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Based on public Medicaid payment data.

Holston Valley Ambulatory Surgery Center, Llc

Medicaid Provider in Kingsport, TN

Type

Organization

Address

103 W Stone Dr

Kingsport, TN 376603220

Phone

4232244910

NPI

1356396857

Procedures

3

Total Claims

356

Patients Served

327

About these costs

All amounts reflect Medicaid reimbursement rates, which are typically much lower than private insurance or cash prices. These figures show what state Medicaid programs actually paid this provider per claim.

Procedures & Average Costs

Procedure Avg. Paid Claims Patients
Upper Endoscopy (EGD) $281.37 320 294
Tonsillectomy $740.85 23 21
Colonoscopy $157.35 13 12

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