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 |
|---|---|---|---|---|
| Dilate esophagus CPT 43453 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $822.88 – $864.02 | 12 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $753.72 | $2,284.00 | $1,027.80 – $2,055.60 | 12 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $753.72 | $2,284.00 | $1,027.80 – $2,055.60 | 12 |
| Dilate ic vasospasm init CPT 61640 | $753.72 | $2,284.00 | $1,027.80 – $2,055.60 | 12 |
| Dilate tear duct opening CPT 68801 | not published | not published | $405.30 – $425.57 | 12 |
| Dilate urethra stricture CPT 53600 | not published | not published | $226.68 – $238.01 | 12 |
| Dilate urethra stricture CPT 53601 | not published | not published | $120.71 – $126.75 | 12 |
| Dilate urethra stricture CPT 53605 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Dilate urethra stricture CPT 53621 | not published | not published | $226.68 – $238.01 | 12 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $116.74 – $122.58 | 12 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,085.68 – $1,139.96 | 12 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,085.68 – $1,139.96 | 12 |
| Dilation of salivary duct CPT 42660 | not published | not published | $489.32 – $513.79 | 12 |
| Dilation of urethra CPT 53661 | not published | not published | $120.71 – $126.75 | 12 |
| Dilation of urethra CPT 53665 | not published | not published | $1,896.55 – $1,991.38 | 12 |
| Dilation of vagina CPT 57400 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $632.64 – $664.27 | 12 |
| Dilator fascial 10fx20cm HCPCS C2627 | $415.80 | $1,260.00 | $172.21 – $738.07 | 14 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Dilat xst trc new access rcs CPT 50437 | $3,305.28 | $10,016.00 | $2,253.60 – $4,507.20 | 24 |
| Diltiazem 5 mg/ml intravenous solution HCPCS J1163 | not published | not published | $0.03 – $0.05 | 3 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $18.91 – $61.64 | 2 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $0.98 – $8.72 | 2 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | $1,398.63 | $4,238.27 | $248.90 – $816.25 | 13 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.02 – $1.51 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $25.71 | $77.91 | $0.75 – $15.07 | 17 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $83.64 – $83.64 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $8.91 – $9.50 | 2 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $14.19 – $35.58 | 12 |
| Disability dlco CPT 94727 | $109.23 | $331.00 | $34.13 – $297.90 | 26 |
| Disaccharidases CPT 82657 | $264.66 | $802.00 | $9.98 – $158.40 | 26 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Disarticulation shoulder CPT 23920 | not published | not published | $11,648.21 – $12,230.62 | 12 |
| Discography cerv/thor spine CPT 72285 | $987.69 | $2,993.00 | $98.91 – $2,693.70 | 26 |
| Disconnect insert locking wr HCPCS L6616 | not published | not published | $86.93 – $91.28 | 12 |
| Disconnect locking wrist uni HCPCS L6615 | not published | not published | $234.61 – $246.34 | 12 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $1,614.86 – $1,695.60 | 12 |
| Dis site tele svcs rhc/fqhc HCPCS G2025 | not published | not published | $26.87 – $26.87 | 1 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $5,048.52 – $5,300.95 | 12 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.02 – $49.26 | 2 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $65.80 – $504.99 | 14 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $123.67 – $497.44 | 14 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $61.65 – $247.97 | 14 |
| Dna antibody native/double stranded CPT 86225 | $7.92 | $24.00 | $6.18 – $24.87 | 26 |
| Dna gardnerella CPT 87510 | not published | not published | $9.02 – $36.29 | 14 |
| Dna probe chlamydia CPT 87490 | not published | not published | $10.24 – $41.18 | 14 |
| Dna probe gc CPT 87590 | not published | not published | $12.10 – $48.65 | 14 |
| Dna trichomonas CPT 87660 | not published | not published | $9.02 – $36.29 | 14 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $92.38 | $279.94 | $8.50 – $58.55 | 17 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $5,475.50 | $16,592.42 | $0.69 – $364.77 | 18 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $29.70 – $54.24 | 13 |
| Dolasetron mesylate HCPCS J1260 | $44.65 | $135.29 | $3.89 – $121.76 | 17 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $60.55 – $69.52 | 2 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $20.63 | $62.50 | $0.85 – $42.07 | 17 |
| Doppler echo complete CPT 93320 | $76.23 | $231.00 | $38.58 – $450.00 | 17 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $896.94 | $2,718.00 | $570.78 – $6,139.00 | 15 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $155.43 | $471.00 | $63.55 – $423.90 | 26 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $87.45 | $265.00 | $50.01 – $251.57 | 26 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.45 – $1.07 | 2 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $58.47 – $62.34 | 2 |
| Dornhoffer fixed part w/window HCPCS L8614 | not published | not published | $23,437.87 – $24,609.76 | 12 |
| Dorsi & plantar flex ass/res HCPCS L2220 | not published | not published | $101.79 – $106.88 | 12 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | $13,529.72 | $40,999.16 | $107.56 – $265.65 | 13 |
| Double transfer toe-hand CPT 26554 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $295.82 | $896.42 | $2.95 – $64.01 | 17 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $2,724.53 | $8,256.16 | $96.33 – $113.37 | 13 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.10 – $0.12 | 3 |
| Dpyd gene common variants CPT 81232 | $277.20 | $840.00 | $78.66 – $756.00 | 26 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $24.47 – $25.69 | 12 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $642.47 – $674.59 | 12 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $642.47 – $674.59 | 12 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $642.47 – $674.59 | 12 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $214.89 – $225.63 | 12 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Drainage of bone lesion CPT 26992 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Drainage of bone lesion CPT 27303 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Drainage of eye CPT 65800 | not published | not published | $2,093.83 – $2,198.52 | 12 |
| Drainage of eye CPT 65810 | not published | not published | $2,093.83 – $2,198.52 | 12 |
| Drainage of eye CPT 65815 | not published | not published | $2,093.83 – $2,198.52 | 12 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Drainage of kidney lesion CPT 50390 | $884.40 | $2,680.00 | $603.00 – $1,206.00 | 24 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $214.89 – $225.63 | 12 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $489.32 – $513.79 | 12 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $489.32 – $513.79 | 12 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $214.89 – $225.63 | 12 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $489.32 – $513.79 | 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.