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 |
|---|---|---|---|---|
| Drain to peritoneal cavity CPT 49062 | not published | not published | $2,597.81 – $5,063.00 | 3 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $852.93 | $2,187.00 | $175.82 – $3,437.00 | 15 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $852.93 | $2,187.00 | $175.82 – $2,572.00 | 14 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $852.93 | $2,187.00 | $356.24 – $3,437.00 | 15 |
| Dressing change not for burn w/anes 15852 CPT 15852 | $1,248.78 | $3,202.00 | $647.66 – $1,269.42 | 13 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $85.47 – $213.74 | 13 |
| Drill hole evac+/drg subdural hematoma 61108 CPT 61108 | $6,472.44 | $16,596.00 | $2,597.81 – $5,063.00 | 3 |
| Drill hole implt ventricular cath/device 61107 CPT 61107 | $1,737.06 | $4,454.00 | $1,955.99 – $5,063.00 | 3 |
| Drm agrft f/s/n/h/f/g/m ea CPT 15136 | not published | not published | $693.00 – $3,440.00 | 5 |
| Drm agrft t/a/l ea addl CPT 15131 | not published | not published | $693.00 – $3,391.00 | 5 |
| Drng appendix abscess open 44900 CPT 44900 | not published | not published | $1,955.99 – $5,063.00 | 3 |
| Drng hand tendon sheath 26020 CPT 26020 | not published | not published | $1,694.00 – $5,619.93 | 16 |
| Drng of eyelid abscess 67700 CPT 67700 | $1,583.40 | $4,060.00 | $278.15 – $2,572.00 | 15 |
| Drng of finger abscess comp 26011 CPT 26011 | $6,307.08 | $16,172.00 | $1,308.00 – $2,836.76 | 16 |
| Drng of hydrocele 55000 CPT 55000 | $1,834.56 | $4,704.00 | $620.55 – $2,431.00 | 13 |
| Drng of mouth lesion 40801 CPT 40801 | $3,772.47 | $9,673.00 | $472.62 – $3,437.00 | 16 |
| Drng of ovarian cyst(s) 58800 CPT 58800 | not published | not published | $1,937.00 – $5,560.03 | 16 |
| Drng of palm multi bursas 26030 CPT 26030 | not published | not published | $1,694.00 – $5,619.93 | 16 |
| Drng of palm single bursa 26025 CPT 26025 | not published | not published | $1,308.00 – $5,619.93 | 16 |
| Drng of pelvic abscess transrectal 45000 CPT 45000 | not published | not published | $1,048.64 – $2,572.00 | 16 |
| Drng of salivary cyst 42409 CPT 42409 | not published | not published | $1,937.00 – $5,694.58 | 16 |
| Drng of scrotum abscess 55100 CPT 55100 | $7,053.54 | $18,086.00 | $1,308.00 – $2,836.76 | 16 |
| Drng open retroperitoneal abscess 49060 CPT 49060 | not published | not published | $2,597.81 – $5,063.00 | 3 |
| Drng open subdiaphragmatic/subphrenic absc 49040 CPT 49040 | not published | not published | $2,597.81 – $5,063.00 | 3 |
| Drng ovary abscess perqt 58822 CPT 58822 | not published | not published | $3,018.30 – $5,809.00 | 3 |
| Drng peritoneal abscess open 49020 CPT 49020 | not published | not published | $2,597.81 – $5,063.00 | 3 |
| Drng salivary gland simple 42300 CPT 42300 | not published | not published | $1,308.00 – $2,664.97 | 16 |
| Drng salivary gland submax/subling 42310 CPT 42310 | not published | not published | $472.62 – $2,572.00 | 16 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $3.53 – $3.53 | 1 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | not published | not published | $18.83 – $18.83 | 1 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $1,650.12 | $4,231.08 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | $60.20 | $154.37 | $23.79 – $213.74 | 13 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $50.30 | $128.97 | $23.01 – $213.74 | 13 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | not published | not published | $19.48 – $213.74 | 13 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $109.05 – $288.32 | 13 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $46.49 – $213.74 | 13 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | not published | not published | $99.87 – $213.74 | 13 |
| Drsg wound/burn 18x10cm suprathel resorb cost per sq cm HCPCS A2012 | $301.63 | $773.40 | not published | 0 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $109.05 – $392.06 | 13 |
| Drug admin & hemodynmic meas CPT 93463 | $301.47 | $773.00 | $693.00 – $693.00 | 1 |
| Drug assay caffeine CPT 80155 | $155.61 | $399.00 | $17.37 – $75.60 | 14 |
| Drug assay posaconazole CPT 80187 | $39.39 | $101.00 | $24.40 – $53.14 | 13 |
| Drug assay rufinamide CPT 80210 | not published | not published | $24.40 – $53.14 | 13 |
| Drug assay vedolizumab CPT 80280 | $63.57 | $163.00 | $34.71 – $75.60 | 13 |
| Drug assay voriconazole CPT 80285 | $44.46 | $114.00 | $24.40 – $53.14 | 13 |
| Drug asy hydroxychloroquine CPT 80220 | not published | not published | $16.78 – $36.53 | 13 |
| Drug of abuse screen urine CPT 80305 | $303.81 | $779.00 | $12.60 – $34.32 | 14 |
| Drug screening tapentadol CPT 80372 | not published | not published | $19.40 – $19.40 | 1 |
| Drug screen quant tiagabine CPT 80199 | not published | not published | $10.57 – $56.37 | 14 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $22.25 – $22.25 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | $263.25 | $675.00 | $71.23 – $464.89 | 14 |
| Drug test def 1-7 classes HCPCS G0480 | $263.25 | $675.00 | $34.30 – $267.99 | 14 |
| Drug test def 22+ classes HCPCS G0483 | not published | not published | $92.34 – $577.63 | 14 |
| Drug test def 8-14 classes HCPCS G0481 | $263.25 | $675.00 | $52.76 – $366.84 | 14 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $62.14 – $181.38 | 14 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $17.14 – $45.75 | 14 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $128.31 | $329.00 | $62.14 – $181.38 | 14 |
| Drvvt confirm - quest CPT 85597 | $90.48 | $232.00 | $17.98 – $56.37 | 14 |
| Dry needling (97799) CPT 97799 | $114.27 | $293.00 | not published | 0 |
| Dstrj extensive retinopathy CPT 67227 | not published | not published | $1,308.00 – $6,752.50 | 16 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $4,967.04 | $12,736.00 | $1,711.21 – $4,238.00 | 14 |
| Dstr mal les s/n/h/f/g >4.0 CPT 17276 | not published | not published | $356.24 – $2,572.00 | 14 |
| Dstr mal ls f/e/e/n/l/m2.1-3 CPT 17283 | not published | not published | $356.24 – $698.22 | 13 |
| Dstr mal ls f/e/e/n/l/m3.1-4 CPT 17284 | not published | not published | $647.66 – $2,572.00 | 14 |
| Dstr mal ls f/e/e/n/l/m>4.0 CPT 17286 | not published | not published | $647.66 – $1,269.42 | 13 |
| Dstry eye lesn,fdr vssl tech HCPCS G0186 | not published | not published | $481.97 – $2,572.00 | 14 |
| Ductogram sgl duct CPT 77053 | $450.06 | $1,154.00 | $93.15 – $409.82 | 14 |
| Duodenal exclusion CPT 48547 | not published | not published | $2,597.81 – $5,063.00 | 3 |
| Duodenal motility study CPT 91022 | not published | not published | $327.00 – $693.00 | 13 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,034.28 | $2,652.00 | $209.09 – $409.82 | 12 |
| Duplex scan unilateral study 93986 CPT 93986 | $689.91 | $1,769.00 | $91.62 – $179.57 | 12 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $752.70 | $1,930.00 | $91.62 – $311.31 | 13 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $1,104.09 | $2,831.00 | $189.22 – $370.87 | 13 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $688.74 | $1,766.00 | $209.09 – $409.82 | 13 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $36.94 – $36.94 | 1 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $85.12 – $166.84 | 13 |
| Dxa bone density axl vrt fx CPT 77085 | $532.35 | $1,365.00 | $91.62 – $179.57 | 14 |
| Dx aly aud oi snd prcsr 1st CPT 92622 | not published | not published | $112.76 – $221.01 | 12 |
| Dx bronchoscope/brush 31623 CPT 31623 | $3,215.94 | $8,246.00 | $1,559.76 – $3,437.00 | 16 |
| Dx bronchoscope/lavage 31624 CPT 31624 | $3,215.94 | $8,246.00 | $1,559.76 – $3,437.00 | 16 |
| Dx bronchoscope/wash 31622 CPT 31622 | $3,215.94 | $8,246.00 | $1,308.00 – $3,057.12 | 16 |
| Dx dark adaptation exam i&r CPT 92284 | not published | not published | $391.47 – $767.29 | 12 |
| Dx duod intub w/asp spec 43756 CPT 43756 | not published | not published | $794.81 – $2,572.00 | 14 |
| Dx duod intub w/asp specs CPT 43757 | not published | not published | $794.81 – $2,572.00 | 14 |
| Dx gastr intub w/asp spec CPT 43754 | not published | not published | $189.22 – $2,572.00 | 14 |
| Dx gastr intub w/asp specs CPT 43755 | not published | not published | $112.76 – $2,572.00 | 14 |
| Dx laryngoscopy newborn CPT 31520 | not published | not published | $342.74 – $693.00 | 13 |
| Dx laryngoscopy w/oper scope CPT 31526 | not published | not published | $1,559.76 – $3,437.00 | 16 |
| Dynamic cavernosometry CPT 54231 | not published | not published | $218.95 – $1,738.00 | 13 |
| Dynamic surface emg CPT 96002 | $268.71 | $689.00 | $189.22 – $370.87 | 12 |
| Ear and throat examination CPT 92502 | not published | not published | $472.62 – $1,308.00 | 14 |
| Ear canal biopsy 69105 CPT 69105 | not published | not published | $1,359.68 – $2,664.97 | 13 |
| Ear cartilage graft CPT 21235 | not published | not published | $1,738.00 – $10,167.80 | 16 |
| Ear irrigation 69209 CPT 69209 | $149.76 | $384.00 | $51.70 – $693.00 | 13 |
| Ear protector evaluation CPT 92596 | not published | not published | $32.73 – $64.15 | 12 |
| Ecallantide injection HCPCS J1290 | not published | not published | $579.96 – $1,136.73 | 13 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $118.56 | $304.00 | $51.70 – $101.32 | 12 |
| Ecg < 30 days transmission & analysis CPT 93271 | $120.12 | $308.00 | $83.31 – $163.29 | 12 |
| Ecg external < 48 hours recording CPT 93225 | $461.76 | $1,184.00 | $116.59 – $228.52 | 12 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $584.22 | $1,498.00 | $51.70 – $101.32 | 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.