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 - HMG Outpatient Diagnostic Center at Sapling Grove
- Johnson City - HMG Outpatient Diagnostic Center at Johnson City
- Kingsport - 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).
