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 |
|---|---|---|---|---|
| Lengthening of thigh tendons CPT 27394 | not published | not published | $1,937.00 – $13,994.93 | 10 |
| Lengthening of thigh tendons CPT 27395 | not published | not published | $1,937.00 – $11,889.00 | 10 |
| Lengthening or shortening - tibia and fibula 27715 CPT 27715 | not published | not published | $2,323.00 – $24,761.74 | 10 |
| Lengthen metacarpal/finger CPT 26568 | not published | not published | $1,937.00 – $13,994.93 | 10 |
| Lengthen radius or ulna CPT 25391 | not published | not published | $2,323.00 – $24,761.74 | 10 |
| Lengthen radius & ulna CPT 25393 | not published | not published | $2,323.00 – $13,994.93 | 10 |
| Lens iol 23.0 d 1.5 cyl eyhance toric HCPCS V2787 | $200.91 | $515.16 | not published | 0 |
| Lens iol ant bicnvx 24.0 multi HCPCS V2632 | $977.16 | $2,505.55 | not published | 0 |
| Lens iol ant chamb 10.5 HCPCS V2630 | $683.72 | $1,753.14 | not published | 0 |
| Lepirudin HCPCS J1945 | not published | not published | $1,087.45 – $1,087.45 | 1 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | not published | not published | $7.93 – $7.93 | 1 |
| Leukacyte transfusion CPT 86950 | not published | not published | $17.39 – $328.59 | 9 |
| Leukocyte phagocytosis CPT 86344 | $218.40 | $560.00 | $10.39 – $20.36 | 9 |
| Leuprolide 30 mg (4 month) intramuscular syringe kit HCPCS J9217 | not published | not published | $176.45 – $447.03 | 9 |
| Leuprolide 3.75 mg intramuscular syringe kit HCPCS J1950 | not published | not published | $1,730.32 – $3,767.13 | 9 |
| Leuprolide acetate implant HCPCS J9219 | not published | not published | $9,186.58 – $9,186.58 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | not published | not published | $16.98 – $47.58 | 2 |
| Leuprolide depot cipla 7.5mg HCPCS J1954 | not published | not published | $448.44 – $1,385.07 | 8 |
| Leuprolide inj, camcevi, 1mg HCPCS J1952 | not published | not published | $78.92 – $154.68 | 8 |
| Levalbuterol comp unit HCPCS J7615 | not published | not published | $2.74 – $2.74 | 1 |
| Levalbuterol non-comp con HCPCS J7612 | not published | not published | $0.55 – $0.55 | 1 |
| Levalbuterol non-comp unit HCPCS J7614 | not published | not published | $0.17 – $0.17 | 1 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | not published | not published | $0.10 – $0.10 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $155.61 | $399.00 | $13.25 – $25.97 | 9 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | not published | not published | $3.60 – $3.60 | 1 |
| Levonorgestrel implant sys HCPCS J7306 | not published | not published | $609.01 – $609.01 | 1 |
| Levothyroxine 100 mcg intravenous powder for solution HCPCS J0650 | not published | not published | $10.27 – $10.27 | 1 |
| L hrt cath chd nm/abn nt cnj CPT 93595 | $4,048.20 | $10,380.00 | $3,190.13 – $11,889.00 | 9 |
| Liberta rc ipg HCPCS C1820 | $65,883.98 | $168,933.29 | not published | 0 |
| Lidocaine (pf) 10 mg/ml (1 %) injection solution HCPCS J2003 | not published | not published | $0.02 – $0.02 | 1 |
| Lidocaine (pf) 4 mg/ml (0.4 %) in 5 % dextrose intravenous solution HCPCS J2002 | not published | not published | $0.02 – $0.02 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $112.71 | $289.00 | $14.69 – $28.79 | 9 |
| Ligate esophagus veins CPT 43400 | not published | not published | $5,063.00 – $15,026.00 | 2 |
| Ligate leg veins open CPT 37761 | not published | not published | $3,107.03 – $6,089.78 | 9 |
| Ligate leg veins radical 37760 CPT 37760 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Ligate oviduct(s) add-on 58611 CPT 58611 | not published | not published | $3,391.00 – $6,859.00 | 2 |
| Ligate/staple esophagus CPT 43405 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Ligate/strip long leg vein CPT 37722 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Ligate/strip short leg vein CPT 37718 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Ligate/transect fallopian tubes 58600 CPT 58600 | not published | not published | $1,308.00 – $6,243.39 | 10 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | $5,706.09 | $14,631.00 | $1,625.21 – $5,272.00 | 10 |
| Ligation common iliac vein CPT 37660 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Ligation/divis of long saph vein 37700 CPT 37700 | not published | not published | $1,694.00 – $8,448.00 | 10 |
| Ligation external carotid artery 37600 CPT 37600 | not published | not published | $3,107.03 – $8,448.00 | 9 |
| Ligation internal/common carotid artery 37605 CPT 37605 | not published | not published | $3,107.03 – $8,448.00 | 9 |
| Ligation internal jugular vein 37565 CPT 37565 | not published | not published | $3,107.03 – $6,089.78 | 9 |
| Ligation major artery chest CPT 37616 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Ligation/major artery/extremity 37618 CPT 37618 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Ligation major artery neck CPT 37615 | not published | not published | $3,107.03 – $6,089.78 | 9 |
| Ligation nasal sinus artery CPT 30915 | not published | not published | $1,694.00 – $8,448.00 | 10 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $5,063.00 – $10,732.13 | 9 |
| Ligation of femoral vein CPT 37650 | not published | not published | $1,694.00 – $8,448.00 | 10 |
| Ligation of inf vena cava CPT 37619 | not published | not published | $5,475.57 – $15,026.00 | 9 |
| Ligation of neck artery CPT 37606 | not published | not published | $3,107.03 – $8,448.00 | 9 |
| Ligation of salivary duct CPT 42665 | not published | not published | $3,262.48 – $6,394.47 | 10 |
| Ligation of shunt CPT 49428 | not published | not published | $5,063.00 – $5,272.00 | 2 |
| Ligation upper jaw artery CPT 30920 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Ligation vericose vein cluster(s) 1 leg CPT 37785 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Lig/band angioaccess av fistula CPT 37607 | $2,246.40 | $5,760.00 | $1,937.00 – $8,448.00 | 10 |
| Lig&div&compl strpg saph vn CPT 37735 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Liletta, 52 mg HCPCS J7297 | not published | not published | $1,725.14 – $1,725.14 | 1 |
| Limb exercise test CPT 95875 | not published | not published | $126.62 – $248.17 | 8 |
| Limb nerve surgery add-on CPT 64783 | not published | not published | $1,694.00 – $4,714.00 | 3 |
| Limited autopsy CPT 88036 | not published | not published | $118.15 – $164.99 | 3 |
| Limited autopsy CPT 88037 | not published | not published | $94.36 – $146.96 | 3 |
| Limited visual field xm CPT 92081 | $73.32 | $188.00 | $58.05 – $113.78 | 8 |
| Lincomycin injection HCPCS J2010 | not published | not published | $12.83 – $12.83 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | not published | not published | $5.68 – $5.68 | 1 |
| Lipase CPT 83690 | $143.13 | $367.00 | $6.89 – $13.50 | 9 |
| Lip exc/transverse wedge/w closure 40510 CPT 40510 | not published | not published | $1,694.00 – $6,394.47 | 10 |
| Lipoprotein blood high res frac & quant CPT 83701 | $143.13 | $367.00 | $33.86 – $66.37 | 9 |
| Lipoprotein blood quant CPT 83704 | $198.51 | $509.00 | $34.19 – $67.01 | 9 |
| Lipoprotein direct measurement hdl CPT 83718 | $90.48 | $232.00 | $8.19 – $16.05 | 9 |
| Lipoprotein direct measurement ldl CPT 83721 | $96.72 | $248.00 | $10.50 – $20.58 | 9 |
| Lipoprtn dir meas sd ldl chl CPT 83722 | $83.85 | $215.00 | $34.19 – $67.01 | 9 |
| Lip surgery procedure CPT 40799 | not published | not published | $233.07 – $2,665.00 | 9 |
| Lisocabtagene mara car pos t HCPCS Q2054 | not published | not published | $0.03 – $1,152,532.70 | 9 |
| Listeria monocytogenes CPT 86723 | $60.84 | $156.00 | $13.19 – $25.85 | 9 |
| Lithium therapeutic drug level CPT 80178 | $69.42 | $178.00 | $6.61 – $12.96 | 9 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | $4,371.12 | $11,208.00 | $3,391.00 – $3,391.00 | 1 |
| Litt icr 1 traj 1 smpl les CPT 61736 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Litt icr mlt trj mlt/cplx ls CPT 61737 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Liver abs/cyst dr opn 1-2 stge CPT 47010 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | not published | not published | $176.19 – $345.33 | 8 |
| Liver elastography 91200 CPT 91200 | $258.18 | $662.00 | $126.62 – $248.17 | 8 |
| Liver Function Test CPT 80076 | $115.44 | $296.00 | $8.17 – $16.01 | 9 |
| Liver hem/re-expl wnd/remove pack 47362 CPT 47362 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Liver image (3d) with flow CPT 78206 | not published | not published | $709.23 – $1,396.72 | 2 |
| Liver imaging CPT 78201 | $453.96 | $1,164.00 | $402.01 – $1,047.22 | 9 |
| Liver imaging (3d) CPT 78205 | not published | not published | $425.71 – $850.99 | 2 |
| Liver imag w/vasclr flow CPT 78202 | $904.41 | $2,319.00 | $423.25 – $1,047.22 | 9 |
| Liver/spleen imag static only CPT 78215 | $638.43 | $1,637.00 | $393.38 – $771.03 | 9 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $727.35 | $1,865.00 | $238.61 – $771.03 | 9 |
| Lmtd oph exam general anes CPT 92019 | not published | not published | $1,308.00 – $6,179.00 | 10 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Locm 100-199mg/ml iodine,1ml HCPCS Q9965 | $171.60 | $440.00 | $2.29 – $2.29 | 1 |
| Lomustine 10 mg HCPCS S0178 | not published | not published | $218.69 – $218.69 | 1 |
| Loncastuximab tesirine-lpyl 10 mg intravenous solution HCPCS J9359 | not published | not published | $216.90 – $495.10 | 9 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | not published | not published | $2.57 – $2.57 | 1 |
| Loudness balance test CPT 92562 | not published | not published | $212.47 – $416.45 | 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.