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 |
|---|---|---|---|---|
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $25,834.81 | $66,243.10 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $5.83 – $5.83 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.44 – $0.44 | 1 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,967.55 | $5,045.00 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,323.00 – $13,994.93 | 10 |
| Great toe with reduction 28495 CPT 28495 | $900.51 | $2,309.00 | $242.73 – $2,665.00 | 9 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,030.31 – $5,272.00 | 9 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,487.10 – $8,448.00 | 9 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | $4,128.93 | $10,587.00 | $3,487.10 – $8,448.00 | 9 |
| Ground mileage HCPCS A0425 | $17.55 | $45.00 | $9.33 – $18.29 | 8 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $36.87 – $72.26 | 8 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.51 – $24.52 | 8 |
| Group train without patient HCPCS G0543 | not published | not published | $28.46 – $55.78 | 8 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $30.85 | 9 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $130.73 | 9 |
| Growth hormone panel CPT 80430 | not published | not published | $126.96 – $253.49 | 9 |
| Growth stimulation gene 2 CPT 83006 | $223.47 | $573.00 | $35.92 – $148.18 | 9 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $36.87 – $72.26 | 8 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $36.87 – $72.26 | 8 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $5,063.00 – $11,889.00 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,888.25 – $6,179.00 | 9 |
| G-tube reposition CPT 43761 | $4,334.85 | $11,115.00 | $245.86 – $2,665.00 | 10 |
| Gu dilat ureter/urethra s&i CPT 74485 | $821.73 | $2,107.00 | $151.16 – $4,031.69 | 9 |
| Guided cath fluid drainage 10030 CPT 10030 | $7,100.34 | $18,206.00 | $696.82 – $4,066.00 | 9 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $3,531.94 | $9,056.25 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $945.75 | $2,425.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $1,051.44 | $2,696.00 | $89.89 – $173.38 | 3 |
| Gum graft CPT 41870 | not published | not published | $1,526.79 – $5,272.00 | 9 |
| Gw stiffened micro access kit HCPCS C1894 | $13,326.50 | $34,170.52 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $2,323.00 – $7,551.63 | 10 |
| Hair analysis HCPCS P2031 | not published | not published | $7.33 – $7.33 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $727.26 – $2,665.00 | 9 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $400.02 – $2,665.00 | 10 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $400.02 – $2,665.00 | 10 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $10.58 – $10.58 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $2.31 – $2.31 | 1 |
| Hand-held pefr meter a4614 HCPCS A4614 | $33.10 | $84.87 | not published | 0 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $7.36 – $7.36 | 1 |
| Handpiece aquabeam hp2000 HCPCS C2596 | $6,104.40 | $15,652.30 | not published | 0 |
| Hands-On Manual Therapy (each 15 minutes) CPT 97140 | $97.50 | $250.00 | $28.04 – $54.96 | 8 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $2,323.00 – $13,994.93 | 10 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $2,323.00 – $8,448.00 | 10 |
| Hand X-ray CPT 73130 | $264.42 | $678.00 | $50.67 – $167.84 | 9 |
| Hand X-ray (2 views, both hands) CPT 73120 | $237.90 | $610.00 | $40.86 – $201.64 | 9 |
| Haptoglobin quantitative CPT 83010 | $235.17 | $603.00 | $12.58 – $24.66 | 9 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Harvest auto stem cells CPT 38206 | $4,212.00 | $10,800.00 | $1,532.54 – $5,272.00 | 9 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $1,694.00 – $6,179.00 | 10 |
| Harvest femoropopliteal vein 35572 CPT 35572 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Harvest stem cell concentrte CPT 38215 | $1,287.78 | $3,302.00 | $434.13 – $2,665.00 | 9 |
| Harvest vein for bypass 35500 CPT 35500 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $130.92 – $256.61 | 8 |
| Hast w/oxygen titrate CPT 94453 | $154.05 | $395.00 | $130.92 – $256.61 | 8 |
| Hba1/hba2 full gene sequence CPT 81259 | $847.86 | $2,174.00 | $600.00 – $1,176.00 | 9 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | $190.32 | $488.00 | $202.40 – $396.70 | 9 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $375.25 – $735.49 | 9 |
| Hbb full gene sequence CPT 81364 | $459.42 | $1,178.00 | $324.58 – $636.18 | 9 |
| Hbb gene com variants CPT 81361 | $228.54 | $586.00 | $174.81 – $342.63 | 9 |
| Hbb gene dup/del variants CPT 81363 | $228.54 | $586.00 | $202.40 – $396.70 | 9 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $375.25 – $735.49 | 9 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $9.71 – $19.03 | 9 |
| Hbot, full body chamber, 30m HCPCS G0277 | $969.54 | $2,486.00 | $135.41 – $265.40 | 8 |
| Hc ea ha check monaural CPT 92594 | $35.10 | $90.00 | not published | 0 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $759.72 | $1,948.00 | $172.60 – $1,412.85 | 9 |
| Hcg free betachain test CPT 84704 | not published | not published | $15.29 – $29.97 | 9 |
| Hcg qualitative CPT 84703 | $173.16 | $444.00 | $7.52 – $14.74 | 9 |
| Hcg quantitative CPT 84702 | $182.52 | $468.00 | $15.05 – $29.50 | 9 |
| Hc hearing aid chck binaurl CPT 92593 | $55.77 | $143.00 | not published | 0 |
| Hc hearing aid chck monarl CPT 92592 | $35.10 | $90.00 | not published | 0 |
| Hc hearing aid exam both ears CPT 92591 | $98.67 | $253.00 | not published | 0 |
| Hc hearing aid exam one ear CPT 92590 | $48.36 | $124.00 | not published | 0 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $459.22 | $1,177.50 | $153.03 – $153.03 | 1 |
| Hc metata joint dislocation anes CPT 28635 | $8,713.38 | $22,342.00 | $1,308.00 – $5,272.00 | 10 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | $577.98 | $1,482.00 | $727.26 – $2,665.00 | 9 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | $584.61 | $1,499.00 | $2,665.00 – $3,391.00 | 2 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | $730.08 | $1,872.00 | $727.26 – $2,665.00 | 9 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | $366.60 | $940.00 | $2,665.00 – $3,391.00 | 2 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | $617.76 | $1,584.00 | $2,665.00 – $3,391.00 | 2 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $645.06 | $1,654.00 | $304.78 – $1,047.22 | 9 |
| Hc nm fusion spect CT unlisted CPT 78999 | $239.85 | $615.00 | $393.38 – $771.03 | 8 |
| Hc nm kidney imaging with flow CPT 78701 | $755.43 | $1,937.00 | $393.38 – $771.03 | 9 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $834.21 | $2,139.00 | $437.14 – $1,047.22 | 9 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $2,460.12 | $6,308.00 | $802.10 – $3,001.29 | 9 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $6,654.57 | $17,063.00 | $2,665.00 – $3,391.00 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $3,781.83 | $9,697.00 | $509.88 – $1,343.28 | 9 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $4,046.25 | $10,375.00 | $685.35 – $1,424.78 | 9 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $4,184.70 | $10,730.00 | $685.35 – $2,248.61 | 9 |
| Hdr rdncl skn surf brachytx CPT 77767 | $1,545.18 | $3,962.00 | $379.53 – $743.89 | 9 |
| Hdr rdncl skn surf brachytx CPT 77768 | $2,264.34 | $5,806.00 | $379.53 – $993.93 | 9 |
| Head CT scan (with and without contrast) CPT 70470 | $1,881.36 | $4,824.00 | $172.60 – $338.29 | 8 |
| Head CT scan (with contrast) CPT 70460 | $1,587.69 | $4,071.00 | $172.60 – $338.29 | 8 |
| Head CT scan (without contrast) CPT 70450 | $1,418.82 | $3,638.00 | $102.88 – $201.64 | 8 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $1,331.96 | 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.