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 |
|---|---|---|---|---|
| HIV prep counsel, clin staff HCPCS G0013 | not published | not published | $36.87 – $72.26 | 8 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $71.32 – $139.80 | 8 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $1.73 – $3.40 | 8 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $7.02 – $13.76 | 8 |
| Hizentra injection HCPCS J1559 | not published | not published | $14.34 – $31.24 | 9 |
| Hla class i high defin qual CPT 86832 | $574.86 | $1,474.00 | $209.28 – $634.55 | 9 |
| Hla class ii high defin qual CPT 86833 | $578.37 | $1,483.00 | $190.26 – $638.57 | 9 |
| Hla class i&ii antibody qual CPT 86828 | $496.86 | $1,274.00 | $64.19 – $125.81 | 9 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $48.96 – $125.81 | 9 |
| Hla class ii phenotype qual CPT 86831 | $341.64 | $876.00 | $81.88 – $160.48 | 9 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $322.96 – $633.00 | 9 |
| Hla class i phenotype qual CPT 86830 | $341.64 | $876.00 | $95.52 – $187.22 | 9 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $357.56 – $700.82 | 9 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $394.03 – $792.86 | 9 |
| Hla i & ii typing hr CPT 81378 | $1,128.66 | $2,894.00 | $345.57 – $677.32 | 9 |
| Hla i & ii typing lr CPT 81370 | $1,407.51 | $3,609.00 | $402.12 – $788.16 | 9 |
| Hla ii typing 1 loc hr CPT 81382 | $290.94 | $746.00 | $123.68 – $242.41 | 9 |
| Hla ii typing ag equiv lr CPT 81375 | $372.06 | $954.00 | $220.74 – $432.65 | 9 |
| Hla i low res one antigen equiv ea CPT 81374 | $145.94 | $374.21 | $74.33 – $145.69 | 9 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $177.25 – $347.41 | 9 |
| Hla i typing complete hr CPT 81379 | not published | not published | $335.38 – $657.34 | 9 |
| Hla i typing complete lr CPT 81372 | $631.80 | $1,620.00 | $361.63 – $791.04 | 9 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $392.34 | $1,006.00 | $154.84 – $333.00 | 9 |
| Hla i typing low res one locus ea CPT 81373 | $400.92 | $1,028.00 | $127.43 – $249.76 | 9 |
| Hla typing a b or c CPT 86813 | $503.88 | $1,292.00 | $58.00 – $113.68 | 9 |
| Hla typing dr/dq CPT 86816 | not published | not published | $30.17 – $59.13 | 9 |
| Hla x-match noncytotoxc addl CPT 86826 | $97.11 | $249.00 | $36.53 – $71.60 | 9 |
| Hla x-math non-cytotoxic CPT 86825 | $263.25 | $675.00 | $109.49 – $214.60 | 9 |
| Hlth bhv assmt/reassessment CPT 96156 | $350.22 | $898.00 | not published | 0 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | $350.22 | $898.00 | $36.87 – $72.26 | 8 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | $350.22 | $898.00 | $36.87 – $72.26 | 8 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | $350.22 | $898.00 | $174.66 – $342.33 | 8 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.53 – $0.53 | 1 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $9.52 | $24.40 | $0.55 – $0.55 | 1 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $102.96 | $264.00 | $0.42 – $0.42 | 1 |
| Home sleep test/type 2 porta HCPCS G0398 | $846.69 | $2,171.00 | $212.47 – $416.45 | 8 |
| Home sleep test/type 3 porta HCPCS G0399 | $973.83 | $2,497.00 | $212.47 – $416.45 | 8 |
| Home sleep test/type 4 porta HCPCS G0400 | $846.69 | $2,171.00 | $212.47 – $416.45 | 8 |
| Homocysteine CPT 83090 | $384.54 | $986.00 | $17.92 – $35.12 | 9 |
| Homogenization tissue CPT 87176 | $81.51 | $209.00 | $5.88 – $11.52 | 9 |
| Homovanillic acid (hva) CPT 83150 | $38.51 | $98.75 | $22.41 – $43.92 | 9 |
| Hopd covid-19 spec collect HCPCS C9803 | not published | not published | $27.59 – $27.59 | 1 |
| Hopd mntl hlt, 15-29 min HCPCS C7900 | not published | not published | $36.87 – $72.26 | 8 |
| Hopd mntl hlt, grp HCPCS C7903 | not published | not published | $36.87 – $72.26 | 8 |
| Ho post-op hip abduction HCPCS L1686 | $1,264.31 | $3,241.83 | not published | 0 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $122.22 – $239.55 | 9 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $122.22 – $239.55 | 9 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $122.22 – $239.55 | 9 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $122.22 – $239.55 | 9 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $122.22 – $239.55 | 9 |
| Hpa-5 genotyping CPT 81109 | $248.43 | $637.00 | $122.22 – $239.55 | 9 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $122.22 – $239.55 | 9 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $122.22 – $239.55 | 9 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $35.09 – $68.78 | 9 |
| Hpv low-risk types CPT 87623 | $148.98 | $382.00 | $34.44 – $68.78 | 9 |
| Hpv types 16 & 18 only CPT 87625 | $140.01 | $359.00 | $34.44 – $79.48 | 9 |
| H pylori ag ia CPT 87339 | $95.94 | $246.00 | $16.00 – $31.36 | 9 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $67.36 – $132.03 | 9 |
| H pylori (c-13) breath CPT 83013 | $306.15 | $785.00 | $67.36 – $132.03 | 9 |
| H pylori drug admin CPT 83014 | $11.31 | $29.00 | $7.86 – $15.41 | 9 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $1,117.78 – $2,555.74 | 9 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $722.52 – $1,370.97 | 2 |
| Hrdtry cardmypy gene panel CPT 81439 | $1,234.74 | $3,166.00 | $584.90 – $1,146.40 | 9 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $584.90 – $1,146.40 | 9 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $2,030.31 – $5,272.00 | 9 |
| Hsv dna dir probe CPT 87528 | not published | not published | $20.05 – $39.30 | 9 |
| Htt gene charac alleles CPT 81274 | $452.40 | $1,160.00 | $274.83 – $538.67 | 9 |
| Htt gene detc abnor alleles CPT 81271 | $225.42 | $578.00 | $137.00 – $268.52 | 9 |
| Human epididymis protein 4 (he4) CPT 86305 | $235.17 | $603.00 | $20.81 – $40.79 | 9 |
| Human ig IV CPT 90283 | not published | not published | $113.01 – $113.01 | 1 |
| Human ig sc CPT 90284 | not published | not published | $31.16 – $31.16 | 1 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $1.55 – $3.03 | 8 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $108.49 – $108.49 | 1 |
| Hyaluronidase 200 units/ml inj HCPCS J3471 | not published | not published | $0.97 – $0.97 | 1 |
| Hyaluronidase, human recombinant 150 unit/ml injection solution HCPCS J3473 | not published | not published | $0.71 – $0.71 | 1 |
| Hydralazine 20 mg/ml injection solution HCPCS J0360 | not published | not published | $7.78 – $7.78 | 1 |
| Hydrocortisone acetate inj HCPCS J1700 | not published | not published | $1.24 – $1.24 | 1 |
| Hydrocortisone in ns IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J1720 | not published | not published | $39.91 – $39.91 | 1 |
| Hydrocortisone sodium ph inj HCPCS J1710 | not published | not published | $8.92 – $8.92 | 1 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | not published | not published | $0.17 – $0.17 | 1 |
| Hydromorphone 250 mg HCPCS S0092 | not published | not published | $162.18 – $162.18 | 1 |
| Hydroxocobalamin im 10mcg HCPCS J3425 | not published | not published | $0.02 – $0.02 | 1 |
| Hydroxyurea 500 mg HCPCS S0176 | not published | not published | $1.09 – $1.09 | 1 |
| Hydroxyzine hcl 50 mg/ml intramuscular solution HCPCS J3410 | not published | not published | $23.46 – $23.46 | 1 |
| Hydroxyzine pamoate 25 mg capsule HCPCS Q0177 | not published | not published | $0.19 – $0.19 | 1 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $244.92 | $628.00 | $17.90 – $35.08 | 9 |
| Hymenotomy CPT 56442 | not published | not published | $1,308.00 – $6,243.39 | 10 |
| Hymovis injection 1 mg HCPCS J7322 | not published | not published | $17.62 – $83.93 | 9 |
| Hyoid myotomy & suspension CPT 21685 | not published | not published | $2,572.00 – $11,417.47 | 9 |
| Hyoscyamine sulfate inj HCPCS J1980 | not published | not published | $104.98 – $104.98 | 1 |
| #hypersens-actinomyces ab CPT 86602 | not published | not published | $10.18 – $19.95 | 9 |
| Hyperthermia ext gen deep CPT 77605 | not published | not published | $685.35 – $3,726.10 | 9 |
| Hyperthermia ext gen supfc CPT 77600 | not published | not published | $379.53 – $1,259.20 | 9 |
| Hyperthermia gen intrcv prb CPT 77620 | not published | not published | $543.71 – $1,818.74 | 9 |
| Hyperthermia ntrstl prb 5/< CPT 77610 | not published | not published | $543.71 – $3,616.10 | 9 |
| Hyperthermia ntrstl prb>5 CPT 77615 | not published | not published | $543.71 – $3,251.99 | 9 |
| Hyqvia 100mg immuneglobulin HCPCS J1575 | not published | not published | $18.15 – $40.41 | 9 |
| Hysterectomy/bladder repair CPT 51925 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Hysterectomy/revise vagina 58275 CPT 58275 | not published | not published | $5,063.00 – $8,448.00 | 2 |
| Hysterectomy/revise vagina 58280 CPT 58280 | not published | not published | $5,063.00 – $8,448.00 | 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.