Lab Work Cost in Morristown, TN

How much does a lab work cost without insurance in Morristown?

Cash prices differ by hospital and code. At Morristown-Hamblen, the CBC with Differential (85025) is $27 and the CMP (80053) is $70.20. At Tennova Jefferson Memorial, the CBC is $69.52 and the CMP is $169.30. Across both hospitals and both codes, cash prices range from $27 to $169.30. The CMP costs more than the CBC at both hospitals: $43.20 more at Morristown-Hamblen and $99.78 more at Tennova Jefferson Memorial. These figures are facility fees, meaning the hospital's charge for staff, equipment, and laboratory resources. Physician or professional fees are billed separately and are not included in these prices.

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

The gross charge is the hospital's chargemaster price, a standard list price that serves as a starting point for billing. Almost no one pays it. Cash prices and insurer-negotiated rates are far lower. At Morristown-Hamblen, cash prices are about 30% of gross: $27 against $90 for the CBC, and $70.20 against $234 for the CMP. At Tennova Jefferson Memorial, cash prices are about 22% of gross: $69.52 against $314.14 for the CBC, and $169.30 against $765.01 for the CMP. Tennova's larger percentage discount still produces higher cash prices because its gross charges start much higher.

Does insurance cover a lab work?

Coverage depends on the specific plan and on medical necessity as determined by the insurer. Negotiated rates vary widely. For the CMP, the dataset lists 266 payer rates, from $10.01 to $765.01. For the CBC, 121 payer rates range from $10.79 to $314.14. Prior authorization requirements, which are insurer approvals obtained before a service, can apply to some non-emergency services, depending on the plan. For people on high-deductible health plans who have not yet met their deductible, the amount owed is the negotiated rate for the test, not the gross charge. Plan documents or the insurer can confirm what a specific plan covers.

Are there additional fees beyond the lab work facility charge?

Yes. The prices listed here are facility fees, which cover the hospital's laboratory staff, equipment, and resources. Other charges are billed separately. For lab tests, the ordering physician typically reviews results as part of a separate office visit, not as a standalone fee. If a blood draw takes place in the emergency department, separate ER facility fees apply in addition to the lab charges. Physician or professional fees are billed by the provider rather than the hospital, and they do not appear in the hospital's published price files for these codes.

What is the cash price for a CMP at Morristown-Hamblen Hospital?

Morristown-Hamblen Hospital lists a cash price of $70.20 for the Comprehensive Metabolic Panel (CMP), billing code 80053. That is 30% of its $234 gross charge. This is a facility charge only and does not include any separate professional fees. A cash price is published for this code, so the figure is not missing.

How much does a CBC with differential cost in Morristown, TN?

For the Complete Blood Count (CBC) with Differential, code 85025, Morristown-Hamblen Hospital shows a cash price of $27 and a gross charge of $90. Tennova Jefferson Memorial Hospital shows $69.52 cash and $314.14 gross. All figures are facility charges only, and no gross charge or cash price is missing for this code.

What are the lowest and highest cash prices for lab work in Morristown?

Published cash prices on this page run from $27 at Morristown-Hamblen Hospital (85025) to $169.30 at Tennova Jefferson Memorial Hospital (80053). The highest is about 6x the lowest. Both hospitals publish a cash price for every code listed, and these are facility charges only.

How much does Tennova Jefferson Memorial Hospital charge in cash for a CMP?

Tennova Jefferson Memorial Hospital lists a cash price of $169.30 for the Comprehensive Metabolic Panel (CMP), code 80053, against a gross charge of $765.01. The cash price is 22% of gross. This is a facility charge only, and the cash price is published rather than missing.

What does Wellpoint Medicaid Tenncare pay for a CMP at Morristown-Hamblen Hospital?

Wellpoint Medicaid Tenncare has a published rate of $4.75 for the CMP (80053) at Morristown-Hamblen Hospital, the lowest in the payer table of 236 published rates. The highest is $210.60, from Galaxy Health Network PPO, about 44x the lowest. These are facility rates only.