Covenant Health · Lenoir City, TN
29
In-network payers
318
Disclosed rate categories
50
Beds
5
Care quality
Fort Loudoun Medical Center is a 50-bed voluntary non-profit - other hospital in Lenoir City, TN, affiliated with Covenant Health. Below you'll find publicly disclosed negotiated rates and facility details, including 29 in-network payers and 318 disclosed rate categories.
CCN (Medicare provider number)
440110
NPI
1609860659
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Other
Beds
50
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Fort Loudoun Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
Childbirth · Inpatient
MS-DRG 807
$3,311 - $6,150
from 4 insurers · median $5,846
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$4,813 - $8,287
from 4 insurers · median $8,018
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Medicine & Surgery
CPT 47562
$2,873 - $6,015
from 4 insurers · median $4,677
28 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Digestive procedures
CPT 43239
$1,540 - $2,805
from 4 insurers · median $2,292
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$1,320 - $2,805
from 4 insurers · median $2,320
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$2,678 - $6,432
from 4 insurers · median $4,091
28 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 74177
$269 - $783
from 4 insurers · median $370
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$2,391 - $5,120
from 4 insurers · median $3,052
60 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Childbirth · Inpatient
MS-DRG 807
$3,311 - $6,150
from 4 insurers · median $5,846
CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Digestive procedures
CPT 45380
$1,320 - $2,464
from 4 insurers · median $2,320
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$99 - $261
from 4 insurers · median $198
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$102 - $398
from 4 insurers · median $249
Common here, based on CMS Medicare volume
Cardiology and vascular testing
CPT 93306
$301 - $749
from 4 insurers · median $513
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$522 - $2,608
from 4 insurers · median $1,020
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$232 - $478
from 4 insurers · median $334
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$2,687 - $3,791
from 4 insurers · median $3,245
16 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Gynecology
CPT 58571
$3,475 - $8,561
from 4 insurers · median $4,677
Typical for a hospital with this service line
MRI imaging
CPT 70553
$342 - $783
from 3 insurers · median $454
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$232 - $544
from 4 insurers · median $466
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$30 - $164
from 4 insurers · median $66
Common here, based on CMS Medicare volume
Ear, nose and throat
CPT 69436
$1,540 - $2,669
from 4 insurers · median $2,539
Typical for a hospital with this service line
CT imaging
CPT 71275
$72 - $374
from 4 insurers · median $220
Common here, based on CMS Medicare volume
Gynecology
CPT 58661
$2,873 - $6,848
from 4 insurers · median $4,351
Typical for a hospital with this service line
Gynecology
CPT 58558
$2,074 - $3,545
from 4 insurers · median $2,530
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 127% | 6 | 12 |
| Insurer B* | 24 | 108% | 9 | 11 |
| Insurer C* | 24 | 97% | 11 | 6 |
| Insurer D* | 23 | 96% | 5 | 9 |
How we chose these services: 4 appear in this hospital's own Medicare claims, 13 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Fort Loudoun Medical Center.
550 Fort Loudoun Medical Center Drive, Lenoir City, TN 37772
(865) 271-6000
The nearest hospitals of similar type and size. Their rates are compared with Fort Loudoun Medical Center for the same insurers and services above.
Sweetwater Hospital Association
Rates about the same as Fort Loudoun Medical Center (20 services)
Starr Regional Medical Center
▼ Rates typically 20% lower than Fort Loudoun Medical Center (9 services)
Lafollette Medical Center
Rates about the same as Fort Loudoun Medical Center (21 services)
Jefferson Memorial Hospital
▲ Rates typically 16% higher than Fort Loudoun Medical Center (21 services)
Big South Fork Medical Center
▲ Rates typically 8% higher than Fort Loudoun Medical Center (21 services)
Newport Medical Center
Rates about the same as Fort Loudoun Medical Center (21 services)
Morristown-Hamblen Healthcare System
Leconte Medical Center
Claiborne Medical Center
Fort Sanders Regional Medical Center
About Fort Loudoun Medical Center's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Fort Loudoun Medical Center range from $342 to $783 across 3 insurers. Blue Cross Blue Shield's rate is $342. The median at nearby comparable hospitals is $541. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Fort Loudoun Medical Center range from $269 to $783 across 4 insurers. Blue Cross Blue Shield's rate is $342. The median at nearby comparable hospitals is $445. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Fort Loudoun Medical Center range from $1,320 to $2,805 across 4 insurers. Aetna's rate is $2,310. The median at nearby comparable hospitals is $2,130. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Fort Loudoun Medical Center range from $3,311 to $6,150 across 4 insurers. Cigna's rate is $3,311. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Fort Loudoun Medical Center range from $99 to $261 across 4 insurers. Cigna's rate is $192. The median at nearby comparable hospitals is $143. What a patient pays depends on their plan's deductible, coinsurance and network status.
Fort Loudoun Medical Center has 50 beds. Facility type: Short Term Acute Care Hospital.
Fort Loudoun Medical Center is located at 550 Fort Loudoun Medical Center Drive, Lenoir City, TN 37772. Its main phone number is (865) 271-6000.
Fort Loudoun Medical Center's CMS Certification Number (CCN), also called its Medicare provider number, is 440110.
The National Provider Identifier (NPI) on file for Fort Loudoun Medical Center is 1609860659.
Fort Loudoun Medical Center is affiliated with Covenant Health.
Fort Loudoun Medical Center lists 29 in-network payers, including Aetna, Ambetter, Ameri Health, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
318 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers