
Holston Valley Hosp & Med Ctr is affiliated with Ballad Health.
Holston Valley Hosp & Med Ctr lists 30 in-network payers, including Aetna, Ambetter, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
536 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers