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 |
|---|---|---|---|---|
| Slp eval non-spch gen comm dev CPT 92605 | not published | not published | $45.22 – $106.98 | 2 |
| Slp pure tone screening CPT 92551 | $15.51 | $47.00 | $6.10 – $14.42 | 2 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $27.28 – $56.20 | 13 |
| Slp ther svc non-spch gen CPT 92606 | not published | not published | $36.25 – $93.72 | 2 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $2,806.03 – $17,748.34 | 13 |
| Small animal inoculation CPT 87003 | not published | not published | $7.58 – $30.48 | 14 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Small bowel endoscopy CPT 44382 | not published | not published | $822.88 – $864.02 | 12 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $822.88 – $864.02 | 12 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,740.98 – $1,828.03 | 12 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $5,507.97 – $5,783.37 | 12 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $296.65 | 13 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $15.51 | $47.00 | $2.43 – $42.30 | 26 |
| Smear gram stain CPT 87205 | $14.19 | $43.00 | $1.92 – $38.70 | 26 |
| Smear nasal eosinophil CPT 89190 | $13.53 | $41.00 | $2.61 – $36.90 | 26 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $19.80 | $60.00 | $2.70 – $54.00 | 26 |
| Smear wet mount CPT 87210 | $13.53 | $41.00 | $2.62 – $36.90 | 26 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $135.61 – $545.44 | 14 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $83.34 – $335.21 | 14 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $21.15 – $85.07 | 14 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $22.98 – $92.44 | 14 |
| So airplane w/wo joint cf HCPCS L3674 | not published | not published | $1,329.23 – $1,395.69 | 12 |
| So cap design without jnts cf HCPCS L3671 | not published | not published | $1,013.24 – $1,063.90 | 12 |
| Socket insert above knee HCPCS L5658 | not published | not published | $445.13 – $467.39 | 12 |
| Socket insert below knee HCPCS L5655 | not published | not published | $344.08 – $361.28 | 12 |
| Socket insert knee articulat HCPCS L5656 | not published | not published | $461.57 – $484.65 | 12 |
| Socket insert symes HCPCS L5654 | not published | not published | $406.02 – $426.32 | 12 |
| Socket insert without lock mech HCPCS L5679 | not published | not published | $725.39 – $761.66 | 12 |
| Socket insert w lock mech HCPCS L5673 | not published | not published | $870.51 – $914.04 | 12 |
| Sock fracture or equal each HCPCS L3995 | not published | not published | $38.45 – $40.37 | 12 |
| Sock wool above knee HCPCS L8430 | not published | not published | $33.75 – $35.44 | 12 |
| Sodium 24 hour urine CPT 84300 | $16.17 | $49.00 | $2.28 – $11.70 | 26 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $2.11 – $2.46 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.37 – $1.53 | 2 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.70 – $0.79 | 2 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.11 – $0.20 | 2 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $20.49 | $62.09 | $2.34 – $55.88 | 17 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | $266.78 | $808.41 | $43.07 – $496.58 | 17 |
| Sodium serum/plasma/whole blood CPT 84295 | $15.84 | $48.00 | $2.16 – $43.20 | 26 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $206.21 | $624.88 | $0.78 – $562.39 | 26 |
| Soft interface below knee se HCPCS L2820 | not published | not published | $99.79 – $104.78 | 12 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $78.96 – $82.91 | 12 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $605.39 – $1,681.64 | 13 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $538.12 – $1,494.79 | 13 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $1,479.83 – $4,110.64 | 13 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $470.86 – $1,307.94 | 13 |
| Solid skin barrier HCPCS A4362 | not published | not published | $4.46 – $4.68 | 12 |
| Solid skin barrier 6x6 HCPCS A5121 | not published | not published | $10.62 – $11.15 | 12 |
| Somatosensory testing CPT 95927 | not published | not published | $63.55 – $205.70 | 13 |
| Somatropin injection HCPCS J2941 | $913.58 | $2,768.43 | $40.80 – $2,491.58 | 18 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $1,345.30 – $3,736.94 | 13 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $403.59 – $1,121.09 | 13 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $5.00 – $27.30 | 13 |
| So vest canvas/web pre ots HCPCS L3675 | not published | not published | $197.34 – $207.21 | 12 |
| Special physics consult CPT 77370 | not published | not published | $54.83 – $385.21 | 14 |
| Special pump services CPT 99190 | not published | not published | $483.96 – $483.96 | 1 |
| Special pump services CPT 99191 | not published | not published | $338.42 – $338.42 | 1 |
| Special pump services CPT 99192 | not published | not published | $241.67 – $241.67 | 1 |
| Special radiation dosimetry CPT 77331 | not published | not published | $18.11 – $199.15 | 14 |
| Special radiation treatment CPT 77470 | not published | not published | $46.03 – $526.38 | 14 |
| Special teletx port plan CPT 77321 | not published | not published | $78.93 – $356.70 | 14 |
| Specific gravity body fluid CPT 84315 | $7.92 | $24.00 | $1.48 – $21.60 | 26 |
| Specimen fat stain CPT 89125 | not published | not published | $2.65 – $10.64 | 14 |
| Speech audiometry complete CPT 92556 | not published | not published | $14.19 – $56.20 | 13 |
| Speech evaluation complex CPT 70371 | not published | not published | $74.34 – $328.49 | 14 |
| Speech recep thresh CPT 92555 | not published | not published | $14.19 – $56.20 | 13 |
| Sperm antibody test CPT 89325 | not published | not published | $4.80 – $19.31 | 14 |
| Sperm evaluation test CPT 89329 | not published | not published | $8.82 – $35.46 | 14 |
| Sperm identification CPT 89257 | not published | not published | $18.51 – $63.73 | 13 |
| Sperm isolation complex CPT 89261 | not published | not published | $18.51 – $63.73 | 13 |
| Sperm isolation simple CPT 89260 | not published | not published | $18.51 – $63.73 | 13 |
| Sperm washing 58323 CPT 58323 | not published | not published | $27.51 – $192.59 | 12 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $5,370.91 – $5,639.46 | 12 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $2,518.29 – $2,644.20 | 12 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $357.06 | $1,082.00 | $486.90 – $973.80 | 24 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $11,648.21 – $12,230.62 | 12 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $116.16 – $205.70 | 13 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $188.76 | $572.00 | $50.88 – $514.80 | 26 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $63.55 – $122.58 | 13 |
| Spleen imaging CPT 78185 | not published | not published | $83.49 – $503.18 | 14 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $161.04 | $488.00 | $102.48 – $498.10 | 26 |
| Splint extn xsm w sof-stretch rolyan HCPCS L3925 | not published | not published | $59.39 – $62.36 | 12 |
| Splint finger fold over sm HCPCS L3924 | not published | not published | $97.81 – $102.70 | 12 |
| Splint finger frog med HCPCS L3927 | $13.20 | $40.00 | $8.40 – $41.31 | 26 |
| Splint fing stax assort 1-7in HCPCS Q4049 | not published | not published | $2.68 – $2.81 | 12 |
| Splint rstrc wrst/cmc right med HCPCS L3923 | not published | not published | $97.81 – $102.70 | 12 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | not published | not published | $3,215.13 – $3,375.89 | 12 |
| Split blood or products CPT 86985 | $13.86 | $42.00 | $18.90 – $162.30 | 25 |
| Split flat caliper stirr & p HCPCS L2230 | not published | not published | $88.17 – $92.58 | 12 |
| Spontaneous nystagmus study CPT 92531 | not published | not published | $17.81 – $17.81 | 1 |
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.