CT Scan Cost in Tri-Cities (Johnson City-Kingsport-Bristol), TN

How much does a ct scan cost without insurance in Tri-Cities (Johnson City-Kingsport-Bristol)?

Without insurance, the cash price for a CT abdomen and pelvis without contrast (HCPCS 74176) is $531.75 at all seven hospitals: Bristol Regional, Franklin Woods, Hawkins County Memorial, Holston Valley, Indian Path, Johnson City Medical Center, and Sycamore Shoals. The cash price for the with-contrast version (HCPCS 74177) is $559.65 at each of the same hospitals. The overall range is $531.75 to $559.65, and the with-contrast code costs $27.90 more. These figures are facility fees only. Physician and professional fees, such as the radiologist's interpretation, are billed separately.

Why is the gross charge so much higher than the cash price?

The gross charge, also called the chargemaster price, is a hospital's full list price before any discounts or negotiated rates. Almost no one pays it. For 74176, the gross charge is $3,545 and the cash price is $531.75, which is 15% of gross. For 74177, the gross charge is $3,731 and the cash price is $559.65, also 15% of gross. Because the with-contrast code starts from a higher gross charge, its cash price is higher even though the same 15% ratio applies. Gross charges serve as a starting point for negotiated rates and are rarely the amount billed.

Does insurance cover a ct scan?

Coverage depends on the specific plan and on whether the scan meets the plan's medical necessity criteria. Negotiated rates vary widely: for 74176, 315 payer rates range from $117.29 to $3,545, and for 74177, they range from $223.80 to $3,731. Plans may require prior authorization for non-emergency CT scans, which is determined by the insurer. If you are on a high-deductible plan and have not met your deductible, you owe the negotiated rate for your plan, not the gross charge. Your insurer can confirm your specific rate and cost-sharing.

Are there additional fees beyond the ct scan facility charge?

Yes. The prices listed here are facility fees, which cover the hospital's room, equipment, and staff. A radiologist, the physician who reads and interprets the images, typically bills a separate professional fee for that interpretation. If contrast is administered, supplies or related charges may also be billed separately depending on the hospital. A scan performed in the emergency department incurs a separate ER facility fee in addition to the imaging charge. These additional fees are billed separately and are not included in the prices shown on this page.

What is the cash price for a CT abdomen and pelvis at Johnson City Medical Center?

Johnson City Medical Center lists a cash price of $531.75 for CPT 74176 (without contrast) and $559.65 for CPT 74177 (with contrast). Both figures are facility charges only. All 14 price rows on this page include a published cash price, so no cash figure here is missing.

What are the lowest and highest CT scan prices in Tri-Cities, TN?

Across the 7 hospitals on this page, cash prices run from $531.75 for CPT 74176 to $559.65 for CPT 74177. Gross charges run from $3,545 to $3,731. These are facility charges only and do not include other bills tied to the visit.

How much does Holston Valley Medical Center in Kingsport charge for a CT scan with contrast?

Holston Valley Medical Center lists a gross charge of $3,731 for CPT 74177, with a cash price of $559.65. That cash price is 15% of the gross charge. Insured rates for this code range from $223.80 to $3,731. All figures are facility charges only.

What do Blue Cross and TennCare plans pay for a CT abdomen and pelvis at Indian Path Community Hospital?

At Indian Path Community Hospital, TennCare Blue Care and TennCare Blue Select each show $117.29 for CPT 74176. The Blue Cross Ballad Health Employee plan shows $124.45. These are facility rates only, taken from 47 published payer rates for that code at this hospital.

Do Bristol, Johnson City and Kingsport hospitals charge different cash prices for CT scans?

No, not on this page. Bristol Regional Medical Center, Johnson City Medical Center and Holston Valley Medical Center all list $531.75 for CPT 74176 and $559.65 for CPT 74177. All 7 hospitals belong to Ballad Health. These are facility charges only.