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 |
|---|---|---|---|---|
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $347.88 | $892.00 | $197.43 – $2,665.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $163.80 | $420.00 | $197.43 – $2,665.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $202.80 | $520.00 | $400.02 – $2,665.00 | 9 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $1,904.37 | $4,883.00 | $400.02 – $2,665.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $138.84 | $356.00 | $197.43 – $2,665.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $138.84 | $356.00 | $197.43 – $2,665.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $156.00 | $400.00 | $197.43 – $2,665.00 | 9 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $2,190.24 | $5,616.00 | $400.02 – $2,665.00 | 9 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $159.12 | $408.00 | $400.02 – $2,665.00 | 9 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $138.84 | $356.00 | $197.43 – $2,665.00 | 9 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $370.89 | $951.00 | $197.43 – $2,665.00 | 9 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $5,366.12 | $13,759.29 | not published | 0 |
| Shigella antibody CPT 86771 | not published | not published | $23.10 – $47.98 | 9 |
| Sho arthrs dx +- synovial bx CPT 29805 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Sho arthrs srg bicp tenodsis CPT 29828 | not published | not published | $5,809.00 – $15,026.00 | 9 |
| Sho arthrs srg capsulorraphy CPT 29806 | not published | not published | $1,937.00 – $15,026.00 | 10 |
| Sho arthrs srg compl synvct CPT 29821 | not published | not published | $1,937.00 – $15,026.00 | 10 |
| Sho arthrs srg lmtd dbrdmt CPT 29822 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Sho arthrs srg lss&rescj ads CPT 29825 | not published | not published | $1,937.00 – $15,026.00 | 10 |
| Sho arthrs srg prtl synvct CPT 29820 | not published | not published | $1,937.00 – $15,026.00 | 10 |
| Sho arthrs srg rmvl loose/fb CPT 29819 | not published | not published | $1,937.00 – $15,026.00 | 10 |
| Sho arthrs srg rpr slap les CPT 29807 | not published | not published | $1,937.00 – $15,026.00 | 10 |
| Sho arthrs srg xtnsv dbrdmt CPT 29823 | not published | not published | $1,937.00 – $15,026.00 | 10 |
| Shoe post-op mens m HCPCS L3260 | $49.25 | $126.27 | not published | 0 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,308.00 – $6,310.65 | 10 |
| Shortening of thigh bone CPT 27465 | not published | not published | $6,760.00 – $15,026.00 | 9 |
| Shorten/lengthen thighs CPT 27468 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Shorten radius or ulna CPT 25390 | not published | not published | $1,937.00 – $13,994.93 | 10 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,937.00 – $13,994.93 | 10 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $121.29 | $311.00 | $70.85 – $138.87 | 8 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $271.44 | $696.00 | $57.20 – $167.84 | 9 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $2,664.00 – $15,026.00 | 10 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $238.68 | $612.00 | $48.22 – $201.64 | 9 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,061.54 | $5,286.00 | $343.30 – $672.87 | 8 |
| Shoulder MRI (with contrast) CPT 73222 | $1,743.30 | $4,470.00 | $682.25 – $1,511.93 | 8 |
| Shoulder MRI (without contrast) CPT 73221 | $1,549.08 | $3,972.00 | $234.79 – $460.19 | 8 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $5,809.00 – $13,994.93 | 9 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $5,809.00 – $13,994.93 | 9 |
| Shoulder X-ray CPT 73030 | $276.90 | $710.00 | $44.95 – $167.84 | 9 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $201.63 | $517.00 | $34.33 – $167.84 | 9 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,581.59 | $9,183.56 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $400.92 | $1,028.00 | $102.88 – $294.84 | 9 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $23.95 | 9 |
| Sialography s&i CPT 70390 | $376.35 | $965.00 | $171.59 – $460.19 | 9 |
| Sialolithotomy 42330 CPT 42330 | $1,959.75 | $5,025.00 | $3,262.48 – $6,394.47 | 9 |
| Sickling rbc CPT 85660 | $65.91 | $169.00 | $5.51 – $10.80 | 9 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $915.10 – $4,066.00 | 10 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $915.10 – $5,272.00 | 10 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $915.10 – $4,066.00 | 10 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,177.52 – $5,272.00 | 9 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,374.75 | $3,525.00 | $1,177.52 – $5,272.00 | 10 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $3,391.00 – $11,708.83 | 9 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,731.31 – $5,353.37 | 9 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $1,740.57 | $4,463.00 | $915.10 – $5,272.00 | 10 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $915.10 – $4,066.00 | 10 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $813.93 | $2,087.00 | $58.05 – $113.78 | 8 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,177.52 – $5,272.00 | 10 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.51 – $0.51 | 1 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,359.73 – $22,265.07 | 8 |
| Simple cystometrogram 51725 CPT 51725 | $396.63 | $1,017.00 | $245.86 – $2,665.00 | 10 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $354.67 | $909.40 | $218.03 – $218.03 | 1 |
| Single energy x-ray study HCPCS G0130 | $97.89 | $251.00 | $102.88 – $201.64 | 8 |
| Single transfer toe-hand CPT 26553 | not published | not published | $1,694.00 – $13,994.93 | 10 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,610.70 | $4,130.00 | $172.60 – $338.29 | 8 |
| Sinus CT scan (with contrast) CPT 70487 | $1,473.03 | $3,777.00 | $172.60 – $338.29 | 8 |
| Sinus CT scan (without contrast) CPT 70486 | $1,319.37 | $3,383.00 | $102.88 – $201.64 | 8 |
| Sinus/juglr venogram s&i CPT 75860 | $1,971.06 | $5,054.00 | $201.82 – $6,089.78 | 9 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $1,694.00 – $6,394.47 | 10 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $2,323.00 – $11,889.00 | 10 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,694.00 – $11,889.00 | 10 |
| Sinus X-ray (complete) CPT 70220 | $375.57 | $963.00 | $57.20 – $167.84 | 9 |
| Sinus X-ray (limited) CPT 70210 | $218.40 | $560.00 | $48.22 – $167.84 | 9 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $55,272.32 – $140,228.73 | 9 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $2.02 – $2.02 | 1 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $84.57 – $165.76 | 8 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $28.78 – $28.78 | 1 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $28.78 – $28.78 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $2,323.00 – $8,448.00 | 10 |
| Skin Biopsy CPT 11102 | $560.04 | $1,436.00 | $400.02 – $2,665.00 | 9 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,190.24 | $5,616.00 | $1,937.00 – $6,179.00 | 10 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,937.00 – $5,809.00 | 3 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,937.00 – $5,272.00 | 10 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,937.00 – $5,809.00 | 3 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $6.61 – $55.78 | 9 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Skull X-ray (1 to 3 views) CPT 70250 | $276.90 | $710.00 | $53.93 – $201.64 | 9 |
| Skull X-ray (complete) CPT 70260 | $412.23 | $1,057.00 | $64.55 – $201.64 | 9 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,966.25 – $1,966.25 | 1 |
| Slco1b1 gene com variants CPT 81328 | $674.70 | $1,730.00 | $174.81 – $342.63 | 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.