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 |
|---|---|---|---|---|
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | not published | not published | $223.80 – $234.99 | 12 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Closed treatment of femoral fracture proximal end neck; wi CPT 27232 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | not published | not published | $223.80 – $234.99 | 12 |
| Closed tx humerus fx with manip 23605 CPT 23605 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Closed tx humerus fx without manip 23600 CPT 23600 | not published | not published | $223.80 – $234.99 | 12 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | not published | not published | $223.80 – $234.99 | 12 |
| Closed tx nose/jaw fx CPT 21345 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Closed tx orbit without manipulj CPT 21400 | not published | not published | $489.32 – $513.79 | 12 |
| Closed tx orbit w/manipulj CPT 21401 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Closed tx septal&nose fx CPT 21337 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Closed tx sesamoid fx 28530 CPT 28530 | not published | not published | $223.80 – $234.99 | 12 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | not published | not published | $223.80 – $234.99 | 12 |
| Closed tx vert fx w/manj CPT 22315 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | not published | not published | $214.89 – $225.63 | 12 |
| Close mastoid fistula CPT 69700 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Close median sternotomy separation 21750 CPT 21750 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Close tear duct opening CPT 68760 | not published | not published | $287.97 – $302.37 | 12 |
| Close tear duct opening CPT 68761 | not published | not published | $287.97 – $302.37 | 12 |
| Close tear system fistula CPT 68770 | not published | not published | $2,157.03 – $2,264.88 | 12 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $7.20 – $28.96 | 14 |
| Clos txnose fx without stablz 21315 CPT 21315 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | not published | not published | $489.32 – $513.79 | 12 |
| Closure of eyelid by suture CPT 67875 | not published | not published | $904.44 – $949.66 | 12 |
| Closure of salivary fistula CPT 42600 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Closure of windpipe lesion 31820 CPT 31820 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Closure paravalvlr leak pq CPT 33999 | not published | not published | $569.14 – $597.60 | 12 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $8.52 – $34.26 | 14 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $9.19 – $36.96 | 14 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $8.52 – $34.26 | 14 |
| Clot factor xii hageman CPT 85280 | $73.59 | $223.00 | $8.71 – $200.70 | 26 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $4.10 – $16.49 | 14 |
| Clot factor xiii fibrin stab CPT 85290 | not published | not published | $7.35 – $29.58 | 14 |
| Clotting assay whole blood CPT 85396 | not published | not published | $9.87 – $62.01 | 5 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.86 – $0.86 | 1 |
| Clsd ostomy pouch w/flange HCPCS A5054 | not published | not published | $2.56 – $2.69 | 12 |
| Clsd ostomy pouch without barr HCPCS A5052 | not published | not published | $2.12 – $2.23 | 12 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Clsd tx fracture of radius 25500 CPT 25500 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | not published | not published | $253.76 – $266.45 | 12 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | not published | not published | $489.32 – $513.79 | 12 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx pelvic ring fx CPT 27197 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx pelvic ring fx CPT 27198 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | not published | not published | $223.80 – $234.99 | 12 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | not published | not published | $223.80 – $234.99 | 12 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | not published | not published | $223.80 – $234.99 | 12 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | not published | not published | $1,458.89 – $1,531.83 | 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.