Wellstar West Georgia Medical Center
1514 Vernon Road, Lagrange, GA · Wellstar Health System · · NPI 1821221144
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 |
|---|---|---|---|---|
| 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 | 9 |
| 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 | 8 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,159.43 | $2,972.90 | not published | 0 |
| Vad cable power module dc input HCPCS Q0478 | $731.74 | $1,876.25 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $14,170.94 | $36,335.75 | not published | 0 |
| Vag hys/<250g/rmv tube/rpr entero 58263 CPT 58263 | not published | not published | $4,922.52 – $9,648.14 | 9 |
| Vag hyst incl t/o complex CPT 58291 | not published | not published | $4,922.52 – $11,889.00 | 9 |
| Vag hyst including t/o CPT 58262 | not published | not published | $2,664.00 – $9,648.14 | 10 |
| Vag hyst t/o & repair compl CPT 58292 | not published | not published | $6,760.00 – $14,302.02 | 9 |
| Vag hyst w/enterocele compl 58294 CPT 58294 | not published | not published | $4,922.52 – $11,889.00 | 9 |
| Vag hyst w/enterocele repair CPT 58270 | not published | not published | $4,922.52 – $9,648.14 | 9 |
| Vag hyst w/uro repair compl 58293 CPT 58293 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Vaginal bx CPT 58999 | $4,428.06 | $11,354.00 | $198.94 – $2,665.00 | 9 |
| Vaginal delivery after cesarean delivery 59612 CPT 59612 | not published | not published | $3,185.40 – $6,243.39 | 9 |
| Vaginal Delivery (full care) CPT 59400 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Vaginal hysterectomy CPT 58260 | not published | not published | $2,664.00 – $9,648.14 | 10 |
| Vaginectomy partial w/nodes CPT 57109 | not published | not published | $3,185.40 – $6,243.39 | 9 |
| Vag inser rectal control sys HCPCS A4563 | not published | not published | $1,689.73 – $3,311.87 | 8 |
| Vagnc compl rmvl paravag tis CPT 57111 | not published | not published | $5,809.00 – $8,448.00 | 2 |
| Vagnc compl rmvl vag wall CPT 57110 | not published | not published | $5,809.00 – $6,859.00 | 2 |
| Vagotomy pfrmd w/prtl dstl gstrct 43635 CPT 43635 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Vagotomy & pylorus repair CPT 43641 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Vagotomy & pylorus repair 43640 CPT 43640 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Valproic acid total therapeutic drug level CPT 80164 | $121.68 | $312.00 | $13.54 – $26.54 | 9 |
| Valrubicin injection HCPCS J9357 | not published | not published | $1,323.34 – $3,742.41 | 9 |
| Valvuloplasty aortic CPT 92986 | $4,057.56 | $10,404.00 | $5,600.62 – $15,026.00 | 9 |
| Valvuloplasty aortic valve CPT 33390 | not published | not published | $6,859.00 – $6,859.00 | 1 |
| Valvuloplasty aortic valve CPT 33391 | not published | not published | $6,859.00 – $6,859.00 | 1 |
| Valvuloplasty mitral CPT 92987 | $5,573.10 | $14,290.00 | $9,000.00 – $22,265.07 | 9 |
| Valvuloplasty pulmonary CPT 92990 | $7,809.36 | $20,024.00 | $9,000.00 – $22,265.07 | 9 |
| Valvuloplasty/tv without ring insert 33463 CPT 33463 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Valvuloplasty/tv w/ring insertion 33464 CPT 33464 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Vancomycin hcl injection HCPCS J3370 | not published | not published | $3.55 – $3.55 | 1 |
| Vancomycin peak therapeutic drug level CPT 80202 | $246.87 | $633.00 | $13.54 – $26.54 | 9 |
| Vanomycin dna amp probe CPT 87500 | not published | not published | $35.09 – $68.78 | 9 |
| Vantas implant HCPCS J9225 | not published | not published | $9,475.37 – $17,875.36 | 3 |
| Varicella zoster antibody igg CPT 86787 | $128.70 | $330.00 | $12.88 – $25.24 | 9 |
| Varicella-zoster immue globin im CPT 90396 | not published | not published | $2,361.82 – $5,192.94 | 9 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $21,172.71 | $54,289.00 | $5,809.00 – $35,355.90 | 9 |
| Vasc graft into carpal bone CPT 25430 | not published | not published | $3,219.72 – $11,889.00 | 9 |
| Vasectomy CPT 55250 | $2,256.54 | $5,786.00 | $1,694.00 – $6,179.00 | 10 |
| Vasopressin 20 unit/ml intravenous solution HCPCS J2598 | not published | not published | $3.11 – $6.30 | 2 |
| Vbac delivery 59610 CPT 59610 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Vbac/include postpartum care 59614 CPT 59614 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Vedolizumab 300 mg intravenous solution HCPCS J3380 | not published | not published | $21.31 – $57.56 | 9 |
| Veeg cont 2-12 hrs CPT 95713 | $841.23 | $2,157.00 | $367.20 – $719.70 | 8 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $3,530.67 | $9,053.00 | $845.02 – $1,656.24 | 8 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $645.06 | $1,654.00 | $367.20 – $719.70 | 8 |
| Veeg unmon 12-26 hrs CPT 95714 | $822.90 | $2,110.00 | $367.20 – $719.70 | 8 |
| Veeg unmon 2-12 hrs CPT 95711 | $441.09 | $1,131.00 | $212.47 – $416.45 | 8 |
| Vein bypass grft fem-popliteal 35583 CPT 35583 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Vein byp fem-tibial peroneal 35585 CPT 35585 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Vein byp pop-tibl peroneal CPT 35587 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Vein gft fem a/p tib/pero/dis art 35566 CPT 35566 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Vein x-ray adrenal gland CPT 75840 | $1,775.28 | $4,552.00 | $210.80 – $6,089.78 | 9 |
| Vein x-ray adrenal glands CPT 75842 | $2,944.11 | $7,549.00 | $244.32 – $561.21 | 3 |
| Vein x-ray eye socket CPT 75880 | $1,438.32 | $3,688.00 | $255.74 – $1,209.87 | 9 |
| Vein x-ray kidney CPT 75831 | $2,006.94 | $5,146.00 | $195.28 – $6,089.78 | 9 |
| Vein x-ray liver CPT 75891 | $2,405.91 | $6,169.00 | $205.90 – $6,089.78 | 9 |
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.