Molina Healthcare ER Visit Rates in Tri-Cities (Johnson City-Kingsport-Bristol)
Published Molina Healthcare negotiated rates for ER Visit at 7 hospitals in Tri-Cities (Johnson City-Kingsport-Bristol), TN. Data from CMS-mandated hospital transparency files.
If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
Do not delay emergency care based on cost.
Lowest Rate
$257.57
Indian Path Community Hospital
all plan types
Highest Rate
$593.20
Holston Valley Medical Center
all plan types
Rate Spread
2x
across all plan types
Hospitals
7
with Molina Healthcare data
Molina Healthcare ER Visit Rates by Hospital
| Hospital | Lowest Molina Healthcare Rate |
|---|---|
| Indian Path Community Hospital | $257.57 |
| Sycamore Shoals Hospital | $257.57 |
| Franklin Woods Community Hospital | $257.76 |
| Hawkins County Memorial Hospital | $260.05 |
| Johnson City Medical Center | $264.92 |
| Bristol Regional Medical Center | $271.91 |
| Holston Valley Medical Center | $271.91 |
Median of all 21 published Molina Healthcare rates for ER Visit at these hospitals: $397.50
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 ER Visit in Tri-Cities (Johnson City-Kingsport-Bristol)
Frequently Asked Questions
Where is the lowest-cost Molina Healthcare ER Visit in Tri-Cities (Johnson City-Kingsport-Bristol)?
The lowest Molina Healthcare negotiated rate for ER Visit in Tri-Cities (Johnson City-Kingsport-Bristol) is $257.57 at Indian Path Community Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $593.20 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 ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Molina Healthcare directly.
Will Molina Healthcare cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Molina Healthcare cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.
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