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 |
|---|---|---|---|---|
| Sleep study attended CPT 95807 | $1,237.08 | $3,172.00 | $367.20 – $719.70 | 8 |
| Sleep Study (Polysomnography) CPT 95810 | $3,068.13 | $7,867.00 | $845.02 – $1,656.24 | 8 |
| Sleep study unattended CPT 95806 | $430.95 | $1,105.00 | $212.47 – $416.45 | 8 |
| Sleeve fing rolyan med HCPCS L3933 | $210.38 | $539.44 | not published | 0 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Sling suprapubic suburetheral HCPCS C1771 | $15,381.89 | $39,440.75 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $1,694.00 – $6,798.57 | 10 |
| Slitting of prepuce CPT 54001 | $4,451.07 | $11,413.00 | $1,694.00 – $6,179.00 | 10 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $142.35 | $365.00 | not published | 0 |
| Slp eval non-spch gen comm dev CPT 92605 | $285.09 | $731.00 | not published | 0 |
| Slp pure tone screening CPT 92551 | $70.20 | $180.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $58.05 – $113.78 | 8 |
| Slp ther svc non-spch gen CPT 92606 | $106.08 | $272.00 | not published | 0 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $45,738.60 | 9 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $33.01 | 9 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $557.70 | $1,430.00 | $172.60 – $338.29 | 9 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Small bowel endoscopy CPT 44382 | not published | not published | $892.49 – $5,272.00 | 10 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,888.25 – $5,272.00 | 9 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,694.00 – $5,272.00 | 10 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $892.49 – $5,272.00 | 10 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,888.25 – $5,272.00 | 9 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $5,973.89 – $11,708.83 | 10 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 8 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $120.51 | $309.00 | $5.39 – $10.56 | 9 |
| Smear gram stain CPT 87205 | $80.34 | $206.00 | $4.27 – $8.37 | 9 |
| Smear nasal eosinophil CPT 89190 | $94.77 | $243.00 | $5.79 – $11.35 | 9 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $102.57 | $263.00 | $5.99 – $11.74 | 9 |
| Smear wet mount CPT 87210 | $70.59 | $181.00 | $5.82 – $11.41 | 9 |
| Smn1 gene full gene sequence CPT 81336 | $495.69 | $1,271.00 | $301.35 – $590.65 | 9 |
| Smn1 gen nown famil seq vrnt CPT 81337 | $304.59 | $781.00 | $185.20 – $362.99 | 9 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $47.00 – $92.12 | 9 |
| Snrpn/ube3a gene CPT 81331 | $69.81 | $179.00 | $51.07 – $100.10 | 9 |
| Sodium 24 hour urine CPT 84300 | $74.49 | $191.00 | $5.06 – $9.92 | 9 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $4.77 – $4.77 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $2.38 – $2.38 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $8.07 | $20.70 | $1.20 – $1.20 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.29 – $0.29 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $3.79 – $3.79 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $139.20 – $139.20 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $67.86 | $174.00 | $4.81 – $9.43 | 9 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.88 – $1.73 | 8 |
| Software meas of cardiac vol HCPCS G0183 | not published | not published | $85.63 – $167.84 | 8 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $1,345.31 – $2,636.81 | 8 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $1,195.83 – $2,343.83 | 8 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $3,288.51 – $6,445.48 | 8 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $1,046.35 – $2,050.85 | 8 |
| Somatosensory testing CPT 95927 | $1,316.25 | $3,375.00 | $212.47 – $416.45 | 8 |
| Somatropin injection HCPCS J2941 | not published | not published | $295.13 – $565.88 | 2 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $2,989.55 – $5,859.52 | 8 |
| So neo gsap dna mcrstl ins CPT 81457 | $4,563.00 | $11,700.00 | $896.87 – $1,757.87 | 8 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $25.05 – $49.09 | 9 |
| Sp bone agrft morsel add-on CPT 20937 | not published | not published | $3,391.00 – $8,448.00 | 2 |
| Sp bone agrft struct add-on CPT 20938 | not published | not published | $3,391.00 – $8,448.00 | 2 |
| Sp bone algrft morsel add-on CPT 20930 | $803.40 | $2,060.00 | $2,665.00 – $3,391.00 | 2 |
| Special physics consult CPT 77370 | $477.75 | $1,225.00 | $132.26 – $259.23 | 8 |
| Special radiation dosimetry CPT 77331 | $353.34 | $906.00 | $44.14 – $259.23 | 9 |
| Special radiation treatment CPT 77470 | $1,515.93 | $3,887.00 | $89.89 – $1,065.68 | 9 |
| Special teletx port plan CPT 77321 | $696.93 | $1,787.00 | $101.32 – $722.16 | 9 |
| Specific gravity body fluid CPT 84315 | $33.15 | $85.00 | $3.28 – $6.43 | 9 |
| Specimen fat stain CPT 89125 | $102.96 | $264.00 | $5.88 – $11.52 | 9 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $244.14 | $626.00 | $228.48 – $447.82 | 8 |
| Speech audiometry complete CPT 92556 | $172.77 | $443.00 | $58.05 – $113.78 | 8 |
| Speech evaluation complex CPT 70371 | $598.26 | $1,534.00 | $110.30 – $460.19 | 9 |
| Speech recep thresh CPT 92555 | $130.26 | $334.00 | $58.05 – $113.78 | 8 |
| Speech Therapy Session (one-on-one) CPT 92507 | $172.77 | $443.00 | $76.87 – $150.67 | 8 |
| Sperm antibody test CPT 89325 | not published | not published | $10.67 – $20.91 | 9 |
| Sperm evaluation test CPT 89329 | not published | not published | $19.59 – $38.40 | 9 |
| Sperm identification CPT 89257 | $88.14 | $226.00 | $51.28 – $100.51 | 9 |
| Sperm isolation complex CPT 89261 | not published | not published | $51.28 – $100.51 | 9 |
| Sperm isolation simple CPT 89260 | not published | not published | $51.28 – $100.51 | 9 |
| Sperm washing 58323 CPT 58323 | not published | not published | $198.94 – $2,665.00 | 9 |
| Sphenoid sinus surgery CPT 31051 | not published | not published | $2,323.00 – $11,889.00 | 10 |
| Sphincteroplasty inc/prolapse adult 46750 CPT 46750 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Spinal bone allograftstructural 20931 CPT 20931 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Spinal bone autograftlocal 20936 CPT 20936 | not published | not published | $3,391.00 – $8,448.00 | 2 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,049.06 | $5,254.00 | $694.60 – $4,066.00 | 9 |
| Spine device implant surgery HCPCS C9757 | not published | not published | $6,760.00 – $24,761.74 | 9 |
| Spine X-ray (single view, one level) CPT 72020 | $182.13 | $467.00 | $32.69 – $167.84 | 9 |
| Spirmtry w/brnchdil inf-2 yr CPT 94012 | not published | not published | $212.47 – $416.45 | 8 |
| Spirometry up to 2 yrs old CPT 94011 | not published | not published | $126.62 – $248.17 | 8 |
| Spleen imaging CPT 78185 | $773.76 | $1,984.00 | $393.38 – $771.03 | 9 |
| Splenectomy total open 38100 CPT 38100 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Splice spleen/kidney veins CPT 37181 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Splicing of ureters CPT 50770 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $418.94 | $1,074.20 | not published | 0 |
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,560.66 | $11,694.00 | $1,694.00 – $8,448.00 | 10 |
| Split blood or products CPT 86985 | $157.95 | $405.00 | $17.39 – $328.59 | 9 |
| Splt agrft f/s/n/h/f/g/m ea CPT 15121 | not published | not published | $1,937.00 – $5,809.00 | 3 |
| Sprchoroidal spc njx rx agt CPT 67516 | $453.57 | $1,163.00 | $325.03 – $2,665.00 | 9 |
| Sputum specimen collection CPT 89220 | not published | not published | $19.80 – $328.59 | 9 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $3,382.47 | $8,673.00 | $4,146.34 – $10,852.15 | 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.