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 |
|---|---|---|---|---|
| Complex body section x-ray CPT 76101 | not published | not published | $222.25 – $556.52 | 2 |
| Complex body section x-rays CPT 76102 | not published | not published | $318.67 – $795.09 | 2 |
| Complex cystometrogram 51726 CPT 51726 | not published | not published | $245.86 – $2,665.00 | 10 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,727.70 | $4,430.00 | $400.02 – $2,665.00 | 10 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $2,221.44 | $5,696.00 | $727.26 – $2,665.00 | 10 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $346.71 | $889.00 | $212.47 – $2,665.00 | 9 |
| Compl oph exam general anes CPT 92018 | not published | not published | $1,308.00 – $6,179.00 | 10 |
| Compl rpr tof w/pulm atresia CPT 33697 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $2,221.44 | $5,696.00 | $727.26 – $2,665.00 | 10 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $2,221.44 | $5,696.00 | $727.26 – $2,665.00 | 10 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $1,727.70 | $4,430.00 | $2,323.00 – $5,809.00 | 3 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $1,727.70 | $4,430.00 | $400.02 – $2,665.00 | 10 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,930.50 | $4,950.00 | $400.02 – $2,665.00 | 10 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $1,930.50 | $4,950.00 | $2,323.00 – $3,391.00 | 3 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $1,727.70 | $4,430.00 | $2,323.00 – $3,391.00 | 3 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $2,221.44 | $5,696.00 | $727.26 – $2,665.00 | 10 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $376.35 | $965.00 | $2,323.00 – $3,391.00 | 3 |
| Composite byp grft 2 veins CPT 35682 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Composite byp grft 3/> segmt CPT 35683 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Composite byp grft pros&vein CPT 35681 | $1,267.50 | $3,250.00 | $5,063.00 – $6,859.00 | 2 |
| Composite graft/pri close/don area 15760 CPT 15760 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Comprehensive hearing test CPT 92557 | $394.29 | $1,011.00 | $126.62 – $248.17 | 8 |
| Compre oph exam est pt 1/> CPT 92014 | $113.10 | $290.00 | $131.01 – $256.78 | 8 |
| Compre oph exam new pt 1/> CPT 92004 | $146.64 | $376.00 | $131.01 – $256.78 | 8 |
| Comp rpr tof wo pulm atresia CPT 33692 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Computed tomographic angiography head and neck with contrast CPT 70471 | not published | not published | $343.30 – $672.87 | 8 |
| Concentration infection agents any type CPT 87015 | $80.34 | $206.00 | $6.68 – $13.09 | 9 |
| Conditioning play audiometry 92582 CPT 92582 | $189.15 | $485.00 | $126.62 – $248.17 | 8 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | not published | $337.86 – $337.86 | 1 |
| Condylomata destruction 56420 CPT 56420 | $799.50 | $2,050.00 | $198.94 – $2,665.00 | 9 |
| Congo red blood test HCPCS P2029 | not published | not published | $4.95 – $9.70 | 9 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $86.65 – $163.45 | 3 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $1,053.00 | $2,700.00 | $1,694.00 – $6,243.39 | 10 |
| Conization of cervix CPT 57520 | not published | not published | $1,694.00 – $6,243.39 | 10 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $392.06 – $904.95 | 9 |
| Connect omega .5mm HCPCS L8613 | $40,292.75 | $103,314.74 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $3,630.83 | $9,309.83 | $1,959.20 – $1,959.20 | 1 |
| Constj trachesophgl fstl CPT 31611 | not published | not published | $1,937.00 – $6,394.47 | 10 |
| Construct bladder opening CPT 51980 | not published | not published | $5,063.00 – $6,179.00 | 2 |
| Construct bowel bladder CPT 50820 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Construct bowel bladder CPT 50825 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Construction of absent anus CPT 46730 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Construction of absent anus CPT 46735 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Construction of absent anus CPT 46740 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Construction of vagina CPT 57291 | not published | not published | $2,664.00 – $9,648.14 | 10 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,694.00 – $8,448.00 | 10 |
| Construct vagina with graft CPT 57292 | not published | not published | $4,922.52 – $9,648.14 | 9 |
| Consultation pathology during surgery CPT 88329 | $296.40 | $760.00 | $19.80 – $113.78 | 9 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $447.33 | $1,147.00 | $19.80 – $1,553.90 | 9 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $159.12 | $408.00 | $17.35 – $47.40 | 3 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $223.86 | $574.00 | $41.46 – $328.59 | 9 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $120.90 | $310.00 | $41.46 – $100.51 | 9 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $125.37 | $321.45 | $19.80 – $72.04 | 9 |
| Consult comp w/report rfrd material CPT 88325 | $931.71 | $2,389.00 | $65.18 – $328.59 | 9 |
| Contact lens fitg aphakia 1 CPT 92311 | not published | not published | $439.59 – $861.59 | 8 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $130.92 – $256.61 | 8 |
| Contact lens fitting for tx CPT 92071 | $224.25 | $575.00 | not published | 0 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $2,665.00 – $2,665.00 | 1 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $3,721.00 – $11,417.47 | 10 |
| Contour of face bone lesion CPT 21029 | not published | not published | $1,694.00 – $6,394.47 | 10 |
| Contrast baths charges CPT 97034 | not published | not published | $13.37 – $26.21 | 8 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,496.00 | $6,400.00 | $187.11 – $6,089.78 | 9 |
| Contrast exam thoracic aorta CPT 75600 | $2,142.66 | $5,494.00 | $399.53 – $6,089.78 | 9 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,944.11 | $7,549.00 | $188.75 – $10,732.13 | 9 |
| Contrast x-ray gallbladder CPT 74290 | $350.22 | $898.00 | $124.20 – $338.29 | 9 |
| Contrast x-ray of ankle CPT 73615 | $263.25 | $675.00 | $176.49 – $672.87 | 9 |
| Contrast x-ray of brain CPT 70010 | $735.93 | $1,887.00 | $115.29 – $672.87 | 9 |
| Contrast x-ray of brain CPT 70015 | $390.78 | $1,002.00 | $213.25 – $1,511.93 | 9 |
| Contrast x-ray of elbow CPT 73085 | $359.97 | $923.00 | $153.62 – $672.87 | 9 |
| Contrast x-ray of hip CPT 73525 | $578.76 | $1,484.00 | $167.50 – $672.87 | 9 |
| Contrast x-ray of knee joint CPT 73580 | $276.90 | $710.00 | $196.91 – $672.87 | 9 |
| Contrast x-ray of wrist CPT 73115 | $242.97 | $623.00 | $178.94 – $672.87 | 9 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $10,823.87 | $27,753.52 | not published | 0 |
| Controller infinity pt dbs HCPCS C1787 | $55,451.69 | $142,183.81 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $1,249.95 | $3,205.00 | $130.92 – $2,665.00 | 10 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $1,937.00 – $6,394.47 | 10 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | $1,870.44 | $4,796.00 | $233.07 – $2,665.00 | 9 |
| Control of nosebleed ant comp 30903 CPT 30903 | $1,117.74 | $2,866.00 | $130.92 – $2,665.00 | 10 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $1,117.74 | $2,866.00 | $130.92 – $2,665.00 | 10 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $579.93 | $1,487.00 | $530.71 – $2,665.00 | 10 |
| Control throat bleeding CPT 42961 | not published | not published | $5,063.00 – $6,179.00 | 2 |
| Control throat bleeding CPT 42962 | not published | not published | $1,694.00 – $6,394.47 | 10 |
| Contrst x-ray uppr gi tract CPT 74249 | not published | not published | $317.02 – $703.08 | 2 |
| Conversion ext bil drg cath CPT 47535 | $3,304.86 | $8,474.00 | $3,523.19 – $8,448.00 | 9 |
| Convert nephrostomy catheter CPT 50434 | $6,119.49 | $15,691.00 | $2,056.98 – $4,066.00 | 9 |
| Conv gtube to jtube CPT 44373 | $1,496.04 | $3,836.00 | $1,694.00 – $5,272.00 | 10 |
| Coombs direct CPT 86880 | $175.89 | $451.00 | $9.41 – $113.78 | 9 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $149.76 | $384.00 | $10.02 – $328.59 | 9 |
| Coombs indirect titer reference CPT 86886 | $278.46 | $714.00 | $9.07 – $328.59 | 9 |
| Copper cu 64 dotatate diag HCPCS A9592 | $6,213.64 | $15,932.40 | $594.28 – $2,433.65 | 9 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $2,213.06 – $2,213.06 | 1 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,050.00 – $2,058.00 | 9 |
| Core ndl bx lng/med perq CPT 32408 | $3,535.35 | $9,065.00 | $1,625.21 – $5,272.00 | 9 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $2,664.00 – $13,994.93 | 10 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $1,937.00 – $13,994.93 | 10 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $58.05 – $113.78 | 8 |
| Corneal smear CPT 65430 | not published | not published | $439.59 – $2,665.00 | 9 |
| Corneal transplant CPT 65710 | not published | not published | $3,721.00 – $11,889.00 | 10 |
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.