Molina Healthcare Lab Work Rates in Tri-Cities (Johnson City-Kingsport-Bristol)

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

Lowest Rate

$10.70

Franklin Woods Community Hospital

all plan types

Highest Rate

$11.09

Holston Valley Medical Center

all plan types

Rate Spread

across all plan types

Hospitals

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 Lab Work Rates by Hospital

Hospital	Lowest Molina Healthcare Rate	Plan Type	Highest Rate	Plans
Franklin Woods Community Hospital	$10.70	MOLINA HEALTHCARE MEDICAID	$10.98	2
Sycamore Shoals Hospital	$10.70	MOLINA HEALTHCARE MEDICAID	$10.98	2
Hawkins County Memorial Hospital	$10.80	MOLINA HEALTHCARE MEDICAID	$11.09	2
Indian Path Community Hospital	$10.98	MOLINA HEALTHCARE MEDICARE	$10.98	1
Johnson City Medical Center	$10.98	MOLINA HEALTHCARE MEDICARE	$10.98	1
Bristol Regional Medical Center	$11.09	MOLINA HEALTHCARE MEDICARE	$11.09	1
Holston Valley Medical Center	$11.09	MOLINA HEALTHCARE MEDICARE	$11.09	1

Median of all 10 published Molina Healthcare rates for Lab Work at these hospitals: $10.98

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 Lab Work in Tri-Cities (Johnson City-Kingsport-Bristol)

Aetna $10.56 - $75.28 7 hospitals Ambetter $16.94 - $23.02 7 hospitals BlueCross BlueShield of Tennessee $10.29 - $49.04 7 hospitals Cigna $11.09 - $41.69 7 hospitals First Health/Coventry $10.56 - $106.20 7 hospitals Sentara Health Plans $10.29 - $41.17 7 hospitals

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

Frequently Asked Questions

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

The lowest Molina Healthcare negotiated rate for Lab Work in Tri-Cities (Johnson City-Kingsport-Bristol) is $10.70 at Franklin Woods Community Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $11.09 at Holston Valley Medical Center. 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 Lab Work in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Molina Healthcare directly.

Can I get lab work done at a cheaper location with Molina Healthcare?

Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your Molina Healthcare plan covers independent labs like Quest or Labcorp, you may pay significantly less out of pocket. The rates on this page reflect hospital-based pricing only.

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