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 |
|---|---|---|---|---|
| Factor viii HCPCS J7190 | not published | not published | $1.08 – $2.84 | 9 |
| Factor viii fc fusion recomb HCPCS J7205 | not published | not published | $2.43 – $5.59 | 9 |
| Factor viii nuwiq recomb 1iu HCPCS J7209 | not published | not published | $1.12 – $3.29 | 9 |
| Factor viii pegylated recomb HCPCS J7207 | not published | not published | $2.10 – $5.11 | 9 |
| Factor viii recombinant nos HCPCS J7192 | not published | not published | $1.61 – $3.79 | 9 |
| Factor viii recomb novoeight HCPCS J7182 | not published | not published | $1.54 – $3.42 | 9 |
| Factor viii recomb obizur HCPCS J7188 | not published | not published | $3.23 – $8.48 | 9 |
| Factor xiii anti-hem factor HCPCS J7180 | not published | not published | $10.76 – $24.86 | 9 |
| Factor xiii recomb a-subunit HCPCS J7181 | not published | not published | $18.16 – $41.55 | 9 |
| Fallopian tube recnl CPT 58345 | $5,663.19 | $14,521.00 | $3,185.40 – $6,243.39 | 9 |
| Fam adapt bhv tx gdn phy/qhp CPT 97156 | not published | not published | $36.87 – $72.26 | 8 |
| Family therapy without pt 50min 90846 CPT 90846 | $184.86 | $474.00 | $174.66 – $342.33 | 8 |
| Family therapy with patient 50 min 90847 CPT 90847 | $204.75 | $525.00 | $174.66 – $342.33 | 8 |
| Fam-trastuzumab deruxtecan-nxki 100 mg intravenous solution HCPCS J9358 | not published | not published | $29.98 – $65.24 | 9 |
| Fancc gene CPT 81242 | $490.23 | $1,257.00 | $36.62 – $71.78 | 9 |
| Fasciotomy hip/thigh any typ CPT 27025 | not published | not published | $3,219.72 – $15,026.00 | 9 |
| Fat/lipids feces qualitative CPT 82705 | $101.40 | $260.00 | $5.10 – $10.00 | 9 |
| Fatty acids nonesterified CPT 82725 | $49.92 | $128.00 | $18.77 – $36.79 | 9 |
| Fda ide #g240020 carry bag HCPCS Q0499 | $676.56 | $1,734.76 | not published | 0 |
| Fecal bilirubin test CPT 82252 | not published | not published | $4.56 – $8.94 | 9 |
| Fecal microbiota, live-jslm 150 ml rectal suspension enema HCPCS J1440 | not published | not published | $63.84 – $125.12 | 8 |
| Fecal microbiota prep instil HCPCS G0455 | not published | not published | $915.10 – $1,793.59 | 8 |
| #fecal-sodium CPT 84302 | $52.65 | $135.00 | $4.86 – $9.53 | 9 |
| Feeding tube reposition CPT 74355 | $684.45 | $1,755.00 | $361.41 – $466.22 | 2 |
| Fees w/laryngeal sense test CPT 92616 | not published | not published | $80.74 – $158.25 | 8 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $48.75 | $125.00 | $18.64 – $36.53 | 9 |
| Femoral endovas graft add-on 34813 CPT 34813 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fem/popl revasc w/stent CPT 37226 | $12,656.28 | $32,452.00 | $6,389.00 – $16,710.00 | 2 |
| Feno poc CPT 95012 | not published | not published | $36.75 – $72.04 | 8 |
| Fentanyl citrate (pf) 50 mcg/ml injection for compounding (wrapper) HCPCS J3010 | not published | not published | $1.62 – $1.62 | 1 |
| Fern test HCPCS Q0114 | not published | not published | $9.74 – $19.09 | 9 |
| Ferric carboxymaltose 50 mg iron/ml intravenous solution HCPCS J1439 | not published | not published | $1.11 – $3.02 | 9 |
| Ferritin CPT 82728 | $212.16 | $544.00 | $13.63 – $26.71 | 9 |
| Ferumoxytol 510 mg/17 ml (30 mg/ml) intravenous solution HCPCS Q0138 | not published | not published | $0.32 – $2.46 | 9 |
| Ferumoxytol, esrd use HCPCS Q0139 | not published | not published | $0.32 – $2.46 | 9 |
| Fetal aneuploidy trisom risk CPT 81507 | not published | not published | $795.00 – $1,558.20 | 9 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $525.33 | $1,347.00 | $102.88 – $263.41 | 9 |
| Fetal chrmoml microdeltj CPT 81422 | $1,234.74 | $3,166.00 | $759.05 – $1,487.74 | 9 |
| Fetal chrom aneuploidy gsa panel CPT 81420 | not published | not published | $759.05 – $1,487.74 | 9 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $1,031.94 | $2,646.00 | $198.94 – $2,665.00 | 9 |
| Fetal cord puncture prenatal CPT 59012 | $626.34 | $1,606.00 | $299.86 – $2,665.00 | 9 |
| Fetal fibronectin CPT 82731 | $542.88 | $1,392.00 | $64.41 – $126.24 | 9 |
| Fetal fluid drainage w/us CPT 59074 | $626.34 | $1,606.00 | $299.86 – $2,665.00 | 9 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $124.02 | $318.00 | $7.73 – $15.15 | 9 |
| Fetal hemoglobin rosette CPT 85461 | $86.58 | $222.00 | $9.36 – $18.35 | 9 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $51.09 | $131.00 | $19.32 – $37.87 | 9 |
| Fetal monitor/interpret only CPT 59051 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fetal monitor w/report CPT 59050 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Fetal non stress test CPT 59025 | $1,412.19 | $3,621.00 | $198.94 – $2,665.00 | 9 |
| Fetal scalp blood sampling 59030 CPT 59030 | not published | not published | $299.86 – $2,665.00 | 9 |
| Fetal shunt placement w/us CPT 59076 | $626.34 | $1,606.00 | $299.86 – $2,665.00 | 9 |
| #_fet/norfentcnfrmur CPT 80354 | not published | not published | $29.32 – $29.32 | 1 |
| Fiasp for insulin pump use HCPCS J1811 | not published | not published | $15.06 – $23.53 | 2 |
| Fibrin degradation d dimer quantitative CPT 85379 | $141.96 | $364.00 | $10.18 – $19.95 | 9 |
| Fibrin degradation products CPT 85362 | $90.48 | $232.00 | $6.89 – $13.50 | 9 |
| Fibrin degrade semiquant CPT 85378 | $203.58 | $522.00 | $9.72 – $19.05 | 9 |
| Fibrin degradj d-dimer CPT 85380 | $184.47 | $473.00 | $10.18 – $19.95 | 9 |
| Fibrinogen activity CPT 85384 | $116.22 | $298.00 | $9.72 – $19.05 | 9 |
| Fibrinogen test CPT 85370 | not published | not published | $12.43 – $24.36 | 9 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $253.34 | $649.60 | $9.05 – $30.34 | 9 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $7.71 – $15.11 | 9 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $7.71 – $15.49 | 9 |
| Fibrinolytic plasminogen CPT 85415 | $138.06 | $354.00 | $17.19 – $33.69 | 9 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $10.18 – $19.95 | 9 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $194.22 | $498.00 | $6.53 – $12.80 | 9 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,323.00 – $13,994.93 | 10 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.30 – $0.95 | 9 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.00 – $2.62 | 9 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.46 – $0.90 | 9 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,937.00 – $5,272.00 | 10 |
| Filtered speech hearing test CPT 92571 | not published | not published | $36.75 – $72.04 | 8 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $6,878.20 | $17,636.40 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $4,981.07 | $12,771.98 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $6,760.00 – $8,448.00 | 2 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.29 – $0.29 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,834.56 | $4,704.00 | $696.82 – $4,066.00 | 9 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $612.30 | $1,570.00 | $2,665.00 – $3,391.00 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $612.30 | $1,570.00 | $2,665.00 – $3,391.00 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | $993.72 | $2,548.00 | $400.02 – $2,665.00 | 9 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Finger tendon transfer CPT 26498 | not published | not published | $2,323.00 – $8,448.00 | 10 |
| Finger X-ray (both hands) CPT 73140 | $182.13 | $467.00 | $56.38 – $167.84 | 9 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $5,063.00 – $6,179.00 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $58.05 – $113.78 | 8 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $58.05 – $113.78 | 8 |
| Fitg c-lens keratoconus 1st CPT 92072 | $124.80 | $320.00 | not published | 0 |
| Fitg spect low vis 1system CPT 92354 | not published | not published | $36.75 – $72.04 | 8 |
| Fitg spect lw vis cmpnd lens CPT 92355 | not published | not published | $36.75 – $72.04 | 8 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $198.94 – $2,665.00 | 9 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,308.00 – $6,310.65 | 10 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,308.00 – $5,272.00 | 10 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $3,721.00 – $13,994.93 | 10 |
| Fix g/colon tube w/device CPT 49460 | $1,719.90 | $4,410.00 | $892.49 – $5,272.00 | 9 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $1,937.00 – $6,310.65 | 10 |
| Flebogamma injection HCPCS J1572 | not published | not published | $102.61 – $194.18 | 3 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $18.64 – $36.53 | 9 |
| Fl exam g/colon tube w contrast CPT 49465 | $2,416.05 | $6,195.00 | $234.79 – $2,665.00 | 9 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $915.10 – $4,066.00 | 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.