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 |
|---|---|---|---|---|
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.10 – $0.12 | 3 |
| Dpyd gene common variants CPT 81232 | $277.20 | $840.00 | $78.66 – $756.00 | 26 |
| Drainable plastic pch w fcpl HCPCS A4375 | not published | not published | $24.47 – $25.69 | 12 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | not published | not published | $642.47 – $674.59 | 12 |
| Drainage ext aud canal abscess 69020 CPT 69020 | not published | not published | $642.47 – $674.59 | 12 |
| Drainage external ear complex 69005 CPT 69005 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Drainage external ear simple 69000 CPT 69000 | not published | not published | $642.47 – $674.59 | 12 |
| Drainage lymph node lesion 38300 CPT 38300 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Drainage lymph node lesion 38305 CPT 38305 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Drainage mouth roof lesion CPT 42000 | not published | not published | $214.89 – $225.63 | 12 |
| Drainage of arm bursa 23931 CPT 23931 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Drainage of bladder abscess CPT 51080 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Drainage of bone lesion CPT 26992 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Drainage of bone lesion CPT 27303 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Drainage of eye CPT 65800 | not published | not published | $2,093.83 – $2,198.52 | 12 |
| Drainage of eye CPT 65810 | not published | not published | $2,093.83 – $2,198.52 | 12 |
| Drainage of eye CPT 65815 | not published | not published | $2,093.83 – $2,198.52 | 12 |
| Drainage of forearm bursa CPT 25031 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Drainage of kidney lesion CPT 50390 | $884.40 | $2,680.00 | $642.47 – $674.59 | 12 |
| Drainage of mouth lesion CPT 41005 | not published | not published | $214.89 – $225.63 | 12 |
| Drainage of mouth lesion CPT 41006 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Drainage of mouth lesion CPT 41007 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Drainage of mouth lesion CPT 41008 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Drainage of mouth lesion CPT 41009 | not published | not published | $489.32 – $513.79 | 12 |
| Drainage of mouth lesion CPT 41015 | not published | not published | $489.32 – $513.79 | 12 |
| Drainage of mouth lesion CPT 41016 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Drainage of mouth lesion CPT 41017 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Drainage of mouth lesion CPT 41018 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Drainage of nose lesion int 30000 CPT 30000 | not published | not published | $214.89 – $225.63 | 12 |
| Drainage of nose lesion sept 30020 CPT 30020 | not published | not published | $489.32 – $513.79 | 12 |
| Drainage of pelvis bursa CPT 26991 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Drainage of pelvis lesion 26990 CPT 26990 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Drainage of prostate abscess CPT 52700 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Drainage of prostate abscess CPT 55720 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Drainage of prostate abscess CPT 55725 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Drainage of rectal abscess CPT 45005 | not published | not published | $1,085.68 – $1,139.96 | 12 |
| Drainage of rectal abscess 45020 CPT 45020 | not published | not published | $2,518.29 – $2,644.20 | 12 |
| Drainage of salivary gland CPT 42305 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Drainage of salivary gland CPT 42320 | not published | not published | $489.32 – $513.79 | 12 |
| Drainage of throat abscess CPT 42725 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Drainage of urethra abscess CPT 53040 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Drainage of urethra abscess 53060 CPT 53060 | not published | not published | $1,896.55 – $1,991.38 | 12 |
| Drainage of urinary leakage CPT 53080 | not published | not published | $632.64 – $664.27 | 12 |
| Drainage of urinary leakage CPT 53085 | not published | not published | $1,896.55 – $1,991.38 | 12 |
| Drain bladder by trocar/cath CPT 51101 | not published | not published | $779.11 – $818.07 | 12 |
| Drain blood from under nail 11740 CPT 11740 | not published | not published | $120.71 – $126.75 | 12 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $875.16 | $2,652.00 | $1,193.40 – $2,386.80 | 24 |
| Drain cath image guided visceral pq CPT 49405 | $899.58 | $2,726.00 | $1,226.70 – $2,453.40 | 24 |
| Drain cerebro spinal fluid 62272 CPT 62272 | not published | not published | $640.43 – $672.45 | 12 |
| Drain chest lesion CPT 21502 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Drain chst dry seal exp thorastat HCPCS A7041 | not published | not published | $108.93 – $114.38 | 12 |
| Drain finger abscess;simple 26010 CPT 26010 | not published | not published | $182.03 – $191.13 | 12 |
| Drain lower leg bursa CPT 27604 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Drain neck/chest lesion 21501 CPT 21501 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Drain ostomy pouch w/flange HCPCS A5063 | not published | not published | $3.86 – $4.05 | 12 |
| Drain ovarn cyst abd CPT 58805 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Drain ovary abscess open CPT 58820 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Drain penis lesion CPT 54015 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Drain shoulder bone lesion CPT 23035 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Drain shoulder bursa 23031 CPT 23031 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Drain shoulder lesion CPT 23030 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Drain thigh/knee lesion 27301 CPT 27301 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Drain thyroid/tongue cyst CPT 60000 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | not published | not published | $182.03 – $191.13 | 12 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | not published | not published | $182.03 – $191.13 | 12 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | not published | not published | $368.82 – $387.26 | 12 |
| Dressing change not for burn w/anes 15852 CPT 15852 | not published | not published | $670.54 – $704.07 | 12 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $112.91 – $118.56 | 12 |
| Driver pneumatic vad, rep HCPCS Q0480 | not published | not published | $111,502.61 – $117,077.74 | 12 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Drng of eyelid abscess 67700 CPT 67700 | not published | not published | $287.97 – $302.37 | 12 |
| Drng of finger abscess comp 26011 CPT 26011 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Drng of hydrocele 55000 CPT 55000 | not published | not published | $642.47 – $674.59 | 12 |
| Drng of mouth lesion 40801 CPT 40801 | not published | not published | $489.32 – $513.79 | 12 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,085.68 – $1,139.96 | 12 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Drng of scrotum abscess 55100 CPT 55100 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $489.32 – $513.79 | 12 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.43 – $1.86 | 2 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $7.61 – $8.15 | 2 |
| Drop lock knee HCPCS L2182 | not published | not published | $105.33 – $110.60 | 12 |
| Drop lock retainer each HCPCS L2785 | not published | not published | $48.56 – $50.99 | 12 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,612.68 | $4,886.90 | $1,026.24 – $4,398.21 | 17 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $112.91 – $118.56 | 12 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | not published | not published | $112.91 – $118.56 | 12 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $112.91 – $118.56 | 12 |
| Drsg surg adh 11x11 3/4 occl drap wnd 28x30 HCPCS A6259 | not published | not published | $15.59 – $16.37 | 12 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $112.91 – $118.56 | 12 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $112.91 – $118.56 | 12 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $7,184.64 | $21,771.65 | $112.91 – $11,436.84 | 26 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | not published | not published | $112.91 – $118.56 | 12 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $112.91 – $118.56 | 12 |
| Drug admin & hemodynmic meas CPT 93463 | not published | not published | $6,139.00 – $6,139.00 | 1 |
| Drug assay caffeine CPT 80155 | not published | not published | $9.05 – $69.81 | 14 |
| Drug assay posaconazole CPT 80187 | not published | not published | $12.20 – $49.07 | 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.