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 |
|---|---|---|---|---|
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,256.28 – $1,256.28 | 1 |
| Tc-99m diag per dose HCPCS A4641 | $226.98 | $582.00 | not published | 0 |
| Tc-99m disofenin HCPCS A9510 | $151.32 | $388.00 | $136.09 – $136.09 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,304.16 | $3,344.00 | $934.13 – $3,332.16 | 13 |
| Tc-99m exametazime diag HCPCS A9521 | $2,166.26 | $5,554.50 | $927.71 – $3,332.16 | 13 |
| Tc-99m fanolesomab diag HCPCS A9566 | $2,860.65 | $7,335.00 | not published | 0 |
| Tc-99m gluceptate HCPCS A9550 | $1,338.87 | $3,433.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $186.42 | $478.00 | $181.58 – $181.58 | 1 |
| Tc-99m maa HCPCS A9540 | $396.63 | $1,017.00 | $58.32 – $58.32 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $255.84 | $656.00 | $107.54 – $107.54 | 1 |
| Tc-99m medronate HCPCS A9503 | $122.46 | $314.00 | $25.27 – $25.27 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $387.66 | $994.00 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $23.74 – $23.74 | 1 |
| Tc-99m oxidronate HCPCS A9561 | $80.73 | $207.00 | $85.54 – $85.54 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $95.94 | $246.00 | $60.92 – $60.92 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $123.24 | $316.00 | $33.01 – $33.01 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $85.97 | $220.44 | $3.30 – $3.30 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $128.31 | $329.00 | $124.52 – $124.52 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $387.66 | $994.00 | $178.73 – $178.73 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,578.33 | $4,047.00 | $659.93 – $1,293.46 | 13 |
| Tc-99m sulfur colloid HCPCS A9541 | $169.26 | $434.00 | $519.79 – $519.79 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $212.94 | $546.00 | $165.78 – $165.78 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | $930.54 | $2,386.00 | $1,286.19 – $1,286.19 | 1 |
| Tca peel dermal 15789 CPT 15789 | $2,531.49 | $6,491.00 | $647.66 – $1,269.42 | 13 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $91.62 – $179.57 | 12 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $91.62 – $179.57 | 12 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $389.07 – $1,145.91 | 2 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $386.61 – $2,572.00 | 14 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $313.20 | $803.07 | $46.98 – $147.06 | 14 |
| T cells absolute cd 4 count CPT 86361 | $182.91 | $469.00 | $26.78 – $83.33 | 14 |
| T cells total count CPT 86359 | $145.86 | $374.00 | $37.73 – $117.65 | 14 |
| Tcranial magn stim tx deli CPT 90868 | $389.22 | $998.00 | $189.22 – $370.87 | 12 |
| Tcranial magn stim tx plan CPT 90867 | $386.88 | $992.00 | $189.22 – $370.87 | 12 |
| Tcran magn stim redetemine CPT 90869 | $386.88 | $992.00 | $189.22 – $370.87 | 12 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $1,955.99 – $5,063.00 | 3 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $3,018.30 – $5,063.00 | 3 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $217.09 – $425.49 | 13 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $686.96 – $1,346.45 | 12 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $686.96 – $1,346.45 | 12 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.11 – $14.10 | 13 |
| Telehealth original site facility fee HCPCS Q3014 | $71.37 | $183.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $1,526.85 | $3,915.00 | $321.94 – $643.11 | 13 |
| Telethx isodose plan simple CPT 77306 | $1,368.51 | $3,509.00 | $178.14 – $643.11 | 13 |
| Temozolomide HCPCS J8700 | not published | not published | $0.51 – $0.51 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.39 – $20.36 | 13 |
| Temperature gradient studies CPT 93740 | not published | not published | $112.76 – $221.01 | 12 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $3,193.27 – $7,487.00 | 5 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $26.71 – $56.27 | 13 |
| Tendon lengthening CPT 26476 | not published | not published | $1,308.00 – $5,619.93 | 16 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $2,323.00 – $5,619.93 | 16 |
| Tendon shortening CPT 26477 | not published | not published | $1,308.00 – $5,619.93 | 16 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,937.00 – $5,619.93 | 16 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $172.22 – $337.55 | 13 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $4,852.43 – $4,852.43 | 1 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $1,937.00 – $12,463.16 | 16 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,738.00 – $5,619.93 | 16 |
| Tenolysis triceps CPT 24332 | not published | not published | $2,597.81 – $5,619.93 | 14 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,937.00 – $12,463.16 | 16 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,409.11 – $4,220.00 | 16 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $2,597.81 – $11,282.00 | 13 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $1,694.00 – $5,619.93 | 16 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,409.11 – $4,238.00 | 13 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $4.08 – $4.08 | 1 |
| Teriparatide injection HCPCS J3110 | not published | not published | $97.85 – $97.85 | 1 |
| Tert gene targeted seq alys CPT 81345 | $304.59 | $781.00 | $166.68 – $420.01 | 14 |
| Test for chlorohydrocarbons CPT 82441 | $866.97 | $2,223.00 | $6.01 – $18.79 | 14 |
| Test for porphobilinogen CPT 84106 | $77.22 | $198.00 | $5.39 – $13.07 | 14 |
| Test for urine cystines CPT 82615 | $139.62 | $358.00 | $9.55 – $25.33 | 14 |
| Testicular imaging w/vasc flow CPT 78761 | $296.40 | $760.00 | $273.39 – $686.64 | 14 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $204.40 – $204.40 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $146.25 | 14 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.07 – $4.06 | 13 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $59.67 | $153.00 | $22.95 – $101.32 | 14 |
| Test stress cardiovascular tracing only CPT 93017 | $1,275.30 | $3,270.00 | $189.22 – $370.87 | 12 |
| Test urine for lactose CPT 83633 | not published | not published | $6.92 – $22.05 | 14 |
| Test urine for porphyrins CPT 84119 | $66.30 | $170.00 | $10.83 – $26.96 | 14 |
| Test urine urobilinogen CPT 84578 | $9.75 | $25.00 | $4.09 – $9.81 | 14 |
| Tetanus ig im CPT 90389 | not published | not published | $1,385.80 – $1,385.80 | 1 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $593.00 – $1,162.29 | 13 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $18.01 – $35.30 | 13 |
| Tgfbi gene common variants CPT 81333 | $225.42 | $578.00 | $123.30 – $310.51 | 14 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $683.58 – $1,488.68 | 13 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $4,563.00 | $11,700.00 | $2,627.64 – $5,722.42 | 13 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $816.27 | $2,093.00 | $538.12 – $1,171.90 | 13 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $46.82 – $292.62 | 14 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $46.82 – $292.62 | 14 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $46.82 – $292.62 | 14 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $45.67 – $90.28 | 14 |
| Thaw preserved stem cells CPT 38208 | $652.08 | $1,672.00 | $386.61 – $2,572.00 | 14 |
| Theophylline therapeutic drug level CPT 80198 | $123.24 | $316.00 | $14.14 – $44.12 | 14 |
| Therapeutic procd strg endur HCPCS G0237 | $53.82 | $138.00 | $25.35 – $49.68 | 12 |
| Therapeutic pulpotomy HCPCS D3220 | not published | not published | $566.53 – $1,694.00 | 13 |
| Therapy activation ipnss CPT 93150 | not published | not published | $83.31 – $163.29 | 12 |
| Therapy Activity Training (each 15 minutes) CPT 97530 | $78.39 | $201.00 | $35.50 – $69.58 | 12 |
| Therapy Exercise Session (each 15 minutes) CPT 97110 | $88.14 | $226.00 | $27.64 – $54.17 | 12 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $36.27 | $93.00 | $26.64 – $52.21 | 12 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $36.27 | $93.00 | $21.39 – $41.92 | 12 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | $282.36 | $724.00 | $175.82 – $693.00 | 13 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $2,323.00 – $5,694.58 | 16 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $1,127.10 | $2,890.00 | $140.98 – $301.27 | 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.