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 |
|---|---|---|---|---|
| Iron binding capacity CPT 83550 | $143.52 | $368.00 | $8.74 – $17.13 | 9 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | not published | not published | $18.11 – $41.79 | 9 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $6.88 – $13.48 | 9 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | not published | not published | $0.44 – $0.44 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | $241.02 | $618.00 | $17.39 – $72.04 | 9 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $329.16 | $844.00 | $58.05 – $113.78 | 8 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $1,526.79 – $5,272.00 | 9 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $58.05 – $2,665.00 | 9 |
| Isatuximab-irfc 20 mg/ml intravenous solution HCPCS J9227 | not published | not published | $81.90 – $182.53 | 9 |
| Island pedicle flap graft CPT 15740 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Ivc venogram s&i CPT 75825 | $1,994.85 | $5,115.00 | $182.22 – $6,089.78 | 9 |
| IV Fluids (each additional hour) CPT 96361 | $110.76 | $284.00 | $46.08 – $90.31 | 8 |
| IV Fluids (first hour) CPT 96360 | $427.05 | $1,095.00 | $209.30 – $410.24 | 8 |
| Ivig non-lyophilized, nos HCPCS J1599 | not published | not published | $289.67 – $289.67 | 1 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $427.05 | $1,095.00 | not published | 0 |
| IV inj ra drug dx study CPT 78808 | $281.19 | $721.00 | $393.38 – $771.03 | 8 |
| IV Medicine Infusion (additional drug) CPT 96367 | $427.05 | $1,095.00 | $70.85 – $138.87 | 8 |
| IV Medicine Infusion (each additional hour) CPT 96366 | $106.47 | $272.99 | $46.08 – $90.31 | 8 |
| IV Medicine Infusion (first hour) CPT 96365 | $427.05 | $1,095.00 | $209.30 – $410.24 | 8 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $439.59 – $2,665.00 | 9 |
| IV Push Injection (each additional drug) CPT 96375 | $191.88 | $492.00 | $46.08 – $90.31 | 8 |
| IV Push Injection (first drug) CPT 96374 | $306.54 | $786.00 | $209.30 – $410.24 | 8 |
| Ivp w/nephrotomography CPT 74415 | $862.29 | $2,211.00 | $172.60 – $420.53 | 9 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $645.84 | $1,656.00 | $172.60 – $338.29 | 9 |
| Ixabepilone 15 mg intravenous solution HCPCS J9207 | not published | not published | $139.21 – $303.11 | 9 |
| Jak2 targeted sequence analysis CPT 81279 | $601.77 | $1,543.00 | $185.20 – $362.99 | 9 |
| Jaw arthroscopy/surgery CPT 29800 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Jaw arthroscopy/surgery CPT 29804 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Jaw Joint (TMJ) X-ray (both sides, open and closed) CPT 70330 | $271.44 | $696.00 | $81.72 – $167.84 | 9 |
| Jaw (Mandible) X-ray (complete) CPT 70110 | $384.93 | $987.00 | $58.02 – $201.64 | 9 |
| Jejunstmy tube plcmt CPT 44372 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| John cunningham antibody CPT 86711 | $1,727.70 | $4,430.00 | $16.89 – $33.10 | 9 |
| J-tube placement CPT 44015 | not published | not published | $1,308.00 – $6,859.00 | 3 |
| Keratomileusis CPT 65760 | not published | not published | $6,179.00 – $9,000.00 | 2 |
| Keratophakia CPT 65765 | not published | not published | $6,179.00 – $9,000.00 | 2 |
| Keratoprosthesis CPT 65770 | not published | not published | $3,721.00 – $27,977.67 | 10 |
| Kerecis marigen shld sq cm HCPCS A2019 | not published | not published | $122.46 – $240.01 | 8 |
| Ketamine and metabolite screen - quest CPT 80357 | not published | not published | $25.87 – $25.87 | 1 |
| Ketogenic steroids fract CPT 83582 | $81.12 | $208.00 | $15.47 – $30.32 | 9 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $178.62 | $458.00 | $8.17 – $16.01 | 9 |
| Ketorolac (Toradol) Pain Shot, 15 mg HCPCS J1885 | not published | not published | $0.30 – $0.59 | 8 |
| Kidney endoscopy CPT 50551 | not published | not published | $1,308.00 – $10,341.20 | 10 |
| Kidney endoscopy CPT 50553 | not published | not published | $1,308.00 – $10,341.20 | 10 |
| Kidney endoscopy CPT 50570 | not published | not published | $1,308.00 – $6,798.57 | 10 |
| Kidney endoscopy CPT 50575 | not published | not published | $5,063.00 – $11,889.00 | 9 |
| Kidney endoscopy & biopsy CPT 50555 | not published | not published | $1,308.00 – $18,257.80 | 10 |
| Kidney endoscopy & biopsy CPT 50574 | not published | not published | $1,308.00 – $6,798.57 | 10 |
| Kidney endoscopy & treatment CPT 50557 | not published | not published | $1,308.00 – $18,257.80 | 10 |
| Kidney endoscopy & treatment CPT 50561 | not published | not published | $1,308.00 – $10,341.20 | 10 |
| Kidney endoscopy & treatment CPT 50576 | not published | not published | $1,308.00 – $18,257.80 | 10 |
| Kidney endoscopy & treatment CPT 50580 | not published | not published | $1,308.00 – $10,341.20 | 10 |
| Kidney function study CPT 78725 | not published | not published | $211.64 – $771.03 | 9 |
| Kidney imaging (3d) CPT 78710 | not published | not published | $408.55 – $830.76 | 2 |
| Kidney imaging morphology CPT 78700 | $553.80 | $1,420.00 | $357.90 – $771.03 | 9 |
| Kidney imag w/bld flow multi CPT 78709 | not published | not published | $534.29 – $1,109.33 | 9 |
| Kidney img w/bldflw sgl without rx CPT 78707 | $824.46 | $2,114.00 | $446.95 – $1,047.22 | 9 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $618.54 | $1,586.00 | $102.88 – $352.84 | 9 |
| Kidney (Retroperitoneal) Ultrasound (limited) CPT 76775 | $290.16 | $744.00 | $68.65 – $294.84 | 9 |
| Kit case 4.2mm spinejack HCPCS C1062 | $7,751.14 | $19,874.72 | not published | 0 |
| Kit cath ivl 2.5x40mm 135cm shockwave s4 HCPCS C1761 | $8,081.88 | $20,722.77 | not published | 0 |
| Kit gene analys d816 variant CPT 81273 | $170.43 | $437.00 | $124.87 – $244.75 | 9 |
| Kit hfx iq ipg bundle HCPCS C1822 | $42,421.35 | $108,772.69 | not published | 0 |
| Kit ipg optimizer smart HCPCS C1824 | $49,011.18 | $125,669.70 | not published | 0 |
| Kit lead specify 5-6-5 HCPCS C1778 | $16,965.41 | $43,501.05 | not published | 0 |
| Kit montgmry thyrplasty impl f 5 implants 1meas dev inst set HCPCS C1878 | $1,340.86 | $3,438.11 | not published | 0 |
| Kit omnigraft 2.5x2.5cm dermal regeneration matrix - q4105-cost per sq cm HCPCS Q4105 | not published | not published | $57.71 – $240.01 | 8 |
| Kit sound processor cochlear osia 2 HCPCS L8691 | $16,851.58 | $43,209.18 | not published | 0 |
| Kit tissue closure sealant adhesive air leak progel 4 ml pleura HCPCS C2615 | $1,638.82 | $4,202.10 | not published | 0 |
| Knee Arthroscopy (Cartilage Smoothing) CPT 29877 | not published | not published | $2,323.00 – $8,448.00 | 10 |
| Knee arthroscopy/drainage CPT 29871 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Knee arthroscopy dx CPT 29870 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Knee Arthroscopy (Meniscus Trimming) CPT 29881 | not published | not published | $2,323.00 – $8,448.00 | 10 |
| Knee arthroscopy/surgery CPT 29850 | not published | not published | $1,582.30 – $8,448.00 | 10 |
| Knee arthroscopy/surgery CPT 29851 | not published | not published | $1,582.30 – $11,889.00 | 10 |
| Knee arthroscopy/surgery CPT 29873 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Knee arthroscopy/surgery CPT 29874 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Knee arthroscopy/surgery CPT 29875 | not published | not published | $2,323.00 – $8,448.00 | 10 |
| Knee arthroscopy/surgery CPT 29876 | not published | not published | $2,323.00 – $8,448.00 | 10 |
| Knee arthroscopy/surgery CPT 29879 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Knee arthroscopy/surgery CPT 29880 | not published | not published | $2,323.00 – $8,448.00 | 10 |
| Knee arthroscopy/surgery CPT 29882 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Knee arthroscopy/surgery CPT 29883 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Knee arthroscopy/surgery CPT 29884 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Knee arthroscopy/surgery CPT 29886 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Knee arthroscopy/surgery CPT 29887 | not published | not published | $1,937.00 – $13,994.93 | 10 |
| Knee arthroscopy/surgery CPT 29888 | not published | not published | $1,937.00 – $15,026.00 | 10 |
| Knee arthroscopy/surgery CPT 29889 | not published | not published | $1,937.00 – $24,761.74 | 10 |
| Knee MRI (with and without contrast) CPT 73723 | $2,072.46 | $5,314.00 | $343.30 – $672.87 | 8 |
| Knee MRI (with contrast) CPT 73722 | $1,900.86 | $4,874.00 | $689.59 – $1,511.93 | 8 |
| Knee MRI (without contrast) CPT 73721 | $1,549.08 | $3,972.00 | $234.79 – $460.19 | 8 |
| Knee X-ray CPT 73564 | $273.00 | $700.00 | $65.38 – $201.64 | 9 |
| Knee X-ray (1 to 2 views, both knees) CPT 73560 | $173.55 | $445.00 | $51.48 – $167.84 | 9 |
| Knee X-ray (3 views, both knees) CPT 73562 | $269.88 | $692.00 | $60.48 – $167.84 | 9 |
| Knee X-ray (standing, both knees) CPT 73565 | $201.63 | $517.00 | $62.10 – $167.84 | 9 |
| Kras gene addl variants CPT 81276 | $799.50 | $2,050.00 | $193.25 – $378.77 | 9 |
| Kras gene variants exon 2 CPT 81275 | $598.65 | $1,535.00 | $193.25 – $378.77 | 9 |
| Kyleena, 19.5 mg HCPCS J7296 | not published | not published | $2,361.40 – $2,361.40 | 1 |
| Kyphectomy 1-2 segments CPT 22818 | not published | not published | $8,245.00 – $33,817.16 | 9 |
| Kyphectomy 3 or more CPT 22819 | not published | not published | $8,245.00 – $33,817.16 | 9 |
| Lab draw < 3 yrs fem/jugular 36400 CPT 36400 | $125.97 | $323.00 | not published | 0 |
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.