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 |
|---|---|---|---|---|
| Nqhp ol dig assmt&mgmt 5-10 CPT 98970 | $30.42 | $78.00 | $10.47 – $20.52 | 8 |
| Nras gene variants exon 2&3 CPT 81311 | $836.94 | $2,146.00 | $295.79 – $579.75 | 9 |
| Nr lnr acclrtr tx max 5 sessions CPT 77373 | $14,589.12 | $37,408.00 | $1,759.48 – $4,506.57 | 9 |
| Nrv grf 1strnd arm/leg >4 cm CPT 64893 | not published | not published | $1,694.00 – $11,889.00 | 10 |
| Nrv grf 1strnd arm/leg <4cm CPT 64892 | not published | not published | $1,694.00 – $16,925.83 | 10 |
| Nrv grf 1strnd hnd/foot <4cm CPT 64890 | not published | not published | $1,694.00 – $16,925.83 | 10 |
| Nrv grf 1strnd hnd/foot >4cm CPT 64891 | not published | not published | $1,694.00 – $16,925.83 | 10 |
| Nrv grf mltst arm/leg <4 cm CPT 64897 | not published | not published | $1,937.00 – $16,925.83 | 10 |
| Nrv grf mltst arm/leg >4 cm CPT 64898 | not published | not published | $1,937.00 – $16,925.83 | 10 |
| Nrv grf mltst hnd/foot <4 cm CPT 64895 | not published | not published | $1,937.00 – $16,925.83 | 10 |
| Nrv grf mltst hnd/foot >4 cm CPT 64896 | not published | not published | $1,937.00 – $16,925.83 | 10 |
| Nrv rpr w/nrv algrft 1st CPT 64912 | not published | not published | $4,714.00 – $16,925.83 | 9 |
| Nrv rpr w/nrv algrft ea addl CPT 64913 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Nsl/sins ndsc med&inf dcmprn CPT 31293 | not published | not published | $5,809.00 – $13,611.60 | 9 |
| Nsl/sins ndsc med/inf dcmprn CPT 31292 | not published | not published | $5,809.00 – $13,611.60 | 9 |
| Nsl/sins ndsc sphn tiss rmvl CPT 31259 | not published | not published | $6,760.00 – $13,611.60 | 9 |
| Nsl/sins ndsc surg frnt sins CPT 31296 | not published | not published | $5,809.00 – $13,611.60 | 9 |
| Nsl/sins ndsc surg frnt&sphn CPT 31298 | not published | not published | $6,389.00 – $13,611.60 | 9 |
| Nsl/sins ndsc surg max sins CPT 31295 | not published | not published | $5,809.00 – $13,611.60 | 9 |
| Nsl/sins ndsc surg on dcmprn CPT 31294 | not published | not published | $5,809.00 – $13,611.60 | 9 |
| Nsl/sins ndsc surg sphn sins CPT 31297 | not published | not published | $5,809.00 – $13,611.60 | 9 |
| Nsl/sins ndsc total CPT 31253 | not published | not published | $6,760.00 – $13,611.60 | 9 |
| Nsl/sins ndsc tot w/sphendt CPT 31257 | not published | not published | $6,760.00 – $13,611.60 | 9 |
| Nsl/sinus endoscopy surg dcr CPT 31239 | not published | not published | $2,323.00 – $7,190.79 | 10 |
| Nsl/sinus ndsc cryoabltj pnn CPT 31243 | not published | not published | $5,809.00 – $11,889.00 | 9 |
| Nsl/sinus ndsc rf abltj pnn CPT 31242 | not published | not published | $5,809.00 – $11,889.00 | 9 |
| Nsl/sns ndsc lig sphnptn art CPT 31241 | not published | not published | $1,751.46 – $6,179.00 | 9 |
| Ntraop hipec px ea add 30min CPT 96548 | not published | not published | $2,665.00 – $2,665.00 | 1 |
| Ntrk1 translocation analysis CPT 81191 | not published | not published | $207.31 – $406.33 | 9 |
| Ntrk2 translocation analysis CPT 81192 | not published | not published | $207.31 – $406.33 | 9 |
| Ntrk3 translocation analysis CPT 81193 | not published | not published | $207.31 – $406.33 | 9 |
| Ntrk translocation analysis CPT 81194 | $727.74 | $1,866.00 | $518.28 – $1,015.83 | 9 |
| Ntsty modul rad tx dlvr cplx CPT 77386 | $3,067.74 | $7,866.00 | $1,072.38 – $1,072.38 | 1 |
| Ntsty modul rad tx dlvr smpl CPT 77385 | $2,873.52 | $7,368.00 | $1,072.38 – $1,072.38 | 1 |
| Nuclear exam of tear flow CPT 78660 | $470.34 | $1,206.00 | $367.70 – $771.03 | 9 |
| Nuclear localization/abscess CPT 78807 | not published | not published | $696.97 – $1,365.52 | 2 |
| Nuclear matrix protein 22 CPT 86386 | not published | not published | $21.78 – $42.69 | 9 |
| Nuclear rx intra-arterial CPT 79445 | $644.67 | $1,653.00 | $219.12 – $450.03 | 9 |
| Nuclear rx intra-articular CPT 79440 | not published | not published | $117.66 – $450.03 | 9 |
| Nuclear rx intracav admin CPT 79200 | $372.06 | $954.00 | $126.67 – $450.03 | 9 |
| Nuclear rx IV admin CPT 79101 | $892.71 | $2,289.00 | $111.13 – $450.03 | 9 |
| Nuclear Stress Test (Heart) CPT 78452 | $3,563.04 | $9,136.00 | $942.91 – $2,496.97 | 9 |
| Nuclr rx interstit colloid CPT 79300 | $372.06 | $954.00 | $125.11 – $450.03 | 9 |
| Nudt15 gene common variants CPT 81306 | $478.92 | $1,228.00 | $291.36 – $571.07 | 9 |
| Nushield 1 square cm HCPCS Q4160 | $4,750.15 | $12,179.88 | $122.46 – $240.01 | 8 |
| Nusinersen (pf) 12 mg/5 ml intrathecal solution HCPCS J2326 | not published | not published | $1,280.25 – $2,974.44 | 9 |
| Obinutuzumab 1,000 mg/40 ml intravenous solution HCPCS J9301 | not published | not published | $79.00 – $169.12 | 9 |
| Obltrj a-pulm sep def w/byp CPT 33814 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Observation direct referral from physician office for admission HCPCS G0379 | $758.16 | $1,944.00 | $586.02 – $1,148.59 | 8 |
| Observation per hour HCPCS G0378 | $14.06 | $36.05 | not published | 0 |
| Obstetrical care 59410 CPT 59410 | not published | not published | $3,391.00 – $3,391.00 | 1 |
| Obstetric panel inc HIV tstg CPT 80081 | not published | not published | $74.86 – $146.73 | 9 |
| Obstetrics panel CPT 80055 | $86.58 | $222.00 | $47.81 – $93.71 | 9 |
| Obtaining screen pap smear HCPCS Q0091 | not published | not published | $12.08 – $55.78 | 9 |
| Ob Ultrasound nuchal meas 1 gest CPT 76813 | $148.98 | $382.00 | $100.46 – $201.64 | 9 |
| Ob Ultrasound nuchal meas add-on CPT 76814 | $148.98 | $382.00 | $48.14 – $62.10 | 2 |
| Occlude fallopian tube(s) device 58615 CPT 58615 | not published | not published | $2,664.00 – $6,243.39 | 10 |
| Occupational Therapy Evaluation (high complexity) CPT 97167 | $152.49 | $391.00 | $95.33 – $186.85 | 8 |
| Occupational Therapy Evaluation (low complexity) CPT 97165 | $149.37 | $383.00 | $95.33 – $186.85 | 8 |
| Occupational Therapy Evaluation (moderate complexity) CPT 97166 | $150.54 | $386.00 | $101.54 – $199.02 | 8 |
| Ocrelizumab 30 mg/ml intravenous solution HCPCS J2350 | not published | not published | $59.41 – $155.00 | 9 |
| Octreotide acetate 100 mcg/ml injection (wrapper) HCPCS J2354 | not published | not published | $1.54 – $1.54 | 1 |
| Octreotide,microspheres ER 20 mg intramuscular susp, extended release HCPCS J2353 | not published | not published | $203.58 – $549.69 | 9 |
| Ocular photodynamic ther CPT 67221 | not published | not published | $541.21 – $4,066.00 | 9 |
| Ocular reconst transplant CPT 65780 | not published | not published | $2,664.00 – $8,448.00 | 10 |
| Ocular reconst transplant CPT 65781 | not published | not published | $2,664.00 – $11,889.00 | 10 |
| Ocular reconst transplant CPT 65782 | not published | not published | $2,664.00 – $8,448.00 | 10 |
| Ofatumumab 20 mg/ml intravenous solution (wrapper) HCPCS J9302 | not published | not published | $62.23 – $169.49 | 9 |
| Off base opioid tx, 60 m HCPCS G2087 | not published | not published | $174.66 – $342.33 | 8 |
| Off base opioid tx 70min HCPCS G2086 | not published | not published | $174.66 – $342.33 | 8 |
| Oil silicone ophth 8.5ml silikon 1000 HCPCS C1814 | $641.80 | $1,645.65 | not published | 0 |
| Olanzapine 10 mg intramuscular solution HCPCS J2359 | not published | not published | $1.43 – $3.29 | 2 |
| Olanzapine long-acting inj HCPCS J2358 | not published | not published | $5.57 – $10.10 | 3 |
| Omalizumab 150 mg/ml subcutaneous syringe (wrapper) HCPCS J2357 | not published | not published | $44.60 – $98.77 | 9 |
| Omental flap extra-abdom 49904 CPT 49904 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Omental flap intra-abdom 49905 CPT 49905 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Onc breast mrna 12 genes CPT 81522 | $6,910.41 | $17,719.00 | $3,873.00 – $7,591.08 | 9 |
| Onc breast mrna 58 genes CPT 81520 | $3,651.96 | $9,364.00 | $2,510.21 – $4,920.01 | 9 |
| Onc breast mrna 70 genes CPT 81521 | $4,160.91 | $10,669.00 | $3,873.00 – $7,591.08 | 9 |
| Onc brst mrna 11 genes CPT 81518 | $6,922.11 | $17,749.00 | $3,873.00 – $7,591.08 | 9 |
| Onc brst mrna 70 cnt 31 gene CPT 81523 | not published | not published | $3,873.00 – $7,591.08 | 9 |
| Onc cutan mlnma mrna 31 gene CPT 81529 | not published | not published | $7,193.00 – $14,098.28 | 9 |
| Oncology colon mrna CPT 81525 | not published | not published | $3,116.00 – $6,107.36 | 9 |
| Oncology colorectal scr CPT 81528 | not published | not published | $508.87 – $997.39 | 9 |
| Oncology gynecologic CPT 81535 | not published | not published | $579.46 – $1,135.74 | 9 |
| Oncology gynecologic CPT 81536 | not published | not published | $177.56 – $348.02 | 9 |
| Oncology lung CPT 81538 | not published | not published | $2,552.14 – $5,627.16 | 9 |
| Oncology prostate prob score CPT 81539 | $420.85 | $1,079.09 | $722.52 – $1,489.60 | 9 |
| Oncology thyroid CPT 81545 | not published | not published | $7,336.07 – $7,336.07 | 1 |
| Oncology tissue of origin CPT 81504 | not published | not published | $520.00 – $1,019.20 | 9 |
| Oncology tum unknown origin CPT 81540 | not published | not published | $3,504.36 – $7,350.00 | 9 |
| Onco (ovar) five proteins CPT 81503 | not published | not published | $384.36 – $1,758.12 | 9 |
| Onco (ovar) two proteins CPT 81500 | not published | not published | $260.50 – $510.58 | 9 |
| Oncoprotein dcp CPT 83951 | $307.71 | $789.00 | $64.41 – $126.24 | 9 |
| Oncoprotein her-2/neu CPT 83950 | not published | not published | $64.41 – $126.24 | 9 |
| Onc prostate 3 genes CPT 81551 | $3,887.13 | $9,967.00 | $2,030.00 – $3,978.80 | 9 |
| Onc prostate mrna 22 cnt gen CPT 81542 | not published | not published | $3,873.00 – $7,591.08 | 9 |
| Onc prostate mrna 46 genes CPT 81541 | $3,887.13 | $9,967.00 | $3,873.00 – $7,591.08 | 9 |
| Onc thyr mrna 10,196 gen alg CPT 81546 | not published | not published | $3,600.00 – $7,056.00 | 9 |
| Onc uveal mlnma mrna 15 gene CPT 81552 | not published | not published | $7,776.00 – $15,240.96 | 9 |
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.