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 |
|---|---|---|---|---|
| Esrd home pt serv p mo 12-19 CPT 90965 | not published | not published | $1,582.62 – $1,582.62 | 1 |
| Esrd home pt serv p mo 20+ CPT 90966 | not published | not published | $926.23 – $926.23 | 1 |
| Esrd home pt serv p mo 2-11 CPT 90964 | not published | not published | $1,647.32 – $1,647.32 | 1 |
| Esrd home pt serv p mo <2yrs CPT 90963 | not published | not published | $1,921.78 – $1,921.78 | 1 |
| Esrd serv 1 visit p mo 20+ CPT 90962 | not published | not published | $634.28 – $634.28 | 1 |
| Esrd serv 1 vst p mo 12-19 CPT 90959 | not published | not published | $1,026.03 – $1,026.03 | 1 |
| Esrd serv 4 visits p mo <2yr CPT 90951 | not published | not published | $3,725.62 – $3,725.62 | 1 |
| Esrd serv 4 vsts p mo 2-11 CPT 90954 | not published | not published | $3,205.48 – $3,205.48 | 1 |
| Esrd srv 1 visit p mo 2-11 CPT 90956 | not published | not published | $1,093.21 – $1,093.21 | 1 |
| Esrd srv 2-3 vsts p mo 12-19 CPT 90958 | not published | not published | $1,590.54 – $1,590.54 | 1 |
| Esrd srv 2-3 vsts p mo 20+ CPT 90961 | not published | not published | $926.23 – $926.23 | 1 |
| Esrd srv 2-3 vsts p mo 2-11 CPT 90955 | not published | not published | $1,653.68 – $1,653.68 | 1 |
| Esrd srv 4 visits p mo 20+ CPT 90960 | not published | not published | $1,118.01 – $1,118.01 | 1 |
| Esrd srv 4 vsts p mo 12-19 CPT 90957 | not published | not published | $2,446.16 – $2,446.16 | 1 |
| Esrd svc pr day pt 12-19 CPT 90969 | not published | not published | $53.60 – $53.60 | 1 |
| Esrd svc pr day pt <2 CPT 90967 | not published | not published | $55.86 – $55.86 | 1 |
| Esrd svc pr day pt 20+ CPT 90970 | not published | not published | $30.01 – $30.01 | 1 |
| Esrd svc pr day pt 2-11 CPT 90968 | not published | not published | $54.73 – $54.73 | 1 |
| Essure 58565 CPT 58565 | not published | not published | $4,538.59 – $4,765.52 | 12 |
| Established Patient Office Visit (level 1) CPT 99211 | $25.74 | $78.00 | $16.38 – $70.20 | 17 |
| Established Patient Office Visit (level 2) CPT 99212 | $30.36 | $92.00 | $19.32 – $82.80 | 17 |
| Established Patient Office Visit (level 3) CPT 99213 | $35.64 | $108.00 | $22.68 – $97.20 | 17 |
| Established Patient Office Visit (level 4) CPT 99214 | $40.26 | $122.00 | $25.62 – $109.80 | 17 |
| Established Patient Office Visit (level 5) CPT 99215 | $50.82 | $154.00 | $32.34 – $138.60 | 17 |
| Estradiol total CPT 82670 | $87.78 | $266.00 | $12.57 – $239.40 | 26 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $358.54 | $1,086.48 | $7.90 – $977.83 | 17 |
| Estrogens total-sendout CPT 82672 | not published | not published | $9.77 – $39.28 | 14 |
| Etanercept injection HCPCS J1438 | not published | not published | $219.09 – $1,234.08 | 4 |
| Ethanolamine oleate 100 mg HCPCS J1430 | $566.71 | $1,717.29 | $202.05 – $1,545.56 | 26 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $95.02 – $119.66 | 2 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Ethylene glycol -sendout CPT 82693 | not published | not published | $6.71 – $26.97 | 14 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $485.83 – $1,469.98 | 2 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $158.51 | $480.33 | $1.10 – $5.81 | 17 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $36.78 – $72.23 | 12 |
| Euflexxa inj per dose HCPCS J7323 | $142.81 | $432.75 | $78.68 – $389.47 | 26 |
| Euglobulin lysis CPT 85360 | not published | not published | $3.78 – $15.22 | 14 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Eval aud funcj ea addl 15 CPT 92627 | not published | not published | $23.90 – $23.90 | 1 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $63.55 – $122.58 | 13 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $93.72 | $284.00 | $64.78 – $150.56 | 2 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $4.67 – $18.79 | 14 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | not published | not published | $41.20 – $177.58 | 14 |
| Evaluation heart device CPT 93640 | not published | not published | $322.06 – $322.06 | 1 |
| Evaluation of speech fluency 92521 CPT 92521 | $60.06 | $182.00 | $76.00 – $161.00 | 5 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $63.01 – $169.09 | 12 |
| Event monitor CPT 93270 | not published | not published | $9.97 – $35.55 | 13 |
| Evoked auditory tst complete CPT 92588 | not published | not published | $4.51 – $355.49 | 13 |
| Evoked oa emissions ltd CPT 92587 | not published | not published | $3.73 – $205.70 | 13 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $14.48 – $31.80 | 2 |
| Evoked potentials upper limbs CPT 95925 | not published | not published | $114.24 – $205.70 | 13 |
| Evoked potential visual not glaucoma CPT 95930 | not published | not published | $54.38 – $205.70 | 13 |
| Evok oa screening qual CPT 92558 | not published | not published | $5.03 – $5.03 | 1 |
| Ewhfo w/joint(s) cf HCPCS L3766 | not published | not published | $1,526.89 – $1,603.23 | 12 |
| Ewho w/joint(s) cf HCPCS L3764 | $302.61 | $917.00 | $192.57 – $934.90 | 26 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $276.47 – $290.29 | 12 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Exc back tum deep 5 cm/> CPT 21933 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | not published | not published | $642.47 – $674.59 | 12 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | not published | not published | $642.47 – $674.59 | 12 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | not published | not published | $642.47 – $674.59 | 12 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | not published | not published | $642.47 – $674.59 | 12 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | not published | not published | $368.82 – $387.26 | 12 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | not published | not published | $642.47 – $674.59 | 12 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $3,552.37 – $3,729.99 | 12 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $4,538.59 – $4,765.52 | 12 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $4,538.59 – $4,765.52 | 12 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $3,215.13 – $3,375.89 | 12 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Exc excessive skin hip CPT 15834 | not published | not published | $2,635.37 – $2,767.14 | 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.