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 |
|---|---|---|---|---|
| Cmv pcr-sendout CPT 87496 | $733.98 | $1,882.00 | $35.09 – $68.78 | 9 |
| Cnbp gene detc abnor allele CPT 81187 | $616.59 | $1,581.00 | $137.00 – $268.52 | 9 |
| Cntct lens hydrophil photoch HCPCS V2524 | not published | not published | $154.45 – $302.72 | 8 |
| Co2 monitor per day CPT 94681 | $652.86 | $1,674.00 | $367.20 – $719.70 | 8 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.66 – $6.10 | 9 |
| Coagulation time activated teg CPT 85347 | $36.66 | $94.00 | $4.28 – $8.39 | 9 |
| Coagulation time lee & white CPT 85345 | not published | not published | $4.69 – $9.19 | 9 |
| Coagulation time otr method CPT 85348 | not published | not published | $4.49 – $8.80 | 9 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $2.97 – $3.31 | 2 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $4.36 – $4.36 | 1 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $6.61 – $168.32 | 3 |
| Coch imp ext proc/contr rplc HCPCS L8619 | not published | not published | $3,099.00 – $19,705.78 | 9 |
| Cochlear implt f/up exam <7 CPT 92601 | not published | not published | $126.62 – $248.17 | 8 |
| Cochlear implt f/up exam 7/> CPT 92603 | not published | not published | $126.62 – $248.17 | 8 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $359.45 – $359.45 | 1 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $122.46 – $240.01 | 8 |
| Cold agglutinin screen (arc) CPT 86156 | $74.49 | $191.00 | $8.07 – $15.82 | 9 |
| Cold agglutinin titer CPT 86157 | $23.01 | $59.00 | $8.06 – $15.80 | 9 |
| Colectomy/end colost/close dis seg 44143 CPT 44143 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colectomy/ ileostomy without prctect 44150 CPT 44150 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colectomy/ ileostomy w/prctect 44155 CPT 44155 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colectomy partial w/anastomosis 44140 CPT 44140 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colectomy prtl abdominal + transanal appr 44147 CPT 44147 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colectomy prtl w/coloproctostomy 44145 CPT 44145 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colectomy prtl w/coloproctostomy + colostomy 44146 CPT 44146 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colectomy prtl w/remove terminal ileum+ileocolos 44160 CPT 44160 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colectomy prtl w/skin level cecost/colostomy 44141 CPT 44141 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colectomy/w colostomy or ileostomy 44144 CPT 44144 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colectomy w/ileoanal anast CPT 44157 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colectomy w/neo-rectum pouch CPT 44158 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $23.18 – $23.18 | 1 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $75.90 – $155.79 | 9 |
| Collagen dressing <=16 sq in HCPCS A6021 | $3,236.71 | $8,299.25 | not published | 0 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $1,949.63 | $4,999.05 | $1,937.00 – $1,937.00 | 1 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $241.80 | $620.00 | $44.14 – $167.84 | 9 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $36.33 | $93.15 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $534.84 | $1,371.38 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $127.71 | $327.47 | not published | 0 |
| Collar extrication adult univ HCPCS L0200 | $764.15 | $1,959.36 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $344.37 | $883.00 | $130.92 – $2,665.00 | 9 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $179.79 | $461.00 | $130.92 – $2,665.00 | 9 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $122.46 – $240.01 | 8 |
| Colon motility 6 hr study CPT 91117 | not published | not published | $212.47 – $2,665.00 | 9 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $915.10 – $5,272.00 | 10 |
| Colonoscopy flex with decompression 45393 CPT 45393 | not published | not published | $1,177.52 – $5,272.00 | 9 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Colonoscopy for bleeding 44391 CPT 44391 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Colonoscopy for foreign body CPT 44390 | not published | not published | $915.10 – $5,272.00 | 10 |
| Colonoscopy & polypectomy 44392 CPT 44392 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Colonoscopy stoma w/endo mucosal rescj 44403 CPT 44403 | not published | not published | $1,177.52 – $5,272.00 | 9 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Colonoscopy thru stoma spx CPT 44388 | not published | not published | $915.10 – $5,272.00 | 10 |
| Colonoscopy w/ablation CPT 45388 | not published | not published | $1,177.52 – $5,272.00 | 9 |
| Colonoscopy w/balloon dilat CPT 45386 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Colonoscopy w/band ligation CPT 45398 | not published | not published | $1,177.52 – $5,272.00 | 9 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Colonoscopy w/decompression CPT 44408 | not published | not published | $915.10 – $5,272.00 | 9 |
| Colonoscopy w/dilation CPT 44405 | not published | not published | $1,177.52 – $5,272.00 | 9 |
| Colonoscopy w/endoscope Ultrasound CPT 45391 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Colonoscopy w/endoscopic fnb CPT 45392 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Colonoscopy/w endoscopic stent 45389 CPT 45389 | not published | not published | $4,714.00 – $11,708.83 | 9 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Colonoscopy w/injection CPT 44404 | not published | not published | $1,177.52 – $5,272.00 | 9 |
| Colonoscopy with ablation CPT 44401 | not published | not published | $1,177.52 – $5,272.00 | 9 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Colonoscopy with biopsy CPT 44389 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Colonoscopy w/ndl aspir/bx CPT 44407 | not published | not published | $1,177.52 – $5,272.00 | 9 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $2,731.31 – $5,353.37 | 9 |
| Colonoscopy w/stent plcmt CPT 44402 | not published | not published | $3,391.00 – $11,708.83 | 9 |
| Colonoscopy w/ultrasound CPT 44406 | not published | not published | $1,177.52 – $5,272.00 | 9 |
| Colostomy skin level cecostomy 44320 CPT 44320 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colostomy with biopsies CPT 44322 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Colotomy exploration/bx/foreign body removal 44025 CPT 44025 | not published | not published | $6,859.00 – $8,245.00 | 2 |
| Colpocentesis 57020 CPT 57020 | not published | not published | $1,694.00 – $9,648.14 | 10 |
| Colpocleisis (le forte type) 57120 CPT 57120 | not published | not published | $4,922.52 – $9,648.14 | 9 |
| Colpopexy abdominal approach 57280 CPT 57280 | not published | not published | $6,179.00 – $6,760.00 | 2 |
| Colpopexy extraperitoneal CPT 57282 | not published | not published | $6,760.00 – $14,302.02 | 9 |
| Colpopexy intraperitoneal CPT 57283 | not published | not published | $6,760.00 – $14,302.02 | 9 |
| Colpopexy, min/inv, ex-perit HCPCS C9778 | not published | not published | $4,922.52 – $9,648.14 | 9 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | not published | not published | $1,308.00 – $6,243.39 | 10 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $829.14 | $2,126.00 | $906.33 – $4,066.00 | 9 |
| Colposcopy/cervix/ conization 57461 CPT 57461 | not published | not published | $3,185.40 – $6,243.39 | 9 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $329.94 | $846.00 | $198.94 – $2,665.00 | 10 |
| Colposcopy vulva 56820 CPT 56820 | $99.84 | $256.00 | $198.94 – $2,665.00 | 9 |
| Colposcopy vulva w/biopsy 56821 CPT 56821 | not published | not published | $299.86 – $2,665.00 | 9 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $390.00 | $1,000.00 | $299.86 – $2,665.00 | 9 |
| Colpotomy drng of abscess 57010 CPT 57010 | not published | not published | $1,694.00 – $6,243.39 | 10 |
| Colpotomy w/exploration 57000 CPT 57000 | not published | not published | $1,308.00 – $6,243.39 | 10 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $308.88 | $792.00 | $30.18 – $328.59 | 9 |
| Compatibility test each unit electronic CPT 86923 | $191.49 | $491.00 | $17.39 – $328.59 | 9 |
| Compatibility test each unit immediate spin technique CPT 86920 | $217.23 | $557.00 | $17.39 – $328.59 | 9 |
| Compatibility test incubate CPT 86921 | $171.60 | $440.00 | $17.39 – $328.59 | 9 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $1,399.32 | $3,588.00 | $686.16 – $4,066.00 | 9 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $1,399.32 | $3,588.00 | $686.16 – $4,066.00 | 9 |
| Complement antigen each component c3 CPT 86160 | $157.17 | $403.00 | $12.00 – $23.52 | 9 |
| Complement fixation each CPT 86171 | $99.06 | $254.00 | $10.01 – $19.62 | 9 |
| Complete removal of vulva CPT 56625 | not published | not published | $3,185.40 – $6,243.39 | 10 |
| Completion pneumonectomy 32488 CPT 32488 | not published | not published | $5,063.00 – $6,859.00 | 2 |
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.