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 |
|---|---|---|---|---|
| Plastic surgery neck CPT 15819 | not published | not published | $2,572.00 – $5,063.00 | 2 |
| Platelet aggregation each agent teg CPT 85576 | $148.98 | $382.00 | $24.91 – $48.82 | 9 |
| Platelet automated CPT 85049 | $50.70 | $130.00 | $4.48 – $8.78 | 9 |
| Platelet deplete of harvest CPT 38213 | $853.32 | $2,188.00 | $434.13 – $2,665.00 | 9 |
| Platelet pheresis each unit HCPCS P9034 | $1,845.87 | $4,733.00 | not published | 0 |
| Platelets each unit HCPCS P9019 | $158.73 | $407.00 | not published | 0 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $2,733.51 | $7,009.00 | not published | 0 |
| Platelets irradiated ea unit HCPCS P9032 | $489.45 | $1,255.00 | not published | 0 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $526.50 | $1,350.00 | not published | 0 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $3,267.81 | $8,379.00 | not published | 0 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $3,162.12 | $8,108.00 | not published | 0 |
| Platelets pheresis leukocytes reduced each unit HCPCS P9035 | $2,666.82 | $6,838.00 | $511.59 – $1,002.72 | 8 |
| Platelets pheresis leukocytes reduced irradiated each unit HCPCS P9037 | $3,262.74 | $8,366.00 | $680.61 – $1,334.00 | 8 |
| Platelets pheresis pathogen-reduced each unit HCPCS P9073 | $3,162.12 | $8,108.00 | not published | 0 |
| Platelet survival CPT 78191 | $545.61 | $1,399.00 | $329.31 – $771.03 | 9 |
| Plcg2 gene common variants CPT 81320 | $478.92 | $1,228.00 | $291.36 – $571.07 | 9 |
| Plcmnt biliary drainage cath w/img ext CPT 47533 | $4,406.61 | $11,299.00 | $3,523.19 – $8,448.00 | 9 |
| Plcmnt stent transcath ctrl dialysis seg add-on CPT 36908 | $5,630.43 | $14,437.00 | $2,665.00 – $3,391.00 | 2 |
| Plcmnt ureteral stent pq w/img exstng trct CPT 50693 | $6,036.03 | $15,477.00 | $3,468.66 – $8,448.00 | 9 |
| Plcmnt ureteral stent pq w/img new w/cath CPT 50695 | $6,328.92 | $16,228.00 | $3,468.66 – $8,448.00 | 9 |
| Plcmt dlyd xtn pros 1st vsl CPT 34710 | not published | not published | $6,389.00 – $6,859.00 | 2 |
| Plcmt sft tiss loc pq w/img 1st lsn CPT 10035 | $2,091.18 | $5,362.00 | $696.82 – $4,066.00 | 9 |
| Plcmt sft tiss loc pq w/img ea addl lsn CPT 10036 | $2,091.18 | $5,362.00 | $2,665.00 – $3,391.00 | 2 |
| Plcmt xtn pros evasc rpr per vsl CPT 34709 | $2,222.61 | $5,699.00 | $3,391.00 – $6,859.00 | 2 |
| Plc pq device breast ea addl lesion MRI guide CPT 19288 | $1,516.71 | $3,889.00 | $2,665.00 – $3,391.00 | 2 |
| Plc pq device breast ea addl lesion stereo guide CPT 19284 | $665.73 | $1,707.00 | $2,665.00 – $3,391.00 | 2 |
| Plc pq device breast ea addl lesion Ultrasound guide CPT 19286 | $665.73 | $1,707.00 | $2,665.00 – $3,391.00 | 2 |
| Plerixafor injection HCPCS J2562 | not published | not published | $25.33 – $1,014.02 | 9 |
| Plethysmography lung volumes/airway resistance CPT 94726 | $532.35 | $1,365.00 | $367.20 – $719.70 | 8 |
| Pleurectomy parietal ; separate 32310 CPT 32310 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Plmt access bil tree sm bwl CPT 47541 | $3,931.20 | $10,080.00 | $4,714.00 – $12,485.94 | 9 |
| Plmt biliary drainage cath CPT 47534 | $4,720.17 | $12,103.00 | $3,523.19 – $8,448.00 | 9 |
| Plmt nephroureteral catheter CPT 50433 | $6,119.49 | $15,691.00 | $3,468.66 – $6,798.57 | 9 |
| Plmt ureteral stent prq CPT 50694 | $6,036.03 | $15,477.00 | $3,468.66 – $8,448.00 | 9 |
| Pm device progr eval dual CPT 93280 | $109.20 | $280.00 | $36.73 – $71.98 | 8 |
| Pm device progr eval multi CPT 93281 | $67.47 | $173.00 | $36.73 – $71.98 | 8 |
| Pml/raralpha 1 breakpoint CPT 81316 | not published | not published | $207.31 – $517.67 | 9 |
| Pmp22 gene dup/delet CPT 81324 | not published | not published | $599.21 – $1,486.39 | 9 |
| Pmp22 gene full sequence CPT 81325 | not published | not published | $742.09 – $1,508.38 | 9 |
| Pmp22 gene known fam variant CPT 81326 | not published | not published | $46.60 – $91.34 | 9 |
| Pm phone r-strip device eval CPT 93293 | not published | not published | $36.73 – $71.98 | 8 |
| Pms2 gene dup/delet variants CPT 81319 | not published | not published | $203.50 – $398.86 | 9 |
| Pms2 gene full seq analysis CPT 81317 | not published | not published | $676.50 – $1,325.94 | 9 |
| Pms2 known familial variants CPT 81318 | not published | not published | $221.53 – $648.76 | 9 |
| Pneumothrx tx-intraplrl inj ai CPT 32960 | not published | not published | $617.28 – $4,066.00 | 9 |
| #pnh-flow cytometry interp CPT 88187 | not published | not published | $12.07 – $88.98 | 3 |
| Poct blood gases ph pco2 po2 arterial calculated o2 CPT 82803 | $264.81 | $679.00 | $26.07 – $51.10 | 9 |
| Polatuzumab vedotin-piiq 140 mg intravenous solution HCPCS J9309 | not published | not published | $136.67 – $300.96 | 9 |
| Polysom <6 yrs cpap/bilvl CPT 95783 | $3,557.58 | $9,122.00 | $845.02 – $1,656.24 | 8 |
| Polysom any age 1-3> param CPT 95808 | $1,203.93 | $3,087.00 | $845.02 – $1,656.24 | 8 |
| Polysomnography sleep staging >=4 parameters age >=6 years w/cpap bipap CPT 95811 | $3,343.86 | $8,574.00 | $845.02 – $1,656.24 | 8 |
| Polyvalent mult org ea ag ia CPT 87451 | not published | not published | $10.51 – $20.60 | 9 |
| Porfimer sodium injection HCPCS J9600 | not published | not published | $24,228.42 – $57,919.33 | 9 |
| Positional change of finger CPT 26555 | not published | not published | $1,937.00 – $13,994.93 | 10 |
| Post 1 srfc resinbased cmpst HCPCS D2391 | not published | not published | $636.16 – $1,694.00 | 9 |
| Post 2 srfc resinbased cmpst HCPCS D2392 | not published | not published | $636.16 – $1,694.00 | 9 |
| Post >=4srfc resinbase cmpst HCPCS D2394 | not published | not published | $636.16 – $1,694.00 | 9 |
| Post-coital mucous exam HCPCS Q0115 | not published | not published | $17.34 – $49.00 | 9 |
| Post non-seg/spine instrumentation 22840 CPT 22840 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Postop app non-wgt bear dsg HCPCS L5450 | $571.61 | $1,465.66 | not published | 0 |
| Post op service lvrs min 6 HCPCS G0305 | not published | not published | $367.20 – $719.70 | 8 |
| Postpartum Care Only CPT 59430 | not published | not published | $3,391.00 – $3,391.00 | 1 |
| Post seg spine instrument/3-6 seg 22842 CPT 22842 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Potassium 24 hour urine CPT 84133 | $75.66 | $194.00 | $4.73 – $9.27 | 9 |
| Potassium chloride 10 meq/100ml in sterile water intravenous piggyback HCPCS J3480 | not published | not published | $0.19 – $0.19 | 1 |
| Potassium hydroxide preps HCPCS Q0112 | not published | not published | $5.83 – $11.43 | 9 |
| Potassium serum/plasma/whole blood CPT 84132 | $75.27 | $193.00 | $4.76 – $9.33 | 9 |
| Ppp2r2b gen detc abnor allel CPT 81343 | $225.42 | $578.00 | $137.00 – $268.52 | 9 |
| Pq biliary strict dil s&i CPT 74363 | $1,102.53 | $2,827.00 | $281.89 – $363.64 | 2 |
| Pq dr cath chg w cont s&i CPT 75984 | $711.36 | $1,824.00 | $281.54 – $363.19 | 2 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $9,898.59 | $25,381.00 | $6,760.00 – $15,026.00 | 9 |
| Pq thr inj ext pse CPT 36002 | $532.74 | $1,366.00 | $617.28 – $4,066.00 | 9 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $3,226.47 | $8,273.00 | $2,665.00 – $9,032.00 | 3 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $12,164.49 | $31,191.00 | $3,219.72 – $8,448.00 | 9 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $10,935.21 | $28,039.00 | $3,219.72 – $8,448.00 | 9 |
| Pralatrexate injection HCPCS J9307 | not published | not published | $392.63 – $850.89 | 9 |
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $168.55 – $168.55 | 1 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,281.46 | $8,414.00 | $1,694.00 – $6,310.65 | 10 |
| Pr application of long arm splint CPT 29105 | $549.12 | $1,408.00 | $159.90 – $2,665.00 | 9 |
| Pr application splint static short arm CPT 29125 | $614.64 | $1,576.00 | $130.92 – $2,665.00 | 9 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $43.29 | $111.00 | $36.75 – $72.04 | 8 |
| Pr biopsy skin punch single lesion CPT 11104 | $560.04 | $1,436.00 | $400.02 – $2,665.00 | 9 |
| Pr correction hallux valgus (bunionectomy) with sesamoidectomy when performed with first metatarsal and cuneiform joint arthrodesis any method CPT 28297 | not published | not published | $1,937.00 – $24,761.74 | 10 |
| Pr correction hammertoe CPT 28285 | not published | not published | $1,937.00 – $6,310.65 | 10 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $51.87 | $133.00 | $36.87 – $72.26 | 8 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $2,688.27 | $6,893.00 | $5,063.00 – $6,859.00 | 2 |
| Prcrd drg 6+yr without anomly CPT 33017 | $6,075.03 | $15,577.00 | $5,063.00 – $6,859.00 | 2 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $6,766.11 | $17,349.00 | $1,694.00 – $6,798.57 | 10 |
| Prealbumin CPT 84134 | $143.13 | $367.00 | $14.59 – $28.60 | 9 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.99 – $0.99 | 1 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $1.09 – $1.09 | 1 |
| Prednisone 1 mg tablet HCPCS J7512 | not published | not published | $0.02 – $0.02 | 1 |
| Prefab stnlss steel crown pe HCPCS D2931 | not published | not published | $636.16 – $1,694.00 | 9 |
| Prefab stnlss steel crwn pri HCPCS D2930 | not published | not published | $636.16 – $1,694.00 | 9 |
| Pregabalin - sendout CPT 80366 | not published | not published | $25.87 – $25.87 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $4,036.89 | $10,351.00 | $1,694.00 – $5,272.00 | 10 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $15.05 – $29.50 | 9 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $572.13 | $1,467.00 | $102.88 – $201.64 | 9 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $539.37 | $1,383.00 | $102.88 – $201.64 | 9 |
| Pregnancy Ultrasound (limited) CPT 76815 | $334.23 | $857.00 | $92.69 – $201.64 | 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.