Wellstar MCG Health
1120 15Th Street, Augusta, GA · Wellstar Health System · · NPI 1760875330
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 |
|---|---|---|---|---|
| Destruction premal lesions 15/> 17004 CPT 17004 | $370.89 | $951.00 | $356.24 – $2,572.00 | 14 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,432.36 – $9,032.00 | 16 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,308.00 – $5,560.03 | 16 |
| Destruction vag lesions simple 57061 CPT 57061 | $6,276.66 | $16,094.00 | $1,308.00 – $5,560.03 | 14 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $2,507.31 | $6,429.00 | $1,738.00 – $3,543.86 | 13 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $25.22 – $62.92 | 14 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $125.00 | 14 |
| Devel tst phys/qhp 1st hr CPT 96112 | $393.12 | $1,008.00 | $112.76 – $221.01 | 12 |
| Device ablt adv novasure HCPCS C1886 | $16,765.60 | $42,988.72 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $4,298.87 | $11,022.75 | not published | 0 |
| Device intraute mirena HCPCS J7298 | not published | not published | $2,361.40 – $2,361.40 | 1 |
| Device sut capio slim opn HCPCS C2631 | $1,461.67 | $3,747.86 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $591.75 | $1,517.31 | not published | 0 |
| Devise bowel pouch CPT 44316 | not published | not published | $2,597.81 – $5,063.00 | 3 |
| Devlopment test interpt&rep HCPCS G0451 | not published | not published | $89.02 – $174.49 | 12 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $339.30 | $870.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $332.67 | $853.00 | $39.23 – $149.47 | 14 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $102.94 – $215.28 | 13 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $2.23 – $2.23 | 1 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.11 – $0.11 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.21 – $0.21 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $204.61 – $401.04 | 13 |
| Dexamethasone panel CPT 80420 | not published | not published | $90.58 – $317.28 | 14 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $1.71 – $1.71 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $63.06 – $154.16 | 13 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $75.90 – $75.90 | 1 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $27.68 – $27.68 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $1.35 – $1.35 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $2.25 – $2.25 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $15.51 – $15.51 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $3.43 – $3.43 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $6.86 – $6.86 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $296.79 | $761.00 | $22.23 – $69.45 | 14 |
| Diabetes (HbA1c) Test CPT 83036 | $122.46 | $314.00 | $9.71 – $30.23 | 14 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $32.83 – $64.36 | 12 |
| Diab manage trn ind/group HCPCS G0109 | $54.99 | $141.00 | $16.24 – $31.83 | 12 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,559.76 – $3,437.00 | 16 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,937.00 – $10,383.70 | 16 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $391.47 – $2,572.00 | 14 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,048.64 – $4,923.00 | 14 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $1,365.00 | $3,500.00 | $116.59 – $693.00 | 13 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $150.66 – $426.58 | 3 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $44.46 | $114.00 | $192.46 – $543.39 | 3 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $205.14 | $526.00 | $174.92 – $1,694.00 | 14 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $2,006.94 | $5,146.00 | $174.92 – $693.00 | 13 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $388.05 | $995.00 | $98.82 – $276.98 | 14 |
| Diagnostic Mammogram (one breast) CPT 77065 | $349.05 | $895.00 | $76.97 – $216.52 | 14 |
| Diagnostic radio unlisted proc CPT 76499 | $146.25 | $375.00 | $70.86 – $149.47 | 14 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $9,279.66 | $23,794.00 | $693.00 – $3,567.00 | 3 |
| Dialysis one evaluation CPT 90945 | $827.97 | $2,123.00 | $365.65 – $716.68 | 12 |
| Diathermy eg microwave CPT 97024 | $50.31 | $129.00 | $6.87 – $13.47 | 12 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $321.75 | $825.00 | $0.13 – $0.13 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $16.30 – $16.30 | 1 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $28.40 – $28.40 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.46 – $0.46 | 1 |
| Diffusing capacity CPT 94729 | $541.71 | $1,389.00 | not published | 0 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $693.00 – $4,714.00 | 6 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | not published | not published | $16.81 – $16.81 | 1 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $5,168.23 – $10,129.73 | 13 |
| Digoxin total therapeutic drug level CPT 80162 | $124.80 | $320.00 | $13.28 – $41.67 | 14 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $78.22 – $78.22 | 1 |
| Dilate biliary duct/ampulla CPT 47542 | $1,156.74 | $2,966.00 | $693.00 – $3,391.00 | 3 |
| Dilate esophagus CPT 43453 | $2,003.04 | $5,136.00 | $1,308.00 – $3,295.88 | 16 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $794.81 – $2,572.00 | 16 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | $5,382.39 | $13,801.00 | $3,437.00 – $5,063.00 | 4 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | $3,589.17 | $9,203.00 | $3,437.00 – $5,063.00 | 4 |
| Dilate ic vasospasm init CPT 61640 | $6,280.95 | $16,105.00 | $4,080.60 – $5,063.00 | 4 |
| Dilate tear duct opening CPT 68801 | $80.73 | $207.00 | $391.47 – $767.29 | 13 |
| Dilate urethra stricture CPT 53600 | $1,503.84 | $3,856.00 | $218.95 – $2,572.00 | 14 |
| Dilate urethra stricture CPT 53601 | not published | not published | $116.59 – $2,572.00 | 14 |
| Dilate urethra stricture CPT 53605 | $1,368.12 | $3,508.00 | $1,694.00 – $6,054.45 | 16 |
| Dilate urethra stricture CPT 53621 | not published | not published | $218.95 – $2,572.00 | 15 |
| Dilation/female urethra/initial 53660 CPT 53660 | $714.87 | $1,833.00 | $112.76 – $693.00 | 13 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,048.64 – $2,572.00 | 16 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $1,308.00 – $5,560.03 | 15 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $1,048.64 – $2,572.00 | 16 |
| Dilation of salivary duct CPT 42660 | not published | not published | $472.62 – $926.34 | 13 |
| Dilation of urethra CPT 53661 | not published | not published | $116.59 – $693.00 | 13 |
| Dilation of urethra CPT 53665 | $2,507.31 | $6,429.00 | $1,308.00 – $4,238.00 | 16 |
| Dilation of vagina CPT 57400 | not published | not published | $1,694.00 – $5,560.03 | 16 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $1,359.68 – $2,664.97 | 14 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $2,507.31 | $6,429.00 | $611.05 – $2,431.00 | 13 |
| Dilator fascial 10fx20cm HCPCS C2627 | $286.59 | $734.85 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $4,820.40 | $12,360.00 | $1,955.99 – $9,032.00 | 14 |
| Dilat xst trc new access rcs CPT 50437 | $8,110.83 | $20,797.00 | $2,597.81 – $6,054.45 | 13 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $103.97 – $142.00 | 2 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $16.53 – $16.53 | 1 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $748.84 – $1,467.74 | 13 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.04 – $0.04 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | not published | not published | $1.39 – $1.39 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $141.08 – $141.08 | 1 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $7.38 – $7.38 | 1 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $32.73 – $64.15 | 12 |
| Disability dlco CPT 94727 | $574.86 | $1,474.00 | $189.22 – $370.87 | 12 |
| Disaccharidases CPT 82657 | $249.21 | $639.00 | $15.94 – $56.37 | 14 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $1,738.00 – $4,220.00 | 16 |
| Disarticulation shoulder CPT 23920 | not published | not published | $2,597.81 – $22,051.51 | 13 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $4,080.60 – $5,063.00 | 3 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $1,955.99 – $5,063.00 | 3 |
| Discography cerv/thor spine CPT 72285 | $1,921.92 | $4,928.00 | $120.11 – $3,353.97 | 14 |
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.