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 |
|---|---|---|---|---|
| Ghs i and d pilonidal cyst complex CPT 10081 | $6,307.08 | $16,172.00 | $696.82 – $4,066.00 | 10 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $794.82 | $2,038.00 | $696.82 – $4,066.00 | 10 |
| Ghs immun0electrophoresis CPT 86320 | $119.34 | $306.00 | $29.92 – $58.64 | 9 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $1,053.39 | $2,701.00 | $245.86 – $2,665.00 | 10 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $226.98 | $582.00 | $196.42 – $2,665.00 | 10 |
| Ghs inf midline insertion CPT 36140 | $803.40 | $2,060.00 | $2,665.00 – $3,391.00 | 2 |
| Ghs inhibitor screen CPT 85335 | $138.06 | $354.00 | $12.87 – $25.23 | 9 |
| Ghs init tx 1st degree burn CPT 16000 | $471.12 | $1,208.00 | $197.43 – $2,665.00 | 9 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $1,100.58 | $2,822.00 | $870.34 – $4,066.00 | 10 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,374.32 | $6,088.00 | $870.34 – $4,066.00 | 9 |
| Ghs inj tendon origin/insertion CPT 20551 | $888.81 | $2,279.00 | $302.05 – $2,665.00 | 9 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $807.30 | $2,070.00 | $1,308.00 – $3,391.00 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,420.73 | $6,207.00 | $870.34 – $4,066.00 | 10 |
| Ghs insertion of needle - bone CPT 36680 | $806.52 | $2,068.00 | $439.59 – $2,665.00 | 9 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $966.81 | $2,479.00 | $400.02 – $2,665.00 | 10 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,578.72 | $4,048.00 | $727.26 – $2,665.00 | 10 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,727.70 | $4,430.00 | $1,694.00 – $5,272.00 | 10 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $659.88 | $1,692.00 | $245.86 – $2,665.00 | 10 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $78.78 | $202.00 | $46.08 – $90.31 | 8 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $553.80 | $1,420.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $685.62 | $1,758.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $553.80 | $1,420.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $663.00 | $1,700.00 | $325.03 – $2,665.00 | 9 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $625.95 | $1,605.00 | $439.59 – $2,665.00 | 10 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $741.00 | $1,900.00 | $400.02 – $2,665.00 | 9 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $741.00 | $1,900.00 | $400.02 – $2,665.00 | 10 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $741.00 | $1,900.00 | $400.02 – $2,665.00 | 9 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $741.00 | $1,900.00 | $400.02 – $2,665.00 | 9 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $741.00 | $1,900.00 | $400.02 – $2,665.00 | 9 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $741.00 | $1,900.00 | $400.02 – $2,665.00 | 9 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $898.95 | $2,305.00 | $400.02 – $2,665.00 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $741.00 | $1,900.00 | $727.26 – $2,665.00 | 10 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $741.00 | $1,900.00 | $400.02 – $2,665.00 | 10 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,727.70 | $4,430.00 | $727.26 – $2,665.00 | 10 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $741.00 | $1,900.00 | $400.02 – $2,665.00 | 10 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,727.70 | $4,430.00 | $727.26 – $4,066.00 | 10 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,727.70 | $4,430.00 | $400.02 – $2,665.00 | 10 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,930.50 | $4,950.00 | $1,694.00 – $5,272.00 | 10 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,930.50 | $4,950.00 | $400.02 – $2,665.00 | 10 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $8.60 – $16.86 | 9 |
| Ghs low level laser therapy CPT 97039 | $182.13 | $467.00 | not published | 0 |
| Ghs mbp CPT 83873 | $212.16 | $544.00 | $17.20 – $33.71 | 9 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $566.67 | $1,453.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $495.69 | $1,271.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $566.67 | $1,453.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $251.94 | $646.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $251.94 | $646.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $478.53 | $1,227.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $377.91 | $969.00 | not published | 0 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $377.91 | $969.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $444.60 | $1,140.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,727.70 | $4,430.00 | $727.26 – $2,665.00 | 9 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $3,539.25 | $9,075.00 | $870.34 – $4,066.00 | 10 |
| Ghs nerve blk intercostal, single level CPT 64420 | $2,258.10 | $5,790.00 | $694.60 – $4,066.00 | 10 |
| Ghs nerve block axillary nerve CPT 64417 | $3,301.74 | $8,466.00 | $870.34 – $4,066.00 | 10 |
| Ghs nerve block brachial plexus CPT 64415 | $2,224.17 | $5,703.00 | $870.34 – $4,066.00 | 10 |
| Ghs nerve block celiac plexus CPT 64530 | $2,520.18 | $6,462.00 | $870.34 – $4,066.00 | 10 |
| Ghs nerve block interscaline CPT 64510 | $2,223.78 | $5,702.00 | $870.34 – $4,066.00 | 10 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,420.73 | $6,207.00 | $870.34 – $4,066.00 | 10 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,869.23 | $7,357.00 | $694.60 – $4,066.00 | 9 |
| Ghs nerve block suprascapular CPT 64418 | $2,625.09 | $6,731.00 | $694.60 – $4,066.00 | 9 |
| Ghs ng placement w fluoro guidance CPT 43752 | $1,182.09 | $3,031.00 | $439.59 – $2,665.00 | 9 |
| Ghs o2 saturation CPT 82810 | $108.81 | $279.00 | $9.77 – $19.15 | 9 |
| Ghs o2 uptake rest & exercise CPT 94680 | not published | not published | $126.62 – $248.17 | 8 |
| Ghs o2 uptake rest & indirect CPT 94690 | $521.04 | $1,336.00 | $58.05 – $113.78 | 8 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $46.08 – $90.31 | 8 |
| Ghs opcc repair cvp without subq port CPT 36575 | $1,593.93 | $4,087.00 | $617.28 – $4,066.00 | 10 |
| Ghs opcc repair cvp w subq port CPT 36576 | $5,005.65 | $12,835.00 | $1,549.00 – $4,066.00 | 10 |
| Ghs optokenetic CPT 92544 | not published | not published | $126.62 – $248.17 | 8 |
| Ghs oscillating trac CPT 92545 | not published | not published | $212.47 – $416.45 | 8 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $55.77 | $143.00 | not published | 0 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $46.80 | $120.00 | not published | 0 |
| Ghs ot dds rom CPT 95851 | $186.03 | $477.00 | $6.64 – $13.01 | 8 |
| Ghs ot group caregiver training CPT 97552 | $30.03 | $77.00 | $9.27 – $18.17 | 8 |
| Ghs ot prosthetic training/15 min CPT 97761 | $99.45 | $255.00 | $37.95 – $74.38 | 8 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $48.75 | $125.00 | $61.62 – $120.78 | 8 |
| Ghs ot work hardening-additional hours CPT 97546 | $49.14 | $126.00 | not published | 0 |
| Ghs pacing - transcutaneous CPT 92953 | $2,132.91 | $5,469.00 | $650.38 – $4,066.00 | 9 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $583.83 | $1,497.00 | $2,665.00 – $3,391.00 | 2 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $1,346.28 | $3,452.00 | $2,665.00 – $3,391.00 | 2 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $125.97 | $323.00 | $38.26 – $48.80 | 3 |
| Ghs peritonsillar abscess i andd CPT 42700 | $1,857.57 | $4,763.00 | $233.07 – $2,665.00 | 10 |
| Ghs phenylketonurid CPT 84030 | $175.11 | $449.00 | $5.50 – $10.78 | 9 |
| Ghs picc line insert < 5 CPT 36568 | $6,195.93 | $15,887.00 | $1,308.00 – $4,066.00 | 10 |
| Ghs plngl fx pm cl CPT 26725 | $806.13 | $2,067.00 | $242.73 – $2,665.00 | 9 |
| Ghs plt ct-manual CPT 85032 | $76.44 | $196.00 | $4.31 – $8.45 | 9 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $3,557.58 | $9,122.00 | $845.02 – $1,656.24 | 8 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $130.92 – $256.61 | 8 |
| Ghs ppd (tb intradermal) CPT 86580 | $37.44 | $96.00 | $6.61 – $55.78 | 9 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $127.92 | $328.00 | $9.66 – $18.93 | 9 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $5.61 – $11.00 | 9 |
| Ghs protoporphyrins fract CPT 84202 | $171.21 | $439.00 | $14.35 – $28.13 | 9 |
| Ghs pr without cont pulse ox CPT 94625 | $133.77 | $343.00 | $58.05 – $113.78 | 8 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | $85.80 | $220.00 | $12.25 – $24.01 | 9 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $116.61 | $299.00 | not published | 0 |
| Ghs quinidine CPT 80194 | $112.71 | $289.00 | $14.60 – $28.62 | 9 |
| Ghs refill of implantable pump CPT 95990 | $422.37 | $1,083.00 | $325.03 – $2,665.00 | 9 |
| Ghs removal intranasal foreign body CPT 30300 | $368.55 | $945.00 | $130.92 – $2,665.00 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | $329.16 | $844.00 | $439.59 – $2,665.00 | 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.