Molina Healthcare CT Scan Rates in Tri-Cities (Johnson City-Kingsport-Bristol)

Published Molina Healthcare negotiated rates for CT Scan at 7 hospitals in Tri-Cities (Johnson City-Kingsport-Bristol), TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$225.14

Indian Path Community Hospital

all plan types

Highest Rate

$421.71

Holston Valley Medical Center

all plan types

Rate Spread

2x

across all plan types

Hospitals

7

with Molina Healthcare data

Why the range is so wide: Molina Healthcare negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Molina Healthcare CT Scan Rates by Hospital

Hospital Lowest Molina Healthcare Rate
Indian Path Community Hospital $225.14
Sycamore Shoals Hospital $225.14
Franklin Woods Community Hospital $225.30
Hawkins County Memorial Hospital $227.30
Johnson City Medical Center $231.56
Bristol Regional Medical Center $237.67
Holston Valley Medical Center $237.67

Median of all 28 published Molina Healthcare rates for CT Scan at these hospitals: $375.81

Rates shown are Molina Healthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Molina Healthcare plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Understanding Molina Healthcare Negotiated Rates

A negotiated rate is the price Molina Healthcare has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Molina Healthcare plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for CT Scan in Tri-Cities (Johnson City-Kingsport-Bristol)

View all CT Scan prices in Tri-Cities (Johnson City-Kingsport-Bristol) (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Molina Healthcare CT Scan in Tri-Cities (Johnson City-Kingsport-Bristol)?

The lowest Molina Healthcare negotiated rate for CT Scan in Tri-Cities (Johnson City-Kingsport-Bristol) is $225.14 at Indian Path Community Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $421.71 at Holston Valley Medical Center, a 2x difference. Commercial plan rates typically fall between these extremes.

Is the Molina Healthcare negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Molina Healthcare has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Molina Healthcare for a pre-service cost estimate specific to your plan.

How many Tri-Cities (Johnson City-Kingsport-Bristol) hospitals have published Molina Healthcare rates?

7 hospitals in the Tri-Cities (Johnson City-Kingsport-Bristol) area have published Molina Healthcare negotiated rates for CT Scan in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Molina Healthcare directly.

How does Molina Healthcare classify CT scan charges?

CT scans may be billed differently depending on how Molina Healthcare classifies the visit. Your share of the cost also varies by whether the facility is in-network. Confirm with Molina Healthcare how the scan will be billed and what your cost-sharing will be before your appointment.

We are not affiliated with Molina Healthcare or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Molina Healthcare or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.

Visit the official Molina Healthcare website: www.molinahealthcare.com