Wellstar Douglas Hospital
8954 Hospital Drive, Douglasville, GA · Wellstar Health System · · NPI 1649247974
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 |
|---|---|---|---|---|
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $5.13 – $9.49 | 7 |
| Ureteral embolization/occl CPT 50705 | $3,041.22 | $7,798.00 | $2,665.00 – $3,391.00 | 2 |
| Ureteral reflux study CPT 78740 | $694.20 | $1,780.00 | $402.40 – $749.14 | 7 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,308.00 – $6,564.12 | 8 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,308.00 – $9,984.59 | 8 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,308.00 – $9,984.59 | 8 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,308.00 – $6,564.12 | 8 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,308.00 – $9,984.59 | 8 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,308.00 – $9,984.59 | 8 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,308.00 – $9,984.59 | 8 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,308.00 – $9,984.59 | 8 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $5,063.00 – $6,179.00 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $253.50 | $650.00 | $128.37 – $744.45 | 7 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $3,548.17 – $8,448.00 | 7 |
| Urethrocystography void s&i CPT 74455 | $390.39 | $1,001.00 | $150.35 – $444.32 | 7 |
| Uric acid blood CPT 84550 | $74.49 | $191.00 | $4.52 – $8.36 | 7 |
| Uric acid urine CPT 84560 | $93.60 | $240.00 | $5.08 – $9.40 | 7 |
| Urinalysis glass test CPT 81020 | not published | not published | $4.70 – $8.70 | 7 |
| Urinalysis microscopic only CPT 81015 | $49.14 | $126.00 | $3.05 – $5.64 | 7 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $46.80 | $120.00 | $2.17 – $4.01 | 7 |
| Urinalysis (with microscopy) CPT 81001 | $62.40 | $160.00 | $3.17 – $5.86 | 7 |
| Urinalysis (without microscopy) CPT 81003 | $74.88 | $192.00 | $2.25 – $4.16 | 7 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $151.16 – $278.99 | 3 |
| Urinary reflex study CPT 51792 | not published | not published | $59.38 – $2,665.00 | 7 |
| Urine Culture Test CPT 87086 | $202.80 | $520.00 | $8.07 – $14.93 | 7 |
| Urine flow measurement 51736 CPT 51736 | $274.17 | $703.00 | $133.92 – $2,665.00 | 7 |
| Urine pregnancy test CPT 81025 | $98.67 | $253.00 | $8.61 – $15.93 | 7 |
| Urine screen for bacteria CPT 81007 | not published | not published | $4.45 – $55.46 | 7 |
| Urine shunt to intestine CPT 50815 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Urine specimen collect mult HCPCS P9615 | not published | not published | $3.60 – $3,391.00 | 3 |
| Urofollitropin, 75 iu HCPCS J3355 | not published | not published | $120.90 – $120.90 | 1 |
| Urography, antegrade CPT 74425 | $489.45 | $1,255.00 | $110.38 – $744.45 | 7 |
| Urography inf drip &/or bolus CPT 74410 | $599.82 | $1,538.00 | $176.56 – $326.63 | 7 |
| Urokinase 250,000 iu inj HCPCS J3365 | not published | not published | $872.43 – $872.43 | 1 |
| Urokinase 5000 iu injection HCPCS J3364 | not published | not published | $17.46 – $17.46 | 1 |
| Use 1st target lesion CPT 76982 | $136.11 | $349.00 | $105.23 – $194.68 | 6 |
| Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 | not published | not published | $12.99 – $30.87 | 7 |
| Ustekinumab 45 mg/0.5 ml subcutaneous solution HCPCS J3357 | not published | not published | $297.11 – $532.70 | 3 |
| U/s trtmt, not leiomyomata HCPCS C9734 | not published | not published | $9,032.00 – $23,907.84 | 6 |
| Vaccine Administration (one shot) CPT 90471 | $62.79 | $161.00 | $72.47 – $134.08 | 6 |
| Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 | not published | not published | $302.71 – $504.88 | 2 |
| Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 | not published | not published | $275.38 – $504.88 | 2 |
| Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 | not published | not published | $291.92 – $453.61 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 | not published | not published | $164.37 – $303.72 | 2 |
| Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 | not published | not published | $122.75 – $226.80 | 2 |
| Vaccine dtap < 7 years im CPT 90700 | not published | not published | $61.49 – $61.49 | 1 |
| Vaccine dtap-hep b-ipv im CPT 90723 | not published | not published | $209.15 – $209.15 | 1 |
| Vaccine dtap-ipv 4-6 years im CPT 90696 | not published | not published | $130.39 – $130.39 | 1 |
| Vaccine dtap-ipv-hib-hepb im CPT 90697 | not published | not published | $334.33 – $334.33 | 1 |
| Vaccine dtap-ipv/hib im CPT 90698 | not published | not published | $256.30 – $256.30 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 | not published | not published | $65.28 – $65.28 | 1 |
| Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 | not published | not published | $25.73 – $25.73 | 1 |
| Vaccine hepatitis a (hepa) adult im CPT 90632 | not published | not published | $173.60 – $173.60 | 1 |
| Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 | not published | not published | $269.39 – $269.39 | 1 |
| Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 | not published | not published | $81.14 – $81.14 | 1 |
| Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 | not published | not published | $146.90 – $260.02 | 3 |
| Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 | not published | not published | $146.90 – $243.51 | 3 |
| Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 | not published | not published | $315.16 – $554.57 | 3 |
| Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 | not published | not published | $59.58 – $106.46 | 3 |
| Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 | not published | not published | $656.66 – $656.66 | 1 |
| Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 | not published | not published | $341.92 – $341.92 | 1 |
| Vaccine influenza (iiv) preservative free antigen content im CPT 90662 | not published | not published | $156.60 – $253.96 | 3 |
| Vaccine influenza inactivated adjuvant im CPT 90653 | not published | not published | $156.60 – $181.10 | 2 |
| Vaccine influenza nos 0.5ml dose im CPT 90658 | not published | not published | $41.21 – $41.21 | 1 |
| Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 | not published | not published | $32.09 – $42.12 | 2 |
| Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 | not published | not published | $39.36 – $72.24 | 3 |
| Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 | not published | not published | $145.12 – $267.67 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 | not published | not published | $40.79 – $66.12 | 3 |
| Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 | not published | not published | $42.12 – $77.33 | 3 |
| Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 | not published | not published | $19.69 – $36.12 | 3 |
| Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 | not published | not published | $52.30 – $96.15 | 3 |
| Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 | not published | not published | $137.71 – $253.96 | 3 |
| Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 | not published | not published | $69.26 – $69.26 | 1 |
| Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 | not published | not published | $20.60 – $33.02 | 2 |
| Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 | not published | not published | $477.64 – $477.64 | 1 |
| Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 | not published | not published | $406.15 – $406.15 | 1 |
| Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 | not published | not published | $367.11 – $367.11 | 1 |
| Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 | not published | not published | $335.89 – $335.89 | 1 |
| Vaccine mmr live subcutaneous CPT 90707 | not published | not published | $197.44 – $197.44 | 1 |
| Vaccine mmrv live subcutaneous CPT 90710 | not published | not published | $459.11 – $593.80 | 2 |
| Vaccine pneumococcal 23 valent (ppsv23) subcutaneous/im CPT 90732 | not published | not published | $249.93 – $461.81 | 3 |
| Vaccine pneumococcal conjugate 13 valent (pcv13) im CPT 90670 | not published | not published | $483.36 – $892.65 | 3 |
| Vaccine pneumonococcal conjugate 15 valent (pcv15) im CPT 90671 | not published | not published | $489.27 – $877.32 | 3 |
| Vaccine pneumonococcal conjugate 20 valent (pcv20) im CPT 90677 | not published | not published | $558.36 – $998.76 | 3 |
| Vaccine polio (ipv) subcutaneous/im CPT 90713 | not published | not published | $95.49 – $95.49 | 1 |
| Vaccine rabies im CPT 90675 | not published | not published | $313.68 – $778.01 | 7 |
| Vaccine respiratory syncytial virus bivalent subunit/preservative free im CPT 90678 | not published | not published | $629.74 – $629.74 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 0.5 ml im CPT 90380 | not published | not published | $1,109.52 – $1,109.52 | 1 |
| Vaccine respiratory syncytial virus monoclonal antibody seasonal dose 1 ml im CPT 90381 | not published | not published | $1,109.52 – $1,109.52 | 1 |
| Vaccine respiratory syncytial virus recombinant subunit adjuvanted/preservative free im CPT 90679 | not published | not published | $627.61 – $627.61 | 1 |
| Vaccine rotavirus attenuated (rv1) live 2 dose oral CPT 90681 | not published | not published | $296.17 – $296.17 | 1 |
| Vaccine rotavirus pentavalent (rv5) live 3 dose oral CPT 90680 | not published | not published | $210.96 – $210.96 | 1 |
| Vaccine tdap >=7 years im CPT 90715 | not published | not published | $101.17 – $101.17 | 1 |
| Vaccine td preservative free >= 7 years im CPT 90714 | not published | not published | $86.06 – $86.06 | 1 |
| Vaccine typhoid vicps im CPT 90691 | not published | not published | $312.89 – $312.89 | 1 |
| Vaccine varicella live subcutaneous CPT 90716 | not published | not published | $390.65 – $390.65 | 1 |
| Vaccine yellow fever live subcutaneous CPT 90717 | not published | not published | $478.12 – $478.12 | 1 |
| Vaccinia vrs vac 0.3 ml perq CPT 90622 | not published | not published | $0.01 – $0.02 | 6 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,159.43 | $2,972.90 | 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.