Claiborne Medical Center
1850 Old Knoxville Rd, Tazewell, TN · Fsregional · · NPI 1942205166
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 |
|---|---|---|---|---|
| Ghs st - eval for alt comm CPT 92567 | not published | not published | $14.19 – $38.10 | 13 |
| Ghs strapping shoulder - 29240 CPT 29240 | not published | not published | $129.28 – $135.74 | 12 |
| Ghs st - re-eval for alt comm CPT 92597 | not published | not published | $36.79 – $84.70 | 2 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | not published | not published | $17.39 – $125.00 | 13 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | not published | not published | $89.89 – $217.01 | 13 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | not published | not published | $718.15 – $754.06 | 12 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $395.01 – $414.76 | 12 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $1,507.66 – $1,583.04 | 12 |
| Ghs trypsin (fecal) CPT 84488 | not published | not published | $3.29 – $13.21 | 14 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $239.68 – $251.66 | 12 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $239.68 – $251.66 | 12 |
| Ghs urine, hydroxproline total CPT 83505 | not published | not published | $10.94 – $43.98 | 14 |
| Ghs urine, porphyrins quant CPT 84120 | $17.64 | $63.00 | $6.62 – $48.60 | 26 |
| Ghs vaginal delivery only CPT 59409 | $730.52 | $2,609.00 | $1,174.05 – $3,302.76 | 24 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | not published | not published | $242.78 – $582.73 | 13 |
| Ghs windowing of cast CPT 29730 | not published | not published | $157.90 – $165.80 | 12 |
| Giardia ag if CPT 87269 | not published | not published | $6.12 – $24.63 | 14 |
| Giardia lamblia antibody CPT 86674 | not published | not published | $6.62 – $26.64 | 14 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $53.43 – $243.44 | 13 |
| Gi inhouse confirmation CPT 87045 | $19.04 | $68.00 | $4.25 – $61.20 | 26 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $3,221.60 – $3,382.68 | 12 |
| Gi protein loss CPT 78282 | not published | not published | $91.62 – $407.87 | 13 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | not published | not published | $829.80 – $925.38 | 13 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $405.24 – $948.81 | 13 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $833.30 – $925.38 | 13 |
| Gi wireless capsule measure CPT 91112 | not published | not published | $881.31 – $1,274.40 | 13 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $45.50 – $183.03 | 14 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $27.68 – $111.35 | 14 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $15.75 – $63.35 | 14 |
| Glassia injection HCPCS J0257 | not published | not published | $2.19 – $6.15 | 13 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $14.19 – $63.00 | 13 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $14.19 – $46.38 | 13 |
| Glaucoma surgery CPT 66150 | not published | not published | $4,016.41 – $4,217.23 | 12 |
| Glaucoma surgery CPT 66155 | not published | not published | $4,016.41 – $4,217.23 | 12 |
| Glaucoma surgery CPT 66160 | not published | not published | $2,242.49 – $2,354.61 | 12 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,242.49 – $2,354.61 | 12 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $109.06 | $389.50 | $107.94 – $350.55 | 26 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $109.06 | $389.50 | $81.01 – $350.55 | 26 |
| Glucagon plasma - sendout CPT 82943 | $15.96 | $57.00 | $6.43 – $51.30 | 26 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $20.73 – $83.39 | 14 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $22.73 – $91.41 | 14 |
| Glucagon tolerance test CPT 82946 | not published | not published | $8.00 – $32.16 | 14 |
| Glucose 1 hr post dose CPT 82950 | $9.52 | $34.00 | $2.14 – $30.60 | 26 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $2.72 – $10.95 | 14 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | not published | not published | $1.48 – $5.94 | 14 |
| Glucose blood quantitative CPT 82947 | $7.56 | $27.00 | $1.77 – $24.30 | 26 |
| Glucose body fluid CPT 82945 | $7.84 | $28.00 | $1.77 – $9.00 | 26 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $27.98 – $60.30 | 13 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $17.64 | $63.00 | $5.79 – $23.29 | 26 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $7.84 | $28.00 | $1.76 – $25.20 | 26 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $1.12 | $4.00 | $0.29 – $0.79 | 17 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $7.39 – $34.07 | 2 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $10.50 – $12.02 | 13 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $6.16 | $22.00 | $8.36 – $33.63 | 26 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $66.78 – $268.62 | 14 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $9.24 | $33.00 | $8.33 – $33.52 | 26 |
| Gonioscopy CPT 92020 | not published | not published | $31.81 – $135.74 | 13 |
| Goniotomy CPT 65820 | not published | not published | $4,016.41 – $4,217.23 | 12 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $163.69 – $799.70 | 13 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $120.92 – $126.97 | 12 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $120.92 – $126.97 | 12 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | not published | not published | $120.92 – $126.97 | 12 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $3,179.37 – $3,338.34 | 12 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $120.92 – $126.97 | 12 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $862.05 – $2,117.35 | 2 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $6,720.00 | $24,000.00 | $414.06 – $1,774.57 | 17 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $120.92 – $126.97 | 12 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | not published | not published | $60.39 – $126.97 | 12 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $4,158.00 | $14,850.00 | $120.92 – $13,365.00 | 26 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | not published | not published | $120.92 – $126.97 | 12 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $120.92 – $126.97 | 12 |
| Graft tiss strattice 10x10 frm 10x10cm firm -cost per sq cm HCPCS Q4130 | not published | not published | $120.92 – $126.97 | 12 |
| Graft viashield 2layer amnion patch 2x2cm-cost per sq cm HCPCS Q4211 | not published | not published | $120.92 – $126.97 | 12 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $120.92 – $126.97 | 12 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $1,649.00 | $5,889.30 | $147.72 – $633.09 | 17 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $1,451.37 | $5,183.48 | $239.55 – $1,026.67 | 17 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $3.46 – $62.59 | 2 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.16 – $0.23 | 2 |
| Great toe-hand transfer CPT 26551 | not published | not published | $7,050.80 – $7,403.34 | 12 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $239.68 – $251.66 | 12 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,004.87 – $2,105.11 | 12 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,443.41 – $3,615.58 | 12 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $3,443.41 – $3,615.58 | 12 |
| Ground mileage HCPCS A0425 | $2.80 | $10.00 | $2.10 – $704.03 | 18 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $27.28 – $38.23 | 12 |
| Group health education CPT 99078 | not published | not published | $198.00 – $198.00 | 1 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $7.72 – $19.61 | 2 |
| Group train without patient HCPCS G0543 | not published | not published | $5.18 – $29.51 | 12 |
| Growth hormone antibody CPT 86277 | not published | not published | $7.08 – $28.49 | 14 |
| Growth hormone panel CPT 80428 | not published | not published | $30.02 – $120.73 | 14 |
| Growth hormone panel CPT 80430 | not published | not published | $50.20 – $234.09 | 14 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $14.07 – $136.84 | 14 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $16.69 – $38.23 | 12 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $16.69 – $38.23 | 12 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,864.59 – $1,957.82 | 12 |
| G-tube reposition CPT 43761 | not published | not published | $242.78 – $254.92 | 12 |
| Gu dilat ureter/urethra s&i CPT 74485 | not published | not published | $111.28 – $2,132.77 | 14 |
| Guided cath fluid drainage 10030 CPT 10030 | $303.80 | $1,085.00 | $488.25 – $976.50 | 24 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $1,030.40 | $3,680.00 | $18.84 – $80.75 | 14 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $34.63 – $627.00 | 3 |
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.