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 |
|---|---|---|---|---|
| Rmvl tv pm lead sgl CPT 33234 | not published | not published | $3,390.45 – $3,559.97 | 12 |
| Rmv ntr oi implt skl prq esp CPT 69726 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Rmv ntr oi imp sk tc>=100 CPT 69728 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Rmv ntr oi imp sk tc esp<100 CPT 69727 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | not published | not published | $10,109.48 – $10,614.95 | 12 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | not published | not published | $27,996.40 – $29,396.22 | 12 |
| Rmv sk-mnt crnl nstm pg/rcvr CPT 61892 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Robot lin-radsurg com, first HCPCS G0339 | not published | not published | $26,902.00 – $26,902.00 | 1 |
| Robt lin-radsurg fractx 2-5 HCPCS G0340 | not published | not published | $26,902.00 – $26,902.00 | 1 |
| Rocker bottom, contact afo HCPCS L2232 | not published | not published | $119.38 – $125.35 | 12 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.23 – $1.73 | 12 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $3,292.06 | $9,975.93 | $16.62 – $8,978.33 | 26 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | $6,192.29 | $18,764.52 | $5.27 – $4,222.08 | 26 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | $1,478.29 | $4,479.68 | $4.48 – $4,031.71 | 26 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $140.61 | $426.09 | $0.05 – $383.48 | 17 |
| Rotation wrst with cable lock HCPCS L6625 | not published | not published | $743.95 – $781.15 | 12 |
| Rotavirus antibody CPT 86759 | $43.89 | $133.00 | $8.20 – $119.70 | 26 |
| Round caliper and plate atta HCPCS L2240 | not published | not published | $96.11 – $100.92 | 12 |
| Routine footcare pt w lops HCPCS G0247 | not published | not published | $76.56 – $191.13 | 12 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $11.13 – $25.24 | 13 |
| Rplcm oi implt sk tc esp<100 CPT 69719 | not published | not published | $11,648.21 – $12,230.62 | 12 |
| Rplcmt oi implt skl prq esp CPT 69717 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Rplc oi implt sk tc esp>=100 CPT 69730 | not published | not published | $11,648.21 – $12,230.62 | 12 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | not published | not published | $1,428.19 – $1,499.60 | 12 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $264.00 | $800.00 | $149.41 – $803.75 | 26 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $946.77 | $2,869.00 | $394.79 – $2,582.10 | 26 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $748.11 | $2,267.00 | $672.80 – $2,680.84 | 26 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $385.11 | $1,167.00 | $525.15 – $1,499.60 | 24 |
| Rpl tun-cvad w subq port CPT 36582 | not published | not published | $2,864.70 – $3,007.94 | 12 |
| Rpl tun-cvad w subq pump CPT 36583 | not published | not published | $5,048.52 – $5,300.95 | 12 |
| Rpl tun cvc wo subq port CPT 36581 | not published | not published | $2,864.70 – $3,007.94 | 12 |
| Rpr aa hrn 1st > 10 rdc CPT 49595 | not published | not published | $5,873.53 – $6,167.21 | 12 |
| Rpr aa hrn 1st 3-10 ncr/strn CPT 49594 | not published | not published | $5,484.95 – $5,759.20 | 12 |
| Rpr aa hrn 1st 3-10 rdc CPT 49593 | not published | not published | $5,873.53 – $6,167.21 | 12 |
| Rpr aa hrn 1st < 3 cm rdc CPT 49591 | not published | not published | $3,248.41 – $3,410.83 | 12 |
| Rpr aa hrn 1st < 3 ncr/strn CPT 49592 | not published | not published | $5,484.95 – $5,759.20 | 12 |
| Rpr aa hrn rcr 3-10 rdc CPT 49615 | not published | not published | $5,873.53 – $6,167.21 | 12 |
| Rpr aa hrn rcr < 3 ncr/strn CPT 49614 | not published | not published | $5,484.95 – $5,759.20 | 12 |
| Rpr aa hrn rcr < 3 rdc CPT 49613 | not published | not published | $3,248.41 – $3,410.83 | 12 |
| Rpr blood ves w/vein graft/up ext 35236 CPT 35236 | not published | not published | $5,048.52 – $5,300.95 | 12 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | not published | not published | $5,048.52 – $5,300.95 | 12 |
| Rpr choanal atresia ntranasl CPT 30540 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rpr choanal atresia trsnpltn CPT 30545 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rpr fem hernia init blocked CPT 49553 | not published | not published | $3,248.41 – $3,410.83 | 12 |
| Rpr hern preemie reduc CPT 49491 | not published | not published | $5,484.95 – $5,759.20 | 12 |
| Rpr hypspad comp dsj & urtp CPT 54348 | not published | not published | $4,864.62 – $5,107.85 | 12 |
| Rpr hypspad comp simple CPT 54340 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Rpr ing hernia baby blocked CPT 49496 | not published | not published | $3,248.41 – $3,410.83 | 12 |
| Rpr ing hernia baby reduc CPT 49495 | not published | not published | $3,248.41 – $3,410.83 | 12 |
| Rpr ing hernia init blocked CPT 49501 | not published | not published | $3,248.41 – $3,410.83 | 12 |
| Rpr ing hernia init reduce CPT 49500 | not published | not published | $5,873.53 – $6,167.21 | 12 |
| Rpr ing hern premie blocked CPT 49492 | not published | not published | $3,248.41 – $3,410.83 | 12 |
| Rpr intst excl anrect fist HCPCS C9796 | not published | not published | $2,518.29 – $2,644.20 | 12 |
| Rpr nsl vlv collapse w/implt CPT 30468 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rpr nsl vlv collapse w/rmdlg CPT 30469 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Rpr&refitg spect xcp aphakia CPT 92370 | not published | not published | $8.26 – $8.26 | 1 |
| Rpr&refit spct prsth aphakia CPT 92371 | not published | not published | $27.28 – $56.20 | 12 |
| Rpr rem hernia init reduce CPT 49550 | not published | not published | $3,248.41 – $3,410.83 | 12 |
| Rpr xtnsr tndn leg prim without grft ea tndn CPT 27664 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Rp therapy unlisted px CPT 79999 | not published | not published | $101.03 – $1,172.00 | 13 |
| Rrp hypspad comp moblj&urtp CPT 54344 | not published | not published | $8,588.68 – $9,018.11 | 12 |
| Rsect hip tum incl femur CPT 27078 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Rsv assay w/optic CPT 87807 | $37.95 | $115.00 | $5.90 – $103.50 | 26 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $174.00 – $403.73 | 2 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $20.41 – $126.83 | 13 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $17.50 – $57.07 | 13 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $19.02 – $59.47 | 13 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $19.02 – $59.47 | 13 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $55.82 – $55.82 | 1 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $45.61 – $45.61 | 1 |
| Rubella antibody igg CPT 86762 | $20.13 | $61.00 | $6.48 – $36.90 | 26 |
| Rubeola ag if CPT 87283 | not published | not published | $7.67 – $110.05 | 14 |
| Rubeola antibody igg CPT 86765 | $23.76 | $72.00 | $5.80 – $23.40 | 26 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $148.28 – $596.41 | 14 |
| Russell viper venom diluted CPT 85613 | $37.62 | $114.00 | $4.31 – $25.20 | 26 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $412.69 – $1,146.35 | 13 |
| Sach foot, replacement HCPCS L5971 | not published | not published | $248.63 – $261.06 | 12 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | $2,826.49 | $8,565.13 | $14.76 – $7,708.61 | 26 |
| Safety plan interven HCPCS G0560 | not published | not published | $20.54 – $20.54 | 1 |
| Salivary gland function exam CPT 78232 | not published | not published | $121.79 – $380.84 | 14 |
| Salivary gland imaging CPT 78230 | $202.29 | $613.00 | $76.98 – $551.70 | 26 |
| Salivary glnd img serial img CPT 78231 | not published | not published | $111.98 – $380.84 | 14 |
| Salmonella antibody CPT 86768 | not published | not published | $5.94 – $23.87 | 14 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $53.31 – $126.83 | 12 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $1.40 – $1.40 | 1 |
| Sargramostim injection HCPCS J2820 | $278.36 | $843.50 | $18.57 – $759.15 | 26 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $19.69 – $64.29 | 13 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $74.10 – $213.06 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | $81.51 | $247.00 | $15.90 – $222.30 | 25 |
| Sarscov & inf vir a&b ag ia CPT 87428 | not published | not published | $31.63 – $79.49 | 14 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $5,507.97 – $5,783.37 | 12 |
| Sbrt management CPT 77435 | not published | not published | $1,193.78 – $2,025.42 | 2 |
| Sbrt w/positron emission del HCPCS G0563 | not published | not published | $216.00 – $3,030.90 | 13 |
| Sbsq psyc collab care mgmt CPT 99493 | not published | not published | $35.97 – $96.78 | 12 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $120.78 | $366.00 | $112.96 – $827.25 | 26 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $81.18 | $246.00 | $56.37 – $493.35 | 26 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $120.78 | $366.00 | $112.96 – $561.33 | 26 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | not published | not published | $56.37 – $364.30 | 14 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $64.35 | $195.00 | $56.37 – $387.49 | 14 |
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.