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 |
|---|---|---|---|---|
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $692.69 – $727.32 | 12 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,470.22 – $1,543.73 | 12 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $537.91 – $564.81 | 12 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $98.28 – $103.19 | 12 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $226.51 – $237.84 | 12 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $160.70 – $168.74 | 12 |
| Ak open end sach HCPCS L5321 | not published | not published | $4,881.34 – $5,125.41 | 12 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $162.67 – $170.80 | 12 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $222.10 – $233.21 | 12 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $205.01 – $215.26 | 12 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,666.52 – $1,749.85 | 12 |
| Albumin body fluid quantitative each specimen CPT 82042 | $34.65 | $105.00 | $3.15 – $14.08 | 26 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $323.77 | $981.12 | $26.72 – $182.46 | 26 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $11.25 – $29.98 | 13 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $252.77 | $765.97 | $27.36 – $364.94 | 26 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $75.83 | $229.80 | $5.66 – $206.82 | 26 |
| Albumin ischemia modified CPT 82045 | not published | not published | $15.27 – $61.43 | 14 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $7.92 | $24.00 | $2.60 – $21.60 | 26 |
| Albumin serum plasma or whole blood CPT 82040 | $15.84 | $48.00 | $2.23 – $13.50 | 26 |
| Albuterol comp con HCPCS J7610 | not published | not published | $1.39 – $1.39 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.58 – $0.58 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.21 – $0.24 | 2 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.27 – $0.28 | 2 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.07 – $0.09 | 2 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $39.93 | $121.00 | $7.77 – $108.90 | 26 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $0.02 – $0.02 | 1 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $8.59 – $27.55 | 12 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $25.47 – $35.69 | 12 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $73.23 – $169.09 | 12 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $1,533.82 – $6,605.40 | 13 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $56.48 – $227.16 | 14 |
| Alefacept HCPCS J0215 | not published | not published | $20.82 – $20.82 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $875.36 – $2,648.58 | 13 |
| Alginate dressing <=16 sq in HCPCS A6196 | not published | not published | $10.49 – $11.01 | 12 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | not published | not published | $23.44 – $24.61 | 12 |
| Alginate drsg wound filler HCPCS A6199 | not published | not published | $7.52 – $7.90 | 12 |
| Alglucerase injection HCPCS J0205 | not published | not published | $16.69 – $16.69 | 1 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $68.82 – $233.57 | 3 |
| Alkaline phosphatase CPT 84075 | $16.50 | $50.00 | $2.33 – $13.50 | 26 |
| Allergen alpha lactalbumin ige CPT 86008 | $45.54 | $138.00 | $5.85 – $32.45 | 26 |
| Allergen egg white ige CPT 86003 | $46.20 | $140.00 | $2.35 – $11.70 | 26 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $3.59 – $14.43 | 14 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $11.53 – $44.60 | 13 |
| Allergy injection; single 95115 CPT 95115 | not published | not published | $9.97 – $44.60 | 13 |
| Allergy Skin Testing CPT 95004 | not published | not published | $131.81 – $818.07 | 12 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $131.81 – $818.07 | 12 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $11,648.21 – $12,230.62 | 12 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $19.27 – $19.27 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $112.91 – $118.56 | 12 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $112.91 – $118.56 | 12 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | not published | not published | $112.91 – $118.56 | 12 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $112.91 – $118.56 | 12 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | not published | not published | $112.91 – $118.56 | 12 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $112.91 – $118.56 | 12 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $112.91 – $118.56 | 12 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $112.91 – $118.56 | 12 |
| Alloskin HCPCS Q4115 | not published | not published | $112.91 – $118.56 | 12 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $112.91 – $118.56 | 12 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $14.19 – $35.58 | 12 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $14.19 – $27.55 | 12 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $0.69 | $2.08 | $0.80 – $5.85 | 26 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $28.98 – $116.58 | 14 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $7.65 – $30.77 | 14 |
| Alpha-fetoprotein tumor marker CPT 82105 | $38.61 | $117.00 | $7.55 – $105.30 | 26 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $0.51 – $12.43 | 2 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $29.06 – $29.06 | 1 |
| Als 1 HCPCS A0426 | not published | not published | $628.00 – $704.03 | 2 |
| Als1-emergency HCPCS A0427 | not published | not published | $628.00 – $704.03 | 2 |
| Als 2 HCPCS A0433 | not published | not published | $628.00 – $704.03 | 2 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $9,897.23 | $29,991.62 | $40.61 – $269.91 | 26 |
| Alt/sgpt CPT 84460 | $16.50 | $50.00 | $2.39 – $45.00 | 26 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $2.32 – $5.02 | 13 |
| Aluminum - quest CPT 82108 | $22.11 | $67.00 | $11.47 – $60.30 | 26 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $54.61 – $90.57 | 13 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $0.02 – $49.26 | 2 |
| Ambl bp mntr w/software CPT 93784 | not published | not published | $59.98 – $59.98 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | not published | not published | $5.69 – $126.75 | 13 |
| Amifostine HCPCS J0207 | not published | not published | $206.14 – $1,540.90 | 3 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $56.68 | $171.77 | $0.66 – $48.87 | 17 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $2.41 – $10.84 | 14 |
| Amino acid screen, urine CPT 82128 | not published | not published | $6.24 – $25.10 | 14 |
| Amino acid single qual CPT 82127 | not published | not published | $6.38 – $25.67 | 14 |
| Amino acids quant 2-5 CPT 82136 | $48.18 | $146.00 | $8.82 – $131.40 | 26 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | not published | not published | $1.69 – $1.87 | 3 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $0.70 – $1.94 | 13 |
| Aminolevulinic acid delta CPT 82135 | $48.84 | $148.00 | $7.40 – $29.77 | 26 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $173.51 – $424.91 | 13 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $46.24 | $140.12 | $11.03 – $126.10 | 17 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | not published | not published | $2.68 – $2.81 | 2 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | $471.47 | $1,428.70 | $0.43 – $108.36 | 17 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $0.02 – $49.26 | 2 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $2.53 – $2.53 | 1 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $4,100.83 | $12,426.76 | $8.96 – $11,184.08 | 26 |
| Ammonia CPT 82140 | $48.51 | $147.00 | $6.56 – $37.80 | 26 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $112.91 – $118.56 | 12 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $835.65 – $877.43 | 12 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $276.47 – $290.29 | 12 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $112.91 – $118.56 | 12 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $112.91 – $118.56 | 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.