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 |
|---|---|---|---|---|
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $4,239.00 – $5,063.00 | 2 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $1,955.99 – $5,063.00 | 3 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $345.33 | 12 |
| Liver elastography 91200 CPT 91200 | $258.18 | $662.00 | $112.76 – $221.36 | 13 |
| Liver Function Test CPT 80076 | $115.44 | $296.00 | $8.17 – $25.33 | 14 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $2,597.81 – $5,063.00 | 3 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $587.60 – $1,396.72 | 3 |
| Liver imaging CPT 78201 | $453.96 | $1,164.00 | $222.68 – $932.60 | 14 |
| Liver imaging (3d) CPT 78205 | not published | not published | $425.71 – $850.99 | 3 |
| Liver imag w/vasclr flow CPT 78202 | $904.41 | $2,319.00 | $262.81 – $932.60 | 14 |
| Liver/spleen imag static only CPT 78215 | $638.43 | $1,637.00 | $256.13 – $686.64 | 14 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $727.35 | $1,865.00 | $238.61 – $686.64 | 14 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $1,308.00 – $4,238.00 | 14 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,937.00 – $5,619.93 | 16 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $171.60 | $440.00 | $2.29 – $2.29 | 1 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $218.69 – $218.69 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $216.90 – $425.13 | 13 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $2.57 – $2.57 | 1 |
| Loudness balance test CPT 92562 | not published | not published | $189.22 – $370.87 | 12 |
| Low back disk surgery CPT 63030 | not published | not published | $3,099.00 – $12,463.16 | 14 |
| Low cost skin substitute app HCPCS C5271 | $1,533.48 | $3,932.00 | $693.00 – $4,714.00 | 4 |
| Low cost skin substitute app HCPCS C5273 | $1,533.48 | $3,932.00 | $1,738.00 – $9,032.00 | 4 |
| Low cost skin substitute app HCPCS C5275 | $1,533.48 | $3,932.00 | $693.00 – $4,714.00 | 4 |
| Low cost skin substitute app HCPCS C5277 | $1,533.48 | $3,932.00 | $693.00 – $4,714.00 | 4 |
| Low cost skin substitute app HCPCS C5272 | $652.86 | $1,674.00 | $693.00 – $3,391.00 | 2 |
| Low cost skin substitute app HCPCS C5274 | $652.86 | $1,674.00 | $693.00 – $3,391.00 | 2 |
| Low cost skin substitute app HCPCS C5276 | $702.00 | $1,800.00 | $693.00 – $3,391.00 | 2 |
| Low cost skin substitute app HCPCS C5278 | $652.86 | $1,674.00 | $693.00 – $3,391.00 | 2 |
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $331.50 | $850.00 | $91.62 – $179.57 | 13 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,958.19 | $5,021.00 | $153.71 – $521.02 | 14 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,705.08 | $4,372.00 | $305.72 – $599.22 | 14 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,610.70 | $4,130.00 | $91.62 – $306.85 | 14 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,370.03 | $6,077.00 | $305.72 – $840.38 | 14 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,045.55 | $5,245.00 | $305.72 – $635.41 | 14 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,775.67 | $4,553.00 | $209.09 – $549.63 | 14 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $341.64 | $876.00 | $50.08 – $179.57 | 14 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $505.83 | $1,297.00 | $68.11 – $179.57 | 14 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $513.63 | $1,317.00 | $91.62 – $179.57 | 14 |
| Lower jaw bone graft CPT 21215 | not published | not published | $3,721.00 – $10,167.80 | 16 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $238.68 | $612.00 | $39.45 – $149.47 | 14 |
| Low frequency non-thermal Ultrasound CPT 97610 | $272.22 | $698.00 | $175.82 – $344.61 | 12 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.90 – $31.16 | 13 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $4,035.00 – $18,257.63 | 14 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $4,035.00 – $18,257.63 | 14 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $4,035.00 – $18,257.63 | 14 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $3,498.86 – $18,257.63 | 14 |
| L/s ratio fetal lung CPT 83661 | $476.19 | $1,221.00 | $21.99 – $68.63 | 14 |
| Lumbar diskogram s&i CPT 72295 | $667.29 | $1,711.00 | $125.02 – $3,353.97 | 14 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $3,498.86 – $30,115.80 | 13 |
| Lumizyme injection HCPCS J0221 | not published | not published | $206.59 – $404.91 | 13 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $731.64 | $1,876.00 | $327.00 – $640.93 | 12 |
| Lung function test (mbc/mvv) CPT 94200 | $182.91 | $469.00 | $51.70 – $101.32 | 12 |
| Lung Function Test (Spirometry) CPT 94010 | $415.35 | $1,065.00 | $189.22 – $370.87 | 12 |
| Lung perfusion imaging CPT 78580 | $650.52 | $1,668.00 | $291.26 – $686.64 | 14 |
| Lung transplant double CPT 32853 | not published | not published | $4,239.00 – $5,107.08 | 3 |
| Lung transplant single CPT 32851 | not published | not published | $4,239.00 – $5,107.08 | 3 |
| Lung transplant with bypass CPT 32852 | not published | not published | $4,239.00 – $5,107.08 | 3 |
| Lung transplant with bypass CPT 32854 | not published | not published | $4,239.00 – $5,107.08 | 3 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $3,498.86 – $5,063.00 | 3 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $207.13 – $405.97 | 13 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.98 – $82.28 | 13 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $26,421.41 | $67,747.20 | $316.99 – $621.29 | 13 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $2,737.80 | $7,020.00 | $255.84 – $501.44 | 13 |
| Lvad shower bag heartmate HCPCS Q0501 | $542.77 | $1,391.73 | not published | 0 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $25.35 – $693.00 | 13 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $62.92 | 14 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $3,526.26 – $14,038.48 | 13 |
| Lymphatics/lymph node imaging CPT 78195 | $920.79 | $2,361.00 | $389.46 – $932.60 | 14 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $176.47 | 14 |
| Lymphocyte transformation mitogen CPT 86353 | $235.56 | $604.00 | $49.03 – $152.78 | 14 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $65.75 – $371.44 | 14 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $148.70 | 14 |
| Lymph vessel x-ray arm/leg CPT 75801 | $687.96 | $1,764.00 | $425.73 – $1,077.45 | 14 |
| Lymph vessel x-ray arms/legs CPT 75803 | $2,229.24 | $5,716.00 | $425.73 – $2,703.74 | 14 |
| Lymph vessel x-ray trunk CPT 75805 | $2,542.41 | $6,519.00 | $480.10 – $5,423.24 | 14 |
| Lymph vessel x-ray trunk CPT 75807 | $1,775.28 | $4,552.00 | $375.52 – $5,423.24 | 14 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $472.62 – $3,437.00 | 16 |
| Lysis of labial adhesions CPT 56441 | $6,276.66 | $16,094.00 | $1,308.00 – $5,560.03 | 16 |
| Lysis penil circumic lesion CPT 54162 | $4,673.37 | $11,983.00 | $1,694.00 – $4,238.00 | 16 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $29.50 – $36.97 | 2 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $5.81 – $17.16 | 3 |
| Macroscopic exam arthropod CPT 87168 | $113.88 | $292.00 | $4.27 – $13.07 | 14 |
| Macroscopic exam parasite CPT 87169 | $43.29 | $111.00 | $4.31 – $13.07 | 14 |
| Magnesium CPT 83735 | $83.85 | $215.00 | $6.70 – $21.24 | 14 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.93 – $0.93 | 1 |
| Magnetic image bone marrow CPT 77084 | $333.06 | $854.00 | $209.09 – $712.47 | 14 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $28.68 – $28.68 | 1 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $40.85 | 14 |
| Male sling procedure CPT 53440 | not published | not published | $1,694.00 – $22,660.87 | 16 |
| Mammosite ced HCPCS C1728 | $5,848.89 | $14,997.15 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $2,597.81 – $5,063.00 | 3 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $693.00 – $2,761.86 | 14 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,409.11 – $4,220.00 | 14 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,409.11 – $3,437.00 | 16 |
| Manipulation of spine CPT 22505 | not published | not published | $1,409.11 – $3,437.00 | 16 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $216.16 – $2,572.00 | 14 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $4.84 – $4.84 | 1 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $12.79 – $12.79 | 1 |
| Manual diff wbc count b-coat CPT 85009 | $25.74 | $66.00 | $4.67 – $11.43 | 14 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $567.06 | $1,454.00 | not published | 0 |
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.