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 |
|---|---|---|---|---|
| Surgery to stop leg growth CPT 27477 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $6,583.38 – $6,912.55 | 12 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $4,864.62 – $5,107.85 | 12 |
| Surgical opening of stomach CPT 43510 | not published | not published | $822.88 – $864.02 | 12 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,407.71 – $1,478.10 | 12 |
| Surgical pathology level 1 gross examination only CPT 88300 | $12.21 | $37.00 | $12.83 – $46.13 | 26 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $27.06 | $82.00 | $13.23 – $95.88 | 26 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $32.34 | $98.00 | $18.51 – $126.68 | 26 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $35.97 | $109.00 | $18.51 – $221.28 | 26 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $211.86 | $642.00 | $85.80 – $875.82 | 26 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $297.00 | $900.00 | $211.75 – $1,336.62 | 26 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $112.91 – $118.56 | 12 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,518.29 – $2,644.20 | 12 |
| Susceptibility agar dilution per agent CPT 87181 | $15.84 | $48.00 | $2.14 – $43.20 | 26 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $15.84 | $48.00 | $2.14 – $43.20 | 26 |
| Susceptibility mic per plate CPT 87186 | $306.90 | $930.00 | $3.89 – $23.40 | 26 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $2.99 – $12.02 | 14 |
| Suspension of testis CPT 54620 | not published | not published | $3,198.13 – $3,358.04 | 12 |
| Suspension sleeve lower ext HCPCS L2397 | not published | not published | $134.68 – $141.41 | 12 |
| Svc venogram s&i CPT 75827 | not published | not published | $103.81 – $1,499.60 | 14 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $3.08 – $49.64 | 14 |
| Symes ankle without (sach) foot HCPCS L5703 | not published | not published | $2,758.03 – $2,895.93 | 12 |
| Symes met fr leath socket ar HCPCS L5060 | not published | not published | $3,381.38 – $3,550.45 | 12 |
| Symes type medial opening so HCPCS L5636 | not published | not published | $311.94 – $327.54 | 12 |
| Symes type poster opening so HCPCS L5634 | not published | not published | $372.40 – $391.02 | 12 |
| Symes type ptb brim design s HCPCS L5632 | not published | not published | $300.21 – $315.22 | 12 |
| Syme typ expandabl wall sckt HCPCS L5630 | not published | not published | $549.44 – $576.91 | 12 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,771.66 – $1,860.24 | 12 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,771.66 – $1,860.24 | 12 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $2,968.60 – $3,117.03 | 12 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $3.07 – $4.10 | 3 |
| Synthetic sentence id test CPT 92576 | not published | not published | $14.19 – $39.97 | 13 |
| Synvisc or synvisc-one HCPCS J7325 | $1,540.32 | $4,667.65 | $6.52 – $1,400.29 | 26 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $13.53 | $41.00 | $1.98 – $31.50 | 26 |
| T3 (triiodothyronine) free CPT 84481 | $56.43 | $171.00 | $7.62 – $153.90 | 26 |
| T3 (triiodothyronine) total CPT 84480 | $47.19 | $143.00 | $6.38 – $128.70 | 26 |
| T4 (thyroxine) free CPT 84439 | $30.03 | $91.00 | $4.06 – $81.90 | 26 |
| T4 (thyroxine) total CPT 84436 | $22.77 | $69.00 | $3.09 – $62.10 | 26 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.63 – $0.67 | 2 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $0.62 – $2.10 | 2 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $19.47 | $59.00 | $0.21 – $6.62 | 17 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $85.38 – $286.07 | 13 |
| Tacrolimus therapeutic drug level CPT 80197 | $31.68 | $96.00 | $6.18 – $86.40 | 26 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $1,569.85 | $4,757.13 | $6.33 – $4,281.41 | 26 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $23.07 – $80.59 | 13 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | $12,993.00 | $39,372.74 | $33.86 – $35,435.46 | 26 |
| Talymed HCPCS Q4127 | not published | not published | $112.91 – $118.56 | 12 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.33 – $0.33 | 1 |
| Tape plstc 1inx5yd hosp tb pk HCPCS A4452 | not published | not published | $0.50 – $0.53 | 12 |
| Target gsa panel hmtlmph neop CPT 81450 | $1,508.76 | $4,572.00 | $304.44 – $4,114.80 | 26 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | not published | not published | $1,313.82 – $5,284.48 | 14 |
| Target gsa panel organ neop CPT 81445 | not published | not published | $269.06 – $1,082.22 | 14 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | $16,869.60 | $51,120.00 | $787.71 – $46,008.00 | 26 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $670.54 – $704.07 | 12 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | $408.85 | $1,238.93 | $0.25 – $696.69 | 26 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $61.65 – $247.97 | 14 |
| Tbs dxa cal w/i&r fx risk CPT 77089 | not published | not published | $37.95 – $123.93 | 4 |
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $10.03 – $32.73 | 4 |
| Tbs techl calculation only CPT 77091 | not published | not published | $25.88 – $84.50 | 14 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.05 – $82.91 | 14 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | not published | not published | $45.00 – $181.00 | 14 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $32.01 | $97.00 | $27.89 – $112.18 | 26 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $507.52 – $507.52 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $404.76 – $1,251.07 | 2 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $318.82 – $3,996.30 | 13 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $772.89 – $772.89 | 1 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $80.68 – $80.68 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,618.30 | $4,903.95 | $520.16 – $871.02 | 12 |
| Tc-99m exametazime diag HCPCS A9521 | $1,281.04 | $3,881.94 | $374.09 – $3,493.74 | 25 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $164.30 – $337.90 | 13 |
| Tc-99m labeled rbc HCPCS A9560 | $110.25 | $334.09 | $70.15 – $300.68 | 15 |
| Tc-99m maa HCPCS A9540 | $98.58 | $298.74 | $34.58 – $268.86 | 15 |
| Tc-99m mebrofenin HCPCS A9537 | $41.60 | $126.06 | $26.47 – $113.45 | 15 |
| Tc-99m medronate HCPCS A9503 | $45.15 | $136.82 | $14.98 – $123.13 | 15 |
| Tc-99m mertiatide HCPCS A9562 | $201.77 | $611.41 | $128.39 – $550.26 | 14 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $5.00 – $9.32 | 2 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $50.71 – $50.71 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $155.27 | $470.53 | $36.11 – $423.47 | 15 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $95.13 | $288.28 | $20.32 – $259.45 | 15 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $34.80 | $105.46 | $1.98 – $94.91 | 15 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $58.86 | $178.36 | $37.45 – $160.52 | 15 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $34.00 | $103.04 | $46.36 – $128.98 | 15 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $586.04 – $615.34 | 12 |
| Tc-99m sulfur colloid HCPCS A9541 | $114.73 | $347.67 | $63.57 – $308.16 | 15 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $37.19 | $112.70 | $23.66 – $101.43 | 15 |
| Tc-99m tilmanocept diag HCPCS A9520 | $535.66 | $1,623.22 | $340.87 – $1,460.89 | 15 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $670.54 – $704.07 | 12 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $56.37 – $315.30 | 13 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $56.37 – $276.34 | 13 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $400.27 – $420.28 | 12 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $44.55 | $135.00 | $21.14 – $121.50 | 26 |
| T cells absolute cd 4 count CPT 86361 | not published | not published | $12.05 – $48.47 | 14 |
| T cells total count CPT 86359 | $35.97 | $109.00 | $16.98 – $98.10 | 26 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $116.16 – $205.70 | 12 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $116.16 – $205.70 | 12 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $63.55 – $205.70 | 12 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | $23,032.63 | $69,795.84 | $99.43 – $62,816.25 | 26 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $328.46 – $830.10 | 13 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $328.46 – $830.10 | 13 |
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.