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 |
|---|---|---|---|---|
| Av fistula revision CPT 36833 | not published | not published | $5,048.52 – $5,300.95 | 12 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $5,048.52 – $5,300.95 | 12 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $5,048.52 – $5,300.95 | 12 |
| Av fusion direct any site CPT 36821 | not published | not published | $2,864.70 – $3,007.94 | 12 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $5,048.52 – $5,300.95 | 12 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | not published | not published | $182.03 – $191.13 | 12 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $49.42 – $60.66 | 13 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $197,690.00 – $497,206.21 | 12 |
| Axillary crutch extension HCPCS L0978 | not published | not published | $221.20 – $232.26 | 12 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $5,484.95 – $5,759.20 | 12 |
| Azacitidine injection HCPCS J9025 | $2,047.71 | $6,205.17 | $0.49 – $1,578.63 | 18 |
| Azathioprine 50 mg tablet HCPCS J7500 | $0.28 | $0.85 | $0.06 – $0.76 | 17 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $117.90 – $272.50 | 13 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $11.56 | $35.04 | $2.16 – $31.53 | 17 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $7.00 – $25.50 | 2 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $98.61 | $298.82 | $1.27 – $131.57 | 17 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | $2,123.76 | $6,435.65 | $83.62 – $1,446.45 | 26 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $38.26 – $61.40 | 2 |
| Baclofen eval charges CPT 97750 | $20.79 | $63.00 | $40.18 – $161.00 | 5 |
| Bacterial meningitis antigen CPT 86403 | not published | not published | $5.19 – $20.89 | 14 |
| Bacterial vaginosis pcr CPT 87801 | not published | not published | $31.59 – $127.06 | 14 |
| Bactericidal level serum CPT 87197 | not published | not published | $6.76 – $27.19 | 14 |
| #bac vag cand-c. albicans naa CPT 87481 | not published | not published | $15.79 – $63.51 | 14 |
| Bag urine leg fbrc strap 32oz flipflo anti-reflux valve HCPCS A4358 | not published | not published | $8.04 – $8.44 | 12 |
| Barrier film 1.0ml wipe HCPCS A5120 | not published | not published | $0.33 – $0.35 | 12 |
| Barrier film 28ml spray no stng cavilon HCPCS A4369 | not published | not published | $3.46 – $3.63 | 12 |
| Barrier skin flat ctf 2.75in HCPCS A4408 | not published | not published | $14.07 – $14.77 | 12 |
| Barrier skin flextend 2.25in floating flang new image HCPCS A4409 | not published | not published | $8.84 – $9.28 | 12 |
| Barrier skin flxtnd ctf 3.5in flt flang 4in w/tape cut to ft HCPCS A4414 | not published | not published | $7.01 – $7.36 | 12 |
| Barrier skn ft cx ff red 2.25 ctf new image w/tape HCPCS A4407 | not published | not published | $12.48 – $13.10 | 12 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $2,936.96 – $3,083.81 | 12 |
| Bartonella dna pcr-sendout CPT 87471 | not published | not published | $15.79 – $63.51 | 14 |
| Bartonella dna quant CPT 87472 | not published | not published | $19.28 – $77.54 | 14 |
| Basic vestibular evaluation CPT 92540 | not published | not published | $27.11 – $205.70 | 13 |
| Basiliximab HCPCS J0480 | not published | not published | $1,670.53 – $5,108.67 | 13 |
| Battery chrgr 12 volt utah/e HCPCS L7366 | not published | not published | $657.13 – $689.99 | 12 |
| Battery chrgr six volt otto HCPCS L7362 | not published | not published | $306.73 – $322.07 | 12 |
| Battery elec/combo vad, rep HCPCS Q0496 | not published | not published | $1,856.10 – $1,948.91 | 12 |
| Battery pneum vad replacemnt HCPCS Q0503 | not published | not published | $1,609.89 – $1,690.38 | 12 |
| Bausch health Ultrasound surg HCPCS V2788 | $330.00 | $1,000.00 | $210.00 – $900.00 | 17 |
| B cells total count CPT 86355 | $35.64 | $108.00 | $16.98 – $97.20 | 26 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | $198.69 | $602.08 | $1.41 – $541.87 | 26 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $298.86 – $298.86 | 1 |
| Bcg vaccine percut CPT 90585 | not published | not published | $239.51 – $239.51 | 1 |
| Bckdhb gene CPT 81205 | not published | not published | $42.75 – $171.93 | 14 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $52.24 – $52.24 | 1 |
| Bedside drainage bag HCPCS A4357 | not published | not published | $11.76 – $12.35 | 12 |
| Behavior counsel obesity 15min medicare g0447 HCPCS G0447 | not published | not published | $35.13 – $96.78 | 12 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | $1,090.77 | $3,305.35 | $1.92 – $2,974.81 | 26 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | $2,426.99 | $7,354.50 | $20.97 – $1,985.85 | 26 |
| Below elbow myoelectronic CT HCPCS L6935 | not published | not published | $11,169.31 – $11,727.78 | 12 |
| Below elbow prosth tiss shap HCPCS L6400 | not published | not published | $2,840.74 – $2,982.78 | 12 |
| Below knee acrylic socket HCPCS L5629 | not published | not published | $389.06 – $408.51 | 12 |
| Below knee cuff suspension HCPCS L5666 | not published | not published | $85.69 – $89.97 | 12 |
| Below knee cushion socket HCPCS L5646 | not published | not published | $670.77 – $704.31 | 12 |
| Below knee flex cover system HCPCS L5962 | not published | not published | $776.72 – $815.56 | 12 |
| Below knee leather socket HCPCS L5638 | not published | not published | $616.08 – $646.88 | 12 |
| Below knee suction socket HCPCS L5647 | not published | not published | $973.84 – $1,022.53 | 12 |
| Below knee sus/seal sleeve HCPCS L5685 | not published | not published | $158.57 – $166.50 | 12 |
| Below knee total contact HCPCS L5637 | not published | not published | $353.67 – $371.35 | 12 |
| Below knee wood socket HCPCS L5639 | not published | not published | $1,372.60 – $1,441.23 | 12 |
| Belt ostomy lg 34-65in HCPCS A4367 | not published | not published | $8.92 – $9.37 | 12 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | $3,342.20 | $10,127.89 | $1.67 – $2,278.77 | 26 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $10.91 – $13.40 | 13 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | $2,782.13 | $8,430.71 | $11.85 – $7,587.63 | 26 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $16.67 – $32.54 | 13 |
| Benign lesion paring 2-4 CPT 11056 | not published | not published | $182.03 – $191.13 | 12 |
| Benign lesion paring 4+ CPT 11057 | not published | not published | $182.03 – $191.13 | 12 |
| #_benzodiazconfur CPT 80346 | not published | not published | $0.02 – $49.26 | 2 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | $119.79 | $363.00 | $14.65 – $326.70 | 17 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $14.19 | $43.00 | $11.45 – $46.06 | 26 |
| Beta-2 microglobulin CPT 82232 | $36.30 | $110.00 | $7.28 – $29.29 | 26 |
| Beta-amyloid 1-40 CPT 82233 | not published | not published | $58.01 – $161.15 | 13 |
| Beta-amyloid 1-42 CPT 82234 | not published | not published | $58.01 – $161.15 | 13 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | $21.66 | $65.65 | $7.32 – $59.08 | 17 |
| Bethanechol chloride inject HCPCS J0520 | not published | not published | $5.07 – $5.07 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | $3,585.08 | $10,863.88 | $36.87 – $2,444.37 | 26 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | $3,138.75 | $9,511.36 | $24.74 – $2,140.09 | 26 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | $2,759.42 | $8,361.87 | $22.88 – $1,881.42 | 26 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $0.92 – $1.99 | 13 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $52.47 | $159.00 | $22.74 – $22.74 | 1 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $52.47 | $159.00 | $12.63 – $12.63 | 1 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $7.59 – $30.53 | 14 |
| Bhv id assmt by phys/qhp CPT 97151 | not published | not published | $16.69 – $96.78 | 12 |
| Bhv id suprt assmt by 1 tech CPT 97152 | not published | not published | $16.69 – $96.78 | 12 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | not published | not published | $802.46 – $842.58 | 12 |
| Bilateral n block inj occipital 64405 CPT 64405 | not published | not published | $278.49 – $292.41 | 12 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | not published | not published | $278.49 – $292.41 | 12 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $11.96 – $48.11 | 14 |
| Biliary endo perq dx w/speci CPT 47552 | not published | not published | $5,873.53 – $6,167.21 | 12 |
| Biliary endoscopy thru skin CPT 47553 | not published | not published | $5,873.53 – $6,167.21 | 12 |
| Biliary endoscopy thru skin CPT 47554 | not published | not published | $9,644.18 – $10,126.39 | 12 |
| Biliary endoscopy thru skin CPT 47555 | not published | not published | $5,873.53 – $6,167.21 | 12 |
| Biliary endoscopy thru skin CPT 47556 | not published | not published | $9,644.18 – $10,126.39 | 12 |
| Bilicheck CPT 88720 | not published | not published | $2.26 – $9.09 | 14 |
| Bilirubin direct CPT 82248 | $5.94 | $18.00 | $2.26 – $16.20 | 26 |
| Bilirubin total CPT 82247 | $16.83 | $51.00 | $2.26 – $15.30 | 26 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | not published | not published | $42.80 – $44.94 | 12 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $112.91 – $118.56 | 12 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $112.91 – $118.56 | 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.