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 |
|---|---|---|---|---|
| Hysteroplasty 58540 CPT 58540 | not published | not published | $6,859.00 – $9,000.00 | 2 |
| Hysterorrhaphy of ruptured uterus 59350 CPT 59350 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Hysterosalpingography s&i CPT 74740 | $321.36 | $824.00 | $128.28 – $460.19 | 9 |
| Hysteroscopy ablation CPT 58563 | not published | not published | $2,323.00 – $9,648.14 | 10 |
| Hysteroscopy biopsy CPT 58558 | not published | not published | $1,937.00 – $6,243.39 | 10 |
| Hysteroscopy dx sep proc CPT 58555 | not published | not published | $1,308.00 – $6,243.39 | 10 |
| Hysteroscopy lysis CPT 58559 | not published | not published | $1,694.00 – $9,648.14 | 10 |
| Hysteroscopy remove fb CPT 58562 | not published | not published | $1,937.00 – $6,243.39 | 10 |
| Hysteroscopy remove myoma CPT 58561 | not published | not published | $1,937.00 – $9,648.14 | 10 |
| Hysteroscopy resect septum CPT 58560 | not published | not published | $1,937.00 – $9,648.14 | 10 |
| Hysterotomy abdominal 59100 CPT 59100 | not published | not published | $4,220.00 – $9,648.14 | 9 |
| Hzv zoster vacc recombinant adjuvanted im inj CPT 90750 | not published | not published | $422.46 – $422.46 | 1 |
| I-123 iobenguane diag HCPCS A9582 | $3,423.81 | $8,779.00 | $2,317.50 – $4,542.30 | 8 |
| I-123 ioflupane diag HCPCS A9584 | $2,667.99 | $6,841.00 | $1,387.74 – $2,719.97 | 8 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $123.24 | $316.00 | $186.31 – $186.31 | 1 |
| I125 iothalamate, dx HCPCS A9554 | not published | not published | $72.90 – $1,273.29 | 8 |
| I125 serum albumin, dx HCPCS A9532 | not published | not published | $332.27 – $919.36 | 8 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $2,463.63 | $6,317.00 | $953.01 – $1,867.90 | 8 |
| I131 iodide cap, rx HCPCS A9517 | $387.62 | $993.89 | $24.07 – $53.32 | 9 |
| I131 iodide sol, rx HCPCS A9530 | not published | not published | $17.82 – $40.71 | 9 |
| I131 max 100uci HCPCS A9531 | $57.72 | $148.00 | $6.80 – $6.80 | 1 |
| I131 serum albumin, dx HCPCS A9524 | $2,970.37 | $7,616.34 | $153.91 – $153.91 | 1 |
| Iaadi respiratory synctial virus CPT 87280 | $46.02 | $118.00 | $13.42 – $26.30 | 9 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $243.75 | $625.00 | $35.09 – $68.78 | 9 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | not published | not published | $18.09 – $35.46 | 9 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $186.42 | $478.00 | $45.28 – $88.75 | 9 |
| Ibandronate 3 mg/3 ml intravenous syringe HCPCS J1740 | not published | not published | $48.34 – $48.34 | 1 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | not published | not published | $2,448.56 – $4,799.18 | 8 |
| Ibuprofen injection HCPCS J1741 | not published | not published | $5.66 – $5.66 | 1 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | not published | not published | $172.31 – $837.93 | 9 |
| Icatibant injection HCPCS J1744 | not published | not published | $181.18 – $591.14 | 3 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $24,213.35 | $62,085.51 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $43,666.45 | $111,965.26 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $14,360.25 | $36,821.16 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $9,069.61 | $23,255.42 | not published | 0 |
| Icg angiography i&r uni/bi CPT 92240 | not published | not published | $212.47 – $416.45 | 8 |
| Icut allergy test-delayed CPT 95028 | not published | not published | $36.75 – $72.04 | 8 |
| Icut allergy test drug/bug CPT 95024 | $87.75 | $225.00 | $58.05 – $113.78 | 8 |
| Icut allergy titrate-airborn CPT 95027 | not published | not published | $28.46 – $55.78 | 8 |
| I&d abscess posterior spine l/s/ls-22015 CPT 22015 | not published | not published | $6,760.00 – $15,026.00 | 9 |
| I&d abscss rtrphryngl/paraphryngl intraorl apprch CPT 42720 | not published | not published | $1,308.00 – $6,394.47 | 10 |
| Idarubicin hcl injection HCPCS J9211 | not published | not published | $89.20 – $89.20 | 1 |
| I&d/bursa/foot 28001 CPT 28001 | not published | not published | $1,625.21 – $5,272.00 | 9 |
| Idecabtagene vicleucel car HCPCS Q2055 | $1,129,895.40 | $2,897,167.68 | $0.03 – $1,178,375.50 | 9 |
| Identify sperm tissue CPT 89264 | not published | not published | $51.28 – $100.51 | 9 |
| Idet 1 or more levels CPT 22527 | not published | not published | $5,809.00 – $9,032.00 | 3 |
| Idet single level CPT 22526 | $368.55 | $945.00 | $5,809.00 – $9,032.00 | 3 |
| I&d frarm&/wrst deep absc/hematoma CPT 25028 | not published | not published | $1,308.00 – $6,310.65 | 10 |
| Idh1 common variants CPT 81120 | $263.64 | $676.00 | $193.25 – $378.77 | 9 |
| Idh2 common variants CPT 81121 | $415.35 | $1,065.00 | $295.79 – $579.75 | 9 |
| I&d intramural/intramuscular/submuc abscess transanal anes CPT 46045 | not published | not published | $1,694.00 – $6,179.00 | 10 |
| I&d lacrimal gland CPT 68400 | not published | not published | $980.95 – $5,272.00 | 9 |
| I&d lacrimal sac CPT 68420 | $2,552.94 | $6,546.00 | $1,937.00 – $4,585.41 | 10 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $6,765.72 | $17,348.00 | $1,308.00 – $6,179.00 | 10 |
| Idursulfase injection HCPCS J1743 | not published | not published | $558.46 – $1,094.57 | 8 |
| I & d vag hematoma non-ob 57023 CPT 57023 | not published | not published | $1,308.00 – $6,179.00 | 10 |
| I&d vag hemtma obst/postpart CPT 57022 | not published | not published | $2,858.30 – $5,602.27 | 9 |
| Ifnl3 gene CPT 81283 | not published | not published | $73.37 – $143.81 | 9 |
| Ifosfamide 1 gram intravenous solution HCPCS J9208 | not published | not published | $47.78 – $47.78 | 1 |
| Igh@/bcl2 translocation alys CPT 81278 | $351.00 | $900.00 | $207.31 – $406.33 | 9 |
| Igh gene rearrang dir probe CPT 81262 | not published | not published | $68.55 – $134.36 | 9 |
| Igh gene rearrange amp meth CPT 81261 | $1,030.77 | $2,643.00 | $197.99 – $388.06 | 9 |
| Igh@ var region somatic mutation analy CPT 81263 | $3,531.06 | $9,054.00 | $294.52 – $577.26 | 9 |
| Igk rearrangeabn clonal pop CPT 81264 | $399.36 | $1,024.00 | $172.73 – $338.55 | 9 |
| Ihc/icc per specimen each additional single antibody stain CPT 88341 | $220.74 | $566.00 | $54.56 – $142.16 | 3 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $232.83 | $597.00 | $92.36 – $691.33 | 9 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $481.65 | $1,235.00 | $41.46 – $328.59 | 9 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $26.66 – $32.09 | 2 |
| Ikbkap gene CPT 81260 | not published | not published | $39.31 – $77.05 | 9 |
| Ileostomy/jejunostomy non-tube 44310 CPT 44310 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Iliac bone graft microvasc CPT 20956 | not published | not published | $6,389.00 – $15,026.00 | 9 |
| Iliac/fem angio cath insert HCPCS G0278 | $1,856.01 | $4,759.00 | not published | 0 |
| Iliac revasc add-on 37222 CPT 37222 | $5,370.69 | $13,771.00 | $3,391.00 – $15,026.00 | 2 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $282.55 – $282.55 | 1 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $5.78 – $5.78 | 1 |
| Imbrication/diaphragm/transthor/transabd 39545 CPT 39545 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $57.03 – $111.77 | 8 |
| Img rta detcj/mntr ds staff CPT 92227 | $76.05 | $195.00 | $58.05 – $113.78 | 8 |
| Img rta detc/mntr ds phy/qhp CPT 92228 | not published | not published | $36.75 – $72.04 | 8 |
| Img rta detc/mntr ds poc aly CPT 92229 | not published | not published | $58.05 – $113.78 | 8 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $33.10 | $84.87 | not published | 0 |
| Immt breast prosthesis 19340 CPT 19340 | not published | not published | $1,694.00 – $15,763.87 | 10 |
| Immune complex assay CPT 86332 | $238.29 | $611.00 | $24.37 – $47.77 | 9 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | not published | not published | $45.31 – $116.28 | 9 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | not published | not published | $78.80 – $185.31 | 9 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $47.52 – $110.82 | 9 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $202.97 – $202.97 | 1 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $140.79 | $361.00 | $20.81 – $40.79 | 9 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $140.01 | $359.00 | $20.81 – $40.79 | 9 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $25.57 – $50.12 | 9 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $121.68 | $312.00 | $11.98 – $23.48 | 9 |
| Immunodiffusion nes CPT 86329 | $63.57 | $163.00 | $14.05 – $27.54 | 9 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $39.76 – $71.08 | 3 |
| Immunofixation electrophoresis serum CPT 86334 | $133.38 | $342.00 | $22.34 – $43.79 | 9 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $154.05 | $395.00 | $52.45 – $100.50 | 3 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $321.36 | $824.00 | $41.46 – $328.59 | 9 |
| Immunoglobulin assay CPT 86023 | $169.26 | $434.00 | $12.46 – $24.42 | 9 |
| Immunology procedure CPT 86849 | not published | not published | $28.70 – $28.70 | 1 |
| Impact tooth remov part bony HCPCS D7230 | not published | not published | $636.16 – $1,246.87 | 8 |
| Impedence cardiogram CPT 93701 | not published | not published | $130.92 – $256.61 | 8 |
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.