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 |
|---|---|---|---|---|
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $176.55 | $535.00 | $27.91 – $481.50 | 26 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $137.28 | $416.00 | $32.34 – $374.40 | 26 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $176.55 | $535.00 | $41.66 – $481.50 | 26 |
| X-ray male genital tract CPT 74440 | not published | not published | $39.91 – $306.76 | 14 |
| X-ray mandible complete > 4 views CPT 70110 | $78.54 | $238.00 | $22.14 – $214.20 | 26 |
| X-ray mandible ltd <4 views CPT 70100 | $57.09 | $173.00 | $18.80 – $155.70 | 26 |
| X-ray nasal bones complete > 3 views CPT 70160 | $68.31 | $207.00 | $18.80 – $186.30 | 26 |
| X-ray neck soft tissue CPT 70360 | $64.68 | $196.00 | $14.94 – $176.40 | 26 |
| X-ray nose to rectum for foreign body child CPT 76010 | $56.76 | $172.00 | $18.80 – $154.80 | 26 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $71.92 – $227.30 | 14 |
| X-ray optic foramina CPT 70190 | $67.32 | $204.00 | $22.14 – $183.60 | 26 |
| X-ray pelvis 1-2 views CPT 72170 | $83.49 | $253.00 | $18.80 – $227.70 | 26 |
| X-ray pelvis complete > 3 views CPT 72190 | $83.49 | $253.00 | $23.91 – $227.70 | 26 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $216.00 – $245.69 | 2 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $216.00 – $280.98 | 2 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $186.12 | $564.00 | $74.36 – $507.60 | 26 |
| X-ray ribs 2 views left CPT 71100 | $47.85 | $145.00 | $20.38 – $114.40 | 14 |
| X-ray ribs 3 views bilateral CPT 71110 | $127.05 | $385.00 | $27.94 – $346.50 | 26 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $79.53 | $241.00 | $23.91 – $131.40 | 14 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $127.05 | $385.00 | $31.64 – $346.50 | 26 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $61.05 | $185.00 | $22.14 – $166.50 | 26 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $79.53 | $241.00 | $20.38 – $216.90 | 26 |
| X-ray scapula complete (both sides) CPT 73010 | $122.10 | $370.00 | $18.80 – $99.59 | 14 |
| X-ray sella turcica CPT 70240 | $54.45 | $165.00 | $14.94 – $148.50 | 26 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $88.11 | $267.00 | $17.05 – $82.91 | 14 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $86.46 | $262.00 | $27.91 – $235.80 | 26 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $276.21 | $837.00 | $37.08 – $753.30 | 26 |
| X-ray skull < 4 views CPT 70250 | $63.03 | $191.00 | $22.14 – $171.90 | 26 |
| X-ray skull > 4 views complete CPT 70260 | $121.11 | $367.00 | $31.64 – $330.30 | 26 |
| X-ray slg plne bdy sect without urogr CPT 76100 | not published | not published | $44.30 – $280.23 | 14 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $106.59 | $323.00 | $46.04 – $392.60 | 26 |
| X-ray small intestine follow-through study CPT 74248 | $106.59 | $323.00 | $43.74 – $290.70 | 16 |
| X-ray spine single view CPT 72020 | $60.06 | $182.00 | $14.94 – $163.80 | 26 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $132.00 | $400.00 | $24.95 – $128.73 | 14 |
| X-ray sternum > 2 views CPT 71120 | $64.02 | $194.00 | $23.21 – $174.60 | 26 |
| X-ray surgical specimen CPT 76098 | $276.21 | $837.00 | $14.94 – $753.30 | 26 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $90.42 | $274.00 | $46.04 – $403.46 | 26 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $91.08 | $276.00 | $27.91 – $248.40 | 26 |
| X-ray thoracic spine 2 views CPT 72070 | $69.96 | $212.00 | $23.21 – $190.80 | 26 |
| X-ray thoracic spine 3 views CPT 72072 | $91.08 | $276.00 | $26.18 – $248.40 | 26 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $75.24 | $228.00 | $23.91 – $205.20 | 26 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $43.89 | $133.00 | $23.05 – $132.30 | 26 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $55.11 | $167.00 | $41.99 – $217.41 | 26 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $144.21 | $437.00 | $18.80 – $97.28 | 14 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $144.21 | $437.00 | $14.94 – $89.74 | 14 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $189.09 | $573.00 | $52.56 – $515.70 | 26 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $167.64 | $508.00 | $51.86 – $457.20 | 26 |
| X-ray wrist 2 views (both sides) CPT 73100 | $88.11 | $267.00 | $17.76 – $104.44 | 14 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $41.66 – $310.04 | 14 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $169.00 – $191.81 | 3 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $99.38 – $494.00 | 3 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $112.91 – $118.56 | 12 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $5.81 – $23.37 | 14 |
| Xyntha inj HCPCS J7185 | not published | not published | $0.61 – $1.73 | 13 |
| Yersinia antibody CPT 86793 | not published | not published | $5.94 – $23.87 | 14 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $21,848.24 – $73,909.31 | 13 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $112.91 – $118.56 | 12 |
| Ziconotide injection HCPCS J2278 | not published | not published | $3.67 – $11.05 | 13 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $67.50 | $204.56 | $1.34 – $184.10 | 26 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.75 – $1.75 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $23.09 – $92.87 | 14 |
| Zika virus igm antibody CPT 86794 | not published | not published | $7.58 – $30.50 | 14 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.79 – $1.88 | 12 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $90.08 | $272.98 | $6.63 – $245.68 | 17 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | $2,999.04 | $9,088.00 | $4.09 – $4,089.60 | 26 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | $1,799.42 | $5,452.80 | $29.94 – $4,907.52 | 26 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $543.47 | $1,646.88 | $5.38 – $392.04 | 17 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $86.96 – $349.78 | 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.