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 |
|---|---|---|---|---|
| Srs cranial lesion complex CPT 61798 | not published | not published | $5,063.00 – $15,026.00 | 2 |
| Srs cranial lesion simple CPT 61796 | not published | not published | $5,063.00 – $15,026.00 | 2 |
| Srs cran les complex addl CPT 61799 | not published | not published | $5,063.00 – $5,272.00 | 2 |
| Srs cran les simple addl CPT 61797 | not published | not published | $5,063.00 – $5,272.00 | 2 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $175.40 – $343.78 | 9 |
| Srs linear based CPT 77372 | $18,301.53 | $46,927.00 | $2,488.03 – $14,205.31 | 9 |
| Srs multisource CPT 77371 | $61,542.78 | $157,802.00 | $2,827.00 – $14,205.31 | 9 |
| Srs spinal lesion CPT 63620 | not published | not published | $5,063.00 – $15,026.00 | 2 |
| Srs spinal lesion addl CPT 63621 | not published | not published | $5,063.00 – $5,272.00 | 2 |
| Staggered spondaic word test CPT 92572 | not published | not published | $126.62 – $248.17 | 8 |
| Staging lapro hodgkins disease/lymphoma 49220 CPT 49220 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $244.14 | $626.00 | $110.66 – $216.89 | 8 |
| Staph a dna amp probe CPT 87640 | $173.55 | $445.00 | $35.09 – $68.78 | 9 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $140.01 | $359.00 | $98.30 – $192.67 | 8 |
| Stem cells total count CPT 86367 | $109.20 | $280.00 | $66.10 – $152.45 | 9 |
| Stenger test pure tone CPT 92565 | not published | not published | $58.05 – $113.78 | 8 |
| Stenger test speech CPT 92577 | not published | not published | $367.20 – $719.70 | 8 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $17,598.75 | $45,125.00 | $6,389.00 – $56,095.00 | 2 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $46,500.48 | $119,232.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $1,322.36 | $3,390.66 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $26,466.66 | $67,863.22 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $12,394.20 | $31,780.00 | $6,389.00 – $16,710.00 | 2 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $5,454.93 | $13,987.00 | $3,391.00 – $15,026.00 | 2 |
| Stent placemt retro carotid CPT 37217 | not published | not published | $5,809.00 – $6,859.00 | 2 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $10,995.27 | $28,193.00 | $6,389.00 – $16,710.00 | 2 |
| Stereoscopic x-ray guidance HCPCS G6002 | not published | not published | $128.28 – $248.14 | 2 |
| Stereotactic bx aspir/exc burr intracranial les 61750 CPT 61750 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Sterile water/saline, 10 ml HCPCS A4216 | $13.32 | $34.16 | not published | 0 |
| Sterile water/saline, 500 ml HCPCS A4217 | $12.17 | $31.20 | not published | 0 |
| Sternal debridement CPT 21627 | not published | not published | $3,219.72 – $15,026.00 | 9 |
| St evaluate speech sound production CPT 92522 | $244.14 | $626.00 | $107.14 – $209.99 | 8 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $334.23 | $857.00 | $86.86 – $170.25 | 8 |
| Stimulants synthetic CPT 80371 | not published | not published | $29.32 – $29.32 | 1 |
| Stimulation of spinal cord CPT 63610 | not published | not published | $1,308.00 – $5,272.00 | 10 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $982.80 | $2,520.00 | $393.38 – $920.78 | 9 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $65.18 – $328.59 | 9 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $65.18 – $328.59 | 9 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $65.18 – $328.59 | 9 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $65.18 – $328.59 | 9 |
| Stot/tot hysterectomy after cesaren delivery 59525 CPT 59525 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $392.34 | $1,006.00 | $159.90 – $2,665.00 | 9 |
| Strapping of chest CPT 29200 | $365.43 | $937.00 | $159.90 – $2,665.00 | 9 |
| Strapping of elbow or wrist 29260 CPT 29260 | $145.86 | $374.00 | $58.05 – $2,665.00 | 9 |
| Strapping of hand or finger CPT 29280 | $292.11 | $749.00 | $58.05 – $2,665.00 | 9 |
| Strapping of hip CPT 29520 | $381.81 | $979.00 | $130.92 – $2,665.00 | 9 |
| Strapping of knee CPT 29530 | $343.98 | $882.00 | $130.92 – $2,665.00 | 9 |
| Strapping of toes 29550 CPT 29550 | $183.30 | $470.00 | $58.05 – $2,665.00 | 9 |
| Strep a ag ia CPT 87430 | $81.51 | $209.00 | $16.81 – $32.95 | 9 |
| Strep a dna dir probe CPT 87650 | $96.72 | $248.00 | $20.05 – $39.30 | 9 |
| Strep a dna quant CPT 87652 | not published | not published | $41.76 – $81.85 | 9 |
| Strep b assay w/optic CPT 87802 | $46.41 | $119.00 | $12.73 – $24.95 | 9 |
| Strep b dna amp probe CPT 87653 | $51.32 | $131.59 | $35.09 – $68.78 | 9 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $151.53 – $151.53 | 1 |
| Streptokinase antibody CPT 86590 | not published | not published | $12.66 – $24.81 | 9 |
| Streptomycin injection HCPCS J3000 | not published | not published | $53.86 – $53.86 | 1 |
| Streptozocin injection HCPCS J9320 | not published | not published | $678.96 – $1,280.82 | 3 |
| Stress test pulmonary CPT 94618 | $424.32 | $1,088.00 | $130.92 – $256.61 | 8 |
| Stress tte complete CPT 93351 | $1,196.13 | $3,067.00 | $537.68 – $1,053.86 | 8 |
| Str markers spec anal addl CPT 81266 | $1,110.72 | $2,848.00 | $304.81 – $597.43 | 9 |
| Str markers specimen anal CPT 81265 | $1,477.32 | $3,788.00 | $233.07 – $456.82 | 9 |
| Subdural tap fontanelle/sutur infant init 61000 CPT 61000 | not published | not published | $694.60 – $4,066.00 | 9 |
| Subq njx filling matrl 1cc/< CPT 11950 | $136.50 | $350.00 | $197.43 – $2,665.00 | 9 |
| Subq njx fil matrl 5.1-10cc CPT 11952 | not published | not published | $727.26 – $2,665.00 | 9 |
| Subsequent repair of nerve CPT 64872 | not published | not published | $1,694.00 – $4,714.00 | 3 |
| Subtalar arthro w/deb CPT 29906 | not published | not published | $3,219.72 – $8,448.00 | 9 |
| Subtalar arthro w/exc CPT 29905 | not published | not published | $5,809.00 – $13,994.93 | 9 |
| Subtalar arthro w/fb rmvl CPT 29904 | not published | not published | $3,219.72 – $8,448.00 | 9 |
| Subtalar arthro w/fusion CPT 29907 | not published | not published | $5,809.00 – $24,761.74 | 9 |
| Subtemporal cranial dcmprn CPT 61340 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | not published | not published | $1.56 – $1.56 | 1 |
| Suction lipectomy head&neck CPT 15876 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Suction lipectomy lwr extrem CPT 15879 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Suction lipectomy trunk CPT 15877 | not published | not published | $1,937.00 – $8,448.00 | 10 |
| Suction lipectomy upr extrem CPT 15878 | not published | not published | $1,937.00 – $5,272.00 | 10 |
| Sugars multiple quant CPT 84379 | not published | not published | $11.53 – $22.60 | 9 |
| Sugars single quant CPT 84378 | not published | not published | $11.53 – $22.60 | 9 |
| Sulfonylurea screen qn-sendout CPT 80377 | not published | not published | $29.66 – $29.66 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | not published | $95.26 – $95.26 | 1 |
| Sup of prep of antigen # of vials 95144 CPT 95144 | not published | not published | $46.08 – $90.31 | 8 |
| Supply of digital device HCPCS G0552 | not published | not published | $131.01 – $256.78 | 8 |
| Supprelin la implant HCPCS J9226 | not published | not published | $45,020.65 – $113,425.62 | 9 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $1,694.00 – $5,353.37 | 10 |
| Surg ect salp-oophorectomy 59120 CPT 59120 | not published | not published | $5,809.00 – $8,448.00 | 2 |
| Surg ect without salp-oophorectomy 59121 CPT 59121 | not published | not published | $2,664.00 – $8,448.00 | 3 |
| Surgery for urethra pouch CPT 53240 | not published | not published | $1,694.00 – $8,448.00 | 10 |
| Surgery of pancreatic cyst CPT 48500 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Surgery to stop leg growth CPT 27475 | not published | not published | $6,389.00 – $13,994.93 | 9 |
| Surgery to stop leg growth CPT 27477 | not published | not published | $6,760.00 – $13,994.93 | 9 |
| Surgery to stop leg growth CPT 27479 | not published | not published | $6,389.00 – $13,994.93 | 9 |
| Surgery to stop leg growth CPT 27485 | not published | not published | $6,760.00 – $13,994.93 | 9 |
| Surgical exposure prostate 55860 CPT 55860 | not published | not published | $1,937.00 – $10,341.20 | 10 |
| Surgical opening esophagus CPT 43351 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Surgical opening esophagus CPT 43352 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Surgical opening of stomach CPT 43510 | not published | not published | $892.49 – $5,272.00 | 9 |
| Surgical opening of stomach 43500 CPT 43500 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Surgical opening of throat CPT 42955 | not published | not published | $1,526.79 – $5,272.00 | 10 |
| Surgical pathology level 1 gross examination only CPT 88300 | $135.33 | $347.00 | $13.34 – $55.78 | 9 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $175.11 | $449.00 | $19.80 – $72.04 | 9 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $270.27 | $693.00 | $41.46 – $100.51 | 9 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $328.38 | $842.00 | $41.46 – $100.51 | 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.