NHC Advantage MRI Rates in Tri-Cities (Johnson City-Kingsport-Bristol)

Published NHC Advantage negotiated rates for MRI at 7 hospitals in Tri-Cities (Johnson City-Kingsport-Bristol), TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$227.30

Hawkins County Memorial Hospital

all plan types

Highest Rate

$237.67

Holston Valley Medical Center

all plan types

Rate Spread

1x

across all plan types

Hospitals

7

with NHC Advantage data

Why the range is so wide: NHC Advantage 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.

NHC Advantage MRI Rates by Hospital

Hospital Lowest NHC Advantage Rate
Hawkins County Memorial Hospital $227.30
Indian Path Community Hospital $227.30
Sycamore Shoals Hospital $227.30
Franklin Woods Community Hospital $227.47
Johnson City Medical Center $233.78
Bristol Regional Medical Center $237.67
Holston Valley Medical Center $237.67

Median of all 14 published NHC Advantage rates for MRI at these hospitals: $227.47

Rates shown are NHC Advantage's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all NHC Advantage 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 NHC Advantage Negotiated Rates

A negotiated rate is the price NHC Advantage 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 NHC Advantage 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 MRI in Tri-Cities (Johnson City-Kingsport-Bristol)

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

Frequently Asked Questions

Where is the lowest-cost NHC Advantage MRI in Tri-Cities (Johnson City-Kingsport-Bristol)?

The lowest NHC Advantage negotiated rate for MRI in Tri-Cities (Johnson City-Kingsport-Bristol) is $227.30 at Hawkins County Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $237.67 at Holston Valley Medical Center. Commercial plan rates typically fall between these extremes.

Is the NHC Advantage negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what NHC Advantage 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 NHC Advantage for a pre-service cost estimate specific to your plan.

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

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

Do I need a referral for an MRI with NHC Advantage?

Most NHC Advantage plans require a referral or prior authorization for an MRI. Without it, the hospital may bill you at a higher rate or your claim could be denied. Contact NHC Advantage before scheduling to confirm your plan's requirements.

We are not affiliated with NHC Advantage 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 NHC Advantage 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 NHC Advantage website: www.nhcadvantage.com