Wellstar Kennestone Hospital
677 Church Street, Marietta, GA · Wellstar Health System · · NPI 1649248626
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 |
|---|---|---|---|---|
| Shoe lift elev heel/sole neo HCPCS L3310 | not published | not published | $100.58 – $186.07 | 6 |
| Shoe metatarsal bar between HCPCS L3410 | not published | not published | $114.74 – $212.27 | 6 |
| Shoe metatarsal bar wedge ro HCPCS L3400 | not published | not published | $50.31 – $93.07 | 6 |
| Shoe outflare wedge HCPCS L3390 | not published | not published | $61.30 – $113.40 | 6 |
| Shoe post-op mens m HCPCS L3260 | $49.25 | $126.27 | not published | 0 |
| Shoe sole wedge between sole HCPCS L3370 | not published | not published | $61.30 – $113.40 | 6 |
| Shoe sole wedge outside sole HCPCS L3360 | not published | not published | $44.00 – $81.40 | 6 |
| Shoe wedge sach HCPCS L3340 | not published | not published | $105.33 – $194.86 | 6 |
| Sho heel count plast reinfor HCPCS L3430 | not published | not published | $198.00 – $366.30 | 6 |
| Sho insert w arch toe filler HCPCS L5000 | not published | not published | $647.90 – $1,198.62 | 6 |
| Sho lift taper to metatarsal HCPCS L3300 | not published | not published | $64.41 – $119.16 | 6 |
| Shortening of hand tendon CPT 26479 | not published | not published | $1,308.00 – $6,148.32 | 8 |
| Shortening of thigh bone CPT 27465 | not published | not published | $6,760.00 – $15,026.00 | 7 |
| 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 – $13,634.93 | 8 |
| Shorten radius & ulna CPT 25392 | not published | not published | $1,937.00 – $13,634.93 | 8 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $121.29 | $311.00 | $73.13 – $135.29 | 6 |
| Shoulder abduction joint pai HCPCS L6640 | not published | not published | $408.59 – $755.89 | 6 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $271.44 | $696.00 | $57.20 – $163.53 | 7 |
| Shoulder Arthroscopy (Rotator Cuff Repair) CPT 29827 | not published | not published | $2,664.00 – $15,026.00 | 8 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $238.68 | $612.00 | $48.22 – $196.45 | 7 |
| Shoulder flexion-abduction j HCPCS L6645 | not published | not published | $491.37 – $909.03 | 6 |
| Shoulder harness HCPCS L5699 | not published | not published | $289.51 – $535.59 | 6 |
| Shoulder lock actuator HCPCS L6647 | not published | not published | $642.83 – $1,189.24 | 6 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,061.54 | $5,286.00 | $354.36 – $655.56 | 6 |
| Shoulder MRI (with contrast) CPT 73222 | $1,743.30 | $4,470.00 | $682.25 – $1,473.04 | 6 |
| Shoulder MRI (without contrast) CPT 73221 | $1,549.08 | $3,972.00 | $242.35 – $448.35 | 6 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $5,809.00 – $13,634.93 | 7 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $5,809.00 – $13,634.93 | 7 |
| Shoulder universal joint HCPCS L6650 | not published | not published | $510.16 – $943.80 | 6 |
| Shoulder X-ray CPT 73030 | $276.90 | $710.00 | $44.95 – $163.53 | 7 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $201.63 | $517.00 | $34.33 – $163.53 | 7 |
| Shrinker prosth above knee HCPCS L8460 | not published | not published | $89.33 – $165.26 | 6 |
| Shrinker prosth below knee HCPCS L8440 | not published | not published | $64.18 – $118.73 | 6 |
| Shrinker upper limb HCPCS L8465 | not published | not published | $79.62 – $147.30 | 6 |
| 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 | $106.19 – $294.84 | 7 |
| 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 – $22.61 | 7 |
| Sialography s&i CPT 70390 | $376.35 | $965.00 | $171.59 – $448.35 | 7 |
| Sialolithotomy 42330 CPT 42330 | $1,959.75 | $5,025.00 | $3,367.56 – $6,229.98 | 7 |
| Sickling rbc CPT 85660 | $65.91 | $169.00 | $5.51 – $10.19 | 7 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $944.57 – $4,066.00 | 8 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $944.57 – $5,272.00 | 8 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,215.44 – $5,272.00 | 8 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $944.57 – $4,066.00 | 8 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,215.44 – $5,272.00 | 7 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,374.75 | $3,525.00 | $1,215.44 – $5,272.00 | 8 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $3,391.00 – $11,407.64 | 7 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,819.28 – $5,272.00 | 7 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,215.44 – $5,272.00 | 8 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $1,740.57 | $4,463.00 | $944.57 – $5,272.00 | 8 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,215.44 – $5,272.00 | 8 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $944.57 – $4,066.00 | 8 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $813.93 | $2,087.00 | $59.92 – $110.85 | 6 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,215.44 – $5,272.00 | 8 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.51 – $0.51 | 1 |
| Silicon gel insert w/wo lock HCPCS L6692 | not published | not published | $684.63 – $1,266.57 | 6 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,725.59 – $21,692.34 | 6 |
| Simple cystometrogram 51725 CPT 51725 | $396.63 | $1,017.00 | $253.77 – $2,665.00 | 8 |
| 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 | $106.19 – $196.45 | 6 |
| Single pivot hinge pair HCPCS L6605 | not published | not published | $226.75 – $419.49 | 6 |
| Single transfer toe-hand CPT 26553 | not published | not published | $1,694.00 – $13,634.93 | 8 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,610.70 | $4,130.00 | $178.16 – $329.59 | 6 |
| Sinus CT scan (with contrast) CPT 70487 | $1,473.03 | $3,777.00 | $178.16 – $329.59 | 6 |
| Sinus CT scan (without contrast) CPT 70486 | $1,319.37 | $3,383.00 | $106.19 – $196.45 | 6 |
| Sinus/juglr venogram s&i CPT 75860 | $1,971.06 | $5,054.00 | $201.82 – $5,933.13 | 7 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $1,694.00 – $6,229.98 | 8 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $2,323.00 – $11,889.00 | 8 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,694.00 – $11,889.00 | 8 |
| Sinus X-ray (complete) CPT 70220 | $375.57 | $963.00 | $57.20 – $163.53 | 7 |
| Sinus X-ray (limited) CPT 70210 | $218.40 | $560.00 | $48.22 – $163.53 | 7 |
| Sio flex pelvisacral custom HCPCS L0622 | not published | not published | $298.76 – $552.71 | 6 |
| Sio rig pnl pelv/sac pre ots HCPCS L0623 | not published | not published | $137.13 – $253.69 | 6 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $55,272.32 – $140,228.73 | 7 |
| 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 – $156.46 | 6 |
| Six volt bat otto bock/eq ea HCPCS L7360 | not published | not published | $292.13 – $540.44 | 6 |
| 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 | 8 |
| Skin Biopsy CPT 11102 | $560.04 | $1,436.00 | $412.90 – $2,665.00 | 7 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,190.24 | $5,616.00 | $1,937.00 – $6,179.00 | 8 |
| 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 | 8 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,937.00 – $5,272.00 | 8 |
| 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 – $54.35 | 7 |
| 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 – $196.45 | 7 |
| Skull X-ray (complete) CPT 70260 | $412.23 | $1,057.00 | $64.55 – $196.45 | 7 |
| 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 – $323.40 | 7 |
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.