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 |
|---|---|---|---|---|
| Ft arch suprt premold longit HCPCS L3040 | not published | not published | $58.15 – $61.06 | 12 |
| Ft insert ucb berkeley shell HCPCS L3000 | not published | not published | $388.16 – $407.57 | 12 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $669.32 – $2,692.14 | 14 |
| Ftl cgen abnor five anal CPT 81512 | not published | not published | $31.28 – $125.83 | 14 |
| Ftl cgen abnor four anal CPT 81511 | $35.97 | $109.00 | $49.05 – $277.84 | 26 |
| Ftl cgen abnor three anal CPT 81510 | not published | not published | $24.99 – $100.53 | 14 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $24.44 – $98.28 | 14 |
| Ft prosth multiaxial ankl/ft HCPCS L5978 | not published | not published | $357.27 – $375.13 | 12 |
| Full field erg w/i&r CPT 92273 | not published | not published | $105.83 – $205.70 | 13 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $27.94 – $227.30 | 14 |
| Full sole/heel wedge btween HCPCS L3420 | not published | not published | $67.55 – $70.93 | 12 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Fundus photography with i&r 92250 CPT 92250 | not published | not published | $31.40 – $126.75 | 13 |
| Furnsh initial orthosis only HCPCS L1200 | not published | not published | $1,997.03 – $2,096.88 | 12 |
| Furosemide 10 mg/ml injection solution HCPCS J1938 | $6.78 | $20.56 | $0.02 – $16.56 | 17 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $11,648.21 – $12,230.62 | 12 |
| Fusion of big toe joint CPT 28750 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Fusion of big toe joint CPT 28755 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Fusion of finger joint CPT 26860 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Fusion of finger tendons CPT 26471 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Fusion of foot bones CPT 28730 | not published | not published | $11,648.21 – $12,230.62 | 12 |
| Fusion of foot bones CPT 28735 | not published | not published | $11,648.21 – $12,230.62 | 12 |
| Fusion of foot bones CPT 28740 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Fusion of hand joint CPT 26843 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Fusion of knee CPT 27580 | not published | not published | $11,648.21 – $12,230.62 | 12 |
| Fusion of knuckle CPT 26850 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $1,896.55 – $1,991.38 | 12 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Fusion of thumb CPT 26841 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $11,648.21 – $12,230.62 | 12 |
| Fusion of toes CPT 28280 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Fxn gene charac alleles CPT 81285 | not published | not published | $123.67 – $497.44 | 14 |
| Fxn gene detc abnor alleles CPT 81284 | not published | not published | $61.65 – $247.97 | 14 |
| Fxn gene full gene sequence CPT 81286 | not published | not published | $123.67 – $497.44 | 14 |
| Fxn gene known famil variant CPT 81289 | not published | not published | $83.34 – $335.21 | 14 |
| G6pc gene CPT 81250 | not published | not published | $26.32 – $105.87 | 14 |
| G6pd full gene sequence CPT 81249 | not published | not published | $270.00 – $1,086.00 | 14 |
| G6pd gene alys cmn variant CPT 81247 | not published | not published | $78.66 – $316.41 | 14 |
| G6pd known familial variant CPT 81248 | not published | not published | $168.86 – $679.20 | 14 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $68.74 | $208.30 | $43.74 – $187.47 | 15 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | not published | not published | $33.37 – $62.98 | 13 |
| Gabapentin non-blood CPT 80355 | not published | not published | $0.02 – $49.26 | 2 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | not published | not published | $0.34 – $0.34 | 1 |
| Gadopentetate dimeglumine 469.01 mg/ml (46.9 %) intravenous (wrapper) HCPCS A9579 | $243.07 | $736.59 | $1.64 – $186.98 | 17 |
| Gadoterate meglumine 0.5 mmol/ml (376.9 mg/ml) intravenous solution HCPCS A9575 | not published | not published | $0.10 – $0.10 | 1 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $272.09 | $824.50 | $15.64 – $742.05 | 17 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | not published | not published | $9.48 – $38.14 | 14 |
| Galactokinase - sendout CPT 82759 | not published | not published | $9.67 – $38.88 | 14 |
| Galactose transferase test CPT 82776 | not published | not published | $5.28 – $21.25 | 14 |
| Galectin-3 CPT 82777 | not published | not published | $14.07 – $80.09 | 14 |
| Gallbladder Removal (Laparoscopic) CPT 47562 | not published | not published | $5,484.95 – $5,759.20 | 12 |
| Gallium ga-68 dotatoc HCPCS C9067 | not published | not published | $3.21 – $3.93 | 13 |
| Gallium ga-68 psma-11, ucla HCPCS A9594 | not published | not published | $322.80 – $830.15 | 13 |
| Gallium ga-68 psma-11 ucsf HCPCS A9593 | not published | not published | $366.43 – $847.87 | 13 |
| Gallium illuccix 1 millicure HCPCS A9596 | not published | not published | $424.94 – $1,126.19 | 13 |
| Gallium locametz 1 millicuri HCPCS A9800 | not published | not published | $321.91 – $667.20 | 13 |
| Gallium nitrate injection HCPCS J1457 | not published | not published | $0.72 – $0.72 | 1 |
| Galsulfase injection HCPCS J1458 | not published | not published | $182.23 – $560.11 | 13 |
| Gamma globulin > 10 cc inj HCPCS J1560 | not published | not published | $110.79 – $158.96 | 13 |
| Gamma globulin 1 cc inj HCPCS J1460 | not published | not published | $17.93 – $53.45 | 13 |
| Gammaglobulin iga CPT 82784 | $40.59 | $123.00 | $4.19 – $24.30 | 26 |
| Gammaglobulin ige CPT 82785 | $37.95 | $115.00 | $7.41 – $29.79 | 26 |
| Gamma glutamyltransferase CPT 82977 | $24.09 | $73.00 | $3.24 – $65.70 | 26 |
| Gammagraft HCPCS Q4111 | not published | not published | $112.91 – $118.56 | 12 |
| Gammaplex injection HCPCS J1557 | not published | not published | $19.51 – $69.41 | 13 |
| Gamunex-c/gammaked HCPCS J1561 | $3,705.25 | $11,228.03 | $18.22 – $1,263.15 | 26 |
| Ganciclovir in ns IV syringe 10 mg/ml (neo/ped) - cnr HCPCS J1570 | $109.40 | $331.50 | $35.53 – $298.35 | 17 |
| Ganciclovir long act implant HCPCS J7310 | not published | not published | $5.86 – $5.86 | 1 |
| Gardner vag dna amp probe CPT 87511 | not published | not published | $15.79 – $63.51 | 14 |
| Gardner vag dna quant CPT 87512 | not published | not published | $18.79 – $75.59 | 14 |
| Gastric analy w/ph ea spec CPT 82930 | not published | not published | $3.02 – $12.15 | 14 |
| Gastric emptying imag study CPT 78265 | not published | not published | $155.30 – $1,141.19 | 14 |
| Gastric emptying imag study CPT 78266 | not published | not published | $200.08 – $1,280.15 | 14 |
| Gastric motility studies CPT 91020 | not published | not published | $189.83 – $355.49 | 13 |
| Gastric mucosa imaging CPT 78261 | not published | not published | $145.01 – $601.96 | 14 |
| Gastrin test CPT 82938 | not published | not published | $7.96 – $32.02 | 14 |
| Gastroesophageal reflux study CPT 78262 | $202.29 | $613.00 | $150.11 – $717.15 | 26 |
| Gastroesophageal reflux test CPT 91034 | not published | not published | $153.36 – $355.49 | 13 |
| Gastrostomy open neonatal CPT 43831 | not published | not published | $822.88 – $864.02 | 12 |
| Gated heart multiple CPT 78473 | not published | not published | $155.30 – $854.42 | 14 |
| Gauze >16<=48 no w/sal without b HCPCS A6223 | not published | not published | $3.46 – $3.63 | 12 |
| Gauze >16 <=48 sq in w/bordr HCPCS A6220 | not published | not published | $3.69 – $3.87 | 12 |
| Gauze <=16 in no w/sal without b HCPCS A6222 | not published | not published | $3.04 – $3.19 | 12 |
| Gauze <= 16 sq in w/border HCPCS A6219 | not published | not published | $1.36 – $1.43 | 12 |
| Gauze > 48 in no w/sal without b HCPCS A6224 | not published | not published | $5.13 – $5.39 | 12 |
| Gba gene CPT 81251 | not published | not published | $21.26 – $85.52 | 14 |
| Gc stocking full lngth 18-30 HCPCS A6536 | not published | not published | $73.95 – $77.65 | 12 |
| Gc stocking full lngth 30-40 HCPCS A6537 | not published | not published | $87.67 – $92.05 | 12 |
| Gc stocking full lngth 40+ HCPCS A6538 | not published | not published | $102.65 – $107.78 | 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.