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 |
|---|---|---|---|---|
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $1,308.00 – $6,243.39 | 10 |
| Cerebrospinal fld flw imag CPT 78645 | $333.84 | $856.00 | $534.29 – $1,082.73 | 9 |
| Cerebrospinal fluid scan CPT 78647 | not published | not published | $740.27 – $1,533.93 | 2 |
| Cer post col occ/man sup adj HCPCS L0180 | $626.46 | $1,606.32 | not published | 0 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.91 – $14.95 | 9 |
| Cerv collar supp adj cerv ba HCPCS L0190 | $903.04 | $2,315.50 | not published | 0 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $6,179.00 – $12,806.77 | 9 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $78.37 – $179.25 | 9 |
| #cf-97variants CPT 81220 | $639.44 | $1,639.60 | $443.98 – $1,090.94 | 9 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $238.09 – $852.74 | 9 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $168.75 – $330.75 | 9 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $97.22 – $190.55 | 9 |
| Change cystostomy tube; complex 51710 CPT 51710 | $4,060.68 | $10,412.00 | $686.16 – $4,066.00 | 10 |
| Change cystostomy tube simple CPT 51705 | $1,053.39 | $2,701.00 | $245.86 – $2,665.00 | 9 |
| Change gastric port open CPT 43888 | not published | not published | $3,437.00 – $8,448.00 | 9 |
| Change g-tube to g-j perc CPT 49446 | $11,247.99 | $28,841.00 | $1,888.25 – $5,272.00 | 9 |
| Change nephroureteral cath CPT 50387 | $9,363.90 | $24,010.00 | $2,056.98 – $5,272.00 | 9 |
| Change of ureter tube/stent CPT 50688 | $1,272.57 | $3,263.00 | $1,308.00 – $5,272.00 | 10 |
| Change of windpipe airway 31502 CPT 31502 | $624.39 | $1,601.00 | $233.07 – $2,665.00 | 9 |
| Change stent via transureth CPT 50385 | $1,110.33 | $2,847.00 | $2,056.98 – $6,179.00 | 9 |
| Change ureter stent percut CPT 50382 | $17,297.28 | $44,352.00 | $2,056.98 – $6,179.00 | 9 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $12.07 – $328.59 | 9 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $197.43 – $2,665.00 | 9 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $400.02 – $2,665.00 | 9 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $400.02 – $2,665.00 | 9 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $727.26 – $4,066.00 | 9 |
| Chemo adm cns w/lmbr punct CPT 96450 | $437.19 | $1,121.00 | $205.90 – $637.05 | 8 |
| Chemodener muscle larynx emg CPT 64617 | $382.20 | $980.00 | $694.60 – $4,066.00 | 9 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $631.80 | $1,620.00 | $2,665.00 – $3,391.00 | 2 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $631.80 | $1,620.00 | $2,665.00 – $3,391.00 | 2 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $1,895.01 | $4,859.00 | $694.60 – $4,066.00 | 9 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $1,895.01 | $4,859.00 | $694.60 – $4,066.00 | 9 |
| Chemodenervation anal musc CPT 46505 | not published | not published | $1,177.52 – $5,272.00 | 9 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $783.90 | $2,010.00 | $302.05 – $2,665.00 | 9 |
| Chemodenervation nerve of eye muscle 67345 CPT 67345 | not published | not published | $312.33 – $2,665.00 | 9 |
| Chemodenerv eccrine glands CPT 64653 | $521.82 | $1,338.00 | $302.05 – $2,665.00 | 9 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $521.82 | $1,338.00 | $302.05 – $2,665.00 | 9 |
| Chemodenerv musc migraine 64615 CPT 64615 | $781.56 | $2,004.00 | $302.05 – $2,665.00 | 9 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $783.90 | $2,010.00 | $302.05 – $2,665.00 | 9 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $430.17 | $1,103.00 | $302.05 – $2,665.00 | 9 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $1,895.01 | $4,859.00 | $694.60 – $4,066.00 | 9 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $1,973.40 | $5,060.00 | $694.60 – $4,066.00 | 9 |
| Chemo extend IV infus w/pump HCPCS G0498 | $1,124.37 | $2,883.00 | $325.03 – $637.05 | 8 |
| Chemo ia infuse each addl hr CPT 96423 | $198.51 | $509.00 | $46.08 – $90.31 | 8 |
| Chemo ia infusion up to 1 hr CPT 96422 | $604.89 | $1,551.00 | $325.03 – $637.05 | 8 |
| Chemo ia push tecnique CPT 96420 | $618.93 | $1,587.00 | $251.42 – $637.05 | 8 |
| Chemo intralesional over 7 CPT 96406 | $757.38 | $1,942.00 | $117.76 – $410.24 | 8 |
| Chemo intralesional up to 7 96405 CPT 96405 | $618.93 | $1,587.00 | $70.85 – $138.87 | 8 |
| Chemotaxis assay CPT 86155 | not published | not published | $15.99 – $31.34 | 9 |
| Chemotherapy injection 96542 CPT 96542 | $482.04 | $1,236.00 | $107.52 – $637.05 | 8 |
| Chemotx admn pertl cav impl CPT 96446 | $437.19 | $1,121.00 | $75.55 – $637.05 | 8 |
| Chest 2 vws w oblique CPT 71048 | $385.71 | $989.00 | $58.85 – $201.64 | 9 |
| Chest apical lordotic proj CPT 71047 | $316.68 | $812.00 | $57.21 – $167.84 | 9 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,918.02 | $4,918.00 | $172.60 – $338.29 | 8 |
| Chest CT scan (with contrast) CPT 71260 | $1,562.34 | $4,006.00 | $172.60 – $338.29 | 8 |
| Chest CT scan (without contrast) CPT 71250 | $1,540.50 | $3,950.00 | $102.88 – $201.64 | 8 |
| Chest Physiotherapy (first session) CPT 94667 | $514.41 | $1,319.00 | $130.92 – $256.61 | 8 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $401.31 | $1,029.00 | $130.92 – $256.61 | 8 |
| Chest Ultrasound CPT 76604 | $377.91 | $969.00 | $102.88 – $224.74 | 9 |
| Chest X-ray CPT 71046 | $294.06 | $754.00 | $44.96 – $167.84 | 9 |
| Chest X-ray (single view) CPT 71045 | $252.72 | $648.00 | $24.56 – $167.84 | 9 |
| Chg pr pul rehab for copd patients CPT 94626 | $133.77 | $343.00 | $58.05 – $113.78 | 8 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $770.25 | $1,975.00 | $172.60 – $338.29 | 8 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $587.05 – $587.05 | 1 |
| Chimerism anal no cell selec CPT 81267 | $210.21 | $539.00 | $207.46 – $406.62 | 9 |
| Chimerism anal w/cell select CPT 81268 | $1,110.72 | $2,848.00 | $260.79 – $511.15 | 9 |
| Chlamydia culture CPT 87110 | $215.28 | $552.00 | $19.60 – $38.42 | 9 |
| Chlamydia trachomatis ag if CPT 87270 | $80.34 | $206.00 | $11.98 – $23.48 | 9 |
| Chlamydia type CPT 87140 | $239.07 | $613.00 | $5.57 – $10.92 | 9 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $20.05 – $39.30 | 9 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $42.84 – $83.97 | 9 |
| Chlnggrphy intraop addl s&i CPT 74301 | $337.35 | $865.00 | $69.86 – $90.12 | 2 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $50.26 – $98.51 | 8 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $40.12 – $40.12 | 1 |
| Chloride CPT 82435 | $62.01 | $159.00 | $4.60 – $9.02 | 9 |
| Chloride 24 hour urine CPT 82436 | $65.91 | $169.00 | $5.75 – $11.27 | 9 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.59 – $0.59 | 1 |
| Chloroprocaine hcl injection HCPCS J2401 | not published | not published | $0.06 – $0.14 | 2 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.58 – $1.14 | 8 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $115.24 – $115.24 | 1 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $58.09 – $58.09 | 1 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.69 – $0.69 | 1 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $437.19 | $1,121.00 | $325.03 – $637.05 | 8 |
| Cholangiogram percutaneous compl CPT 47532 | $2,155.92 | $5,528.00 | $3,523.19 – $8,448.00 | 9 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $639.99 | $1,641.00 | $116.87 – $150.76 | 2 |
| Cholecystectomy expl duct 47612 CPT 47612 | not published | not published | $6,859.00 – $8,245.00 | 2 |
| Cholecystectomy w/cholangiography 47605 CPT 47605 | not published | not published | $6,760.00 – $6,859.00 | 2 |
| Cholecystoenterostomy direct 47720 CPT 47720 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,031.04 | $10,336.00 | $3,523.19 – $8,448.00 | 9 |
| Cholera vaccine live oral CPT 90625 | not published | not published | $587.05 – $587.05 | 1 |
| Cholesterol CPT 82465 | $76.44 | $196.00 | $4.35 – $8.53 | 9 |
| Cholesterol body fluid CPT 84999 | $108.42 | $278.00 | $28.70 – $28.70 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $166.92 | $428.00 | $13.39 – $26.24 | 9 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,516.43 – $4,932.20 | 8 |
| Cholinesterase CPT 82480 | $110.76 | $284.00 | $7.87 – $15.43 | 9 |
| Cholinesterase challenge CPT 95857 | not published | not published | $212.47 – $416.45 | 8 |
| Chorion biopsy CPT 59015 | $893.10 | $2,290.00 | $906.33 – $4,066.00 | 9 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $37.49 – $37.49 | 1 |
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.