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 |
|---|---|---|---|---|
| Puraply 1 sq cm HCPCS Q4195 | not published | not published | $60.39 – $118.56 | 12 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $112.91 – $118.56 | 12 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $640.43 – $672.45 | 12 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $640.43 – $672.45 | 12 |
| Pwr adpt pneum vad, rep veh HCPCS Q0504 | not published | not published | $849.48 – $891.95 | 12 |
| Pwr pck base combo vad, rep HCPCS Q0489 | not published | not published | $20,123.89 – $21,130.08 | 12 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $41.65 | $126.21 | $16.49 – $113.58 | 17 |
| Pyruvate CPT 84210 | not published | not published | $6.52 – $26.21 | 14 |
| Pyruvate kinase CPT 84220 | not published | not published | $4.25 – $17.09 | 14 |
| Quadrilateral brim HCPCS L2188 | not published | not published | $458.87 – $481.81 | 12 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $58.06 – $126.75 | 12 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $580.80 | $1,760.00 | $200.08 – $1,584.00 | 26 |
| Quant diff pulm perf w/imaging CPT 78597 | $580.80 | $1,760.00 | $147.80 – $1,584.00 | 26 |
| Quest t3 uptake CPT 84479 | $22.11 | $67.00 | $2.91 – $60.30 | 26 |
| Quick disconn hook adapter o HCPCS L6628 | not published | not published | $586.48 – $615.80 | 12 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $124.98 – $537.12 | 3 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | $1,017.95 | $3,084.69 | $148.12 – $493.30 | 13 |
| Rabies ig ht&sol human im/sc CPT 90377 | $3,189.52 | $9,665.20 | $119.96 – $242.25 | 13 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $3,770.01 | $11,424.27 | $140.96 – $305.04 | 13 |
| Rabies vaccine id CPT 90676 | not published | not published | $70.51 – $220.86 | 12 |
| Radiation handling CPT 77790 | not published | not published | $10.97 – $628.00 | 4 |
| Radiation physics consult CPT 77336 | $111.87 | $339.00 | $54.83 – $305.10 | 26 |
| Radiation therapy dose plan CPT 77300 | $67.98 | $206.00 | $47.46 – $199.02 | 26 |
| Radiation therapy management CPT 77431 | not published | not published | $101.71 – $628.00 | 4 |
| Radiation treatment aid(s) CPT 77332 | $90.09 | $273.00 | $32.02 – $245.70 | 26 |
| Radiation treatment aid(s) CPT 77333 | $108.57 | $329.00 | $54.83 – $421.77 | 26 |
| Radiation treatment aid(s) CPT 77334 | $189.42 | $574.00 | $114.79 – $516.60 | 26 |
| Radiation treatment delivery CPT 77401 | not published | not published | $53.32 – $181.00 | 5 |
| Radiation treatment delivery CPT 77402 | $315.15 | $955.00 | $53.32 – $859.50 | 25 |
| Radiation treatment delivery CPT 77412 | $935.55 | $2,835.00 | $82.45 – $2,551.50 | 25 |
| Radiation tx management x5 CPT 77427 | not published | not published | $181.00 – $628.00 | 4 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Radical resection of elbow CPT 24149 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Radiesse injection HCPCS Q2026 | not published | not published | $207.09 – $325.59 | 12 |
| Radiofq trsmtr for implt neu HCPCS L8683 | not published | not published | $6,496.70 – $6,821.54 | 12 |
| Radiof trsmtr implt scrl neu HCPCS L8684 | not published | not published | $853.14 – $895.80 | 12 |
| Radiology port images(s) CPT 77417 | not published | not published | $20.44 – $628.00 | 4 |
| Radiotherapy dose plan imrt CPT 77301 | $1,198.56 | $3,632.00 | $497.14 – $5,584.34 | 26 |
| Radium ra223 dichl ther/uci HCPCS A9606 | $108.21 | $327.90 | $58.91 – $184.23 | 13 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $670.56 | $2,032.00 | $195.83 – $1,828.80 | 26 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $670.56 | $2,032.00 | $153.36 – $1,900.13 | 26 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $670.56 | $2,032.00 | $585.88 – $2,060.84 | 26 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $946.77 | $2,869.00 | $200.08 – $2,582.10 | 26 |
| Radphm lcl tumor plr sgl day CPT 78800 | $202.29 | $613.00 | $120.24 – $739.74 | 26 |
| Radphm quant measure sgl area add-on CPT 78835 | not published | not published | $75.80 – $294.11 | 3 |
| Rad rescj tum dstl/shft hum CPT 24150 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Rad rescj tum shoulder<5 cm CPT 23077 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Rad rescj tum tiss a/e 5 cm+ CPT 24079 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Rad rescj tum tiss a/e <5cm CPT 24077 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Rad resec soft tis tum/ft/toe/<3cm 28046 CPT 28046 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Rad resect abd tumor 5 cm/> CPT 22905 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Rad resect hand tumor < 3 cm CPT 26117 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Rad resect hand tumor 3 cm/> CPT 26118 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Rad resection tum radial h/n CPT 24152 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Rad resect tumor/neck/ant thor/<5cm21557 CPT 21557 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | $8,439.23 | $25,573.41 | $28.20 – $81.05 | 13 |
| Range of motion measurements CPT 95852 | not published | not published | $2.87 – $20.96 | 2 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $69.37 – $80.55 | 13 |
| Rapid desensitization CPT 95180 | not published | not published | $131.81 – $425.57 | 12 |
| Rapid Strep Test CPT 87880 | $37.95 | $115.00 | $7.44 – $103.50 | 26 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | $6,224.84 | $18,863.14 | $127.53 – $411.50 | 13 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | $26,936.21 | $81,624.87 | $113.14 – $245.03 | 13 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $516.55 – $516.55 | 1 |
| Rbc count only automated CPT 85041 | not published | not published | $1.36 – $5.47 | 14 |
| Rbc deglycerolized each unit HCPCS P9039 | not published | not published | $191.79 – $397.37 | 13 |
| Rbc depletion of harvest CPT 38212 | not published | not published | $400.27 – $420.28 | 12 |
| Rbc irradiated each unit HCPCS P9038 | not published | not published | $109.48 – $265.63 | 13 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $3.87 – $15.57 | 14 |
| Rbc o2 co2 reduced HCPCS P9027 | not published | not published | $243.55 – $584.52 | 13 |
| Rbc osmotic fragility CPT 85555 | not published | not published | $3.36 – $13.52 | 14 |
| Rbc serum pretx incubj drugs CPT 86975 | not published | not published | $13.23 – $425.57 | 13 |
| Rcm img acquisj only 1st les CPT 96932 | not published | not published | $14.19 – $14.19 | 1 |
| Rcnst bfrnt sp orb rm&lw fhd CPT 21175 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rcnstj forehead w/autograft CPT 21180 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rcnstj forehead with grafts CPT 21179 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rcnstj mdfc lefort i 1 w/grf CPT 21145 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rcnstj mdfc lefort i 2 w/grf CPT 21146 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rcnstj mdfc lefort iii w/i CPT 21155 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rcnstj mdfc lefort iii without i CPT 21154 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rcnstj mdfc lefrtii w/b1 grf CPT 21151 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rcnst mdfc lfrtiii advm w/i CPT 21160 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rcnst mdfc lfrtiii advm wo i CPT 21159 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rdctj forehead cntrg only CPT 21137 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Rdctj forehead cntrg&prostc CPT 21138 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rdctj forehead cntrg&setback CPT 21139 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Realignment of knee CPT 27457 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Realignment of knee CPT 27455 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Realignment of tendons CPT 26437 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Realignment of thigh bone CPT 27454 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Rebuild eardrum structures CPT 69632 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rebuild eardrum structures CPT 69633 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rebuild eardrum structures CPT 69636 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rebuild outer ear canal CPT 69310 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rebuild outer ear canal CPT 69320 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $5,048.52 – $5,300.95 | 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.