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 |
|---|---|---|---|---|
| Delay flap eye/nos/ear/lip CPT 15630 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $3,215.13 – $3,375.89 | 12 |
| Delivery of placenta 59414 CPT 59414 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Demonstrate use home inr mon HCPCS G0248 | not published | not published | $53.31 – $126.83 | 12 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | not published | not published | $18.54 – $208.60 | 13 |
| Denervation of hip joint CPT 27035 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $59.40 – $83.53 | 2 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | $3,879.72 | $11,756.72 | $8.26 – $5,752.33 | 26 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | not published | not published | $120.71 – $126.75 | 12 |
| Deodorant ostmy adapt lube 8ml HCPCS A4394 | not published | not published | $3.69 – $3.87 | 12 |
| Depo-estradiol cypionate inj HCPCS J1000 | $470.84 | $1,426.78 | $54.93 – $1,284.10 | 17 |
| Dermabrasion other than face CPT 15782 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $642.47 – $674.59 | 12 |
| Dermabrasion suprfl any site CPT 15783 | not published | not published | $368.82 – $387.26 | 12 |
| Dermabrasion total face CPT 15780 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $3,215.13 – $3,375.89 | 12 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $112.91 – $118.56 | 12 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $713.89 – $1,965.56 | 12 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $112.91 – $118.56 | 12 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $3,215.13 – $3,375.89 | 12 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $112.91 – $118.56 | 12 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $112.91 – $118.56 | 12 |
| Design custom breast implant CPT 19396 | not published | not published | $3,552.37 – $3,729.99 | 12 |
| Design mlc device for imrt CPT 77338 | not published | not published | $145.27 – $1,400.35 | 14 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $757.07 | $2,294.16 | $3.61 – $198.63 | 18 |
| Desoxycorticosterone CPT 82633 | not published | not published | $13.94 – $56.07 | 14 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $182.03 – $191.13 | 12 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | not published | not published | $182.03 – $191.13 | 12 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | not published | not published | $182.03 – $191.13 | 12 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | not published | not published | $182.03 – $191.13 | 12 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | not published | not published | $182.03 – $191.13 | 12 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | not published | not published | $182.03 – $191.13 | 12 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | not published | not published | $182.03 – $191.13 | 12 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | not published | not published | $182.03 – $191.13 | 12 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | not published | not published | $182.03 – $191.13 | 12 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | not published | not published | $182.03 – $191.13 | 12 |
| Destroy cervthor facet jnt 64633 CPT 64633 | not published | not published | $1,771.66 – $1,860.24 | 12 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $1,085.68 – $1,139.96 | 12 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | not published | not published | $182.03 – $191.13 | 12 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Destroy vulva lesion simple 56501 CPT 56501 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Destruct ben lesion 15/> 17111 CPT 17111 | not published | not published | $182.03 – $191.13 | 12 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | not published | not published | $670.54 – $704.07 | 12 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | not published | not published | $368.82 – $387.26 | 12 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $2,518.29 – $2,644.20 | 12 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $368.82 – $387.26 | 12 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $182.03 – $191.13 | 12 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $802.46 – $842.58 | 12 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $1,771.66 – $1,860.24 | 12 |
| Destruction ciliary body CPT 66700 | not published | not published | $2,093.83 – $2,198.52 | 12 |
| Destruction ciliary body CPT 66720 | not published | not published | $2,157.03 – $2,264.88 | 12 |
| Destruction ciliary body CPT 66740 | not published | not published | $2,157.03 – $2,264.88 | 12 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $182.03 – $191.13 | 12 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $2,518.29 – $2,644.20 | 12 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,157.03 – $2,264.88 | 12 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $368.82 – $387.26 | 12 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $368.82 – $387.26 | 12 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $368.82 – $387.26 | 12 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $368.82 – $387.26 | 12 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $368.82 – $387.26 | 12 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $368.82 – $387.26 | 12 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,518.29 – $2,644.20 | 12 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $12.83 – $54.35 | 14 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $19.65 – $79.04 | 14 |
| Determination venous press CPT 93770 | not published | not published | $9.48 – $9.48 | 1 |
| Determine refractive state CPT 92015 | not published | not published | $9.87 – $9.87 | 1 |
| Developmental screen/score/document 96110 CPT 96110 | not published | not published | $4.85 – $4.85 | 1 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $67.98 – $122.58 | 12 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $4,125.00 | $12,500.00 | $2,625.00 – $11,250.00 | 14 |
| Device intraute mirena HCPCS J7298 | $1,366.03 | $4,139.47 | $515.00 – $3,725.52 | 17 |
| Dev interrog remote 1/2/mlt CPT 93295 | not published | not published | $66.85 – $66.85 | 1 |
| Devlopment test interpt&rep HCPCS G0451 | $51.48 | $156.00 | $35.13 – $96.78 | 12 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $75.57 | $229.00 | $25.61 – $206.10 | 26 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $75.71 – $107.53 | 13 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $0.56 – $1.32 | 3 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.01 – $0.03 | 2 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $94.15 | $285.30 | $0.12 – $4.75 | 17 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $100.42 – $222.95 | 13 |
| Dexamethasone panel CPT 80420 | not published | not published | $46.08 – $293.00 | 14 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $0.36 – $0.67 | 2 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $515.66 | $1,562.60 | $56.00 – $706.34 | 26 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $365.94 – $403.85 | 2 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $16.41 – $16.41 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $0.80 – $0.80 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $1.39 – $1.46 | 2 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $6.41 – $9.20 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $1.86 – $2.11 | 2 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $3.12 – $3.47 | 2 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $69.96 | $212.00 | $10.00 – $190.80 | 26 |
| Diabetes (HbA1c) Test CPT 83036 | $32.34 | $98.00 | $4.37 – $88.20 | 26 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $13.67 – $35.69 | 12 |
| Diabetic custom molded shoe HCPCS A5501 | not published | not published | $271.80 – $285.39 | 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.