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Acute Care Hospital

Wellmont Holston Valley Medical Center

Kingsport, Tennessee · Sullivan County · Emergency services listed

Summary

Wellmont Holston Valley Medical Center is an acute care hospital in Kingsport, Tennessee. Medicare data lists emergency services. CMS overall star rating: 2 of 5 stars. Its official website lists 18 services, specialties and programs. Medicare lists 987 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(423) 224‑4000 Directions Website Medicare profile
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Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
2 of 5 stars2 of 5 stars · Medicare rating
987Doctors and clinicians
18Services listed

Quick answers

Does Wellmont Holston Valley Medical Center have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Wellmont Holston Valley Medical Center. In a medical emergency, call 911.
Where is Wellmont Holston Valley Medical Center?
130 West Ravine Road, Kingsport, TN 37662, in Sullivan County, Tennessee.
What is the phone number of Wellmont Holston Valley Medical Center?
(423) 224-4000, as listed by Medicare (CMS).
What is the Medicare star rating of Wellmont Holston Valley Medical Center?
2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4]

Treatments[4]

  • Cardiopulmonary rehabilitation
  • Inpatient and outpatient rehabilitation
  • Wound care and hyperbarics
  • Comprehensive weight management

Procedures[4]

  • General surgery
  • Robotic-assisted surgery
  • Minimally invasive surgery
  • Joint replacement

Programs and centers[4]

  • Advanced primary stroke center
  • Christine LaGuardia Cancer Center
  • Accredited comprehensive breast center
  • Every Step Joint Replacement Center
  • Intensive care unit

Emergency care (hospital website)[4]

Emergency roomYes
Open 24/7Yes
Stroke designationAdvanced primary stroke center

Doctors and clinicians (987)

987 doctors and other clinicians list Wellmont Holston Valley Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (987)

And 963 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Wellmont Holston Valley Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital2 of 5 stars
Would recommend the hospital2 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well3 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home2 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night3 of 5 stars
Rated the hospital 9 or 10 out of 1061%National average: 72%
Would definitely recommend the hospital58%National average: 71%
Nurses “always” communicated well76%National average: 80%
Doctors “always” communicated well77%National average: 80%
Staff “always” explained medicines before giving them56%National average: 62%
Were given information about recovery at home83%National average: 86%
Room and bathroom “always” clean73%National average: 74%
Area around the room “always” quiet at night54%National average: 60%
Completed surveys1,342Response rate: 23%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0.861No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.512Better than the national benchmark
Surgical site infections after colon surgery0No different from the national benchmark
Surgical site infections after abdominal hysterectomyNot reported to Medicare
MRSA bloodstream infections0.605No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.485Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients11.4%
Deaths within 30 days: heart failure patients11.9%
Deaths within 30 days: pneumonia patients17.7%
Deaths within 30 days: COPD patients9.7%
Deaths within 30 days: stroke patients12.2%
Deaths within 30 days: coronary bypass surgery (CABG)2.8%
Serious complications (patient safety indicator PSI-90)1.04No different from the national rate
Complications after hip or knee replacement5%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.8%
Readmitted within 30 days: heart failure22.3%
Readmitted within 30 days: pneumonia19.4%
Readmitted within 30 days: COPD20.5%
Readmitted within 30 days: coronary bypass surgery10.9%
Readmitted within 30 days: hip or knee replacement5.5%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)High (40,000–59,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)204 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)52%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in KingsportBest hospitals in Tennessee

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 63 common services exactly as Wellmont Holston Valley Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient In the file: HC NEW VISIT LEVEL 3 $261 $39.15 $57.07 – $261
New patient office visit (about 30–44 minutes): 10 of 19 insurance plan rates
  • AETNA — AETNA: $111.45
  • BLUE CROSS — ANTHEM EXCHANGE: $109.75
  • BLUE CROSS — ANTHEM HMO: $109.75
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $109.75
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $77.03
  • BLUE CROSS — TENNCARE BLUE CARE: $65.41
  • BLUE CROSS — TENNCARE BLUE SELECT: $65.41
  • CIGNA HEALTHCARE — CIGNA HMO: $108.84
  • CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $121.10
  • CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $108.84
New patient office visit (about 45–59 minutes) CPT 99204 · Inpatient or outpatient In the file: HC NEW VISIT LEVEL 4 $340 $51 $78.25 – $340
New patient office visit (about 45–59 minutes): 10 of 19 insurance plan rates
  • AETNA — AETNA: $145.18
  • BLUE CROSS — ANTHEM EXCHANGE: $166.14
  • BLUE CROSS — ANTHEM HMO: $166.14
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $166.14
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $110.04
  • BLUE CROSS — TENNCARE BLUE CARE: $96.86
  • BLUE CROSS — TENNCARE BLUE SELECT: $96.86
  • CIGNA HEALTHCARE — CIGNA HMO: $141.78
  • CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $157.76
  • CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $141.78
New patient office visit (about 60–74 minutes) CPT 99205 · Inpatient or outpatient In the file: HC NEW VISIT LEVEL 5 $437 $65.55 $105.91 – $437
New patient office visit (about 60–74 minutes): 10 of 19 insurance plan rates
  • AETNA — AETNA: $186.60
  • BLUE CROSS — ANTHEM EXCHANGE: $221.43
  • BLUE CROSS — ANTHEM HMO: $221.43
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $221.43
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $143.16
  • BLUE CROSS — TENNCARE BLUE CARE: $121.85
  • BLUE CROSS — TENNCARE BLUE SELECT: $121.85
  • CIGNA HEALTHCARE — CIGNA HMO: $182.23
  • CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $202.77
  • CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $182.23
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient In the file: HC VISIT LEVEL 3 EST $242 $36.30 $43.27 – $242
Established patient office visit (about 20–29 minutes): 10 of 19 insurance plan rates
  • AETNA — AETNA: $103.33
  • BLUE CROSS — ANTHEM EXCHANGE: $89.36
  • BLUE CROSS — ANTHEM HMO: $89.36
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $89.36
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $43.80
  • BLUE CROSS — TENNCARE BLUE CARE: $43.94
  • BLUE CROSS — TENNCARE BLUE SELECT: $43.94
  • CIGNA HEALTHCARE — CIGNA HMO: $100.91
  • CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $112.29
  • CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $100.91
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient In the file: HC VISIT LEVEL 4 EST $278 $41.70 $56.41 – $278
Established patient office visit (about 30–39 minutes): 10 of 19 insurance plan rates
  • AETNA — AETNA: $118.71
  • BLUE CROSS — ANTHEM EXCHANGE: $127.36
  • BLUE CROSS — ANTHEM HMO: $127.36
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $127.36
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $66.94
  • BLUE CROSS — TENNCARE BLUE CARE: $56.41
  • BLUE CROSS — TENNCARE BLUE SELECT: $56.41
  • CIGNA HEALTHCARE — CIGNA HMO: $115.93
  • CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $128.99
  • CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $115.93
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient or outpatient In the file: HC WELLNESS - 18-39YRS $469 $70.35 $53.15 – $469
Preventive checkup, new patient, age 18–39: 10 of 16 insurance plan rates
  • AETNA — AETNA: $200.26
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $100.81
  • BLUE CROSS — TENNCARE BLUE CARE: $53.15
  • BLUE CROSS — TENNCARE BLUE SELECT: $53.15
  • CIGNA HEALTHCARE — CIGNA HMO: $195.57
  • CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $217.62
  • CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $195.57
  • CIGNA HEALTHCARE — CIGNA PPO: $195.57
  • FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: $361.13
  • MEDCOST — MEDCOST VHN: $223.20
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient or outpatient In the file: HC WELLNESS - 40-64YRS $488 $73.20 $64.87 – $488
Preventive checkup, new patient, age 40–64: 10 of 16 insurance plan rates
  • AETNA — AETNA: $208.38
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $110.11
  • BLUE CROSS — TENNCARE BLUE CARE: $64.87
  • BLUE CROSS — TENNCARE BLUE SELECT: $64.87
  • CIGNA HEALTHCARE — CIGNA HMO: $203.50
  • CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $226.43
  • CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $203.50
  • CIGNA HEALTHCARE — CIGNA PPO: $203.50
  • FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: $375.76
  • MEDCOST — MEDCOST VHN: $232.24
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient In the file: HC ED FAC VISIT LEVEL 3 $1,365 $204.75 $51 – $1,365
Emergency room visit (moderate): 10 of 41 insurance plan rates
  • AETNA — AETNA: $582.86
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $258.96
  • AETNA — AETNA HEALTHCARE MEDICARE: $258.96
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $258.96
  • AMBETTER — AMBETTER: $564.53
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $269.32
  • BLUE CROSS — ANTHEM EXCHANGE: $531.85
  • BLUE CROSS — ANTHEM HMO: $565.07
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $264.14
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $664.77
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient In the file: HC ED FAC VISIT LEVEL 4 $2,002 $300.30 $51 – $2,002
Emergency room visit (moderately high): 10 of 41 insurance plan rates
  • AETNA — AETNA: $854.85
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $395.84
  • AETNA — AETNA HEALTHCARE MEDICARE: $395.84
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $395.84
  • AMBETTER — AMBETTER: $862.92
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $411.67
  • BLUE CROSS — ANTHEM EXCHANGE: $812.97
  • BLUE CROSS — ANTHEM HMO: $863.75
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $403.75
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $1,016.15
Emergency room visit (high) CPT 99285 · Inpatient or outpatient In the file: HC ED FAC VISIT LEVEL 5 $3,041 $456.15 $51 – $3,041
Emergency room visit (high): 10 of 41 insurance plan rates
  • AETNA — AETNA: $1,298.51
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $564.95
  • AETNA — AETNA HEALTHCARE MEDICARE: $564.95
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $564.95
  • AMBETTER — AMBETTER: $1,231.59
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $587.55
  • BLUE CROSS — ANTHEM EXCHANGE: $1,160.29
  • BLUE CROSS — ANTHEM HMO: $1,232.77
  • BLUE CROSS — ANTHEM MEDICARE VIRGINIA: $576.25
  • BLUE CROSS — ANTHEM PPO, TRADITIONAL INDEMNITY: $1,450.28

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient In the file: HC BASIC METABOLIC PANEL (CA TOTAL) $96 $14.40 $4.23 – $96
Basic metabolic panel (blood test): 10 of 47 insurance plan rates
  • AETNA — AETNA: $40.99
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.73
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $8.46
  • AETNA — AETNA HEALTHCARE MEDICARE: $8.46
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $8.46
  • AMBETTER — AMBETTER: $18.44
  • AMERIGROUP — AMERIGROUP: $4.23
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $8.80
  • BLUE CROSS — ANTHEM EXCHANGE: $8.46
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.64
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient In the file: HC COMPREHENSIVE METABOLIC PANEL $118 $17.70 $5.28 – $118
Comprehensive metabolic panel (blood test): 10 of 47 insurance plan rates
  • AETNA — AETNA: $50.39
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.73
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $10.56
  • AETNA — AETNA HEALTHCARE MEDICARE: $10.56
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $10.56
  • AMBETTER — AMBETTER: $23.02
  • AMERIGROUP — AMERIGROUP: $5.28
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $10.98
  • BLUE CROSS — ANTHEM EXCHANGE: $10.56
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.64
Obstetric blood test panel CPT 80055 · Inpatient or outpatient In the file: HC OBSTETRIC PANEL $479 $71.85 $9.36 – $479
Obstetric blood test panel: 10 of 47 insurance plan rates
  • AETNA — AETNA: $204.53
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.73
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $47.81
  • AETNA — AETNA HEALTHCARE MEDICARE: $47.81
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $47.81
  • AMBETTER — AMBETTER: $104.23
  • AMERIGROUP — AMERIGROUP: $23.91
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $49.72
  • BLUE CROSS — ANTHEM EXCHANGE: $47.81
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.64
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient In the file: HC LIPID PANEL $156 $23.40 $6.70 – $156
Cholesterol panel (lipid panel): 10 of 47 insurance plan rates
  • AETNA — AETNA: $66.61
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.73
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $13.39
  • AETNA — AETNA HEALTHCARE MEDICARE: $13.39
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $13.39
  • AMBETTER — AMBETTER: $29.19
  • AMERIGROUP — AMERIGROUP: $6.70
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $13.93
  • BLUE CROSS — ANTHEM EXCHANGE: $13.39
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.64
Kidney function panel CPT 80069 · Inpatient or outpatient In the file: HC RENAL FUNCTION PANEL $98 $14.70 $4.34 – $98
Kidney function panel: 10 of 47 insurance plan rates
  • AETNA — AETNA: $41.85
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.73
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $8.68
  • AETNA — AETNA HEALTHCARE MEDICARE: $8.68
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $8.68
  • AMBETTER — AMBETTER: $18.92
  • AMERIGROUP — AMERIGROUP: $4.34
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $9.03
  • BLUE CROSS — ANTHEM EXCHANGE: $8.68
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.64
Liver function panel CPT 80076 · Inpatient or outpatient In the file: HC HEPATIC FUNCTION PANEL $91 $13.65 $4.09 – $91
Liver function panel: 10 of 47 insurance plan rates
  • AETNA — AETNA: $38.86
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $9.73
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $8.17
  • AETNA — AETNA HEALTHCARE MEDICARE: $8.17
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $8.17
  • AMBETTER — AMBETTER: $17.81
  • AMERIGROUP — AMERIGROUP: $4.09
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $8.50
  • BLUE CROSS — ANTHEM EXCHANGE: $8.17
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $9.64
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient In the file: HC URINALYSIS AUTO W MICROSCOPY $38 $5.70 $1.59 – $38
Urine test (automated, with microscope): 10 of 47 insurance plan rates
  • AETNA — AETNA: $16.23
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $3.17
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $3.17
  • AETNA — AETNA HEALTHCARE MEDICARE: $3.17
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $3.17
  • AMBETTER — AMBETTER: $6.91
  • AMERIGROUP — AMERIGROUP: $1.59
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $3.30
  • BLUE CROSS — ANTHEM EXCHANGE: $3.17
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $3.14
Urine test (manual, without microscope) CPT 81002 · Inpatient or outpatient In the file: HC URINE DIP WO MICROSCOPY $29 $4.35 $1.74 – $29
Urine test (manual, without microscope): 10 of 47 insurance plan rates
  • AETNA — AETNA: $12.38
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $3.17
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $3.48
  • AETNA — AETNA HEALTHCARE MEDICARE: $3.48
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $3.48
  • AMBETTER — AMBETTER: $7.59
  • AMERIGROUP — AMERIGROUP: $1.74
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $3.62
  • BLUE CROSS — ANTHEM EXCHANGE: $3.48
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $3.14
Urine test (automated, without microscope) CPT 81003 · Inpatient or outpatient In the file: HC URINALYSIS AUTO WO MICROSCOPY $26 $3.90 $1.13 – $26
Urine test (automated, without microscope): 10 of 47 insurance plan rates
  • AETNA — AETNA: $11.10
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $3.17
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $2.25
  • AETNA — AETNA HEALTHCARE MEDICARE: $2.25
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $2.25
  • AMBETTER — AMBETTER: $4.91
  • AMERIGROUP — AMERIGROUP: $1.13
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $2.34
  • BLUE CROSS — ANTHEM EXCHANGE: $2.25
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $3.14
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient In the file: HC PROSTATE SPEC ANTIGEN TOTAL REF $215 $32.25 $9.20 – $215
PSA (prostate specific antigen) blood test: 10 of 47 insurance plan rates
  • AETNA — AETNA: $91.81
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $12.98
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $18.39
  • AETNA — AETNA HEALTHCARE MEDICARE: $18.39
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $18.39
  • AMBETTER — AMBETTER: $40.09
  • AMERIGROUP — AMERIGROUP: $9.20
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $19.13
  • BLUE CROSS — ANTHEM EXCHANGE: $18.39
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $12.85
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient In the file: HC THYROID STIMULATING HORMONE TSH $196 $29.40 $8.40 – $196
Thyroid stimulating hormone (TSH) test: 10 of 47 insurance plan rates
  • AETNA — AETNA: $83.69
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $14.25
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $16.80
  • AETNA — AETNA HEALTHCARE MEDICARE: $16.80
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $16.80
  • AMBETTER — AMBETTER: $36.62
  • AMERIGROUP — AMERIGROUP: $8.40
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $17.47
  • BLUE CROSS — ANTHEM EXCHANGE: $16.80
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $14.11
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient In the file: HC CBC WITH AUTO DIFF $90 $13.50 $3.89 – $90
Complete blood count (CBC) with differential: 10 of 47 insurance plan rates
  • AETNA — AETNA: $38.43
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $6.41
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $7.77
  • AETNA — AETNA HEALTHCARE MEDICARE: $7.77
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $7.77
  • AMBETTER — AMBETTER: $16.94
  • AMERIGROUP — AMERIGROUP: $3.89
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $8.08
  • BLUE CROSS — ANTHEM EXCHANGE: $7.77
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $6.35
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient In the file: HC BLOOD CT COMPLETE AUTOMATED $76 $11.40 $3.24 – $76
Complete blood count (CBC), automated: 10 of 47 insurance plan rates
  • AETNA — AETNA: $32.45
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $6.41
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $6.47
  • AETNA — AETNA HEALTHCARE MEDICARE: $6.47
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $6.47
  • AMBETTER — AMBETTER: $14.10
  • AMERIGROUP — AMERIGROUP: $3.24
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $6.73
  • BLUE CROSS — ANTHEM EXCHANGE: $6.47
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $6.35
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient In the file: HC PT PROTHROMBIN TIME $46 $6.90 $2.15 – $46
Blood clotting time test (prothrombin time, PT): 10 of 47 insurance plan rates
  • AETNA — AETNA: $19.64
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $4.75
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $4.29
  • AETNA — AETNA HEALTHCARE MEDICARE: $4.29
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $4.29
  • AMBETTER — AMBETTER: $9.35
  • AMERIGROUP — AMERIGROUP: $2.15
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $4.46
  • BLUE CROSS — ANTHEM EXCHANGE: $4.29
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $4.70
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient In the file: HC PTT THROMBOPLASTIN TIME PARTIAL $70 $10.50 $3.01 – $70
Blood clotting test (partial thromboplastin time, PTT): 10 of 47 insurance plan rates
  • AETNA — AETNA: $29.89
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $4.75
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $6.01
  • AETNA — AETNA HEALTHCARE MEDICARE: $6.01
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $6.01
  • AMBETTER — AMBETTER: $13.10
  • AMERIGROUP — AMERIGROUP: $3.01
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $6.25
  • BLUE CROSS — ANTHEM EXCHANGE: $6.01
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $4.70

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient or outpatient In the file: HC CT HEAD/BRAIN WO CONTRAST $3,545 $531.75 $99.18 – $3,545
CT scan of the head or brain, without contrast: 10 of 46 insurance plan rates
  • AETNA — AETNA: $1,513.72
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $417.70
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $99.18
  • AETNA — AETNA HEALTHCARE MEDICARE: $99.18
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $99.18
  • AMBETTER — AMBETTER: $216.21
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $103.14
  • BLUE CROSS — ANTHEM EXCHANGE: $203.69
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $413.68
  • BLUE CROSS — ANTHEM HMO: $216.41
MRI of the brain, before and after contrast CPT 70553 · Inpatient or outpatient In the file: HC MR BRAIN WOW CON $4,457 $668.55 $320.42 – $4,457
MRI of the brain, before and after contrast: 10 of 46 insurance plan rates
  • AETNA — AETNA: $1,903.14
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $525.01
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $330.96
  • AETNA — AETNA HEALTHCARE MEDICARE: $330.96
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $330.96
  • AMBETTER — AMBETTER: $721.49
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $344.20
  • BLUE CROSS — ANTHEM EXCHANGE: $679.71
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $519.97
  • BLUE CROSS — ANTHEM HMO: $722.17
Chest X-ray, 2 views CPT 71046 · Inpatient or outpatient In the file: HC DX CHEST 2 VIEWS $462 $69.30 $16.68 – $462
Chest X-ray, 2 views: 10 of 46 insurance plan rates
  • AETNA — AETNA: $197.27
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $72.41
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $82.56
  • AETNA — AETNA HEALTHCARE MEDICARE: $82.56
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $82.56
  • AMBETTER — AMBETTER: $179.97
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $85.86
  • BLUE CROSS — ANTHEM EXCHANGE: $169.55
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $71.72
  • BLUE CROSS — ANTHEM HMO: $180.15
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient or outpatient In the file: HC DX SPINE LUMBAR MIN 4 VIEWS $462 $69.30 $30.01 – $462
X-ray of the lower spine, at least 4 views: 10 of 46 insurance plan rates
  • AETNA — AETNA: $197.27
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $72.41
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $99.18
  • AETNA — AETNA HEALTHCARE MEDICARE: $99.18
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $99.18
  • AMBETTER — AMBETTER: $216.21
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $103.14
  • BLUE CROSS — ANTHEM EXCHANGE: $203.69
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $71.72
  • BLUE CROSS — ANTHEM HMO: $216.41
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient or outpatient In the file: HC MR SPINE LUMBAR WO CON $4,033 $604.95 $203.05 – $4,033
MRI of the lower back (lumbar spine), without contrast: 10 of 46 insurance plan rates
  • AETNA — AETNA: $1,722.09
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $312.21
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $226.35
  • AETNA — AETNA HEALTHCARE MEDICARE: $226.35
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $226.35
  • AMBETTER — AMBETTER: $493.44
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $235.40
  • BLUE CROSS — ANTHEM EXCHANGE: $464.87
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $309.20
  • BLUE CROSS — ANTHEM HMO: $493.91
CT scan of the pelvis, with contrast CPT 72193 · Inpatient or outpatient In the file: HC CT PELVIS W CON $4,114 $617.10 $166.39 – $4,114
CT scan of the pelvis, with contrast: 10 of 46 insurance plan rates
  • AETNA — AETNA: $1,756.68
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $417.70
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $166.39
  • AETNA — AETNA HEALTHCARE MEDICARE: $166.39
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $166.39
  • AMBETTER — AMBETTER: $362.74
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $173.05
  • BLUE CROSS — ANTHEM EXCHANGE: $341.74
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $413.68
  • BLUE CROSS — ANTHEM HMO: $363.09
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient In the file: HC MR JOINT LOW EXT WO CON $4,033 $604.95 $203.05 – $4,033
MRI of a leg joint (such as the knee), without contrast: 10 of 46 insurance plan rates
  • AETNA — AETNA: $1,722.09
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $312.21
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $226.35
  • AETNA — AETNA HEALTHCARE MEDICARE: $226.35
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $226.35
  • AMBETTER — AMBETTER: $493.44
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $235.40
  • BLUE CROSS — ANTHEM EXCHANGE: $464.87
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $309.20
  • BLUE CROSS — ANTHEM HMO: $493.91
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · modifier 50 In the file: HC MRI JOINT LOW EXT WO CON BILATERAL $4,099 $614.85 $203.05 – $4,099
MRI of a leg joint (such as the knee), without contrast: 10 of 46 insurance plan rates
  • AETNA — AETNA: $1,750.27
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $468.31
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $499.42
  • AETNA — AETNA HEALTHCARE MEDICARE: $499.42
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $499.42
  • AMBETTER — AMBETTER: $1,088.73
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $519.39
  • BLUE CROSS — ANTHEM EXCHANGE: $1,025.69
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $463.81
  • BLUE CROSS — ANTHEM HMO: $1,089.76
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient In the file: HC CT ABDOMEN/PELVIS W CON $3,731 $559.65 $223.80 – $3,731
CT scan of the abdomen and pelvis, with contrast: 10 of 46 insurance plan rates
  • AETNA — AETNA: $1,593.14
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $417.70
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $330.96
  • AETNA — AETNA HEALTHCARE MEDICARE: $330.96
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $330.96
  • AMBETTER — AMBETTER: $721.49
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $344.20
  • BLUE CROSS — ANTHEM EXCHANGE: $679.71
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $413.68
  • BLUE CROSS — ANTHEM HMO: $722.17
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient In the file: HC US ABDOMEN COMPLETE $677 $101.55 $57.79 – $677
Ultrasound of the abdomen, complete: 10 of 46 insurance plan rates
  • AETNA — AETNA: $289.08
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $215.10
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $99.18
  • AETNA — AETNA HEALTHCARE MEDICARE: $99.18
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $99.18
  • AMBETTER — AMBETTER: $216.21
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $103.14
  • BLUE CROSS — ANTHEM EXCHANGE: $203.69
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $213.03
  • BLUE CROSS — ANTHEM HMO: $216.41
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient or outpatient In the file: HC US PREG COMP >14 WKS SNGL GEST $677 $101.55 $57.79 – $677
Pregnancy ultrasound (after the first trimester): 10 of 46 insurance plan rates
  • AETNA — AETNA: $289.08
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $130.19
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $99.18
  • AETNA — AETNA HEALTHCARE MEDICARE: $99.18
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $99.18
  • AMBETTER — AMBETTER: $216.21
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $103.14
  • BLUE CROSS — ANTHEM EXCHANGE: $203.69
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $128.93
  • BLUE CROSS — ANTHEM HMO: $216.41
Transvaginal ultrasound CPT 76830 · Inpatient or outpatient In the file: HC US TRANSVAGINAL NON OB $677 $101.55 $50.23 – $677
Transvaginal ultrasound: 10 of 46 insurance plan rates
  • AETNA — AETNA: $289.08
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $141.98
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $99.18
  • AETNA — AETNA HEALTHCARE MEDICARE: $99.18
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $99.18
  • AMBETTER — AMBETTER: $216.21
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $103.14
  • BLUE CROSS — ANTHEM EXCHANGE: $203.69
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $140.61
  • BLUE CROSS — ANTHEM HMO: $216.41
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient In the file: HC DX MAMMO INCL CAD UNILAT $494 $74.10 $57.67 – $494
Diagnostic mammogram, one breast: 10 of 47 insurance plan rates
  • AETNA — AETNA: $210.94
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.02
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $78.21
  • AETNA — AETNA HEALTHCARE MEDICARE: $78.21
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $78.21
  • AMBETTER — AMBETTER: $170.50
  • AMERIGROUP — AMERIGROUP: $72.74
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $81.34
  • BLUE CROSS — ANTHEM EXCHANGE: $78.21
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $60.43
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · modifier GG In the file: HC SCR TO DX MAMMO UNILAT INCL CAD $494 $74.10 $57.67 – $494
Diagnostic mammogram, one breast: 10 of 47 insurance plan rates
  • AETNA — AETNA: $210.94
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.02
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $78.21
  • AETNA — AETNA HEALTHCARE MEDICARE: $78.21
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $78.21
  • AMBETTER — AMBETTER: $170.50
  • AMERIGROUP — AMERIGROUP: $72.74
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $81.34
  • BLUE CROSS — ANTHEM EXCHANGE: $78.21
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $60.43
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient In the file: HC DX MAMMO INCL CAD BILAT $570 $85.50 $58.67 – $570
Diagnostic mammogram, both breasts: 10 of 47 insurance plan rates
  • AETNA — AETNA: $243.39
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.02
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $100.25
  • AETNA — AETNA HEALTHCARE MEDICARE: $100.25
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $100.25
  • AMBETTER — AMBETTER: $218.55
  • AMERIGROUP — AMERIGROUP: $93.23
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $104.26
  • BLUE CROSS — ANTHEM EXCHANGE: $100.25
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $60.43
Diagnostic mammogram, both breasts CPT 77066 · Inpatient or outpatient · modifier GG In the file: HC SCR TO DX MAMMO BILAT INCL CAD $570 $85.50 $58.67 – $570
Diagnostic mammogram, both breasts: 10 of 47 insurance plan rates
  • AETNA — AETNA: $243.39
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.02
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $100.25
  • AETNA — AETNA HEALTHCARE MEDICARE: $100.25
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $100.25
  • AMBETTER — AMBETTER: $218.55
  • AMERIGROUP — AMERIGROUP: $93.23
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $104.26
  • BLUE CROSS — ANTHEM EXCHANGE: $100.25
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $60.43
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient In the file: HC SCREEN MAMMO INCL CAD $494 $74.10 $58.67 – $494
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • AETNA — AETNA: $210.94
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $61.02
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $82.76
  • AETNA — AETNA HEALTHCARE MEDICARE: $82.76
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $82.76
  • AMBETTER — AMBETTER: $180.42
  • AMERIGROUP — AMERIGROUP: $76.97
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $86.07
  • BLUE CROSS — ANTHEM EXCHANGE: $82.76
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $60.43
Screening mammogram, both breasts CPT 77067 · Inpatient or outpatient · modifier 52 In the file: HC SCREEN MAMMO INCL CAD UNILAT $469 $70.35 $29.34 – $469
Screening mammogram, both breasts: 10 of 47 insurance plan rates
  • AETNA — AETNA: $200.26
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $30.51
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $82.76
  • AETNA — AETNA HEALTHCARE MEDICARE: $82.76
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $82.76
  • AMBETTER — AMBETTER: $180.42
  • AMERIGROUP — AMERIGROUP: $76.97
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $86.07
  • BLUE CROSS — ANTHEM EXCHANGE: $82.76
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $30.22

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Left heart catheterization (diagnostic) CPT 93452 · Inpatient or outpatient In the file: HC LEFT HEART CATH W/LV $16,036 $2,405.40 $536.58 – $16,036
Left heart catheterization (diagnostic): 10 of 46 insurance plan rates
  • AETNA — AETNA: $6,847.37
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $3,223.60
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $3,075.46
  • AETNA — AETNA HEALTHCARE MEDICARE: $3,075.46
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $3,075.46
  • AMBETTER — AMBETTER: $6,704.51
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $3,198.48
  • BLUE CROSS — ANTHEM EXCHANGE: $6,316.32
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $3,192.61
  • BLUE CROSS — ANTHEM HMO: $6,710.89
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Inpatient or outpatient In the file: HC EP RT ATRIAL VENT WO INDUCTIO $7,615 $1,142.25 $291.30 – $16,130.18
Heart rhythm study (electrophysiology evaluation): 10 of 43 insurance plan rates
  • AETNA — AETNA: $3,251.61
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $8,879.49
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $7,399.16
  • AETNA — AETNA HEALTHCARE MEDICARE: $7,399.16
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $7,399.16
  • AMBETTER — AMBETTER: $16,130.18
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $7,615
  • BLUE CROSS — ANTHEM EXCHANGE: $7,615
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $7,615
  • BLUE CROSS — ANTHEM HMO: $7,615
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient or outpatient In the file: HC EPS/AFIB ABLATION $26,884 $4,032.60 $1,077.79 – $54,054.68
Heart rhythm study with ablation for atrial fibrillation: 10 of 46 insurance plan rates
  • AETNA — AETNA: $11,479.47
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $22,153.77
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $24,795.72
  • AETNA — AETNA HEALTHCARE MEDICARE: $24,795.72
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $24,795.72
  • AMBETTER — AMBETTER: $54,054.68
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $25,787.55
  • BLUE CROSS — ANTHEM EXCHANGE: $26,884
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $21,940.76
  • BLUE CROSS — ANTHEM HMO: $26,884
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient In the file: HC POLYSOMNOGRAPHY 4 PARA ATTENDED $3,659 $548.85 $181.48 – $3,659
Sleep study (overnight, in a sleep lab): 10 of 46 insurance plan rates
  • AETNA — AETNA: $1,562.39
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $998.98
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $814.65
  • AETNA — AETNA HEALTHCARE MEDICARE: $814.65
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $814.65
  • AMBETTER — AMBETTER: $1,775.93
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $847.23
  • BLUE CROSS — ANTHEM EXCHANGE: $1,673.10
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $989.38
  • BLUE CROSS — ANTHEM HMO: $1,777.61

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient In the file: HC THERAPEUTIC PROC EA 15MIN $206 $30.90 $23.55 – $206
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 47 insurance plan rates
  • AETNA — AETNA: $87.96
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $46.06
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $27.66
  • AETNA — AETNA HEALTHCARE MEDICARE: $27.66
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $27.66
  • AMBETTER — AMBETTER: $60.30
  • AMERIGROUP — AMERIGROUP: $25.72
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $28.77
  • BLUE CROSS — ANTHEM EXCHANGE: $27.66
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $45.62
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient In the file: HC PT EVAL LOW COMPLEX 20 MIN $492 $73.80 $61 – $492
Physical therapy evaluation (low complexity): 10 of 47 insurance plan rates
  • AETNA — AETNA: $210.08
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $303.50
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $93.52
  • AETNA — AETNA HEALTHCARE MEDICARE: $93.52
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $93.52
  • AMBETTER — AMBETTER: $203.87
  • AMERIGROUP — AMERIGROUP: $86.97
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $97.26
  • BLUE CROSS — ANTHEM EXCHANGE: $93.52
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $300.58
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient In the file: HC PT EVAL MOD COMPLEX 30 MIN $519 $77.85 $61 – $519
Physical therapy evaluation (moderate complexity): 10 of 47 insurance plan rates
  • AETNA — AETNA: $221.61
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $303.50
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $93.52
  • AETNA — AETNA HEALTHCARE MEDICARE: $93.52
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $93.52
  • AMBETTER — AMBETTER: $203.87
  • AMERIGROUP — AMERIGROUP: $86.97
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $97.26
  • BLUE CROSS — ANTHEM EXCHANGE: $93.52
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $300.58
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient or outpatient In the file: HC PT EVAL HIGH COMPLEX 45 MIN $545 $81.75 $61 – $545
Physical therapy evaluation (high complexity): 10 of 47 insurance plan rates
  • AETNA — AETNA: $232.72
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $303.50
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $93.52
  • AETNA — AETNA HEALTHCARE MEDICARE: $93.52
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $93.52
  • AMBETTER — AMBETTER: $203.87
  • AMERIGROUP — AMERIGROUP: $86.97
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $97.26
  • BLUE CROSS — ANTHEM EXCHANGE: $93.52
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $300.58
Psychotherapy, 30 minutes CPT 90832 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 30 MIN $294 $44.10 $49.72 – $367.07
Psychotherapy, 30 minutes: 10 of 38 insurance plan rates
  • AETNA — AETNA: $125.54
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $169.04
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $168.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $168.38
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $168.38
  • AMBETTER — AMBETTER: $367.07
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $175.12
  • BLUE CROSS — ANTHEM EXCHANGE: $294
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $167.42
  • BLUE CROSS — ANTHEM HMO: $294
Psychotherapy, 45 minutes CPT 90834 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 45 MIN $299 $44.85 $66.10 – $367.07
Psychotherapy, 45 minutes: 10 of 38 insurance plan rates
  • AETNA — AETNA: $127.67
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $190.25
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $168.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $168.38
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $168.38
  • AMBETTER — AMBETTER: $367.07
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $175.12
  • BLUE CROSS — ANTHEM EXCHANGE: $299
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $188.42
  • BLUE CROSS — ANTHEM HMO: $299
Psychotherapy, 60 minutes CPT 90837 · Inpatient or outpatient In the file: HC PSYCHOTHERAPY W PT 60 MIN $331 $49.65 $66.10 – $367.07
Psychotherapy, 60 minutes: 10 of 38 insurance plan rates
  • AETNA — AETNA: $141.34
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $190.25
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $168.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $168.38
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $168.38
  • AMBETTER — AMBETTER: $367.07
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $175.12
  • BLUE CROSS — ANTHEM EXCHANGE: $331
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $188.42
  • BLUE CROSS — ANTHEM HMO: $331
Family psychotherapy, without the patient CPT 90846 · Inpatient or outpatient In the file: HC FAMILY THERAPY W/O PT PRESENT 50 MIN $512 $76.80 $76.25 – $512
Family psychotherapy, without the patient: 10 of 40 insurance plan rates
  • AETNA — AETNA: $218.62
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $201.81
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $168.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $168.38
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $168.38
  • AMBETTER — AMBETTER: $367.07
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $175.12
  • BLUE CROSS — ANTHEM EXCHANGE: $345.82
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $199.87
  • BLUE CROSS — ANTHEM HMO: $367.42
Family psychotherapy, with the patient CPT 90847 · Inpatient or outpatient In the file: HC FAMILY THERAPY W PT PRESENT 50 MIN $543 $81.45 $76.34 – $543
Family psychotherapy, with the patient: 10 of 40 insurance plan rates
  • AETNA — AETNA: $231.86
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $201.81
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $168.38
  • AETNA — AETNA HEALTHCARE MEDICARE: $168.38
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $168.38
  • AMBETTER — AMBETTER: $367.07
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $175.12
  • BLUE CROSS — ANTHEM EXCHANGE: $345.82
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $199.87
  • BLUE CROSS — ANTHEM HMO: $367.42
Group psychotherapy CPT 90853 · Inpatient or outpatient In the file: HC GROUP PSYCHOTHERAPY $331 $49.65 $26.30 – $331.26
Group psychotherapy: 10 of 40 insurance plan rates
  • AETNA — AETNA: $141.34
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $328.11
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $96.37
  • AETNA — AETNA HEALTHCARE MEDICARE: $96.37
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $96.37
  • AMBETTER — AMBETTER: $210.09
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $100.23
  • BLUE CROSS — ANTHEM EXCHANGE: $197.93
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $324.96
  • BLUE CROSS — ANTHEM HMO: $210.30

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient In the file: HC EGD TRANSORAL DX INCL BRUSH/WASH $2,844 $426.60 $171 – $2,844
Upper GI endoscopy (diagnostic): 10 of 37 insurance plan rates
  • AETNA — AETNA: $1,214.39
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,308.58
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $860.41
  • AETNA — AETNA HEALTHCARE MEDICARE: $860.41
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $860.41
  • AMBETTER — AMBETTER: $1,875.70
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $894.83
  • BLUE CROSS — ANTHEM EXCHANGE: $1,767.10
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,295.99
  • BLUE CROSS — ANTHEM HMO: $1,877.48
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient In the file: HC EGD W BIOPSY SINGLE OR MULTIPLE $2,564 $384.60 $171 – $2,564
Upper GI endoscopy with biopsy: 10 of 37 insurance plan rates
  • AETNA — AETNA: $1,094.83
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,308.58
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $860.41
  • AETNA — AETNA HEALTHCARE MEDICARE: $860.41
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $860.41
  • AMBETTER — AMBETTER: $1,875.70
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $894.83
  • BLUE CROSS — ANTHEM EXCHANGE: $1,767.10
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,295.99
  • BLUE CROSS — ANTHEM HMO: $1,877.48
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient In the file: HC COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE $3,227 $484.05 $775 – $3,227
Colonoscopy with biopsy: 10 of 46 insurance plan rates
  • AETNA — AETNA: $1,377.93
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,300.35
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $1,135.20
  • AETNA — AETNA HEALTHCARE MEDICARE: $1,135.20
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $1,135.20
  • AMBETTER — AMBETTER: $2,474.73
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $1,180.60
  • BLUE CROSS — ANTHEM EXCHANGE: $2,331.44
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,287.84
  • BLUE CROSS — ANTHEM HMO: $2,477.08
Prostate biopsy CPT 55700 · Inpatient or outpatient In the file: HC BX PROSTATE NDL/PUNCH SNG/MULTI ANY APPR $2,602 $390.30 $96.26 – $2,602
Prostate biopsy: 10 of 16 insurance plan rates
  • AETNA — AETNA: $1,111.05
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $2,234.75
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $2,213.26
  • BLUE CROSS — BLUE CROSS BALLAD HEALTH EMPLOYEE: $96.26
  • CIGNA HEALTHCARE — CIGNA HMO: $1,085.03
  • CIGNA HEALTHCARE — CIGNA INDIVIDUAL FAMILY PLAN: $1,207.33
  • CIGNA HEALTHCARE — CIGNA OPEN ACCESS PLUS: $1,085.03
  • CIGNA HEALTHCARE — CIGNA PPO: $1,085.03
  • FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: $2,003.54
  • MEDCOST — MEDCOST VHN: $1,238.29
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient or outpatient In the file: HC INJ LUMBAR/SACRAL W IMG GUID $2,986 $447.90 $603 – $2,986
Spinal injection, lower back (epidural), with imaging guidance: 10 of 46 insurance plan rates
  • AETNA — AETNA: $1,275.02
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $993.76
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $669.64
  • AETNA — AETNA HEALTHCARE MEDICARE: $669.64
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $669.64
  • AMBETTER — AMBETTER: $1,459.80
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $696.42
  • BLUE CROSS — ANTHEM EXCHANGE: $1,375.29
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $984.20
  • BLUE CROSS — ANTHEM HMO: $1,461.20
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient In the file: HC INJ ANES &/ STEROID TRFML EPIDURAL LMBR/SAC UNILAT 1 LEVEL $1,196 $179.40 $211.82 – $1,829.14
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates
  • AETNA — AETNA: $510.69
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $993.76
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $839.06
  • AETNA — AETNA HEALTHCARE MEDICARE: $839.06
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $839.06
  • AMBETTER — AMBETTER: $1,829.14
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $872.62
  • BLUE CROSS — ANTHEM EXCHANGE: $1,196
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $984.20
  • BLUE CROSS — ANTHEM HMO: $1,196
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient or outpatient · modifier 50 In the file: HC INJ ANES &/ STEROID TRFML EPIDURAL LMBR/SAC BILAT 1 LEVEL $2,352 $352.80 $211.82 – $2,743.72
Nerve root injection, lower back, with imaging guidance: 10 of 41 insurance plan rates
  • AETNA — AETNA: $1,004.30
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,490.64
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $1,258.58
  • AETNA — AETNA HEALTHCARE MEDICARE: $1,258.58
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $1,258.58
  • AMBETTER — AMBETTER: $2,743.72
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $1,308.93
  • BLUE CROSS — ANTHEM EXCHANGE: $2,352
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,476.31
  • BLUE CROSS — ANTHEM HMO: $2,352
Carpal tunnel release CPT 64721 · Inpatient or outpatient In the file: HC REVISE MEDIAN N/CARPAL TUNNEL SURG $6,035 $905.25 $375.46 – $6,035
Carpal tunnel release: 10 of 41 insurance plan rates
  • AETNA — AETNA: $2,576.95
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $1,773.21
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $1,852.46
  • AETNA — AETNA HEALTHCARE MEDICARE: $1,852.46
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $1,852.46
  • AMBETTER — AMBETTER: $4,038.35
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $1,926.55
  • BLUE CROSS — ANTHEM EXCHANGE: $3,804.54
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $1,756.16
  • BLUE CROSS — ANTHEM HMO: $4,042.20
Laser treatment of clouding after cataract surgery CPT 66821 · Inpatient or outpatient In the file: HC POST-CATARACT LASER SURGERY $1,677 $251.55 $432.83 – $1,677
Laser treatment of clouding after cataract surgery: 10 of 46 insurance plan rates
  • AETNA — AETNA: $716.08
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA: $749.30
  • AETNA — AETNA BETTER HEALTH OF VIRGINIA MEDICARE: $521.76
  • AETNA — AETNA HEALTHCARE MEDICARE: $521.76
  • ALLCARE MEDICARE — ALLCARE MEDICARE: $521.76
  • AMBETTER — AMBETTER: $1,137.43
  • AMERIGROUP — AMERIGROUP MEDICARE WELLPOINT: $542.63
  • BLUE CROSS — ANTHEM EXCHANGE: $1,071.57
  • BLUE CROSS — ANTHEM HLTHKEEP MEDICIAD: $742.09
  • BLUE CROSS — ANTHEM HMO: $1,138.51

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $2,765 – $446,944.23
Heart valve or major heart-chest surgery with heart catheterization, with major complications: rates for 3 insurance plans
  • FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: 77% (a percentage in the contract, not a dollar amount)
  • MEDCOST — MEDCOST VHN: 47.59% (a percentage in the contract, not a dollar amount)
  • SENTARA HEALTH — SENTARA HEALTH: 37.28% (a percentage in the contract, not a dollar amount)
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $2,765 – $89,340.31
Hip or knee replacement (major joint of the leg), without major complications: rates for 3 insurance plans
  • FIRST HEALTH COVENTRY — FIRST HEALTH COVENTRY: 77% (a percentage in the contract, not a dollar amount)
  • MEDCOST — MEDCOST VHN: 47.59% (a percentage in the contract, not a dollar amount)
  • SENTARA HEALTH — SENTARA HEALTH: 37.28% (a percentage in the contract, not a dollar amount)

Source: Wellmont Holston Valley Medical Center’s standard charges file (balladhealth.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 23, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address130 West Ravine Road, Kingsport, TN 37662
CountySullivan County
StateTennessee
Phone(423) 224‑4000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating2 of 5 stars
CMS Certification Number440017
Name in Medicare recordsWELLMONT HOLSTON VALLEY MEDICAL CENTER
Profile levelMedicare data + hospital website
Name on the hospital’s websiteHolston Valley Medical Center
Official websiteballadhealth.org
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Holston Valley Medical Center — balladhealth.org