Fort Loudoun Medical Center
550 Fort Loudoun Medical Center Dr, Lenoir City, TN · Fsregional · · NPI 1609860659
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 |
|---|---|---|---|---|
| Whole mitochondrial genome CPT 81460 | not published | not published | $579.15 – $2,329.47 | 14 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $421.20 – $1,694.16 | 14 |
| Who nontorsion jnts pre cst HCPCS L3915 | not published | not published | $597.78 – $627.67 | 12 |
| Who nontorsion jnts pre ots HCPCS L3916 | not published | not published | $597.78 – $627.67 | 12 |
| Wilate injection HCPCS J7183 | $2.89 | $8.76 | $0.48 – $7.88 | 26 |
| Wipe adh remover univ ostomy adh/barrier remover HCPCS A4456 | not published | not published | $0.35 – $0.37 | 12 |
| Woman's shoe oxford brace HCPCS L3224 | not published | not published | $67.57 – $70.95 | 12 |
| Wound closure by adhesive HCPCS G0168 | not published | not published | $105.89 – $105.89 | 1 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $112.91 – $118.56 | 12 |
| Wound pouch each HCPCS A6154 | not published | not published | $20.49 – $21.51 | 12 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | not published | not published | $46.09 – $387.26 | 14 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | not published | not published | $46.54 – $387.26 | 14 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $101.31 | $307.00 | $50.35 – $276.30 | 26 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $205.59 | $623.00 | $59.14 – $560.70 | 26 |
| Wrist arthroscopy CPT 29840 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Wrist arthroscopy/surgery CPT 29843 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Wrist arthroscopy/surgery CPT 29844 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Wrist arthroscopy/surgery CPT 29845 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Wrist arthroscopy/surgery CPT 29846 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Wrist arthroscopy/surgery CPT 29847 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Wrist/elbow bowden cable mol HCPCS L6580 | not published | not published | $2,045.72 – $2,148.01 | 12 |
| Wrist/elbow bowden cbl dir f HCPCS L6582 | not published | not published | $1,852.87 – $1,945.51 | 12 |
| Wrist endoscopy/surgery CPT 29848 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Wrist X-ray CPT 73110 | $144.21 | $437.00 | $19.16 – $126.06 | 14 |
| Wrst mld sck flx hng tri pad HCPCS L6050 | not published | not published | $2,325.60 – $2,441.88 | 12 |
| Xcapsl ctrc rmvl cplx w/ecp CPT 66987 | not published | not published | $3,750.15 – $3,937.66 | 12 |
| Xcapsl ctrc rmvl cplx wo ecp CPT 66982 | not published | not published | $2,093.83 – $2,198.52 | 12 |
| Xcapsl ctrc rmvl insj 1+ CPT 66991 | not published | not published | $4,827.88 – $5,069.27 | 12 |
| Xcapsl ctrc rmvl w/ecp CPT 66988 | not published | not published | $3,750.15 – $3,937.66 | 12 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $14.98 – $16.54 | 2 |
| Xcpsl ctrc rmvl cplx insj 1+ CPT 66989 | not published | not published | $4,827.88 – $5,069.27 | 12 |
| Xe133 xenon 10mci HCPCS A9558 | $108.58 | $329.02 | $69.09 – $302.85 | 15 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $411.30 – $1,654.34 | 14 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $0.02 – $1,654.34 | 14 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $5.89 – $60.99 | 14 |
| X-ray abdomen 1 view CPT 74018 | $64.68 | $196.00 | $16.66 – $176.40 | 26 |
| X-ray abdomen 2 views CPT 74019 | $85.80 | $260.00 | $19.95 – $234.00 | 26 |
| X-ray abdomen >=3 views CPT 74021 | $102.30 | $310.00 | $23.24 – $279.00 | 26 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $102.30 | $310.00 | $26.18 – $279.00 | 26 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $121.11 | $367.00 | $23.91 – $330.30 | 26 |
| X-ray ankle 2 views (both sides) CPT 73600 | $102.30 | $310.00 | $17.76 – $99.33 | 14 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $372.24 | $1,128.00 | $74.34 – $411.77 | 14 |
| X-ray assay calculus CPT 82370 | not published | not published | $5.63 – $22.66 | 14 |
| X-ray bone age studies CPT 77072 | $98.34 | $298.00 | $12.00 – $268.20 | 26 |
| X-ray bone length studies CPT 77073 | $67.32 | $204.00 | $25.61 – $183.60 | 26 |
| X-ray bone survey complete CPT 77075 | $207.57 | $629.00 | $52.56 – $566.10 | 26 |
| X-ray bone survey infant CPT 77076 | $67.32 | $204.00 | $34.44 – $333.92 | 26 |
| X-ray cervical spine 2-3 views CPT 72040 | $63.03 | $191.00 | $21.44 – $171.90 | 26 |
| X-ray cervical spine 4-5 views CPT 72050 | $127.38 | $386.00 | $31.64 – $347.40 | 26 |
| X-ray cervical spine >= 6 views CPT 72052 | $133.32 | $404.00 | $39.91 – $363.60 | 26 |
| X-ray clavicle complete (both sides) CPT 73000 | $133.32 | $404.00 | $18.80 – $99.33 | 14 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $180.18 | $546.00 | $52.56 – $494.28 | 26 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $182.16 | $552.00 | $52.56 – $710.01 | 26 |
| X-ray consultation CPT 76140 | not published | not published | $15.50 – $109.98 | 2 |
| X-ray elbow 2 views (both sides) CPT 73070 | $88.11 | $267.00 | $18.80 – $90.11 | 14 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $131.34 | $398.00 | $20.38 – $100.47 | 14 |
| Xray endovasc thor ao repr CPT 75956 | not published | not published | $216.00 – $494.49 | 2 |
| Xray endovasc thor ao repr CPT 75957 | not published | not published | $216.00 – $423.15 | 2 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $107.58 | $326.00 | $41.66 – $313.23 | 26 |
| X-ray exam entire spi 4/5 vw CPT 72083 | not published | not published | $45.58 – $243.95 | 14 |
| X-ray exam entire spi 6/> vw CPT 72084 | not published | not published | $55.04 – $305.65 | 14 |
| X-ray exam of arm infant CPT 73092 | $110.22 | $334.00 | $17.76 – $99.59 | 14 |
| X-ray exam of eye sockets CPT 70200 | $86.46 | $262.00 | $27.94 – $235.80 | 26 |
| X-ray exam of femur 1 CPT 73551 | $144.54 | $438.00 | $17.50 – $90.11 | 14 |
| X-ray exam of jaw joint CPT 70328 | $52.14 | $158.00 | $17.76 – $107.76 | 14 |
| X-ray exam of jaw joint CPT 70332 | not published | not published | $74.34 – $268.47 | 14 |
| X-ray exam of mastoids CPT 70120 | not published | not published | $22.14 – $120.05 | 14 |
| X-ray exam of middle ear CPT 70134 | $276.21 | $837.00 | $26.18 – $753.30 | 26 |
| X-ray exam of penis CPT 74445 | not published | not published | $39.91 – $99.59 | 13 |
| X-ray exam of perineum CPT 74775 | $134.31 | $407.00 | $51.86 – $366.30 | 25 |
| X-ray exam of salivary gland CPT 70380 | not published | not published | $23.91 – $116.85 | 14 |
| X-ray exam of sinuses CPT 70210 | $57.42 | $174.00 | $22.14 – $156.60 | 26 |
| X-ray exam of tear duct CPT 70170 | not published | not published | $33.40 – $227.30 | 13 |
| X-ray exam of teeth CPT 70300 | not published | not published | $9.13 – $82.91 | 14 |
| X-ray exam of teeth CPT 70310 | not published | not published | $14.94 – $227.30 | 14 |
| X-ray exam si joints CPT 72200 | $63.69 | $193.00 | $18.80 – $173.70 | 26 |
| X-ray exam thorac spine4/>vw CPT 72074 | $99.99 | $303.00 | $32.34 – $272.70 | 26 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $129.36 | $392.00 | $14.94 – $100.60 | 14 |
| X-ray facial bones complete > 3 views CPT 70150 | $99.33 | $301.00 | $27.94 – $270.90 | 26 |
| X-ray fallopian tube CPT 74742 | not published | not published | $77.74 – $111.28 | 2 |
| X-ray femur >=2 views (both sides) CPT 73552 | $144.54 | $438.00 | $20.76 – $108.79 | 14 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $144.21 | $437.00 | $14.94 – $115.33 | 14 |
| X-ray foot 2 views (both sides) CPT 73620 | $99.33 | $301.00 | $17.76 – $87.04 | 14 |
| X-ray forearm 2 views (both sides) CPT 73090 | $144.21 | $437.00 | $18.80 – $90.11 | 14 |
| X-ray hand 2 views (both sides) CPT 73120 | $122.10 | $370.00 | $17.76 – $99.59 | 14 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $11.07 – $82.91 | 14 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $122.10 | $370.00 | $17.05 – $89.09 | 14 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $149.49 | $453.00 | $33.81 – $182.57 | 14 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $212.85 | $645.00 | $25.33 – $580.50 | 26 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $212.85 | $645.00 | $30.56 – $580.50 | 26 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $212.85 | $645.00 | $36.76 – $580.50 | 26 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $146.85 | $445.00 | $18.15 – $100.60 | 14 |
| X-ray humerus >= 2 views left CPT 73060 | $144.21 | $437.00 | $20.38 – $98.30 | 14 |
| X-ray joint survey 1 view CPT 77077 | $207.57 | $629.00 | $34.33 – $566.10 | 26 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $101.64 | $308.00 | $18.80 – $105.47 | 14 |
| X-ray knee 3 views (both sides) CPT 73562 | $138.60 | $420.00 | $20.38 – $126.19 | 14 |
| X-ray knee ap standing bilateral CPT 73565 | $78.21 | $237.00 | $17.76 – $213.30 | 26 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $126.06 | $382.00 | $17.76 – $98.30 | 14 |
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.