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 |
|---|---|---|---|---|
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $143.88 | $436.00 | $56.37 – $392.40 | 26 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $286.77 | $869.00 | $112.96 – $782.10 | 26 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $143.88 | $436.00 | $56.37 – $444.14 | 26 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $143.88 | $436.00 | $56.37 – $385.79 | 14 |
| Scap thorac prosth tiss shap HCPCS L6570 | not published | not published | $5,358.37 – $5,626.29 | 12 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | not published | not published | $1,498.45 – $1,573.37 | 12 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $7.28 – $28.82 | 14 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $26.35 – $69.29 | 4 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $9.72 – $57.81 | 14 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $13.67 – $79.59 | 14 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $11.92 – $47.95 | 14 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $12.17 – $48.96 | 14 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $9.12 – $36.67 | 14 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $26.35 – $69.29 | 4 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $843.73 – $885.92 | 12 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $843.73 – $885.92 | 12 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $8.12 – $32.67 | 14 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $12.72 – $51.17 | 14 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $9.79 – $83.89 | 14 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $10.84 – $43.58 | 14 |
| Screening Mammogram CPT 77067 | $77.22 | $234.00 | $46.86 – $399.14 | 17 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $26.35 – $69.29 | 3 |
| Screening prostate cancer PSA HCPCS G0103 | $61.05 | $185.00 | $8.69 – $166.50 | 26 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $6.76 – $28.82 | 13 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | not published | not published | $1.62 – $1.62 | 1 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $8,407.99 | $25,478.75 | $21.43 – $91.85 | 17 |
| Sc ther infusion reset pump CPT 96371 | $36.30 | $110.00 | $26.59 – $125.00 | 26 |
| Sedimentation rate erythrocyte automated CPT 85652 | $8.91 | $27.00 | $1.22 – $24.30 | 26 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $1,254.00 – $2,789.92 | 2 |
| Select picture audiometry CPT 92583 | not published | not published | $14.19 – $56.20 | 13 |
| Self-adher band w>=3" <5"/yd HCPCS A6454 | not published | not published | $1.12 – $1.18 | 12 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $11.49 – $27.55 | 12 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | not published | not published | $6.82 – $14.64 | 2 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | not published | not published | $5.03 – $10.75 | 2 |
| Semen analysis HCPCS G0027 | not published | not published | $2.93 – $11.77 | 14 |
| Semen analysis presence/motility CPT 89321 | not published | not published | $5.42 – $21.81 | 14 |
| Semen analysis w/count CPT 89310 | not published | not published | $3.87 – $15.58 | 14 |
| Sensorimotor examination CPT 92060 | not published | not published | $27.28 – $56.20 | 13 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $14.19 – $69.42 | 13 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,157.03 – $2,264.88 | 12 |
| Sept9 promoter methylation analysis CPT 81327 | not published | not published | $39.01 – $347.52 | 14 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Serial casting application 97139app CPT 97139 | not published | not published | $76.00 – $161.00 | 4 |
| Serial tonometry CPT 92100 | not published | not published | $92.69 – $92.69 | 1 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $0.72 – $2.03 | 2 |
| Serpina1 gene CPT 81332 | not published | not published | $19.64 – $79.01 | 14 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $0.02 – $49.26 | 2 |
| Set radiation therapy field CPT 77280 | not published | not published | $54.83 – $809.79 | 14 |
| Set radiation therapy field CPT 77285 | not published | not published | $145.27 – $1,338.51 | 14 |
| Set radiation therapy field CPT 77290 | not published | not published | $145.27 – $1,383.76 | 14 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $38.47 – $292.59 | 13 |
| Set up port xray equipment HCPCS Q0092 | not published | not published | $70.17 – $216.00 | 2 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.01 – $0.11 | 2 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.03 – $0.33 | 2 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,771.66 – $1,860.24 | 12 |
| Sewhfo airplane without jnts cf HCPCS L3976 | not published | not published | $1,889.33 – $1,983.80 | 12 |
| Sewhfo airplane w/jnt(s) cf HCPCS L3978 | not published | not published | $2,230.66 – $2,342.19 | 12 |
| Sewhfo cap desgn w/jnt(s) cf HCPCS L3977 | not published | not published | $2,117.37 – $2,223.24 | 12 |
| Sewhfo cap design without jnt cf HCPCS L3975 | not published | not published | $1,889.33 – $1,983.80 | 12 |
| Sewho airplane without jnts cf HCPCS L3967 | not published | not published | $2,230.66 – $2,342.19 | 12 |
| Sewho airplane w/jnt(s) cf HCPCS L3973 | not published | not published | $2,230.66 – $2,342.19 | 12 |
| Sewho cap design without jnts cf HCPCS L3961 | not published | not published | $1,889.33 – $1,983.80 | 12 |
| Sewho cap design w/jnt(s) cf HCPCS L3971 | not published | not published | $2,117.37 – $2,223.24 | 12 |
| Sewho erbs palsey design abd HCPCS L3962 | $328.02 | $994.00 | $208.74 – $1,013.38 | 26 |
| Sex chromatin identification CPT 88130 | not published | not published | $8.09 – $32.54 | 14 |
| Sex chromatin identification CPT 88140 | not published | not published | $3.60 – $14.46 | 14 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Sex transformation m to f CPT 55970 | not published | not published | $4,538.59 – $4,765.52 | 12 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $86.96 – $349.78 | 14 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,085.68 – $1,139.96 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | not published | not published | $182.03 – $191.13 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | not published | not published | $182.03 – $191.13 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | not published | not published | $368.82 – $387.26 | 12 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | not published | not published | $368.82 – $387.26 | 12 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | not published | not published | $182.03 – $191.13 | 12 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | not published | not published | $182.03 – $191.13 | 12 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | not published | not published | $182.03 – $191.13 | 12 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | not published | not published | $368.82 – $387.26 | 12 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | not published | not published | $368.82 – $387.26 | 12 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | not published | not published | $182.03 – $191.13 | 12 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | not published | not published | $182.03 – $191.13 | 12 |
| Sheath above knee HCPCS L8410 | not published | not published | $26.40 – $27.72 | 12 |
| Sheath below knee HCPCS L8400 | not published | not published | $23.21 – $24.37 | 12 |
| Sheath upper limb HCPCS L8415 | not published | not published | $26.24 – $27.55 | 12 |
| Shigella antibody CPT 86771 | not published | not published | $8.44 – $44.31 | 14 |
| Shlder disart int lock elbow HCPCS L6300 | not published | not published | $4,561.09 – $4,789.14 | 12 |
| Shldr disar prosth tiss shap HCPCS L6550 | not published | not published | $4,772.61 – $5,011.24 | 12 |
| Shldr disartic myoelectronic HCPCS L6965 | not published | not published | $17,664.91 – $18,548.16 | 12 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $6,583.38 – $6,912.55 | 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.