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 |
|---|---|---|---|---|
| Revision of urethra CPT 57220 | not published | not published | $1,937.00 – $11,889.00 | 10 |
| Revision of urinary tract CPT 51820 | not published | not published | $6,859.00 – $9,000.00 | 2 |
| Revision open av fistula without thromb CPT 36832 | not published | not published | $2,323.00 – $15,026.00 | 10 |
| Revision orbitofacial bones CPT 21275 | not published | not published | $3,721.00 – $11,889.00 | 10 |
| Revision/removal of kneecap CPT 27424 | not published | not published | $1,937.00 – $13,994.93 | 10 |
| Revision tips CPT 37183 | $19,480.50 | $49,950.00 | $5,600.62 – $16,710.00 | 9 |
| Revis reconst shoulder joint CPT 23473 | not published | not published | $6,760.00 – $24,761.74 | 9 |
| Revis reconst shoulder joint CPT 23474 | not published | not published | $6,760.00 – $24,761.74 | 9 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $122.46 – $240.01 | 8 |
| Revita, per sq cm HCPCS Q4180 | $3,016.07 | $7,733.52 | $122.46 – $240.01 | 8 |
| Revj fem anast autog vn grf CPT 35884 | not published | not published | $5,475.57 – $15,026.00 | 9 |
| Revj fem anast nonautog grf CPT 35883 | not published | not published | $5,475.57 – $15,026.00 | 9 |
| Revj mstdc rsltg compl mstdc CPT 69601 | not published | not published | $3,721.00 – $11,889.00 | 10 |
| Revj mstdc rsltg tympanplsty CPT 69604 | not published | not published | $3,721.00 – $11,889.00 | 10 |
| Revj open gstr rstcv px CPT 43848 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Revj prior hypspad repair CPT 54352 | not published | not published | $1,937.00 – $11,889.00 | 10 |
| Revj/rmvl nea pn w/int nstim CPT 64598 | not published | not published | $3,391.00 – $8,448.00 | 9 |
| Rev mastoidectomy rsltg modf rad mstdc 69602 CPT 69602 | not published | not published | $3,721.00 – $11,889.00 | 10 |
| Rev-rem impl neurostim gen-rec CPT 63688 | not published | not published | $1,308.00 – $8,448.00 | 10 |
| Rev/rmvl gstr nstim eltrd CPT 43882 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $4,108.26 | $10,534.00 | $1,308.00 – $8,448.00 | 10 |
| Rev/rmv prph sac/gstr npg/r CPT 64595 | not published | not published | $1,308.00 – $8,448.00 | 10 |
| Rev rplcm arthrp 1ntrspc crv CPT 22861 | not published | not published | $8,245.00 – $33,817.16 | 9 |
| Rev rplcm rthrp 1ntrspc lmbr CPT 22862 | not published | not published | $8,245.00 – $33,817.16 | 9 |
| Rev/rplcmt sk-mnt crnl nstm CPT 61891 | not published | not published | $5,809.00 – $59,514.69 | 9 |
| Rev rplc/rmv thrc vrt tethrg CPT 22838 | not published | not published | $6,859.00 – $33,817.16 | 9 |
| Rev/rplct hpglsl nstm ary pg CPT 64583 | not published | not published | $4,714.00 – $21,490.72 | 9 |
| Revsc opn/prq tib/pero stent CPT 37234 | $6,322.68 | $16,212.00 | $3,391.00 – $15,026.00 | 2 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.62 – $20.82 | 8 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $4,967.04 | $12,736.00 | $1,921.52 – $6,179.00 | 9 |
| Rheumatoid factor qualitative CPT 86430 | $72.54 | $186.00 | $6.14 – $12.03 | 9 |
| Rheumatoid factor quantitative CPT 86431 | $79.56 | $204.00 | $5.67 – $11.11 | 9 |
| Rh ig IV CPT 90386 | not published | not published | $21.37 – $21.37 | 1 |
| Rh ig minidose im CPT 90385 | not published | not published | $63.70 – $401.24 | 9 |
| Rhinp prim lat&alr crtlge&/elvtn nsl tip CPT 30400 | not published | not published | $2,323.00 – $11,417.47 | 10 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $462.54 | $1,186.00 | $9.32 – $9.32 | 1 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $46.81 – $46.81 | 1 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $25.46 – $81.14 | 9 |
| Rho d immune globulin inj HCPCS J2790 | not published | not published | $158.88 – $158.88 | 1 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $176.82 – $176.82 | 1 |
| R hrt cath chd abnl nt cnj CPT 93594 | $4,880.85 | $12,515.00 | $3,190.13 – $11,889.00 | 9 |
| R hrt cath chd nml nt cnj CPT 93593 | $4,880.85 | $12,515.00 | $3,190.13 – $11,889.00 | 9 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $327.21 | $839.00 | $52.31 – $201.64 | 9 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $341.64 | $876.00 | $72.72 – $201.64 | 9 |
| Rib cartilage graft CPT 21230 | not published | not published | $3,721.00 – $11,889.00 | 10 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $4,432.59 – $4,432.59 | 1 |
| Rib X-ray (3 views, both sides) CPT 71110 | $331.89 | $851.00 | $54.76 – $201.64 | 9 |
| Right heart cath congenital CPT 93530 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Right ventric recording CPT 93603 | $625.56 | $1,604.00 | $1,198.08 – $5,272.00 | 9 |
| Rilonacept injection HCPCS J2793 | not published | not published | $52.68 – $52.68 | 1 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $94.45 | $242.19 | not published | 0 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.94 – $29.28 | 8 |
| Risk ascvd tst once pr 12 mo HCPCS G0537 | not published | not published | $36.87 – $72.26 | 8 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $10.98 – $29.28 | 9 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $75.22 – $226.42 | 9 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.69 – $100.59 | 9 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | not published | not published | $29.38 – $142.28 | 9 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $26.51 – $149.96 | 9 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $27.84 – $132.02 | 9 |
| R & l heart cath congenital CPT 93531 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| R & l heart cath congenital CPT 93532 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| R & l heart cath congenital CPT 93533 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $4,880.85 | $12,515.00 | $3,190.13 – $11,889.00 | 9 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $4,880.85 | $12,515.00 | $3,190.13 – $11,889.00 | 9 |
| Rmv anterior spine instrumentation 22855 CPT 22855 | not published | not published | $7,140.27 – $15,026.00 | 9 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $493.74 | $1,266.00 | $696.82 – $4,066.00 | 10 |
| Rmvl esophgl sphnctr dev CPT 43285 | not published | not published | $5,948.93 – $15,026.00 | 9 |
| Rmvl ext fixj sys under anes CPT 20694 | not published | not published | $1,308.00 – $5,272.00 | 10 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $7,957.56 | $20,404.00 | $1,694.00 – $5,602.27 | 10 |
| Rmvl fecal impaction/fb spx under anes CPT 45915 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $2,510.43 | $6,437.00 | $1,625.21 – $4,066.00 | 9 |
| Rmvl hpglsl nstim ary pg CPT 64584 | not published | not published | $3,361.56 – $15,026.00 | 9 |
| Rmvl i-artic rx delivery dev 20705 CPT 20705 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Rmvl icd by tv extr CPT 33244 | $4,887.48 | $12,532.00 | $3,677.25 – $8,448.00 | 9 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $26,030.94 | $66,746.00 | $5,809.00 – $70,119.00 | 9 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $36,173.67 | $92,753.00 | $5,809.00 – $70,119.00 | 9 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $19,909.50 | $51,050.00 | $5,809.00 – $70,119.00 | 9 |
| Rmvl icd pulse gen only CPT 33241 | $1,524.12 | $3,908.00 | $1,694.00 – $8,448.00 | 10 |
| Rmvl imed rx delivery device CPT 20703 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Rmvl left heart vent thor inscn ecmo CPT 33989 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Rmvl lung xcp tot pneumonectomy sleeve lob 32486 CPT 32486 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,699.23 | $4,357.00 | $617.28 – $4,066.00 | 9 |
| Rmvl ninfct mesh hernia rpr 49623 CPT 49623 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Rmvl perm pm pulse gen CPT 33233 | $3,483.48 | $8,932.00 | $1,694.00 – $15,960.60 | 10 |
| Rmvl perq right heart vad CPT 33997 | $4,114.11 | $10,549.00 | $6,859.00 – $6,859.00 | 1 |
| Rmvl phrnc nrv stim pg only CPT 33280 | $7,148.31 | $18,329.00 | $3,440.24 – $8,448.00 | 9 |
| Rmvl phrnc nrv stim sys CPT 33278 | $7,148.31 | $18,329.00 | $3,440.24 – $8,448.00 | 9 |
| Rmvl phrnc nrv stim transvns CPT 33279 | $7,148.31 | $18,329.00 | $3,440.24 – $8,448.00 | 9 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $8,237.97 | $21,123.00 | $5,809.00 – $37,149.68 | 9 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $5,539.17 | $14,203.00 | $5,809.00 – $16,710.00 | 9 |
| Rmvl pq iabp CPT 33968 | $9,328.02 | $23,918.00 | $3,391.00 – $56,095.00 | 2 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $4,114.11 | $10,549.00 | $5,063.00 – $6,859.00 | 2 |
| Rmvl prosthhumrl&ulnar cmpnt CPT 24160 | not published | not published | $1,694.00 – $8,448.00 | 10 |
| Rmvl rplcmt hrt sys f/trnspl CPT 33929 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Rmvl & rplcmt tot hrt sys CPT 33928 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Rmvl sq defib electrode CPT 33272 | $2,160.60 | $5,540.00 | $3,677.25 – $8,448.00 | 9 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,496.04 | $3,836.00 | $696.82 – $4,066.00 | 9 |
| Rmvl tiss expndr without implant insrtn CPT 11971 | not published | not published | $1,308.00 – $6,179.00 | 10 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $1,052.61 | $2,699.00 | $439.59 – $2,665.00 | 10 |
| Rmvl tot arthrp 1ntrspc crv CPT 22864 | not published | not published | $7,140.27 – $15,026.00 | 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.