Fort Sanders Regional Medical Center
1901 Clinch Ave, Knoxville, TN · Fsregional · · NPI 1942294814
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $8.97 – $9.65 | 2 |
| Acid perfusion of esophagus CPT 91030 | not published | not published | $99.59 – $355.49 | 13 |
| Acne surgery 10040 CPT 10040 | not published | not published | $182.03 – $191.13 | 12 |
| Aco annual medicare visit (awv), initial g0438aco HCPCS G0438 | not published | not published | $86.85 – $86.85 | 1 |
| Aco annual medicare visit (awv), subsq g0439aco HCPCS G0439 | not published | not published | $58.86 – $58.86 | 1 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | not published | not published | $35.13 – $96.78 | 12 |
| Aco cmplx chron care without pt visit, 60 min 99487aco CPT 99487 | not published | not published | $35.13 – $169.09 | 12 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | not published | not published | $53.31 – $165.35 | 13 |
| Aco depression screen annual medicare g0444aco HCPCS G0444 | not published | not published | $12.62 – $35.69 | 12 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $15.51 | $47.00 | $7.72 – $42.30 | 16 |
| Acoustic immitance testing CPT 92570 | not published | not published | $37.72 – $122.58 | 13 |
| Acoustic refl threshold tst CPT 92568 | not published | not published | $14.19 – $35.58 | 13 |
| Acromp/acromionectomy prtl CPT 23130 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Acth stimulation panel CPT 80402 | not published | not published | $39.13 – $157.40 | 14 |
| Acth stimulation panel CPT 80406 | not published | not published | $35.22 – $141.65 | 14 |
| Actigraphy testing CPT 95803 | not published | not published | $27.28 – $109.33 | 13 |
| Actinotherapy uv light CPT 96900 | not published | not published | $14.19 – $35.58 | 13 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | not published | not published | $16.87 – $46.16 | 13 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | not published | not published | $14.18 – $37.33 | 2 |
| Acup 1/> without estim ea add 15 CPT 97811 | not published | not published | $12.92 – $32.05 | 2 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | not published | not published | $15.61 – $42.06 | 13 |
| Acute hepatitis panel CPT 80074 | $148.50 | $450.00 | $21.43 – $405.00 | 26 |
| Acute venous thrombus image CPT 78456 | not published | not published | $146.90 – $1,233.33 | 14 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | $57.82 | $175.20 | $0.02 – $157.68 | 17 |
| #acylcarnitineprfl CPT 82017 | $36.63 | $111.00 | $7.59 – $99.90 | 26 |
| Acylcarnitines qual CPT 82016 | not published | not published | $7.42 – $29.85 | 14 |
| Adapt behavior tx phys/qhp CPT 97155 | $20.13 | $61.00 | $12.81 – $169.09 | 26 |
| Adapter b 8 channel 10cm HCPCS C1883 | $1,249.22 | $3,785.50 | $408.55 – $1,750.96 | 17 |
| Adaptive behavior tx by tech CPT 97153 | not published | not published | $16.69 – $96.78 | 12 |
| Adding walker to prev cast CPT 29440 | not published | not published | $147.43 – $154.80 | 12 |
| Additional switch, ext power HCPCS L6611 | not published | not published | $509.70 – $535.19 | 12 |
| Add le poly knee custom kafo HCPCS L2387 | not published | not published | $208.88 – $219.32 | 12 |
| Add ue prost a/e acrylic HCPCS L7404 | not published | not published | $688.07 – $722.47 | 12 |
| Add ue prost a/e ultlite mat HCPCS L7401 | not published | not published | $424.81 – $446.05 | 12 |
| Add ue prost b/e acrylic HCPCS L7403 | not published | not published | $455.94 – $478.74 | 12 |
| Add ue prost be/wd, ultlite HCPCS L7400 | not published | not published | $379.46 – $398.43 | 12 |
| Add ue prost s/d acrylic HCPCS L7405 | not published | not published | $899.94 – $944.94 | 12 |
| Add ue prost s/d ultlite mat HCPCS L7402 | not published | not published | $458.70 – $481.64 | 12 |
| Add up-ex prosthes lock mech HCPCS L6698 | not published | not published | $703.98 – $739.18 | 12 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $413.38 | $1,252.68 | $0.54 – $37.84 | 17 |
| Adenovirus ag ia CPT 87301 | not published | not published | $5.39 – $21.68 | 14 |
| Adenovirus antibody,serum - quest CPT 86603 | not published | not published | $5.79 – $23.29 | 14 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $7.67 – $39.39 | 14 |
| Adenovirus vaccine type 4 CPT 90476 | not published | not published | $178.99 – $178.99 | 1 |
| Adhesive, liquid or equal HCPCS A4364 | not published | not published | $3.73 – $3.92 | 12 |
| Adh-sendout CPT 84588 | $46.20 | $140.00 | $15.27 – $126.00 | 26 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $822.88 – $864.02 | 12 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | not published | not published | $0.26 – $0.56 | 2 |
| Admin ecg contrast agent CPT 93352 | not published | not published | $37.51 – $450.00 | 3 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $36.30 | $110.00 | $23.10 – $161.00 | 26 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $41.91 | $127.00 | $26.59 – $161.00 | 26 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $166.98 | $506.00 | $139.73 – $455.40 | 26 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $166.98 | $506.00 | $89.89 – $455.40 | 26 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $48.18 | $146.00 | $26.59 – $191.00 | 26 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $48.18 | $146.00 | $26.59 – $191.00 | 26 |
| Administration immunization 1 vaccine CPT 90471 | $36.30 | $110.00 | $18.88 – $99.00 | 26 |
| Administration immunization each additional component CPT 90461 | not published | not published | $14.51 – $14.51 | 1 |
| Administration immunization each additional vaccine CPT 90472 | $33.99 | $103.00 | $14.51 – $92.70 | 16 |
| Administration immunization first component each vaccine CPT 90460 | not published | not published | $18.88 – $18.88 | 1 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | not published | not published | $18.88 – $68.59 | 13 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | not published | not published | $14.51 – $14.51 | 1 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $24.78 – $24.78 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | $33.99 | $103.00 | $17.39 – $92.70 | 26 |
| Administration vaccine influenza virus HCPCS G0008 | $33.99 | $103.00 | $17.39 – $92.70 | 26 |
| Administration vaccine pneumococcal HCPCS G0009 | $33.99 | $103.00 | $17.39 – $92.70 | 26 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $21.32 – $21.32 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $7,179.03 | $21,754.63 | $14.78 – $45.95 | 13 |
| Adrenal cortex & medulla img CPT 78075 | not published | not published | $192.11 – $1,293.80 | 14 |
| Adv prim care mgmt lvl 1 HCPCS G0556 | not published | not published | $14.90 – $35.69 | 12 |
| Adv prim care mgmt lvl 2 HCPCS G0557 | not published | not published | $14.90 – $35.69 | 12 |
| Adv prim care mgmt lvl 3 HCPCS G0558 | not published | not published | $46.25 – $96.78 | 12 |
| Aep hearing status deter i&r CPT 92651 | not published | not published | $69.78 – $205.70 | 13 |
| Aep neurodiagnostic i&r CPT 92653 | $235.62 | $714.00 | $97.66 – $642.60 | 26 |
| Aep thrshld est mlt freq i&r CPT 92652 | not published | not published | $132.23 – $205.70 | 13 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $1,609.45 – $3,461.60 | 13 |
| Afamitresgene autoleucel HCPCS Q2057 | not published | not published | $684,341.38 – $839,975.80 | 13 |
| _afb id by dna probe rflx ast CPT 87149 | not published | not published | $9.02 – $36.29 | 14 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $3.29 – $13.23 | 14 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $115.50 | $350.00 | $51.91 – $208.80 | 26 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $61.65 – $247.97 | 14 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $123.67 – $497.44 | 14 |
| Aflibercept injection HCPCS J0178 | not published | not published | $490.19 – $832.65 | 13 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $8.14 – $8.14 | 1 |
| Afo molded ankle gauntlet HCPCS L1904 | not published | not published | $540.36 – $567.38 | 12 |
| Afo molded plas rig ant tib HCPCS L1945 | not published | not published | $1,128.15 – $1,184.56 | 12 |
| Afo molded to patient plasti HCPCS L1940 | not published | not published | $614.33 – $645.05 | 12 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $2,473.35 | $7,495.00 | $1,102.62 – $6,745.50 | 26 |
| Afo sing bar clasp attach sh HCPCS L1910 | not published | not published | $307.30 – $322.67 | 12 |
| Afo sing solid stirrup calf HCPCS L1980 | not published | not published | $421.73 – $442.82 | 12 |
| Afo sing upright with adjust s HCPCS L1920 | not published | not published | $401.73 – $421.82 | 12 |
| Afo spiral molded to pt plas HCPCS L1950 | not published | not published | $855.92 – $898.72 | 12 |
| Afo sprng wir drsflx calf bd HCPCS L1900 | not published | not published | $347.57 – $364.95 | 12 |
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $695.27 – $730.03 | 12 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,227.78 – $1,289.17 | 12 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $781.31 – $820.38 | 12 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $666.99 – $700.34 | 12 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $878.76 – $922.70 | 12 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $582.98 – $612.13 | 12 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.