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 |
|---|---|---|---|---|
| Imp extar knee shck absrb HCPCS C8003 | not published | not published | $6,389.00 – $33,817.16 | 9 |
| Impl absrb msh/prsth dly cls CPT 15778 | not published | not published | $5,809.00 – $6,859.00 | 2 |
| Implant 11 volt lithium-ion backup battery for controller pocket HCPCS Q0506 | $1,655.47 | $4,244.79 | not published | 0 |
| Implantation iris prosthesis CPT 66683 | not published | not published | $6,760.00 – $31,747.70 | 9 |
| Implant biventricular device 33976 CPT 33976 | $5,053.23 | $12,957.00 | $5,063.00 – $6,859.00 | 2 |
| Implant brain electrodes CPT 61531 | not published | not published | $5,063.00 – $5,272.00 | 2 |
| Implant brain electrodes CPT 61533 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Implant brain electrodes CPT 61760 | not published | not published | $5,063.00 – $5,272.00 | 2 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $188,363.27 | $482,982.75 | not published | 0 |
| Implant cochlear device CPT 69930 | not published | not published | $3,721.00 – $70,119.00 | 10 |
| Implant cochlear osia osi300 HCPCS L8690 | $20,236.19 | $51,887.66 | not published | 0 |
| Implant eye drug system CPT 67027 | not published | not published | $2,323.00 – $26,910.82 | 10 |
| Implant hormone pellet(s) 11980 CPT 11980 | $244.14 | $626.00 | $439.59 – $2,665.00 | 9 |
| Implant nerve end CPT 64787 | not published | not published | $1,694.00 – $4,714.00 | 3 |
| Implant neuroelectrde addl CPT 61864 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Implant neuroelectrde addl CPT 61868 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Implant neuroelectrode CPT 61863 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Implant neuroelectrode CPT 61867 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Implant neuroelectrodes CPT 63655 | not published | not published | $8,245.00 – $37,416.65 | 9 |
| Implant neuroelectrodes CPT 64553 | not published | not published | $1,308.00 – $21,490.72 | 10 |
| Implant neuroelectrodes CPT 64555 | $382.20 | $980.00 | $3,391.00 – $15,026.00 | 9 |
| Implant neuroelectrodes CPT 64561 | $4,518.54 | $11,586.00 | $1,937.00 – $15,026.00 | 10 |
| Implant neuroelectrodes CPT 61850 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Implant neuroelectrodes CPT 61860 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Implant neurostim arrays CPT 61886 | not published | not published | $1,937.00 – $70,119.00 | 10 |
| Implant open hernia repair w/mesh 49568 CPT 49568 | not published | not published | $3,721.00 – $5,063.00 | 2 |
| Implant power module patient cable cable 14 volt HCPCS Q0477 | $8,391.88 | $21,517.65 | not published | 0 |
| Implant pulse generator remede el HCPCS C1823 | $65,976.59 | $169,170.75 | not published | 0 |
| Implant/replace hearing aid CPT 69710 | not published | not published | $1,937.00 – $11,889.00 | 4 |
| Implant single ventricular device 33975 CPT 33975 | $5,053.23 | $12,957.00 | $5,063.00 – $6,859.00 | 2 |
| Implant spinal canal cath CPT 62351 | not published | not published | $1,694.00 – $15,026.00 | 10 |
| Implant spine infusion pump CPT 62361 | not published | not published | $1,694.00 – $56,095.00 | 10 |
| Implant spine infusion pump CPT 62362 | not published | not published | $1,694.00 – $56,095.00 | 10 |
| Implant tcat pulm vlv perq CPT 33477 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Implant ureter in bowel CPT 50800 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Implant ureth bulk agent HCPCS L8606 | $2,168.00 | $5,558.98 | not published | 0 |
| Impl ear abutment ba300 9mm HCPCS L8693 | $5,492.46 | $14,083.24 | $1,877.27 – $3,679.45 | 8 |
| Impl neurostim electr perc CPT 63650 | $9,060.48 | $23,232.00 | $1,694.00 – $15,026.00 | 10 |
| Implnt bio implnt for soft tiss reinforcement 15777 CPT 15777 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Implnt spinl canal catheter 62350 CPT 62350 | not published | not published | $1,694.00 – $16,925.83 | 10 |
| Impl oi implt sk tc esp<100 CPT 69716 | not published | not published | $10,437.00 – $24,761.74 | 9 |
| Impl oi implt sk tc esp>=100 CPT 69729 | not published | not published | $10,437.00 – $24,761.74 | 9 |
| Impl oi implt skull perq esp CPT 69714 | not published | not published | $7,487.00 – $24,761.74 | 10 |
| Impl/rplcmt gstr nstim eltrd CPT 43881 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Implt brain chemotx add-on 61517 CPT 61517 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Impltj ntrstrml crnl rng seg CPT 65785 | not published | not published | $4,067.38 – $11,889.00 | 9 |
| Impltj tot rplcmt hrt sys CPT 33927 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Implt neurostim elctr each HCPCS L8680 | $3,535.57 | $9,065.56 | not published | 0 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $298.74 – $824.26 | 9 |
| Impres&prep auricular prosth CPT 21086 | not published | not published | $3,262.48 – $11,889.00 | 9 |
| Impres&prep def obt prosth CPT 21080 | not published | not published | $3,262.48 – $11,889.00 | 9 |
| Impres&prep facial prosth CPT 21088 | not published | not published | $3,262.48 – $11,889.00 | 9 |
| Impres&prep intrm obt prosth CPT 21079 | not published | not published | $3,262.48 – $11,889.00 | 9 |
| Impres&prep mndbl res prosth CPT 21081 | not published | not published | $5,063.00 – $11,889.00 | 9 |
| Impres&prep nasal prosth CPT 21087 | not published | not published | $5,063.00 – $11,889.00 | 9 |
| Impres&prep oral surg splint CPT 21085 | not published | not published | $233.07 – $2,665.00 | 9 |
| Impres&prep orbital prosth CPT 21077 | not published | not published | $5,063.00 – $11,889.00 | 9 |
| Impres&prep paltl aug prosth CPT 21082 | not published | not published | $3,262.48 – $11,889.00 | 9 |
| Impres&prep paltl lft prosth CPT 21083 | not published | not published | $3,262.48 – $11,889.00 | 9 |
| Impres&prep sp aid prosth CPT 21084 | not published | not published | $3,262.48 – $11,889.00 | 9 |
| Impres&prep surg obt prosth CPT 21076 | not published | not published | $1,526.79 – $5,272.00 | 9 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $43.19 – $116.28 | 9 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $8,184.67 – $8,184.67 | 1 |
| In-111 autol wbc diag per dose HCPCS A9570 | $3,785.34 | $9,706.00 | $1,103.19 – $2,162.25 | 8 |
| In-111 capromab pendet HCPCS A9507 | $3,941.34 | $10,106.00 | $1,730.29 – $3,391.37 | 8 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $6,450.13 – $6,450.13 | 1 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,671.54 | $4,286.00 | $831.46 – $1,629.66 | 8 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $1,811.16 | $4,644.00 | $745.62 – $1,461.42 | 8 |
| In-111 pentetreotide HCPCS A9572 | $4,194.84 | $10,756.00 | not published | 0 |
| In-111 satumomab pend HCPCS A4642 | $5,837.52 | $14,968.00 | $2,630.47 – $2,630.47 | 1 |
| Inactivated je vacc im CPT 90738 | not published | not published | $613.94 – $613.94 | 1 |
| Inc deep opng b1 crtx thorax CPT 21510 | not published | not published | $1,937.00 – $11,889.00 | 10 |
| Inc dp bone crtx f/arm&/wrst CPT 25035 | not published | not published | $1,694.00 – $13,994.93 | 10 |
| Inc dp opn b1 crtx hum/elbw CPT 23935 | not published | not published | $1,694.00 – $6,310.65 | 10 |
| Incis 1 vertebral seg cerv CPT 22210 | not published | not published | $6,760.00 – $15,026.00 | 9 |
| Incis 1 vertebral seg lumbar CPT 22214 | not published | not published | $6,760.00 – $15,026.00 | 9 |
| Incis 1 vertebral seg thorac CPT 22212 | not published | not published | $6,760.00 – $15,026.00 | 9 |
| Incis addl spine segment CPT 22216 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Incise bile duct sphincter CPT 47460 | not published | not published | $2,323.00 – $6,859.00 | 3 |
| Incise diaphragm nerve CPT 64746 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Incise/drain eyelid lining CPT 68020 | not published | not published | $980.95 – $5,272.00 | 9 |
| Incise flexor carpi radialis CPT 25001 | not published | not published | $3,219.72 – $6,310.65 | 9 |
| Incise hand/finger tendon CPT 26460 | not published | not published | $1,582.30 – $5,272.00 | 10 |
| Incise hip/thigh nerve CPT 64763 | not published | not published | $1,921.52 – $5,272.00 | 9 |
| Incise hip/thigh nerve CPT 64766 | not published | not published | $1,921.52 – $8,448.00 | 9 |
| Incise inner ear CPT 69801 | $3,004.17 | $7,703.00 | $1,526.79 – $5,272.00 | 10 |
| Incise inner ear nerve CPT 69915 | not published | not published | $3,262.48 – $11,889.00 | 10 |
| Incise inner ear nerve CPT 69950 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Incise inner eye adhesions CPT 65860 | not published | not published | $541.21 – $4,066.00 | 9 |
| Incise inner eye adhesions CPT 65865 | not published | not published | $1,308.00 – $6,179.00 | 10 |
| Incise inner eye adhesions CPT 65870 | not published | not published | $2,270.95 – $6,179.00 | 10 |
| Incise inner eye adhesions CPT 65875 | not published | not published | $2,270.95 – $6,179.00 | 10 |
| Incise inner eye adhesions CPT 65880 | not published | not published | $2,323.00 – $7,972.06 | 10 |
| Incise inner eye strands CPT 67030 | not published | not published | $1,308.00 – $6,179.00 | 10 |
| Incise nerve back of head CPT 64744 | not published | not published | $1,694.00 – $6,179.00 | 10 |
| Incise perq finger tendon 26060 CPT 26060 | not published | not published | $1,582.30 – $5,272.00 | 10 |
| Incise skull/brain surgery CPT 61720 | not published | not published | $5,063.00 – $16,925.83 | 9 |
| Incise skull/brain surgery CPT 61735 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Incise skull for treatment CPT 61770 | not published | not published | $3,361.56 – $11,889.00 | 9 |
| Incise skull repair CPT 62121 | not published | not published | $5,063.00 – $6,859.00 | 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.