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 |
|---|---|---|---|---|
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $11.98 – $23.48 | 9 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $120.12 | $308.00 | $14.39 – $28.20 | 9 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $153.66 | $394.00 | $16.85 – $33.03 | 9 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $13.42 – $26.30 | 9 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,808.64 – $4,045.44 | 9 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $30.03 – $58.86 | 9 |
| Cyto/molecular report CPT 88291 | $91.65 | $235.00 | $35.48 – $48.80 | 3 |
| Cytopath c/v auto in fluid CPT 88174 | $106.47 | $273.00 | $25.37 – $49.73 | 9 |
| Cytopath c/v automated CPT 88147 | not published | not published | $19.94 – $99.10 | 9 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $18.50 – $54.17 | 9 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $18.54 – $36.34 | 9 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $10.50 – $28.71 | 9 |
| Cytopath c/v manual CPT 88150 | $8.97 | $23.00 | $18.50 – $36.34 | 9 |
| Cytopath c/v redo CPT 88153 | not published | not published | $18.50 – $47.10 | 9 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $23.04 – $45.16 | 9 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $19.80 – $55.78 | 9 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $153.66 | $394.00 | $41.46 – $100.51 | 9 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $117.00 | $300.00 | $26.61 – $52.16 | 9 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $168.87 | $433.00 | $20.26 – $39.71 | 9 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $125.97 | $323.00 | $19.80 – $72.04 | 9 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $221.13 | $567.00 | $19.80 – $72.04 | 9 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $43.68 | $112.00 | $10.22 – $17.15 | 3 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $168.87 | $433.00 | $25.36 – $328.59 | 9 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $463.32 | $1,188.00 | $41.46 – $100.51 | 9 |
| Cytopath smear other source CPT 88160 | $78.39 | $201.00 | $19.80 – $55.78 | 9 |
| Cytopath smear other source CPT 88162 | $792.09 | $2,031.00 | $19.80 – $100.51 | 9 |
| Cytopath smear oth prep screen & interp CPT 88161 | not published | not published | $19.80 – $55.78 | 9 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $18.50 – $36.34 | 9 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $18.50 – $36.34 | 9 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $18.50 – $82.75 | 9 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $18.50 – $36.34 | 9 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $69.32 – $154.15 | 9 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $29.68 – $58.17 | 9 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $859.95 | $2,205.00 | $67.70 – $328.59 | 9 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $7.95 – $7.95 | 1 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $328.34 – $2,144.01 | 9 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | not published | not published | $15.61 – $38.35 | 9 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $26.42 – $26.42 | 1 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | not published | not published | $0.08 – $0.08 | 1 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.08 – $0.08 | 1 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $55.57 – $118.93 | 9 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.93 – $8.69 | 9 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.93 – $8.69 | 9 |
| Dark field exam spec collj CPT 87164 | not published | not published | $10.74 – $21.05 | 9 |
| Dark field exam without collj CPT 87166 | $143.52 | $368.00 | $11.30 – $22.15 | 9 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $256.09 – $564.00 | 9 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $44.83 – $123.42 | 3 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $109.90 – $109.90 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | $241.80 | $620.00 | $197.43 – $2,665.00 | 9 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $1,937.00 – $6,243.39 | 10 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,774.81 | $9,679.00 | $1,694.00 – $6,243.39 | 10 |
| Dch glucoscan CPT 82948 | $41.34 | $106.00 | $5.04 – $9.88 | 9 |
| Dch pulmonary stress test CPT 94621 | $807.30 | $2,070.00 | $367.20 – $719.70 | 8 |
| Dch validity tests CPT 81002 | $59.67 | $153.00 | $3.48 – $6.82 | 9 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $4,021.68 | $10,312.00 | $1,921.52 – $8,448.00 | 10 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $3,262.48 – $11,889.00 | 9 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,308.00 – $6,179.00 | 10 |
| D&c of cervical stump CPT 57558 | not published | not published | $1,937.00 – $6,243.39 | 10 |
| Deamidated gliadin antibody iga CPT 86258 | $26.91 | $69.00 | $12.05 – $23.62 | 9 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $852.93 | $2,187.00 | $400.02 – $2,665.00 | 10 |
| Debridement (>20 cm) charge pt CPT 97598 | $1,035.06 | $2,654.00 | $2,665.00 – $3,391.00 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,620.76 | $9,284.00 | $1,625.21 – $4,066.00 | 10 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $926.25 | $2,375.00 | $2,665.00 – $3,391.00 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,474.55 | $6,345.00 | $2,665.00 – $3,391.00 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,533.48 | $3,932.00 | $400.02 – $2,665.00 | 10 |
| Debride nail1-5 11720 CPT 11720 | $420.81 | $1,079.00 | $58.05 – $2,665.00 | 9 |
| Debride nail6 or more 11721 CPT 11721 | $471.12 | $1,208.00 | $58.05 – $2,665.00 | 9 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $823.68 | $2,112.00 | $696.82 – $4,066.00 | 10 |
| Debride skin bone at fx site CPT 11012 | $3,278.34 | $8,406.00 | $1,694.00 – $5,602.27 | 10 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $827.97 | $2,123.00 | $2,665.00 – $3,391.00 | 2 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $116.22 | $298.00 | $197.43 – $2,665.00 | 9 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $823.68 | $2,112.00 | $696.82 – $4,066.00 | 10 |
| Debr inf skin add-on 11001 CPT 11001 | $106.86 | $274.00 | $1,694.00 – $3,391.00 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,533.48 | $3,932.00 | $727.26 – $2,665.00 | 10 |
| Decalcification CPT 88311 | $83.85 | $215.00 | $10.67 – $21.26 | 3 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $4.44 – $7.18 | 2 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $1,297.53 | $3,327.00 | $325.03 – $2,665.00 | 9 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,582.30 – $8,448.00 | 10 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,582.30 – $6,179.00 | 10 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $2,323.00 – $6,310.65 | 10 |
| Decompress fingers/hand CPT 26035 | not published | not published | $2,323.00 – $6,310.65 | 10 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Decompression fasct forearm CPT 24495 | not published | not published | $1,694.00 – $13,994.93 | 10 |
| Decompression of leg CPT 27892 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Decompression of leg CPT 27893 | not published | not published | $1,937.00 – $13,994.93 | 10 |
| Decompression of leg CPT 27894 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Decompression of lower leg CPT 27600 | not published | not published | $1,937.00 – $6,310.65 | 10 |
| Decompression of lower leg CPT 27601 | not published | not published | $1,937.00 – $6,310.65 | 10 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $2,664.00 – $8,448.00 | 10 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $1,937.00 – $6,310.65 | 10 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,582.30 – $8,448.00 | 10 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $1,937.00 – $13,994.93 | 10 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $1,921.52 – $6,179.00 | 10 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,308.00 – $6,179.00 | 10 |
| Decompressive craniotomy CPT 61322 | 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.