Fort Sanders Regional Medical Center
Fort Sanders Regional Medical Center in Knoxville, TN publishes cash prices for 39 common procedures listed here, from its own machine-readable price file updated Aug 5, 2026. Click a procedure to compare it with other hospitals nearby.
1901 Clinch Ave, Knoxville, TN 37916 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD/PELVIS W CONTRAST | $871.20 | $2,640.00 | 67% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABD/PELVIS W CONTRAST | $871.20 | $2,640.00 | 67% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN WO CONT | $410.85 | $1,245.00 | 67% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD OR BRAIN WO CONTRAST | $410.85 | $1,245.00 | 67% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN WO CONT | $410.85 | $1,245.00 | 67% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD OR BRAIN WO CONTRAST | $410.85 | $1,245.00 | 67% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONT | $435.60 | $1,320.00 | 67% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W CONTRAST | $435.60 | $1,320.00 | 67% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONTRAST | $435.60 | $1,320.00 | 67% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W CONT | $435.60 | $1,320.00 | 67% |
| Diagnostic mammogram, both breasts CPT 77066 MA POST PROCEDURE MAMMO BIL | $114.84 | $348.00 | 67% |
| Diagnostic mammogram, both breasts CPT 77066 MA DIG MAMM DX BIL W CAD/TOMO+ | $114.84 | $348.00 | 67% |
| Diagnostic mammogram, both breasts CPT 77066 MA DIG MAMM DX BIL INC CAD | $114.84 | $348.00 | 67% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MA POST PROCEDURE MAMMO BIL | $114.84 | $348.00 | 67% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MA DIG MAMM DX BIL INC CAD | $114.84 | $348.00 | 67% |
| Diagnostic mammogram, both breasts inpatient CPT 77066 MA DIG MAMM DX BIL W CAD/TOMO+ | $114.84 | $348.00 | 67% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN WO CONT | $584.76 | $1,772.00 | 67% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN WO CONT | $584.76 | $1,772.00 | 67% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W&WO CONT | $833.58 | $2,526.00 | 67% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W&WO CONT | $833.58 | $2,526.00 | 67% |
| MRI of the lower back, no contrast dye CPT 72148 MR LUMBAR SPINE WO CONT | $775.50 | $2,350.00 | 67% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR LUMBAR SPINE WO CONT | $775.50 | $2,350.00 | 67% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANT COMP 14+WKS 1ST FETUS | $218.46 | $662.00 | 67% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US PREGNANT UTERUS COMPLETE | $218.46 | $662.00 | 67% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANT COMP 14+WKS 1ST FETUS | $218.46 | $662.00 | 67% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US PREGNANT UTERUS COMPLETE | $218.46 | $662.00 | 67% |
| Screening mammogram, both breasts CPT 77067 MA DIG MAM SCR BIL W CAD/TOM+ | $77.22 | $234.00 | 67% |
| Screening mammogram, both breasts CPT 77067 MA DIG MAMM SCR BIL INC CAD | $77.22 | $234.00 | 67% |
| Screening mammogram, both breasts inpatient CPT 77067 MA DIG MAMM SCR BIL INC CAD | $77.22 | $234.00 | 67% |
| Screening mammogram, both breasts inpatient CPT 77067 MA DIG MAM SCR BIL W CAD/TOM+ | $77.22 | $234.00 | 67% |
| Sleep study in a lab (polysomnography) CPT 95810 SC POLYSOMNOGRA 4 OR MORE PARA | $931.26 | $2,822.00 | 67% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 SC POLYSOMNOGRA 4 OR MORE PARA | $931.26 | $2,822.00 | 67% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND TRANSVAGINAL NONOBST | $92.07 | $279.00 | 67% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL NON-OB | $92.07 | $279.00 | 67% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL NON-OB | $92.07 | $279.00 | 67% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 ULTRASOUND TRANSVAGINAL NONOBST | $92.07 | $279.00 | 67% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $295.02 | $894.00 | 67% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $295.02 | $894.00 | 67% |
| X-ray of the lower back, 4 or more views CPT 72110 XR SPINE LUMBOSACRAL MIN 4V | $137.28 | $416.00 | 67% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR SPINE LUMBOSACRAL MIN 4V | $137.28 | $416.00 | 67% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $43.23 | $131.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $8.91 | $27.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $44.55 | $135.00 | 67% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $8.91 | $27.00 | 67% |
| Complete blood count (CBC) with differential CPT 85025 BLD CNT HEMOGRAM PLT W/AUTO DIFF | $29.70 | $90.00 | 67% |
| Complete blood count (CBC), no differential CPT 85027 BLD CNT HEMOGRAM PLT AUTO | $21.45 | $65.00 | 67% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $77.22 | $234.00 | 67% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $23.10 | $70.00 | 67% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $39.60 | $120.00 | 67% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PROSTATE SPECIFIC ANTIGEN FREE | $17.49 | $53.00 | 67% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PROSTATE SPECIFIC ANTIGEN FREE | $17.49 | $53.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL | $17.49 | $53.00 | 67% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL | $61.05 | $185.00 | 67% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PROSTATE SPECIFIC ANTIGEN TOTAL | $17.49 | $53.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PART (PTT) | $5.28 | $16.00 | 67% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PART (PTT) | $19.80 | $60.00 | 67% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 THROMBOPLASTIN TIME PART (PTT) | $5.28 | $16.00 | 67% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $13.20 | $40.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) | $15.84 | $48.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH | $55.77 | $169.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE (TSH) | $55.77 | $169.00 | 67% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE (TSH) | $15.84 | $48.00 | 67% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W MICRO | $10.56 | $32.00 | 67% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICRO | $7.59 | $23.00 | 67% |
| Urinalysis without microscope exam, manual CPT 81002 KETON/PROTEIN URINE DIPSTICK | $5.28 | $16.00 | 67% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NON AUTO W/O MICRO | $8.58 | $26.00 | 67% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 KETON/PROTEIN URINE DIPSTICK | $5.28 | $16.00 | 67% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Left heart catheterization, diagnostic CPT 93452 LT VENT NO CORONARIES W S&I | $1,315.38 | $3,986.00 | 67% |
| Left heart catheterization, diagnostic inpatient CPT 93452 LT VENT NO CORONARIES W S&I | $1,315.38 | $3,986.00 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 SP INJ DX/THRP LUMBAR SAC W IMG | $409.20 | $1,240.00 | 67% |
| Lower-back epidural injection, with imaging guidance CPT 62323 XR INJ DX/THRP LUMBAR SAC W IMG | $409.20 | $1,240.00 | 67% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 XR INJ DX/THRP LUMBAR SAC W IMG | $409.20 | $1,240.00 | 67% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 SP INJ DX/THRP LUMBAR SAC W IMG | $409.20 | $1,240.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 SP INJ L/SP STEROID BLK W IMAG GU | $447.15 | $1,355.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 XR INJ L/SP STEROID BLK W IMAG GU | $447.15 | $1,355.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 SP INJ L/SP STEROID BLK W IMAG GU | $447.15 | $1,355.00 | 67% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 XR INJ L/SP STEROID BLK W IMAG GU | $447.15 | $1,355.00 | 67% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY THERAPY 50 MIN W PATIENT | $79.20 | $240.00 | 67% |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 FAMILY THERAPY 50 MIN W PATIENT | $79.20 | $240.00 | 67% |
| Group psychotherapy session CPT 90853 PF GROUP PSYCHOTHERAPY | $28.71 | $87.00 | 67% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $31.68 | $96.00 | 67% |
| Group psychotherapy session inpatient CPT 90853 PF GROUP PSYCHOTHERAPY | $28.71 | $87.00 | 67% |
| Group psychotherapy session inpatient CPT 90853 GROUP PSYCHOTHERAPY | $31.68 | $96.00 | 67% |
| New patient office visit, about 30 minutes CPT 99203 E & M NEW PT (INTERMEDIATE) | $64.02 | $194.00 | 67% |
| New patient office visit, about 30 minutes inpatient CPT 99203 E & M NEW PT (INTERMEDIATE) | $64.02 | $194.00 | 67% |
| New patient office visit, about 45 minutes CPT 99204 E & M NEW PT (EXTENDED) | $93.06 | $282.00 | 67% |
| New patient office visit, about 45 minutes inpatient CPT 99204 E & M NEW PT (EXTENDED) | $93.06 | $282.00 | 67% |
| New patient office visit, about 60 minutes CPT 99205 VISIT COMPREHENSIVE | $113.85 | $345.00 | 67% |
| New patient office visit, about 60 minutes inpatient CPT 99205 VISIT COMPREHENSIVE | $113.85 | $345.00 | 67% |
| Psychotherapy session, 30 minutes CPT 90832 PF PSYCHOTHERAPY 30 MIN PATIENT | $45.21 | $137.00 | 67% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY 30 MIN PATIENT | $49.83 | $151.00 | 67% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PF PSYCHOTHERAPY 30 MIN PATIENT | $45.21 | $137.00 | 67% |
| Psychotherapy session, 30 minutes inpatient CPT 90832 PSYCHOTHERAPY 30 MIN PATIENT | $49.83 | $151.00 | 67% |
| Psychotherapy session, 45 minutes CPT 90834 PF PSYCHOTHERAPY 45 MIN PATIENT | $61.05 | $185.00 | 67% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY 45 MIN PATIENT | $67.32 | $204.00 | 67% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PF PSYCHOTHERAPY 45 MIN PATIENT | $61.05 | $185.00 | 67% |
| Psychotherapy session, 45 minutes inpatient CPT 90834 PSYCHOTHERAPY 45 MIN PATIENT | $67.32 | $204.00 | 67% |
| Psychotherapy session, 60 minutes CPT 90837 PF PSYCHOTHERAPY 60 MIN W PATIENT | $69.30 | $210.00 | 67% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY 60 MIN W PATIENT | $72.60 | $220.00 | 67% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PF PSYCHOTHERAPY 60 MIN W PATIENT | $69.30 | $210.00 | 67% |
| Psychotherapy session, 60 minutes inpatient CPT 90837 PSYCHOTHERAPY 60 MIN W PATIENT | $72.60 | $220.00 | 67% |
Source file: https://mrfs.hyvehealthcare.com/CovenantHealth/620528340_fort-sanders-regional-medical-center_standardcharges.json