Tennessee / Fort Loudon Medical Center
CMS certification 440110 · Lenoir City, TN
Fort Loudon Medical Center: charges and Medicare payments
Fort Loudon Medical Center reported 230 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 2.04 times what it was paid — among the lower ratios in Tennessee, number 62 of 65 hospitals with at least 100 stays (state median 4.42×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 84 stays at an average charge of $28,121, 69% below the national average. It also billed 362 outpatient services, charging 4.7 times what Medicare paid.
- 1Medicare inpatient stays 230
- 2Charge ÷ paid, inpatient 2.04×
- 3Rank in TN (highest ratio = 1) 62 of 65
- 4CMS price-transparency actions 0
Inpatient stays
For the 10 DRGs that can be compared with the national average, Fort Loudon Medical Center charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 84 | $28,121 | -69% | $14,178 |
| 291 Heart Failure and Shock with MCC | 33 | $17,515 | -69% | $9,278 |
| 177 Respiratory Infections and Inflammations with MCC | 23 | $22,900 | -68% | $12,206 |
| 193 Simple Pneumonia and Pleurisy with MCC | 19 | $19,248 | -68% | $9,533 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 14 | $14,596 | -70% | $7,512 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $21,230 | -63% | $8,869 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $14,967 | -63% | $5,960 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 11 | $21,910 | -57% | $8,000 |
| 194 Simple Pneumonia and Pleurisy with CC | 11 | $16,186 | -58% | $6,052 |
| 683 Renal Failure with CC | 11 | $12,742 | -69% | $6,620 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 198 | $9,571 | $2,221 |
| Level 1 Intraocular Procedures | 60 | $8,128 | $1,922 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 40 | $6,018 | $1,314 |
| Level 1 Laparoscopy and Related Services | 28 | $8,470 | $4,759 |
| Level 2 Upper GI Procedures | 20 | $4,770 | $1,569 |
| Level 3 Musculoskeletal Procedures | 16 | $5,274 | $2,669 |
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Fort Loudon Medical Center charged $28,121 on average, 60% less than the Tennessee average of $70,379, and was paid $14,178 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Fort Loudon Medical Center charged $17,515 on average, 62% less than the Tennessee average of $46,128, and was paid $9,278 against a state average of $10,346. For Respiratory Infections and Inflammations with MCC (DRG 177), Fort Loudon Medical Center charged $22,900 on average, 58% less than the Tennessee average of $53,972, and was paid $12,206 against a state average of $12,921. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Fort Loudon Medical Center charged $19,248 on average, 60% less than the Tennessee average of $48,160, and was paid $9,533 against a state average of $10,379. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $9,571 was 52% below the state average of $19,917. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $8,128 was 24% below the state average of $10,656. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $6,018 was 42% below the state average of $10,318. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $8,470 was 74% below the state average of $32,171.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.