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 |
|---|---|---|---|---|
| Tbs techl prep&transmis data CPT 77090 | not published | not published | $88.39 – $163.53 | 6 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $115.05 | $295.00 | $100.00 – $185.00 | 7 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $123.24 | $316.00 | $61.98 – $114.66 | 7 |
| Tc-99m apcitide diag HCPCS A9504 | $2,081.04 | $5,336.00 | $784.05 – $784.05 | 1 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $1,883.62 – $1,883.62 | 1 |
| Tc-99m bicisate HCPCS A9557 | $1,357.59 | $3,481.00 | $775.52 – $1,434.71 | 6 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $1,256.28 – $1,256.28 | 1 |
| Tc-99m diag per dose HCPCS A4641 | $226.98 | $582.00 | not published | 0 |
| Tc-99m disofenin HCPCS A9510 | $151.32 | $388.00 | $136.09 – $136.09 | 1 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,304.16 | $3,344.00 | $934.13 – $1,728.14 | 6 |
| Tc-99m exametazime diag HCPCS A9521 | $2,166.26 | $5,554.50 | $927.71 – $1,716.26 | 6 |
| Tc-99m fanolesomab diag HCPCS A9566 | $2,860.65 | $7,335.00 | not published | 0 |
| Tc-99m gluceptate HCPCS A9550 | $1,338.87 | $3,433.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $186.42 | $478.00 | $181.58 – $181.58 | 1 |
| Tc-99m maa HCPCS A9540 | $396.63 | $1,017.00 | $58.32 – $58.32 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $255.84 | $656.00 | $107.54 – $107.54 | 1 |
| Tc-99m medronate HCPCS A9503 | $122.46 | $314.00 | $25.27 – $25.27 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $387.66 | $994.00 | not published | 0 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $26.50 – $34.60 | 2 |
| Tc-99m oxidronate HCPCS A9561 | $80.73 | $207.00 | $85.54 – $85.54 | 1 |
| Tc-99m pentetate dtpa HCPCS A9539 | $95.94 | $246.00 | $60.92 – $60.92 | 1 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $123.24 | $316.00 | $33.01 – $33.01 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $85.97 | $220.44 | $3.30 – $3.30 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $128.31 | $329.00 | $124.52 – $124.52 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $387.66 | $994.00 | $178.73 – $178.73 | 1 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,578.33 | $4,047.00 | $659.93 – $1,220.87 | 6 |
| Tc-99m sulfur colloid HCPCS A9541 | $169.26 | $434.00 | $519.79 – $519.79 | 1 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $212.94 | $546.00 | $165.78 – $165.78 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | $930.54 | $2,386.00 | $1,286.19 – $1,286.19 | 1 |
| Tca peel dermal 15789 CPT 15789 | $2,531.49 | $6,491.00 | $750.69 – $2,665.00 | 7 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $106.19 – $196.45 | 6 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $106.19 – $196.45 | 6 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $1,145.91 – $1,145.91 | 1 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $448.11 – $2,665.00 | 7 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $313.20 | $803.07 | $46.98 – $86.91 | 7 |
| T cells absolute cd 4 count CPT 86361 | $182.91 | $469.00 | $26.78 – $49.54 | 7 |
| T cells total count CPT 86359 | $145.86 | $374.00 | $37.73 – $69.80 | 7 |
| Tcranial magn stim tx deli CPT 90868 | $389.22 | $998.00 | $219.32 – $405.73 | 6 |
| Tcranial magn stim tx plan CPT 90867 | $386.88 | $992.00 | $219.32 – $405.73 | 6 |
| Tcran magn stim redetemine CPT 90869 | $386.88 | $992.00 | $219.32 – $405.73 | 6 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $217.09 – $401.61 | 6 |
| Tee w or without fol w/cont,cong HCPCS C8926 | not published | not published | $796.24 – $1,473.04 | 6 |
| Tee w or without fol w/cont, mon HCPCS C8927 | not published | not published | $796.24 – $1,473.04 | 6 |
| Teflon or equal cable lining HCPCS L6665 | not published | not published | $56.38 – $104.30 | 6 |
| Telavancin injection HCPCS J3095 | not published | not published | $7.11 – $16.77 | 7 |
| Telehealth original site facility fee HCPCS Q3014 | $71.37 | $183.00 | not published | 0 |
| Telethx isodose plan cplx CPT 77307 | $1,526.85 | $3,915.00 | $321.94 – $703.58 | 7 |
| Telethx isodose plan simple CPT 77306 | $1,368.51 | $3,509.00 | $178.14 – $703.58 | 7 |
| Temozolomide HCPCS J8700 | not published | not published | $0.51 – $0.51 | 1 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.39 – $27.59 | 7 |
| Temperature gradient studies CPT 93740 | not published | not published | $130.69 – $241.79 | 6 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $5,063.00 – $7,487.00 | 2 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $26.71 – $93.68 | 7 |
| Tendon lengthening CPT 26476 | not published | not published | $1,308.00 – $6,148.32 | 8 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $2,323.00 – $8,448.00 | 8 |
| Tendon shortening CPT 26477 | not published | not published | $1,308.00 – $6,148.32 | 8 |
| Tendon transfer with graft CPT 26492 | not published | not published | $1,937.00 – $8,448.00 | 8 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $172.22 – $357.11 | 7 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $4,852.43 – $7,011.13 | 2 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $1,937.00 – $13,634.93 | 8 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $1,937.00 – $6,148.32 | 8 |
| Tenolysis triceps CPT 24332 | not published | not published | $3,323.41 – $8,448.00 | 7 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $1,937.00 – $13,634.93 | 8 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $1,633.26 – $5,272.00 | 8 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $3,323.41 – $15,026.00 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $1,694.00 – $6,179.00 | 8 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $1,633.26 – $6,179.00 | 7 |
| Tension based scoliosis orth HCPCS L1005 | not published | not published | $3,954.81 – $7,316.40 | 6 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $4.08 – $4.08 | 1 |
| Teriparatide injection HCPCS J3110 | not published | not published | $97.85 – $97.85 | 1 |
| Term dev auto grasp feature HCPCS L6881 | not published | not published | $5,061.33 – $9,363.46 | 6 |
| Term device, multi art digit HCPCS L6715 | not published | not published | $3,908.64 – $7,230.98 | 6 |
| Term dev mech hand vol close HCPCS L6709 | not published | not published | $1,483.22 – $2,743.96 | 6 |
| Term dev mech hand vol open HCPCS L6708 | not published | not published | $1,029.27 – $1,904.15 | 6 |
| Term dev mech hook vol close HCPCS L6707 | not published | not published | $1,574.47 – $2,912.77 | 6 |
| Term dev mech hook vol open HCPCS L6706 | not published | not published | $427.16 – $790.25 | 6 |
| Term dev modifier wrist unit HCPCS L6805 | not published | not published | $416.53 – $770.58 | 6 |
| Term dev, passive hand mitt HCPCS L6703 | not published | not published | $445.07 – $823.38 | 6 |
| Term dev precision pinch dev HCPCS L6810 | not published | not published | $236.08 – $436.75 | 6 |
| Term dev, sport/rec/work att HCPCS L6704 | not published | not published | $716.96 – $1,326.38 | 6 |
| Tert gene targeted seq alys CPT 81345 | $304.59 | $781.00 | $185.20 – $342.62 | 7 |
| Test for chlorohydrocarbons CPT 82441 | $866.97 | $2,223.00 | $6.01 – $11.12 | 7 |
| Test for porphobilinogen CPT 84106 | $77.22 | $198.00 | $5.82 – $10.77 | 7 |
| Test for urine cystines CPT 82615 | $139.62 | $358.00 | $9.55 – $17.67 | 7 |
| Testicular imaging w/vasc flow CPT 78761 | $296.40 | $760.00 | $406.05 – $751.20 | 7 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $204.40 – $204.40 | 1 |
| Testosterone response panel CPT 80414 | not published | not published | $51.64 – $95.53 | 7 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $2.07 – $4.40 | 7 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $59.67 | $153.00 | $30.60 – $110.85 | 7 |
| Test sock elbw disart/above HCPCS L6682 | not published | not published | $314.04 – $580.97 | 6 |
| Test socket above knee HCPCS L5624 | not published | not published | $445.08 – $823.40 | 6 |
| Test socket below knee HCPCS L5620 | not published | not published | $340.36 – $629.67 | 6 |
| Test socket hemipelvectomy HCPCS L5628 | not published | not published | $624.13 – $1,154.64 | 6 |
| Test socket hip disarticulat HCPCS L5626 | not published | not published | $583.70 – $1,079.84 | 6 |
| Test socket knee disarticula HCPCS L5622 | not published | not published | $443.82 – $821.07 | 6 |
| Test socket shldr disart/tho HCPCS L6684 | not published | not published | $426.74 – $789.47 | 6 |
| Test socket symes HCPCS L5618 | not published | not published | $366.46 – $677.95 | 6 |
| Test sock wrist disart/bel e HCPCS L6680 | not published | not published | $284.03 – $525.46 | 6 |
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.