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

Lab work at a hospital involves a blood draw, in which a trained staff member collects a small sample of blood, usually from a vein in the arm. The sample is then processed by analyzers in the hospital laboratory, which produce numerical results for specific blood components. A Complete Blood Count (CBC) with Differential, billed under HCPCS code 85025, measures blood cell counts and their proportions. A Comprehensive Metabolic Panel (CMP), billed under HCPCS code 80053, measures a group of chemical values in blood serum. The facility fee covers the hospital's equipment, laboratory staff, and supplies. Prices on this page come from CMS-mandated hospital transparency files.

Data last accessed by us: 2026-10-15 · Newest hospital file date among hospitals below: 3/23/2026

Data may be outdated

This hospital's pricing file has not been updated since 2026-03-23 (206 days ago). Prices may not reflect current charges. Contact the hospital directly for current pricing.

Scope note: These are hospital lab fees only. Independent labs (Quest Diagnostics, LabCorp, etc.) typically charge significantly less for routine blood work but are not covered by the CMS Hospital Price Transparency Rule, so they are not included in this data.

Comprehensive Metabolic Panel (CMP) (HCPCS 80053)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
Bristol Regional	$118	$17.70	$5.28	$118	Schedule →
Franklin Woods	$118	$17.70	$5.28	$118	Schedule →
Hawkins County Memorial	$118	$17.70	$5.28	$118	Schedule →
Holston Valley	$118	$17.70	$5.28	$118	Schedule →
Indian Path	$118	$17.70	$5.28	$118	Schedule →
Johnson City Medical Center	$118	$17.70	$5.28	$118	Schedule →
Sycamore Shoals	$118	$17.70	$5.28	$118	Schedule →

Complete Blood Count (CBC) with Differential (HCPCS 85025)

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Hospital	Gross Charge	Cash Price	Low Insured	High Insured
Bristol Regional	$90	$13.50	$3.89	$90	Schedule →
Franklin Woods	$90	$13.50	$3.89	$90	Schedule →
Hawkins County Memorial	$90	$13.50	$3.89	$90	Schedule →
Holston Valley	$90	$13.50	$3.89	$90	Schedule →
Indian Path	$90	$13.50	$3.89	$90	Schedule →
Johnson City Medical Center	$90	$13.50	$3.89	$90	Schedule →
Sycamore Shoals	$90	$13.50	$3.89	$90	Schedule →

What These Prices Mean

Understanding the price columns The gross charge is the hospital's full list price, also called the chargemaster price. For the CBC (85025), every hospital in this dataset lists a gross charge of $90; for the CMP (80053), the gross charge is $118. The cash price is what an uninsured or self-pay patient is quoted: $13.50 for the CBC and $17.70 for the CMP, which is 15% of gross in both cases. The insured range reflects negotiated rates between hospitals and insurers. The listed upper bound equals the gross charge ($90 and $118), while the lower bound is not reported (N/A) in the summary data. Patients on high-deductible plans who have not met their deductible owe the negotiated rate for their plan, not the gross charge. Code variations The two billing codes describe different tests, so they carry different prices. Code 85025 covers a CBC with a differential, which counts blood cells and breaks white cells into types. Code 80053 covers a CMP, a panel of multiple chemistry measurements. At every hospital, the CMP gross charge is $28 higher than the CBC ($118 versus $90), and the cash price is $4.20 higher ($17.70 versus $13.50).

Why Lab Work Prices Vary

Hospital pricing structures Among the seven hospitals compared, the posted gross charges and cash prices are identical for each code. The gross charge gap between hospitals is $0 for both the CBC ($90) and the CMP ($118), and the cash price gap is also $0. Every hospital applies the same discount, with cash prices set at about 15% of gross. Because the starting gross charge and the discount percentage are the same everywhere, no hospital differs in posted self-pay pricing for these two tests. Facility type and alternatives The dataset includes a mix of regional medical centers and community hospitals, including Johnson City Medical Center, Holston Valley Medical Center, Bristol Regional Medical Center, and smaller facilities such as Hawkins County Memorial Hospital. Larger medical centers often carry higher overhead, but the posted lab prices here do not reflect a difference by facility type. Outpatient or freestanding laboratories, which are not in this dataset, may charge differently. Within this dataset, cash prices range from $13.50 for the CBC to $17.70 for the CMP. The variation that does appear is in payer-specific negotiated rates, not in cash or gross prices.

Paying cash? Health insurance could lower your Lab Work cost.

Published cash prices on this page range from $13.50 to $17.70. The lowest insured rate in the price table is $3.89 (Bristol Regional Medical Center). Insured rates depend on the plan, and the lowest are often Medicaid, CHIP or Medicare Advantage plans, so they may not reflect what a commercial or marketplace plan pays. If you are uninsured, a marketplace health plan could reduce your out-of-pocket cost for this procedure.

Compare Health Insurance Plans → Get Free Plan Estimate →

Links go to Healthcare.gov, the official federal health insurance marketplace. We are not affiliated with Healthcare.gov or any insurance provider. This is not a recommendation for any specific plan.

Compare Insurer Rates for Lab Work in Tri-Cities (Johnson City-Kingsport-Bristol)

How much does each insurance company pay for lab work at Tri-Cities (Johnson City-Kingsport-Bristol) hospitals?

Insurer	Lowest Rate	At Hospital	Highest Rate	Hospitals
BlueCross BlueShield of Tennessee	$10.29	Franklin Woods Community Hospital	$49.04	7
Sentara Health Plans	$10.29	Franklin Woods Community Hospital	$41.17	7
Aetna	$10.56	Bristol Regional Medical Center	$75.28	7
First Health/Coventry	$10.56	Franklin Woods Community Hospital	$106.20	7
UnitedHealthcare	$10.56	Bristol Regional Medical Center	$13.47	7
Molina Healthcare	$10.70	Franklin Woods Community Hospital	$11.09	7
Cigna	$11.09	Bristol Regional Medical Center	$41.69	7
WellCare	$11.19	Bristol Regional Medical Center	$118	7

Rates shown are the lowest and highest negotiated rates each insurer has published across Tri-Cities (Johnson City-Kingsport-Bristol) hospitals for this procedure. Your actual cost depends on your plan's deductible, copay, and coinsurance.

What Insurers Actually Pay

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Published negotiated rates for Comprehensive Metabolic Panel (CMP) (HCPCS 80053) at Bristol Regional, outpatient facility fee:

Comprehensive Metabolic Panel (CMP) (80053), Bristol Regional Payer Rates

Insurance Payer	Plan Type	Negotiated Rate
AMERIGROUP	AMERIGROUP	$5.28
UNITED HEALTHCARE	TENNCARE UNITED HEALTHCARE	$8.98
BLUE CROSS	ANTHEM HLTHKEEP MEDICIAD	$9.64
UNITED HEALTHCARE	UNITED HEALTHCARE MEDICAID VIRGINIA	$9.64
OPTIMA HEALTH	OPTIMA HEALTH MEDICAID	$9.65
AETNA	AETNA BETTER HEALTH OF VIRGINIA	$9.73
MOLINA HEALTHCARE	MOLINA HEALTHCARE MEDICAID	$9.83
AETNA	AETNA HEALTHCARE MEDICARE	$10.56
ALLCARE MEDICARE	ALLCARE MEDICARE	$10.56
BLUE CROSS	ANTHEM EXCHANGE	$10.56
BLUE CROSS	ANTHEM HMO	$10.56
BLUE CROSS	ANTHEM PPO, TRADITIONAL INDEMNITY	$10.56
HUMANA	HUMANA MEDICARE	$10.56
MANAGED MEDICAIRE	MANAGED MEDICAIRE	$10.56
SENTARA HEALTH	SENTARA MEDICARE	$10.56
UNITED HEALTHCARE	UHC HERITAGE SELECT	$10.56
UNITED HEALTHCARE	UNITED HEALTHCARE	$10.56
UNITED HEALTHCARE	UNITED HEALTHCARE MEDICARE	$10.56
UNITED MINE WORKERS OF AMERICA	UNITED MINE WORKERS OF AMERICA	$10.56
AETNA	AETNA BETTER HEALTH OF VIRGINIA MEDICARE	$10.88
BLUE CROSS	ANTHEM MEDICARE VIRGINIA	$10.88
AMERIGROUP	AMERIGROUP MEDICARE WELLPOINT	$10.98
BLUE CROSS	BLUE CROSS MEDICARE	$10.98
UNITED HEALTHCARE	UHC HERITAGE RIVER VALLEY	$10.98
CIGNA HEALTHCARE	CIGNA MEDICARE	$11.09
DEVOTED HEALTH PLAN	DEVOTED HEALTH PLAN MEDICARE	$11.09
MOLINA HEALTHCARE	MOLINA HEALTHCARE MEDICARE	$11.09
MOUNTAIN EMPIRE PACE	MOUNTAIN EMPIRE PACE	$11.09
NHC ADVANTAGE	NHC ADVANTAGE	$11.09
WELLCARE	WELLCARE MEDICARE	$11.19
BLUE CROSS	TENNCARE BLUE CARE	$12.70
BLUE CROSS	TENNCARE BLUE SELECT	$12.70
AMBETTER	AMBETTER	$23.02
CIGNA HEALTHCARE	CIGNA INDIVIDUAL FAMILY PLAN	$23.10
SEVEN CORNERS, INC.	SEVEN CORNERS, INC.	$25.34
BLUE CROSS	BLUE CROSS BALLAD HEALTH EMPLOYEE	$26.57
SENTARA HEALTH	SENTARA HEALTH	$30.46
BLUE CROSS	BLUE CROSS E NETWORK	$37.98
BLUE CROSS	BLUE CROSS P NETWORK	$38.81
BLUE CROSS	BLUE CROSS S NETWORK	$38.81
CIGNA HEALTHCARE	CIGNA HMO	$42.52
CIGNA HEALTHCARE	CIGNA OPEN ACCESS PLUS	$42.52
CIGNA HEALTHCARE	CIGNA PPO	$42.52
AETNA	AETNA	$50.39
MEDCOST	MEDCOST VHN	$56.16
FIRST HEALTH COVENTRY	FIRST HEALTH COVENTRY	$90.86
WELLCARE	WELLCARE MEDICAID	$118

Key finding: Negotiated CMP rates range from $10.29 (Anthem HealthKeepers Medicaid at Franklin Woods) to $118 (WellCare Medicaid at Indian Path), an 11x gap for the same test.

What to Do With These Lab Work Prices

Start with the two codes. This page prices 80053 (comprehensive metabolic panel) and 85025 (CBC with differential). Ask the office that ordered the draw which exact test codes are on the order, then ask the hospital lab for its cash price on each code and an itemized estimate. A single blood draw can include several codes plus a separate specimen collection (venipuncture) charge, so ask whether that charge is included.

Compare against the page. Every row here lists a published cash price: $17.70 for 80053 and $13.50 for 85025, and all seven hospitals show the same figures. Insured rates for the CMP run from $5.28 up to $118, so a cash quote can land above or below what an insurer pays. If a quote or bill is higher than these numbers, you can ask the billing office to explain the difference.

Look closely at the bill. Check these items:

The number of tests billed, and whether the same panel appears twice.
A separate line for the blood draw.
A facility charge from the hospital versus a professional fee, such as a pathologist reading, which can arrive as its own bill.

Independent labs are not in this data. Hospital outpatient labs and independent labs can price the same test very differently, and the independent labs are not on this page. This page has no blank or $0 cash prices, so no row is missing data. The figures are hospital facility charges only.

Financial assistance and discounts. Nonprofit hospitals are required to publish a financial assistance policy, and the billing office can send it with an application. Some hospitals also offer prompt-pay or self-pay discounts; these vary by hospital and are not included in this data. If you are uninsured or not using insurance for scheduled care, you can ask the provider for a good faith estimate before the appointment.

General information about using published prices, not medical, legal or financial advice. Confirm your own cost with the hospital and your insurer. Our methodology · Medical Disclaimer

What Patients Ask About Lab Work Costs

How much does a lab work cost without insurance in Tri-Cities (Johnson City-Kingsport-Bristol)?

Without insurance, the posted cash price for a CBC with Differential (85025) is $13.50 at all seven hospitals: Bristol Regional, Franklin Woods, Hawkins County Memorial, Holston Valley, Indian Path, Johnson City Medical Center, and Sycamore Shoals. The posted cash price for a Comprehensive Metabolic Panel (80053) is $17.70 at each of the same hospitals. The overall range is $13.50 to $17.70. The CMP costs $4.20 more than the CBC. These amounts are facility fees, which cover the hospital's laboratory equipment, staff, and supplies. Physician or professional fees are billed separately.

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

The gross charge, also called the chargemaster price, is the hospital's standard list price before any discounts or negotiated rates. Almost no one pays it. At all seven hospitals, the CBC gross charge is $90 against a $13.50 cash price, and the CMP gross charge is $118 against a $17.70 cash price. In both cases, cash is 15% of gross, an 85% discount. Because the gross charge and the discount percentage are identical across hospitals, no hospital shows a higher cash price despite a larger percentage discount. Insurers negotiate their own rates, which are usually well below gross.

Does insurance cover a lab work?

Coverage depends on your specific plan and on whether the test is considered medically necessary by your insurer. Negotiated rates vary widely: CMP rates in the data range from $10.29 to $118 across 288 payer rates, and CBC rates range from $13.86 to $90 across 118 payer rates. Prior authorization requirements for non-emergency testing differ by plan, so your insurer can confirm whether one applies. If you have a high-deductible plan and have not met your deductible, you owe the negotiated rate for your plan, not the gross charge, until the deductible is satisfied.

Are there additional fees beyond the lab work facility charge?

Yes. The prices listed here are facility fees only, covering the hospital's laboratory equipment, staff, and supplies. The ordering physician typically reviews results as part of a separate office visit, which is billed separately rather than as a standalone fee for interpreting the results. If a pathologist or other physician provides professional services connected to the testing, those fees are billed separately as well. Lab work performed in the emergency department incurs a separate ER facility fee in addition to the test charges. None of these additional fees are included in the prices shown on this page, and amounts vary by provider and plan.

What is the cash price for a CBC with differential at Johnson City Medical Center?

Johnson City Medical Center publishes a cash price of $13.50 for the CBC with differential (code 85025), against a gross charge of $90. The page shows cash at 15% of gross. These are facility charges only, so separate professional fees are not included. The data is not missing for this row.

What is the lowest and highest cash price for lab work in the Tri-Cities?

Across the 7 hospitals on this page, published cash prices run from $13.50 for the CBC with differential (85025) to $17.70 for the comprehensive metabolic panel (80053). Bristol Regional Medical Center shows both ends of that range. All 14 price rows have a published cash price, and these are facility charges only.

How much is a comprehensive metabolic panel at Holston Valley Medical Center in Kingsport?

Holston Valley Medical Center lists a cash price of $17.70 for the comprehensive metabolic panel (80053), with a gross charge of $118. Insured rates for this code at the hospital range from $5.28 to $118. All figures are facility charges only, and none of them is missing or $0.

What does AMERIGROUP pay for a comprehensive metabolic panel at Bristol Regional Medical Center?

AMERIGROUP has the lowest published rate in the payer table for the comprehensive metabolic panel (80053) at Bristol Regional Medical Center, at $5.28. For comparison, AETNA is listed at $50.39 and WELLCARE MEDICAID at $118. The table holds 47 rates, and these are facility charges only.

Do hospitals in Johnson City, Kingsport and Bristol charge different prices for the same lab test?

On this page they do not. All 7 hospitals, which belong to Ballad Health, show the same figures: for code 80053, a gross charge of $118 and a cash price of $17.70; for code 85025, a gross charge of $90 and a cash price of $13.50. These are facility charges only.

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Data Sources

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Heads up: source files are large

Hospital CMS transparency files typically range from tens of megabytes to several hundred megabytes. Clicking a link below will open the file in a new tab and may trigger a large download, which can consume mobile data or slow down older devices. These files are intended for data processing, not casual viewing.

Bristol Regional Medical Center

File updated: 2026-03-23 · Accessed by us: 2026-10-15

Attested by: Shana Tate

We are not affiliated with Bristol Regional Medical Center. Published prices may not reflect your actual cost. Disclaimer

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