Tennessee / Holston Valley Medical Center
CMS certification 440017 · Kingsport, TN · 1 entry in CMS's price-transparency list
Holston Valley Medical Center: charges and Medicare payments
Holston Valley Medical Center reported 2,227 Medicare inpatient stays across 76 DRGs in 2024. Across them it charged 5.36 times what it was paid — mid-range in Tennessee, number 23 of 65 hospitals with at least 100 stays (state median 4.42×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 262 stays at an average charge of $67,731, 25% below the national average. It also billed 1,257 outpatient services, charging 9.74 times what Medicare paid.
- 1Medicare inpatient stays 2,227
- 2Charge ÷ paid, inpatient 5.36×
- 3Rank in TN (highest ratio = 1) 23 of 65
- 4CMS price-transparency actions 1
Inpatient stays
For the 76 DRGs that can be compared with the national average, Holston Valley Medical Center charged more than the national average in 11 (14%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 262 | $67,731 | -25% | $14,915 |
| 291 Heart Failure and Shock with MCC | 114 | $48,972 | -13% | $10,539 |
| 193 Simple Pneumonia and Pleurisy with MCC | 85 | $45,080 | -25% | $10,147 |
| 177 Respiratory Infections and Inflammations with MCC | 55 | $57,737 | -18% | $12,744 |
| 378 Gastrointestinal Hemorrhage with CC | 52 | $33,171 | -32% | $8,117 |
| 682 Renal Failure with MCC | 49 | $49,439 | -25% | $11,817 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 49 | $49,885 | -32% | $12,797 |
| 481 Hip and Femur Procedures except Major Joint with CC | 47 | $86,895 | -14% | $14,971 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 45 | $21,901 | -39% | $6,327 |
| 683 Renal Failure with CC | 45 | $26,052 | -36% | $7,404 |
| 189 Pulmonary Edema and Respiratory Failure | 43 | $48,625 | -16% | $10,060 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 43 | $224,677 | +43% | $22,819 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 42 | $51,240 | -32% | $12,165 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 41 | $44,740 | -9% | $8,135 |
| 689 Kidney and Urinary Tract Infections with MCC | 40 | $45,294 | -12% | $9,398 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 39 | $48,932 | -14% | $9,084 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 38 | $95,383 | +2% | $15,458 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 37 | $16,557 | -42% | $4,975 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 36 | $40,209 | -33% | $9,978 |
| 266 Endovascular Cardiac Valve Replacement and Supplement... | 35 | $400,743 | +41% | $49,615 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 33 | $37,974 | -41% | $8,671 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 32 | $367,855 | +66% | $38,702 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 31 | $39,602 | -29% | $8,385 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 31 | $95,210 | -17% | $15,342 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 31 | $24,916 | -33% | $6,662 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 29 | $85,121 | -17% | $16,187 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 27 | $39,025 | -23% | $7,906 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 27 | $218,951 | -32% | $47,601 |
| 039 Extracranial Procedures without CC/MCC | 26 | $59,236 | -7% | $8,866 |
| 377 Gastrointestinal Hemorrhage with MCC | 26 | $52,600 | -38% | $13,965 |
| 690 Kidney and Urinary Tract Infections without MCC | 26 | $32,660 | -14% | $7,257 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 26 | $152,445 | -33% | $33,926 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 25 | $118,788 | +7% | $29,708 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 25 | $29,949 | -25% | $7,328 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 24 | $122,854 | -11% | $22,068 |
| 101 Seizures without MCC | 22 | $33,490 | -31% | $7,782 |
| 389 Gastrointestinal Obstruction with CC | 22 | $25,406 | -35% | $6,784 |
| 069 Transient Ischemia without Thrombolytic | 21 | $32,964 | -35% | $7,001 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 21 | $83,268 | -39% | $22,192 |
| 220 Cardiac Valve and Other Major Cardiothoracic Procedures... | 21 | $276,771 | 0% | $44,789 |
| 269 Aortic and Heart Assist Procedures except Pulsation Balloon... | 21 | $380,339 | +98% | $49,403 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 21 | $64,894 | -42% | $16,379 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 20 | $32,970 | -35% | $7,803 |
| 394 Other Digestive System Diagnoses with CC | 20 | $45,343 | -4% | $8,108 |
| 638 Diabetes with CC | 20 | $34,764 | -17% | $7,111 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 18 | $154,449 | -27% | $33,767 |
| 194 Simple Pneumonia and Pleurisy with CC | 17 | $41,832 | +9% | $6,242 |
| 312 Syncope and Collapse | 17 | $25,848 | -43% | $7,157 |
| 813 Coagulation Disorders | 17 | $59,924 | -25% | $11,274 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 16 | $51,578 | -48% | $15,446 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 16 | $46,560 | -29% | $10,834 |
| 314 Other Circulatory System Diagnoses with MCC | 14 | $56,151 | -41% | $16,134 |
| 038 Extracranial Procedures with CC | 13 | $64,213 | -27% | $11,931 |
| 092 Other Disorders of Nervous System with CC | 13 | $23,144 | -55% | $8,206 |
| 178 Respiratory Infections and Inflammations with CC | 13 | $29,744 | -34% | $7,633 |
| 234 Coronary Bypass with Cardiac Catheterization or Open... | 13 | $207,343 | -23% | $44,400 |
| 244 Permanent Cardiac Pacemaker Implant without CC/MCC | 13 | $87,780 | -6% | $13,648 |
| 313 Chest Pain | 13 | $24,925 | -38% | $6,425 |
| 439 Disorders of Pancreas except Malignancy with CC | 13 | $29,781 | -32% | $7,252 |
| 603 Cellulitis without MCC | 13 | $28,206 | -24% | $7,463 |
Showing the 60 most frequent of 76 DRGs.
Outpatient services
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Holston Valley Medical Center charged $67,731 on average, 4% less than the Tennessee average of $70,379, and was paid $14,915 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Holston Valley Medical Center charged $48,972 on average, 6% more than the Tennessee average of $46,128, and was paid $10,539 against a state average of $10,346. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Holston Valley Medical Center charged $45,080 on average, 6% less than the Tennessee average of $48,160, and was paid $10,147 against a state average of $10,379. For Respiratory Infections and Inflammations with MCC (DRG 177), Holston Valley Medical Center charged $57,737 on average, 7% more than the Tennessee average of $53,972, and was paid $12,744 against a state average of $12,921. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $9,217 was 11% below the state average of $10,318. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $22,921 was 17% below the state average of $27,751. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $89,460 was 36% above the state average of $65,840. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $16,061 was 19% below the state average of $19,917.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Holston Valley Medical Center in Kingsport, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-04-03 (CMS case 3549)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.