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 |
|---|---|---|---|---|
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $5.39 – $21.68 | 14 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $7.20 – $28.96 | 14 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $3,497.97 – $3,672.87 | 12 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $6.04 – $24.29 | 14 |
| Envrn ivntj med mgmt psyc pt CPT 90882 | not published | not published | $40.38 – $40.38 | 1 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $11.55 – $79.69 | 14 |
| Enzyme histochemistry CPT 88319 | $112.20 | $340.00 | $79.79 – $767.52 | 26 |
| Eo, adj lock joint prefab ot HCPCS L3761 | not published | not published | $562.35 – $590.47 | 12 |
| Eo elas w/metal jnts pre ots HCPCS L3710 | not published | not published | $163.06 – $171.21 | 12 |
| Ep & ablate supravent arrhyt CPT 93653 | not published | not published | $23,714.21 – $24,899.92 | 12 |
| Ep & ablate ventric tachy CPT 93654 | not published | not published | $23,714.21 – $24,899.92 | 12 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | $18,534.40 | $56,164.86 | $26.90 – $4,048.79 | 26 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $802.46 – $842.58 | 12 |
| Epidural lysis on single day 62264 CPT 62264 | not published | not published | $802.46 – $842.58 | 12 |
| Epiglottidectomy CPT 31420 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $1,101.85 – $4,431.89 | 14 |
| Ep induct arrhy by elect pacing CPT 93618 | not published | not published | $174.00 – $1,159.87 | 13 |
| Epinephrine 0.1 mg/ml injection syringe HCPCS J0168 | not published | not published | $2.77 – $3.25 | 3 |
| Epinephrine 1 mg/ml im kit - adult HCPCS J0169 | not published | not published | $0.98 – $1.48 | 3 |
| Epinephrine 1 mg/ml im kit - pediatric HCPCS J0165 | not published | not published | $0.35 – $0.52 | 3 |
| Epinephrine hcl (pf) 1 mg/ml (1 ml) injection solution HCPCS J0166 | not published | not published | $0.95 – $1.18 | 3 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | $525.83 | $1,593.41 | $2.09 – $303.32 | 17 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.82 – $0.82 | 2 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $496.19 | $1,503.61 | $5.85 – $115.30 | 26 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | $1,202.24 | $3,643.15 | $6.16 – $173.33 | 26 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $0.72 – $1.16 | 2 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $0.75 – $1.59 | 3 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | $120.56 | $365.33 | $16.59 – $136.26 | 17 |
| Epstein barr early antigen antibody CPT 86663 | not published | not published | $5.90 – $23.75 | 14 |
| Epstein barr nuclear antigen antibody CPT 86664 | $14.19 | $43.00 | $6.88 – $38.70 | 26 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $14.19 | $43.00 | $8.16 – $38.70 | 26 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | $243.16 | $736.84 | $2.66 – $630.72 | 26 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | $2,253.88 | $6,829.94 | $7.80 – $6,146.94 | 26 |
| Ercp biliary & pancreas CPT 74330 | $184.14 | $558.00 | $111.28 – $502.20 | 15 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $5,507.97 – $5,783.37 | 12 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $3,497.97 – $3,672.87 | 12 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $3,497.97 – $3,672.87 | 12 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $5,507.97 – $5,783.37 | 12 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $3,497.97 – $3,672.87 | 12 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $5,507.97 – $5,783.37 | 12 |
| Ercp w/specimen collection CPT 43260 | not published | not published | $3,497.97 – $3,672.87 | 12 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $1,585.74 | $4,805.28 | $54.04 – $4,324.75 | 26 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | $266.03 | $806.15 | $8.16 – $425.72 | 17 |
| ER Visit (level 1, minor) CPT 99281 | $107.25 | $325.00 | $76.50 – $292.50 | 24 |
| ER Visit (level 2) CPT 99282 | $193.38 | $586.00 | $139.31 – $527.40 | 24 |
| ER Visit (level 3) CPT 99283 | $247.50 | $750.00 | $247.67 – $675.00 | 24 |
| ER Visit (level 4) CPT 99284 | $330.00 | $1,000.00 | $378.57 – $900.00 | 24 |
| ER Visit (level 5, high severity) CPT 99285 | $377.52 | $1,144.00 | $514.80 – $1,029.60 | 24 |
| Erwinaze injection HCPCS J9019 | not published | not published | $201.37 – $398.40 | 2 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $222.16 | $673.20 | $21.37 – $605.88 | 17 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $3,497.97 – $3,672.87 | 12 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.23 – $0.23 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.13 – $0.27 | 2 |
| Esophageal dilat s&i CPT 74360 | not published | not published | $111.28 – $120.30 | 2 |
| Esophageal motility CPT 78258 | not published | not published | $102.14 – $626.69 | 14 |
| Esophageal recording CPT 93615 | not published | not published | $12.04 – $1,159.87 | 13 |
| Esophageal recording CPT 93616 | not published | not published | $21.72 – $1,159.87 | 13 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $3,497.97 – $3,672.87 | 12 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $822.88 – $864.02 | 12 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $5,507.97 – $5,783.37 | 12 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $822.88 – $864.02 | 12 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $822.88 – $864.02 | 12 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $3,497.97 – $3,672.87 | 12 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $3,497.97 – $3,672.87 | 12 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophagus motility study CPT 91010 | not published | not published | $135.05 – $355.49 | 13 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $338.56 – $471.32 | 13 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $17.93 – $17.93 | 1 |
| Esoph imped function test CPT 91037 | not published | not published | $124.92 – $205.70 | 13 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $338.56 – $425.74 | 13 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,740.98 – $1,828.03 | 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.