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 |
|---|---|---|---|---|
| Revision of scrotum CPT 55175 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Revision of scrotum CPT 55180 | not published | not published | $4,864.62 – $5,107.85 | 12 |
| Revision of spinal shunt CPT 63744 | not published | not published | $3,099.38 – $3,254.35 | 12 |
| Revision of testis CPT 54660 | not published | not published | $4,864.62 – $5,107.85 | 12 |
| Revision of thigh muscles CPT 27430 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Revision of toe CPT 28312 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Revision of ulna CPT 25360 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Revision of unstable kneecap CPT 27420 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Revision of unstable kneecap CPT 27422 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Revision of upper arm CPT 24940 | not published | not published | $11,648.21 – $12,230.62 | 12 |
| Revision of urethra CPT 53450 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Revision of urethra CPT 53460 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Revision of urethra CPT 57220 | not published | not published | $4,538.59 – $4,765.52 | 12 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $5,048.52 – $5,300.95 | 12 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Revision tips CPT 37183 | not published | not published | $5,163.81 – $5,422.00 | 12 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $11,648.21 – $12,230.62 | 12 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $11,648.21 – $12,230.62 | 12 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $112.91 – $118.56 | 12 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $112.91 – $118.56 | 12 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,048.52 – $5,300.95 | 12 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,048.52 – $5,300.95 | 12 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $4,864.62 – $5,107.85 | 12 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,171.93 – $3,330.53 | 12 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $3,171.93 – $3,330.53 | 12 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | not published | not published | $3,171.93 – $3,330.53 | 12 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $3,171.93 – $3,330.53 | 12 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $15,907.98 – $16,703.38 | 12 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $15,907.98 – $16,703.38 | 12 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $27,996.40 – $29,396.22 | 12 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $15,907.98 – $16,703.38 | 12 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $10,109.48 – $10,614.95 | 12 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $5.02 – $11.58 | 13 |
| Rf abltj nrv nrvtg si jt CPT 64625 | not published | not published | $1,771.66 – $1,860.24 | 12 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $2.76 – $11.11 | 14 |
| Rheumatoid factor quantitative CPT 86431 | $18.81 | $57.00 | $2.55 – $51.30 | 26 |
| Rh ig IV CPT 90386 | not published | not published | $13.57 – $93.85 | 2 |
| Rh ig minidose im CPT 90385 | not published | not published | $24.99 – $74.59 | 13 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $66.00 | $200.00 | $5.12 – $180.00 | 17 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $24.31 – $31.10 | 2 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $11.16 – $27.75 | 13 |
| Rho d immune globulin inj HCPCS J2790 | $66.00 | $200.00 | $42.00 – $180.00 | 17 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $58.84 – $107.97 | 2 |
| R hrt cath chd abnl nt cnj CPT 93594 | not published | not published | $2,941.32 – $3,088.39 | 12 |
| R hrt cath chd nml nt cnj CPT 93593 | not published | not published | $2,941.32 – $3,088.39 | 12 |
| Rhythm ecg with report CPT 93040 | not published | not published | $14.34 – $169.00 | 3 |
| Rib cartilage graft CPT 21230 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rib gusset (elastic) each HCPCS L1280 | not published | not published | $101.29 – $106.35 | 12 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $2,627.93 – $2,900.16 | 2 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.15 – $0.19 | 3 |
| Right ventric recording CPT 93603 | not published | not published | $73.97 – $1,159.87 | 13 |
| Rilonacept injection HCPCS J2793 | not published | not published | $12.05 – $32.95 | 2 |
| Ring barrier skin cx 1 9/16 adapt HCPCS A4411 | not published | not published | $7.26 – $7.62 | 12 |
| Ring flange plas/leather mol HCPCS L1110 | not published | not published | $314.94 – $330.69 | 12 |
| Ring flange plastic/leather HCPCS L1100 | not published | not published | $185.94 – $195.24 | 12 |
| Ring fx reform 11-13x17mm HCPCS L8610 | not published | not published | $784.19 – $823.40 | 12 |
| Ring ostmy barr adapt 48mm HCPCS A4385 | not published | not published | $7.26 – $7.62 | 12 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | $11,957.19 | $36,233.92 | $7.91 – $32,610.52 | 26 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $14.90 – $35.69 | 12 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $1,451.54 | $4,398.60 | $4.07 – $1,979.23 | 26 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | $5,283.11 | $16,009.42 | $47.70 – $14,408.47 | 26 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | $8,452.90 | $25,614.84 | $23.32 – $20,171.70 | 26 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $4,754.70 | $14,408.17 | $26.09 – $2,593.46 | 26 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | $6,869.24 | $20,815.87 | $22.15 – $3,746.85 | 26 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | $6,869.24 | $20,815.87 | $14.07 – $3,746.85 | 26 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | not published | not published | $2,941.32 – $3,088.39 | 12 |
| R&l hrt cath chd nml nt cnj CPT 93596 | not published | not published | $2,941.32 – $3,088.39 | 12 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | not published | not published | $642.47 – $674.59 | 12 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $5,484.95 – $5,759.20 | 12 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,458.89 – $1,531.83 | 12 |
| Rmvl fb upr arm/elbow deep CPT 24201 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,085.68 – $1,139.96 | 12 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $3,099.38 – $3,254.35 | 12 |
| Rmvl icd by tv extr CPT 33244 | not published | not published | $3,390.45 – $3,559.97 | 12 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | not published | not published | $20,181.03 – $21,190.08 | 12 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | not published | not published | $28,478.32 – $29,902.24 | 12 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | not published | not published | $20,181.03 – $21,190.08 | 12 |
| Rmvl icd pulse gen only CPT 33241 | not published | not published | $3,390.45 – $3,559.97 | 12 |
| Rmvl ndwellg tun pleural cath CPT 32552 | not published | not published | $569.14 – $597.60 | 12 |
| Rmvl perm pm pulse gen CPT 33233 | not published | not published | $7,508.05 – $7,883.45 | 12 |
| Rmvl phrnc nrv stim pg only CPT 33280 | not published | not published | $3,171.93 – $3,330.53 | 12 |
| Rmvl phrnc nrv stim sys CPT 33278 | not published | not published | $3,171.93 – $3,330.53 | 12 |
| Rmvl phrnc nrv stim transvns CPT 33279 | not published | not published | $3,171.93 – $3,330.53 | 12 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | not published | not published | $17,475.64 – $18,349.42 | 12 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | not published | not published | $7,508.05 – $7,883.45 | 12 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Rmvl sq defib electrode CPT 33272 | not published | not published | $3,390.45 – $3,559.97 | 12 |
| Rmvl subq card rhythm mntr CPT 33286 | not published | not published | $642.47 – $674.59 | 12 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $2,635.37 – $2,767.14 | 12 |
| Rmvl tongs/halo anthr indiv CPT 20665 | not published | not published | $405.30 – $425.57 | 12 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Rmvl tot arthrp 1ntrspc lmbr CPT 22865 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Rmvl tv pm lead dual CPT 33235 | not published | not published | $3,390.45 – $3,559.97 | 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.