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 |
|---|---|---|---|---|
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Shoe clubfoot wedge HCPCS L3380 | not published | not published | $61.30 – $64.37 | 12 |
| Shoe dennis browne splint bo HCPCS L3640 | not published | not published | $53.41 – $56.08 | 12 |
| Shoe heel new leather standa HCPCS L3455 | not published | not published | $50.31 – $52.83 | 12 |
| Shoe heel new rubber standar HCPCS L3460 | not published | not published | $42.41 – $44.53 | 12 |
| Shoe heel pad & depress for HCPCS L3480 | not published | not published | $76.99 – $80.84 | 12 |
| Shoe heel sach cushion type HCPCS L3450 | not published | not published | $130.40 – $136.92 | 12 |
| Shoe heel thomas extend to b HCPCS L3470 | not published | not published | $76.99 – $80.84 | 12 |
| Shoe heel thomas with wedge HCPCS L3465 | not published | not published | $72.28 – $75.89 | 12 |
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $100.58 – $105.61 | 12 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $114.74 – $120.48 | 12 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $50.31 – $52.83 | 12 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $61.30 – $64.37 | 12 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $61.30 – $64.37 | 12 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $44.00 – $46.20 | 12 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $105.33 – $110.60 | 12 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $198.00 – $207.90 | 12 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $647.90 – $680.30 | 12 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $64.41 – $67.63 | 12 |
| Shortening of hand tendon CPT 26479 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Shortening of thigh bone CPT 27465 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Shorten radius or ulna CPT 25390 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Shorten radius & ulna CPT 25392 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $408.59 – $429.02 | 12 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $491.37 – $515.94 | 12 |
| Shoulder harness HCPCS L5699 | not published | not published | $289.51 – $303.99 | 12 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $642.83 – $674.97 | 12 |
| Shoulder MRI (with and without contrast) CPT 73223 | $895.95 | $2,715.00 | $198.87 – $1,022.00 | 14 |
| Shoulder MRI (with contrast) CPT 73222 | $586.41 | $1,777.00 | $306.29 – $1,022.00 | 14 |
| Shoulder MRI (without contrast) CPT 73221 | $583.77 | $1,769.00 | $105.33 – $1,022.00 | 14 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $510.16 – $535.67 | 12 |
| Shoulder X-ray CPT 73030 | $144.21 | $437.00 | $20.38 – $106.74 | 14 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $89.33 – $93.80 | 12 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $64.18 – $67.39 | 12 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $79.62 – $83.60 | 12 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,159.75 | $9,575.00 | $1,695.75 – $7,267.50 | 17 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | not published | not published | $27.94 – $255.32 | 14 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $5.50 – $22.12 | 14 |
| Sialography s&i CPT 70390 | $124.41 | $377.00 | $63.10 – $372.84 | 26 |
| Sialolithotomy 42330 CPT 42330 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Sickling rbc CPT 85660 | $45.54 | $138.00 | $2.48 – $49.50 | 26 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $843.73 – $885.92 | 12 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $843.73 – $885.92 | 12 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,085.68 – $1,139.96 | 12 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $843.73 – $885.92 | 12 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,085.68 – $1,139.96 | 12 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | not published | not published | $1,085.68 – $1,139.96 | 12 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $5,507.97 – $5,783.37 | 12 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,518.29 – $2,644.20 | 12 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,085.68 – $1,139.96 | 12 |
| Sigmoidoscopy w/ultrasound CPT 45341 | not published | not published | $843.73 – $885.92 | 12 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,085.68 – $1,139.96 | 12 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $843.73 – $885.92 | 12 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | not published | not published | $19.72 – $56.20 | 13 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,085.68 – $1,139.96 | 12 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.31 – $0.31 | 1 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $684.63 – $718.86 | 12 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $10,473.75 – $10,997.44 | 12 |
| Simple cystometrogram 51725 CPT 51725 | not published | not published | $226.68 – $238.01 | 12 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $146.72 | $444.62 | $93.37 – $400.15 | 17 |
| Single energy x-ray study HCPCS G0130 | not published | not published | $52.56 – $141.00 | 14 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $226.75 – $238.09 | 12 |
| Single transfer toe-hand CPT 26553 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Sinus CT scan (with and without contrast) CPT 70488 | $570.90 | $1,730.00 | $123.57 – $1,557.00 | 26 |
| Sinus CT scan (with contrast) CPT 70487 | $381.15 | $1,155.00 | $123.57 – $1,039.50 | 26 |
| Sinus CT scan (without contrast) CPT 70486 | $381.15 | $1,155.00 | $52.56 – $1,039.50 | 26 |
| Sinus/juglr venogram s&i CPT 75860 | not published | not published | $113.62 – $3,007.94 | 14 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $3,008.03 – $3,158.43 | 12 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $298.76 – $313.70 | 12 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $137.13 – $143.99 | 12 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $18,970.96 – $59,300.48 | 13 |
| Sirolimus, oral HCPCS J7520 | $11.58 | $35.09 | $1.03 – $7.78 | 17 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $50.79 – $92.18 | 13 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $292.13 – $306.74 | 12 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $0.02 – $49.26 | 2 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $0.02 – $0.02 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $3,215.13 – $3,375.89 | 12 |
| Skin barrier with flange HCPCS A4373 | not published | not published | $8.94 – $9.39 | 12 |
| Skin Biopsy CPT 11102 | not published | not published | $368.82 – $387.26 | 12 |
| Skin full graft 20sq cm less 15200 CPT 15200 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $3,215.13 – $3,375.89 | 12 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,871.96 – $1,965.56 | 12 |
| Skin test unlisted antigen ea CPT 86486 | $31.35 | $95.00 | $5.89 – $85.50 | 26 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $428.82 – $1,221.20 | 2 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $78.66 – $316.41 | 14 |
| Sleep study attended CPT 95807 | not published | not published | $207.94 – $403.72 | 13 |
| Sleep Study (Polysomnography) CPT 95810 | not published | not published | $432.27 – $818.07 | 13 |
| Sleep study unattended CPT 95806 | not published | not published | $63.55 – $205.70 | 13 |
| Sleeve fing rolyan med HCPCS L3933 | $81.51 | $247.00 | $51.87 – $251.92 | 26 |
| Sling arm deluxe w/pad xs HCPCS A4565 | not published | not published | $10.98 – $11.53 | 12 |
| Sling pelv split sam med HCPCS L0621 | not published | not published | $76.50 – $80.33 | 12 |
| Sling suprapubic suburetheral HCPCS C1771 | $1,848.00 | $5,600.00 | $1,176.00 – $5,040.00 | 17 |
| Slitting of prepuce CPT 54000 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Slitting of prepuce CPT 54001 | not published | not published | $1,896.55 – $1,991.38 | 12 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | not published | not published | $16.87 – $37.64 | 2 |
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.