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 |
|---|---|---|---|---|
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $0.02 – $49.26 | 2 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $16.24 | $58.00 | $12.18 – $200.87 | 15 |
| Sup/ext non-ins inf pump syr HCPCS K0552 | not published | not published | $3.88 – $4.07 | 12 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $17.39 – $47.78 | 12 |
| Supply of digital device HCPCS G0552 | not published | not published | $64.44 – $135.84 | 12 |
| Supp non-insulin inf cath/wk HCPCS A4221 | not published | not published | $31.13 – $32.69 | 12 |
| Support clav 29.6-40.5in med HCPCS L3650 | $17.36 | $62.00 | $11.30 – $48.43 | 17 |
| Supprelin la implant HCPCS J9226 | not published | not published | $13,881.22 – $47,072.02 | 13 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,697.08 – $2,831.93 | 12 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $3,425.19 – $3,596.45 | 12 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $7,050.80 – $7,403.34 | 12 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $7,050.80 – $7,403.34 | 12 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $7,050.80 – $7,403.34 | 12 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $7,050.80 – $7,403.34 | 12 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $5,210.01 – $5,470.51 | 12 |
| Surgical opening of stomach CPT 43510 | not published | not published | $881.31 – $925.38 | 12 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,507.66 – $1,583.04 | 12 |
| Surgical pathology level 1 gross examination only CPT 88300 | $10.36 | $37.00 | $12.83 – $46.13 | 26 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $22.96 | $82.00 | $13.23 – $95.88 | 26 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $27.44 | $98.00 | $18.51 – $126.68 | 26 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $30.52 | $109.00 | $18.51 – $221.28 | 26 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $179.76 | $642.00 | $85.80 – $875.82 | 26 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $252.00 | $900.00 | $211.75 – $1,336.62 | 26 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $120.92 – $126.97 | 12 |
| Surg tx anal fistula 2nd stage 46285 CPT 46285 | not published | not published | $2,697.08 – $2,831.93 | 12 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $2.14 – $8.60 | 14 |
| Susceptibility enzyme detection per enzyme CPT 87185 | not published | not published | $2.14 – $8.60 | 14 |
| Susceptibility mic per plate CPT 87186 | $17.36 | $62.00 | $3.89 – $55.80 | 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 | $3,425.19 – $3,596.45 | 12 |
| Svc venogram s&i CPT 75827 | not published | not published | $103.81 – $1,606.07 | 14 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $3.08 – $53.17 | 14 |
| Sympathectomy cervical CPT 64802 | not published | not published | $1,897.45 – $1,992.32 | 12 |
| Sympathectomy digital artery CPT 64820 | not published | not published | $1,897.45 – $1,992.32 | 12 |
| Sympathectomy supfc palmar CPT 64823 | not published | not published | $3,179.37 – $3,338.34 | 12 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $3.07 – $4.39 | 3 |
| Synthetic sentence id test CPT 92576 | not published | not published | $14.19 – $39.97 | 13 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $6.52 – $8.24 | 13 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | not published | not published | $1.98 – $7.96 | 14 |
| T3 (triiodothyronine) free CPT 84481 | $14.00 | $50.00 | $7.62 – $45.00 | 26 |
| T3 (triiodothyronine) total CPT 84480 | $7.84 | $28.00 | $6.38 – $25.67 | 26 |
| T4 (thyroxine) free CPT 84439 | $18.20 | $65.00 | $4.06 – $58.50 | 26 |
| T4 (thyroxine) total CPT 84436 | $6.72 | $24.00 | $3.09 – $21.60 | 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 | not published | not published | $0.21 – $0.26 | 2 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $85.38 – $286.07 | 13 |
| Tacrolimus therapeutic drug level CPT 80197 | $34.16 | $122.00 | $6.18 – $109.80 | 26 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $6.33 – $15.53 | 13 |
| 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 | not published | not published | $33.86 – $79.16 | 13 |
| Talymed HCPCS Q4127 | not published | not published | $120.92 – $126.97 | 12 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.33 – $0.33 | 1 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $304.44 – $1,374.75 | 14 |
| 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 | not published | not published | $787.71 – $1,705.45 | 13 |
| Tattooing/intraderm 6.1-20.0 sq cm 11921 CPT 11921 | not published | not published | $718.15 – $754.06 | 12 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.26 – $0.28 | 13 |
| 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 – $88.79 | 14 |
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $2.05 – $88.79 | 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 | $36.68 | $131.00 | $27.89 – $117.90 | 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 | $1,373.11 | $4,903.95 | $520.16 – $932.86 | 12 |
| Tc-99m exametazime diag HCPCS A9521 | $1,086.94 | $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 | $93.55 | $334.09 | $70.15 – $300.68 | 15 |
| Tc-99m maa HCPCS A9540 | $83.65 | $298.74 | $34.58 – $268.86 | 15 |
| Tc-99m mebrofenin HCPCS A9537 | $35.30 | $126.06 | $26.47 – $113.45 | 15 |
| Tc-99m medronate HCPCS A9503 | $38.31 | $136.82 | $14.98 – $123.13 | 15 |
| Tc-99m mertiatide HCPCS A9562 | $171.19 | $611.41 | $128.39 – $550.26 | 14 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $5.00 – $9.99 | 2 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $50.71 – $50.71 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $131.75 | $470.53 | $36.11 – $423.47 | 15 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $80.72 | $288.28 | $20.32 – $259.45 | 15 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $29.53 | $105.46 | $1.98 – $94.91 | 15 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $49.94 | $178.36 | $37.45 – $160.52 | 15 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $28.85 | $103.04 | $46.36 – $128.98 | 15 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $627.65 – $659.03 | 12 |
| Tc-99m sulfur colloid HCPCS A9541 | $97.35 | $347.67 | $63.57 – $308.16 | 15 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $98.29 – $98.29 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | $454.50 | $1,623.22 | $340.87 – $1,460.89 | 15 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $718.15 – $754.06 | 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 | $428.69 – $450.12 | 12 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $95.20 | $340.00 | $21.14 – $306.00 | 26 |
| T cells absolute cd 4 count CPT 86361 | $68.32 | $244.00 | $12.05 – $219.60 | 26 |
| T cells total count CPT 86359 | not published | not published | $16.98 – $68.29 | 14 |
| Tcranial magn stim tx deli CPT 90868 | not published | not published | $116.16 – $220.30 | 12 |
| Tcranial magn stim tx plan CPT 90867 | not published | not published | $116.16 – $220.30 | 12 |
| Tcran magn stim redetemine CPT 90869 | not published | not published | $63.55 – $220.30 | 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.