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 |
|---|---|---|---|---|
| Mayo infliximab therapeutic drug level CPT 80230 | $117.00 | $300.00 | $38.57 – $75.60 | 9 |
| Mayo inhab inhibin a CPT 86336 | $171.21 | $439.00 | $15.59 – $30.56 | 9 |
| Mayo insft insulin free CPT 83527 | $111.15 | $285.00 | $12.95 – $25.38 | 9 |
| Mayo insulin antibodies CPT 86337 | $126.75 | $325.00 | $21.41 – $41.96 | 9 |
| Mayo iodine CPT 83789 | $268.32 | $688.00 | $24.11 – $47.26 | 9 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $38.22 | $98.00 | $27.11 – $53.14 | 9 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $44.46 | $114.00 | $27.11 – $53.14 | 9 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $155.61 | $399.00 | $13.25 – $25.97 | 9 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $166.53 | $427.00 | $12.79 – $25.07 | 9 |
| Mayo legionella antibody CPT 86713 | $140.79 | $361.00 | $15.30 – $29.99 | 9 |
| Mayo leptospira antibody igm CPT 86720 | $104.52 | $268.00 | $16.20 – $31.75 | 9 |
| Mayo lipoprotein electrophoresis CPT 83700 | $129.48 | $332.00 | $11.26 – $22.07 | 9 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $95.16 | $244.00 | $15.49 – $30.36 | 9 |
| Mayo manganese CPT 83785 | $315.12 | $808.00 | $26.65 – $52.23 | 9 |
| Mayo metanephrines plasma CPT 83835 | $223.86 | $574.00 | $16.94 – $33.20 | 9 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $26.66 – $26.66 | 1 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $25.74 | $66.00 | $12.05 – $23.62 | 9 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $60.84 | $156.00 | $18.40 – $36.06 | 8 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $177.84 | $456.00 | $14.55 – $28.52 | 9 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $152.49 | $391.00 | $18.64 – $36.53 | 9 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $492.96 | $1,264.00 | $137.00 – $268.52 | 9 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $639.21 | $1,639.00 | $185.20 – $362.99 | 9 |
| Mayo muramidase CPT 85549 | $144.69 | $371.00 | $18.75 – $36.75 | 9 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $224.64 | $576.00 | $18.40 – $36.06 | 8 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $147.42 | $378.00 | $10.47 – $35.38 | 9 |
| Mayo myoglobin CPT 83874 | $208.26 | $534.00 | $12.92 – $25.32 | 9 |
| Mayo nickel CPT 83885 | $136.50 | $350.00 | $24.51 – $48.04 | 9 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $41.98 – $41.98 | 1 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $35.78 – $35.78 | 1 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $31.91 – $31.91 | 1 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $510.90 | $1,310.00 | $21.21 – $41.57 | 9 |
| Mayo organic acids qualitative each specimen CPT 83919 | $108.42 | $278.00 | $16.45 – $32.24 | 9 |
| Mayo oxalate 24 hour urine CPT 83945 | $144.30 | $370.00 | $14.45 – $28.32 | 9 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $644.67 | $1,653.00 | $11.53 – $22.60 | 9 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $123.24 | $316.00 | $15.03 – $29.46 | 9 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $130.65 | $335.00 | $12.05 – $23.62 | 9 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $414.57 | $1,063.00 | $35.09 – $68.78 | 9 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $188.76 | $484.00 | $17.98 – $35.24 | 9 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $91.65 | $235.00 | $13.76 – $26.97 | 9 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $104.91 | $269.00 | $8.44 – $16.54 | 9 |
| Mayo pregnenolone CPT 84140 | $166.53 | $427.00 | $20.67 – $40.51 | 9 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $112.71 | $289.00 | $16.59 – $32.52 | 9 |
| Mayo proinsulin CPT 84206 | $203.97 | $523.00 | $26.69 – $52.31 | 9 |
| Mayo psaft prostate specific antigen free CPT 84154 | $195.39 | $501.00 | $18.39 – $36.04 | 9 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $347.88 | $892.00 | $18.40 – $36.06 | 9 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $288.21 | $739.00 | $13.36 – $26.19 | 9 |
| Mayo receptor assay transferrin soluble CPT 84238 | $57.33 | $147.00 | $36.57 – $71.68 | 9 |
| Mayo renin CPT 84244 | $244.92 | $628.00 | $21.99 – $43.10 | 9 |
| Mayo repu protein electrophoresis urine CPT 84166 | $111.15 | $285.00 | $17.83 – $34.95 | 9 |
| Mayo selenium CPT 84255 | $171.21 | $439.00 | $25.53 – $50.04 | 9 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $143.91 | $369.00 | $15.50 – $30.38 | 9 |
| Mayo serotonin CPT 84260 | $353.73 | $907.00 | $30.98 – $60.72 | 9 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $122.07 | $313.00 | $19.35 – $37.93 | 9 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $114.66 | $294.00 | $13.73 – $26.91 | 9 |
| Mayo streptococcus pneumoniae antibody igg 23 serotypes multiplex immunoassay quantitative CPT 86581 | not published | not published | $92.03 – $180.38 | 8 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $37.05 | $95.00 | $4.27 – $8.37 | 9 |
| Mayo tau phosphorylated 217 each CPT 84393 | not published | not published | $128.92 – $252.68 | 8 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $672.75 | $1,725.00 | $208.92 – $409.48 | 9 |
| Mayo tgrp testosterone free CPT 84402 | $279.24 | $716.00 | $25.47 – $49.92 | 9 |
| Mayo tgrp testosterone total CPT 84403 | $244.92 | $628.00 | $25.81 – $50.59 | 9 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $504.27 | $1,293.00 | $22.17 – $43.45 | 8 |
| Mayo thyroglobulin CPT 84432 | $202.80 | $520.00 | $16.06 – $31.48 | 9 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $122.07 | $313.00 | $10.18 – $19.95 | 9 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $186.03 | $477.00 | $12.39 – $24.28 | 9 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $25.87 – $25.87 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $305.37 | $783.00 | $51.28 – $100.51 | 9 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $14.16 – $27.75 | 9 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $104.91 | $269.00 | $13.54 – $26.54 | 9 |
| Mayo vasoactive intestinal peptide CPT 84586 | $405.60 | $1,040.00 | $35.33 – $69.25 | 9 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $208.26 | $534.00 | $20.24 – $39.67 | 9 |
| Mayo vitamin b3 (niacin) CPT 84591 | $158.73 | $407.00 | $17.06 – $33.44 | 9 |
| Mayo vitamin k CPT 84597 | $202.80 | $520.00 | $13.72 – $26.89 | 9 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $137.67 | $353.00 | $13.25 – $25.97 | 9 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Mcoln1 gene CPT 81290 | not published | not published | $39.31 – $77.05 | 9 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $1,937.00 – $15,026.00 | 10 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,582.30 – $8,448.00 | 10 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $3,487.10 – $8,448.00 | 9 |
| Meas lung vol thru 2 yrs CPT 94013 | not published | not published | $367.20 – $719.70 | 8 |
| Measure kidney pressure CPT 50396 | not published | not published | $686.16 – $4,066.00 | 10 |
| Measurement post void urine by ultrasound CPT 51798 | $368.55 | $945.00 | $58.05 – $2,665.00 | 9 |
| Measure ureter pressure CPT 50686 | not published | not published | $126.62 – $2,665.00 | 9 |
| Mecasermin injection HCPCS J2170 | not published | not published | $285.88 – $285.88 | 1 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $31.11 – $613.20 | 2 |
| #mec-opiates CPT 80356 | not published | not published | $31.91 – $31.91 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $150.00 – $294.00 | 9 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $497.21 – $1,034.63 | 9 |
| Mecp2 gene known variant CPT 81303 | not published | not published | $120.00 – $235.20 | 9 |
| Medial canthopexy CPT 21280 | not published | not published | $2,664.00 – $11,889.00 | 10 |
| Mediastinoscpy w/lmph nod bx CPT 39402 | not published | not published | $5,809.00 – $11,889.00 | 9 |
| Mediastinoscpy w/medstnl bx 39401 CPT 39401 | not published | not published | $5,809.00 – $11,889.00 | 9 |
| Med physic dos eval rad exps CPT 76145 | not published | not published | $367.20 – $719.70 | 8 |
| Medroxyprogesterone 150 mg/ml im injection (wrapper) HCPCS J1050 | not published | not published | $1.09 – $1.09 | 1 |
| Megestrol 20 mg tabs 100 each bottle HCPCS S0179 | not published | not published | $0.53 – $0.53 | 1 |
| Meg evoked single CPT 95966 | not published | not published | $845.02 – $1,656.24 | 8 |
| Meg spontaneous CPT 95965 | not published | not published | $845.02 – $1,656.24 | 8 |
| Melphalan oral 2 mg HCPCS J8600 | not published | not published | $17.80 – $17.80 | 1 |
| Membrane affinity fresh amniotic 2.5x2.5cm -cost per sq cm HCPCS Q4159 | not published | not published | $122.46 – $240.01 | 8 |
| Membrane amnioband 2x2cm -cost per sq cm HCPCS Q4151 | not published | not published | $122.46 – $240.01 | 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.