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 |
|---|---|---|---|---|
| Rtm 1st set-up&pt educaj eqp CPT 98975 | not published | not published | $131.01 – $256.78 | 8 |
| Rtm dev sply cbt 16-30 d CPT 98978 | not published | not published | $36.73 – $71.98 | 8 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | not published | not published | $36.73 – $71.98 | 8 |
| Rtm dev sply resp sys 16-30d CPT 98976 | not published | not published | $36.73 – $71.98 | 8 |
| Rtm tx mgmt 1st 20 min CPT 98980 | not published | not published | $26.05 – $51.06 | 8 |
| Rtm tx mgmt ea addl 20 min CPT 98981 | not published | not published | $25.14 – $49.27 | 8 |
| Rubella antibody igg CPT 86762 | $72.15 | $185.00 | $14.39 – $28.20 | 9 |
| Rubeola ag if CPT 87283 | not published | not published | $21.02 – $119.17 | 9 |
| Rubeola antibody igg CPT 86765 | $129.48 | $332.00 | $12.88 – $25.24 | 9 |
| Runx1 gene targeted seq alys CPT 81334 | $543.27 | $1,393.00 | $329.51 – $645.84 | 9 |
| Russell viper venom diluted CPT 85613 | $125.19 | $321.00 | $9.58 – $18.78 | 9 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $917.08 – $1,797.48 | 8 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $36.28 – $82.84 | 9 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $276.90 | $710.00 | $53.93 – $201.64 | 9 |
| Safety plan interven HCPCS G0560 | not published | not published | $39.63 – $77.67 | 8 |
| Salivary gland function exam CPT 78232 | $719.16 | $1,844.00 | $192.85 – $771.03 | 9 |
| Salivary gland imaging CPT 78230 | $585.00 | $1,500.00 | $364.43 – $771.03 | 9 |
| Salivary glnd img serial img CPT 78231 | $585.00 | $1,500.00 | $246.78 – $771.03 | 9 |
| Salmonella antibody CPT 86768 | $85.02 | $218.00 | $13.19 – $25.85 | 9 |
| Salpingostomy 58770 CPT 58770 | not published | not published | $3,185.40 – $6,243.39 | 9 |
| Same day nb discharge 99463 CPT 99463 | not published | not published | $131.01 – $256.78 | 8 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $2.36 – $2.36 | 1 |
| Sargramostim injection HCPCS J2820 | not published | not published | $50.36 – $143.21 | 9 |
| Sars-cov-2 antb quantitative CPT 86413 | $186.42 | $478.00 | $50.56 – $100.80 | 9 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $302.48 – $512.77 | 2 |
| Sarscov coronavirus ag ia CPT 87426 | $171.99 | $441.00 | $35.33 – $69.25 | 9 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $171.99 | $441.00 | $70.29 – $137.77 | 9 |
| S bowel endoscope w/stent CPT 44379 | not published | not published | $5,973.89 – $11,708.83 | 10 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $643.50 | $1,650.00 | $234.79 – $460.19 | 8 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $222.30 | $570.00 | $102.88 – $201.64 | 8 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $809.25 | $2,075.00 | $102.88 – $201.64 | 8 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $633.36 | $1,624.00 | $102.88 – $201.64 | 8 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $474.63 | $1,217.00 | $102.88 – $201.64 | 8 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $469.17 | $1,203.00 | $102.88 – $201.64 | 8 |
| Scan proc cranial extra CPT 61782 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Scan proc cranial intra 61781 CPT 61781 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Scan proc spinal CPT 61783 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $3,937.83 | $10,097.00 | $1,625.21 – $4,066.00 | 9 |
| Scope plantar fasciotomy CPT 29893 | not published | not published | $3,219.72 – $7,487.00 | 10 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $2,579.32 | $6,613.65 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $18.54 – $36.34 | 9 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $35.05 – $35.05 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $26.63 – $62.60 | 9 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $37.43 – $86.18 | 9 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $26.49 – $51.92 | 9 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $27.05 – $53.02 | 9 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $20.26 – $39.71 | 9 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $35.05 – $35.05 | 1 |
| Screening Colonoscopy (average risk) HCPCS G0121 | not published | not published | $915.10 – $4,066.00 | 10 |
| Screening Colonoscopy (high risk) HCPCS G0105 | not published | not published | $915.10 – $4,066.00 | 10 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $92.82 | $238.00 | $18.05 – $35.38 | 9 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $53.04 | $136.00 | $28.27 – $55.41 | 9 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $78.00 | $200.00 | $23.33 – $90.85 | 9 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $24.08 – $47.20 | 9 |
| Screening Mammogram CPT 77067 | $331.50 | $850.00 | $92.71 – $181.71 | 9 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $35.05 – $35.05 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | $162.63 | $417.00 | $19.31 – $37.85 | 9 |
| Screen pap by tech w md supv HCPCS P3000 | $52.65 | $135.00 | $18.50 – $36.34 | 9 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $28.86 | $74.00 | not published | 0 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $30,739.56 | $78,819.39 | not published | 0 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $553.41 | $1,419.00 | $83.34 – $340.76 | 9 |
| Sc ther infusion reset pump CPT 96371 | not published | not published | $70.85 – $138.87 | 8 |
| Sec abd wall suture evisceration/dehsn 49900 CPT 49900 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $2,789.28 | $7,152.00 | $2,665.00 – $3,391.00 | 2 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $79.56 | $204.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $53.82 | $138.00 | $2.70 – $5.29 | 9 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $4,705.84 – $4,705.84 | 1 |
| Segmentectomy 32484 CPT 32484 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Select picture audiometry CPT 92583 | not published | not published | $58.05 – $113.78 | 8 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $83.46 | $214.00 | $32.78 – $64.25 | 8 |
| Self-meas bp pt educaj/train CPT 99473 | not published | not published | $28.46 – $55.78 | 8 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $164.97 | $423.00 | not published | 0 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $166.14 | $426.00 | not published | 0 |
| Semen analysis HCPCS G0027 | not published | not published | $6.50 – $12.74 | 9 |
| Semen analysis presence/motility CPT 89321 | $33.54 | $86.00 | $12.05 – $23.62 | 9 |
| Semen analysis w/count CPT 89310 | not published | not published | $8.61 – $16.88 | 9 |
| Sensorimotor examination CPT 92060 | $64.35 | $165.00 | $58.05 – $113.78 | 8 |
| Sensorineural acuity lvl tst CPT 92575 | not published | not published | $36.75 – $72.04 | 8 |
| Separate eyelid adhesions CPT 68340 | not published | not published | $2,323.00 – $6,179.00 | 10 |
| Sept9 promoter methylation analysis CPT 81327 | $316.68 | $812.00 | $100.40 – $376.32 | 9 |
| Sequestrectomy olecrn proces CPT 24138 | not published | not published | $1,694.00 – $13,994.93 | 10 |
| Sequestrectomy radial h/n CPT 24136 | not published | not published | $1,694.00 – $8,448.00 | 10 |
| Sequestrectomy shft/dstl hum CPT 24134 | not published | not published | $1,694.00 – $13,994.93 | 10 |
| Serial casting application 97139app CPT 97139 | $78.39 | $201.00 | not published | 0 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $3.43 – $3.43 | 1 |
| Serpina1 gene CPT 81332 | $636.09 | $1,631.00 | $43.65 – $85.55 | 9 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $29.32 – $29.32 | 1 |
| Set radiation therapy field CPT 77280 | $522.99 | $1,341.00 | $132.26 – $520.87 | 9 |
| Set radiation therapy field CPT 77285 | $845.91 | $2,169.00 | $368.45 – $953.58 | 9 |
| Set radiation therapy field CPT 77290 | $1,021.41 | $2,619.00 | $368.45 – $1,614.69 | 9 |
| Set-up cardiovert-defibrill CPT 93745 | not published | not published | $302.23 – $2,665.00 | 9 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | not published | not published | $0.02 – $0.02 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.10 – $0.10 | 1 |
| Sever cranial nerve CPT 64771 | not published | not published | $1,694.00 – $6,179.00 | 10 |
| Sex chromatin identification CPT 88130 | not published | not published | $17.98 – $35.24 | 9 |
| Sex chromatin identification CPT 88140 | not published | not published | $7.99 – $15.66 | 9 |
| Sex transformation f to m CPT 55980 | not published | not published | $3,468.66 – $6,798.57 | 8 |
| Sex transformation m to f CPT 55970 | not published | not published | $4,922.52 – $9,648.14 | 8 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $193.25 – $378.77 | 9 |
| Sgmdsc w/band ligation CPT 45350 | not published | not published | $1,177.52 – $5,272.00 | 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.