As your health partner for life, Holston Medical Group is committed to providing high-quality, lower-cost options to help you make the most of every healthcare dollar you spend. We continue making investments that give our communities a choice in the care and healthcare services they receive.
Our state-of-the-art Outpatient Diagnostic Centers are available to both HMG and non-HMG patients and are conveniently located in Bristol at HMG Outpatient Diagnostic Center at Sapling Grove, Johnson City at HMG Outpatient Diagnostic Center at Johnson City, and in Kingsport at HMG Outpatient Diagnostic Center at MeadowView.
Each of our state-licensed, ACR-accredited facilities boasts fully digital diagnostic imaging, providing high-quality images and timely results. Our centers also offer extended hours and even weekends as needed.
If you need a diagnostic study or procedure, be a smart healthcare consumer and utilize this price-transparent resource below to weigh your options for possible savings on your next study/procedure. To make the most of every healthcare dollar, we encourage you to request an estimate of your out-of-pocket expense from various diagnostic centers. Talk to your doctor about where you want your study or procedure performed; you have a choice.
Listed below is a chart comparing the charges for various diagnostic procedures. Charges listed do not include contrast which will be an additional charge. Charges listed may not represent your out-of-pocket expense after insurance or applicable self-pay discount. Please contact the diagnostic center for an out-of-pocket estimate based on your insurance coverage.
* Please note that the Ballad Health charge does not include an interpretation of the study. The radiologist will send an additional bill to the patient to interpret the study.
** The HMG charge includes both the study and the radiologist interpretation (you and your insurance provider receive only one bill from HMG).
| MRI | Description | *Ballad Health | **HMG |
|---|---|---|---|
| 70336 | TMJ(S) | $3,560 | $882 |
| 70540 | Orbit, Face, Neck, Soft Tissue | $3,560 | $821 |
| 70543 | MRI Orbit Face Neck w/wo Contrast | $4,581 | $1,577 |
| 70544 | MRA Head w/o Contrast | $3,560 | $1,073 |
| 70549 | MRA neck w/wo(Caro) | – | $1,648 |
| 71550 | Chest w/o Contrast | $3,560 | $936 |
| 70551 | MRI Brain w/o Contrast | $3,560 | $857 |
| 71552 | Chest w/wo Contrast | $4,581 | $1,400 |
| 70553 | MRI Brain w/wo Contrast | $4,581 | $1,528 |
| 71555 | MRA chest (aorta) | – | $924 |
| 72141 | MRI C-Spine w/o Contrast | $3,560 | $827 |
| 72146 | MRI T-Spine w/o Contrast | $3,560 | $827 |
| 72148 | MRI L-Spine w/o Contrast | $3,560 | $823 |
| 72156 | MRI C-Spine w/wo Contrast | $4,581 | $1,572 |
| 72157 | MRI Spinal Canal w/wo Contrast | $4,581 | $1,575 |
| 72158 | MRI L-Spine w/wo Contrast | $4,581 | $1,570 |
| 72195 | MRI Pelvis w/o Contrast | $3,560 | $857 |
| 72197 | MRI Pelvis w/wo Contrast | $4,581 | $1,450 |
| 72198 | MRA pelvis w/wo | – | $735 |
| 73218 | MRI Upper Extremity Non Joint w/o Contrast | $3,560 | $833 |
| 73220 | MRI Upper Extremity w/wo Contrast | $4,581 | $1,144 |
| 73221 | MRI Upper Extremity Joint w/o Contrast | $3,560 | $1,085 |
| 73223 | Upper Extremity Joint w/wo Contrast | $4,581 | $1,076 |
| 73718 | MRI Lower Extremity Not Joint w/o Contrast | $3,560 | $833 |
| 73720 | MRI Lower Extremity w/wo Contrast | $4,581 | $1,381 |
| 73721 | MRI Lower Extremity Joint w/o Contrast | $3,560 | $870 |
| 73723 | MRI Joint Lower Extremity w/wo Contrast | $4,581 | $1,200 |
| 73725 | MRA run-off | – | $736 |
| 74181 | MRI Abdomen w/o Contrast | $3,560 | $763 |
| 74183 | MRI Abdomen w/wo Contrast | $4,581 | $1,624 |
| 74185 | MRI Angio Abdomen w/wo Contrast | – | $932 |
| 77048 | MRI Breast w/wo Contrast, CAD, Unilateral | – | $750 |
| 77049 | MRI Breast w/wo Contrast, CAD, Bilateral | $5,874 | $1,466 |
| Mammo | Description | *Ballad Health | **HMG |
|---|---|---|---|
| 77063 | Screening Digital Breast Tomosynthesis Bilat | $599 | $104 |
| 77065 | Mammo Diagnostic Unileral/CAD | $461 | $248 |
| 77066 | Mammo Diagnostic Bilateral/CAD | $692 | $314 |
| 77067 | Mammo Screening Bilateral/CAD | $487 | $260 |
| G0204 | Bilat, Diag | $461 | – |
| G0206 | Unilat, Diag | $692 | – |
| G0279 | Diagnostic Breast Tomosynthesis; Unilat or Bilat | – | $104 |
| Bone Dens | Description | *Ballad Health | **HMG |
|---|---|---|---|
| 77080 | Dexa Full/Large Bone | $543 | $170 |
| U/S | Description | *Ballad Health | **HMG |
|---|---|---|---|
| 76536 | Ultrasound Thyroid Head Neck | $568 | $215 |
| 76641 | Ultrasound Breast | $568 | $199 |
| 76700 | Ultrasound Abdominal | $625 | $241 |
| 76705 | Ultrasound Abdomen Limited | $568 | $185 |
| 76770 | Ultrasound Renal | $625 | $263 |
| 76805 | OB comp | $1,142 | $280 |
| 76815 | Ultrasound OB Limited | $568 | $174 |
| 76816 | Ultrasound OB Follow Up or Repeat | – | $214 |
| 76818 | OB bio-phys | – | $227 |
| 76830 | Ultrasound Transvaginal | $568 | $226 |
| 76856 | Ultrasound Pelvic Complete | $568 | $214 |
| 76870 | Ultrasound Scrotum/Testicular | $568 | $221 |
| 93880 | Ultrasound Carotid | $1,388 | $467 |
| 93926 | bilat, inqnl dop | $1,388 | $282 |
| 93970 | Ultrasound Venous Doppler Bilateral | $2,082 | $455 |
| 93971 | Ultrasound Venous Doppler Unilateral | $1,388 | $278 |
| 76706 | Ultrasound AA Aneurysm Screening | $568 | $174 |
| 76882 | Ext Limited/Axilla/Cyst | $568 | $120 |
| Nuclear Medicine | Description | *Ballad Health | **HMG |
|---|---|---|---|
| 78013 | Thyroid Scan Vascular | – | $359 |
| 78014 | NM Thyroid Uptake, Scan | – | $455 |
| 78070 | NM Parathyroid Scan | – | $565 |
| 78215 | NM Liver/Spleen Scan | – | $367 |
| 78227 | NM Hida w/ Pharma | $2,532 | $848 |
| 78264 | NM Gastric Emptying | $2,532 | $630 |
| 78306 | NM Bone Whole Body | $3,059 | $477 |
| 78315 | NM Bone 3 Phase | – | $655 |
| 78707 | Renal w cap | – | $440 |
| CT | Description | *Ballad Health | **HMG |
|---|---|---|---|
| 70450 | CT Head | $3,129 | $370 |
| 70460 | CT Head w/ Contrast | $3,874 | $440 |
| 70470 | CT Head w/wo Contrast | $4,218 | $490 |
| 70480 | CT Orbit Sella Ear w/o Contrast | $3,129 | $554 |
| 70482 | CT Orbit w/wo Contrast | $4,195 | $709 |
| 70486 | CT Sinuses Maxillofacial | $3,129 | $456 |
| 70490 | CT Neck w/o Contrast | $3,129 | $445 |
| 70491 | CT Neck w/ Contrast | $3,874 | $543 |
| 70492 | CT Neck w/wo Contrast | $4,218 | $638 |
| 70496 | CT Angio Head w/wo Contrast | $3,129 | $1,100 |
| 70498 | CT Angio Neck w/wo Contrast | $3,561 | $1,100 |
| 71250 | CT Chest/ Thorax w/o Contrast | $3,129 | $475 |
| 71260 | CT Chest w/ Contrast | $3,874 | $550 |
| 71270 | Chest w/wo | $4,218 | $675 |
| 71275 | CTA chest | – | $850 |
| 72125 | CT C-Spine w/o Contrast | $3,129 | $510 |
| 72128 | CT T-Spine w/o Contrast | $3,129 | $430 |
| 72131 | CT L-Spine w/o Contrast | $3,129 | $495 |
| 72192 | CT Pelvis w/o Contrast | $3,129 | $406 |
| 72193 | CT Pelvis w/ Contrast | $3,874 | $546 |
| 72194 | CT Pelvis w/wo Contrast | $4,218 | $625 |
| 73200 | CT Upper Extremity w/o Contrast | $3,129 | $417 |
| 73700 | CT Lower Extremity | $3,129 | $494 |
| 73706 | Angio Lower Ext | – | $647 |
| 74150 | CT Abdomen w/o Contrast | $3,129 | $416 |
| 74160 | CT Abdomen w/ Contrast | $3,874 | $637 |
| 74170 | CT Abdomen w/wo Contrast | $4,218 | $724 |
| 74174 | CTA Abdomen & Pelvis w/ Contrast | $3,786 | $1,072 |
| 74176 | CT Abdomen & Pelvis w/o Contrast | $3,129 | $466 |
| 74177 | CT Abdomen & Pelvis w/ Contrast | $3,874 | $700 |
| 74178 | CT Abdomen & Pelvis w/wo Contrast | $4,218 | $700 |
| 75635 | CT Angio Run Off | – | $898 |
| 75571 | CT Heart No Contrast Quant Eval Coronary (Calcium Scoring) | $216 | $226 |
| 74263 | CT Virtual Colonoscopy Screening | – | $749 |
| X-Ray | Description | *Ballad Health | **HMG |
|---|---|---|---|
| 70100 | Mandible | – | $60 |
| 70150 | X-ray Facial Complete w/ Interp | $426 | $87 |
| 70160 | X-ray Nasal Bones w/ Interp | $387 | $69 |
| 70200 | X-ray Orbitals w/ Interp | $387 | $89 |
| 70210 | X-ray Sinus Series w/ Interp | $387 | $63 |
| 70220 | X-ray Sinus Series, Comp | $426 | $80 |
| 70250 | X-ray Skull 4 Views w/ Interp | $387 | $76 |
| 70260 | X-ray Skull, Comp | $426 | $96 |
| 70360 | X-ray Neck Soft Tissue | $387 | $52 |
| 71045 | X-ray Chest 1 View | $369 | $40 |
| 71046 | X-ray Chest 2 Views w/ Interp | $406 | $115 |
| 71100 | X-ray Ribs, Uni | $369 | $66 |
| 71101 | X-ray Chest & Ribs | $406 | $81 |
| 71111 | X-ray Ribs, Bilat | $670 | $109 |
| 71120 | X-ray Sternum w/ Interp | $387 | $64 |
| 71130 | X-ray SC Joints | – | $76 |
| 72020 | X-ray Spine 1 View | $387 | $48 |
| 72040 | X-ray Cervical Spine 2-3 Views | $426 | $72 |
| 72050 | X-ray Cervical Spine 4-5 Views | $468 | $103 |
| 72052 | X-ray Cervical Spine w Flex/Ext | $515 | $129 |
| 72072 | X-ray Thoracic Spin 3 Views | $426 | $76 |
| 72080 | X-ray Thoraco-Lumbar | $515 | $74 |
| 72081 | Scolio | $387 | $77 |
| 72100 | X-ray Lumbar Spine 2-3 Views w/ Interp | $387 | $85 |
| 72110 | X-ray Lumbar Spine 4 Views w/ Interp | $426 | $110 |
| 72170 | X-ray Pelvis 1 View | $387 | $116 |
| 72190 | X-ray Pelvis 3 Views | $426 | $88 |
| 72202 | X-ray Si Joints | $426 | $71 |
| 72220 | X-ray Sacrum Coccyx | $387 | $59 |
| 73000 | X-ray Cervical w/ Interp | $387 | $59 |
| 73010 | X-ray Scapula Complete | $387 | $65 |
| 73030 | X-ray Shoulder w/ Interp | $426 | $131 |
| 73050 | X-ray AC Joints Bilateral | – | $82 |
| 73060 | X-ray Humerus w/ Interp | $387 | $59 |
| 73080 | X-ray Elbow 3 or More Views | $468 | $77 |
| 73090 | X-ray Forearm w/ Interp | $387 | $57 |
| 73092 | X-ray Infant upper Ext. 2V | – | $50 |
| 73110 | X-ray Wrist 3 Views w/ Interp | $468 | $86 |
| 73120 | X-ray Hand 2 Views | $426 | $64 |
| 73130 | X-ray Hand w/ Interp | 468 | $78 |
| 73140 | X-ray Finger w/ Interp | $387 | $69 |
| 73502 | X-ray Hip Unilateral 2-3 Views | $273 | $93 |
| 73521 | X-ray Hips Bilateral 2 Views | $409 | $79 |
| 73552 | X-ray Femur 2 or More Views | $426 | $65 |
| 73560 | X-ray Knee 1-2 Views w/ Interp | $387 | $73 |
| 73562 | X-ray Knee 3 Views | $426 | $87 |
| 73565 | X-ray Knees Bilateral | $387 | $82 |
| 73590 | X-ray Tibia/Fibula 2 Views w/ Interp | $426 | $57 |
| 73592 | X-ray Bilateral Lower Ext. Peds | – | $51 |
| 73600 | X-ray Ankle 2 Views | $426 | $59 |
| 73610 | X-ray Ankle w/ Interp | $468 | $77 |
| 73620 | X-ray Foot 2 Views | – | $57 |
| 73630 | X-ray Foot w/ Interp | $426 | $65 |
| 73650 | X-ray Calcaneus w/ Interp | $387 | $59 |
| 73660 | X-ray toe w/ Interp | $426 | $62 |
| 74018 | X-ray KUB 1 View w/ Interp | $369 | $63 |
| 74019 | X-ray Abdomen Flat, Erct, or Dec | $406 | $75 |
| 74022 | X-ray Abdomen 2 Views, PA CXR | $387 | $99 |
| 77072 | X-ray Bone Age Studies | $387 | $43 |
| 77074 | X-ray Bone Survey Limited | $387 | $120 |
| 77075 | X-ray Bone Survey Comp | $387 | $182 |
| 77076 | Child Bone Survey | – | $177 |
| 77077 | Joint Survey 1 View | $387 | – |
* Please note that the Ballad Health charge does not include an interpretation of the study. The radiologist will send an additional bill to the patient to interpret the study.
** The HMG charge includes both the study and the radiologist interpretation (you and your insurance provider receive only one bill from HMG).
