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 |
|---|---|---|---|---|
| Brace afo dbl upright cust HCPCS L1990 | not published | not published | $541.86 – $1,002.44 | 6 |
| Brace afo lg left 6607 HCPCS L1930 | $318.48 | $816.62 | $271.84 – $502.90 | 6 |
| Brace afopos solid ankle cust HCPCS L1960 | not published | not published | $636.95 – $1,178.36 | 6 |
| Brace afo spiral prefab HCPCS L1951 | not published | not published | $1,037.71 – $1,919.76 | 6 |
| Brace ank aftr bioskn med lg HCPCS L1906 | not published | not published | $157.92 – $292.15 | 6 |
| Brace ank air stirrup univ HCPCS L4350 | not published | not published | $120.83 – $223.54 | 6 |
| Brace ankle joint dflxn assist HCPCS L2210 | not published | not published | $88.64 – $163.98 | 6 |
| Brace ankle stablizing lg HCPCS L1902 | not published | not published | $94.39 – $174.62 | 6 |
| Brace back epic lo 627 HCPCS L0642 | not published | not published | $319.33 – $590.76 | 6 |
| Brace back epic lso 637 HCPCS L0650 | not published | not published | $922.75 – $1,707.09 | 6 |
| Brace back epic tslo 456 HCPCS L0457 | not published | not published | $772.46 – $1,429.05 | 6 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $459.44 | $1,178.04 | $507.93 – $939.67 | 6 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $2,150.44 | $5,513.96 | $1,836.64 – $3,397.78 | 6 |
| Brace back t-lso custom HCPCS L0486 | $1,764.07 | $4,523.26 | $2,166.60 – $4,008.21 | 6 |
| Brace back vista 464 tlso HCPCS L0648 | not published | not published | $797.49 – $1,475.36 | 6 |
| Brace cust back lso HCPCS L0631 | $1,407.93 | $3,610.08 | $1,268.47 – $2,346.67 | 6 |
| Brace fx hum ovr shldr lg HCPCS L3981 | not published | not published | $1,131.90 – $2,094.02 | 6 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $420.76 | $1,078.88 | $347.63 – $643.12 | 6 |
| Brace halo bremer l2830 HCPCS L2830 | not published | not published | $112.21 – $207.59 | 6 |
| Brace kafo dbl upright cust HCPCS L2036 | not published | not published | $2,131.99 – $3,944.18 | 6 |
| Brace knee 32in univ t-scope short lt/rt HCPCS L1852 | not published | not published | $700.49 – $1,295.91 | 6 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,014.05 | $2,600.13 | $931.51 – $1,723.29 | 6 |
| Brace knee hing pat open med HCPCS L1820 | not published | not published | $148.99 – $275.63 | 6 |
| Brace knee playmaker ii x-rom hook and loop xl HCPCS L1833 | not published | not published | $556.31 – $1,029.17 | 6 |
| Brace knee postop tscope xl HCPCS L1845 | not published | not published | $1,157.34 – $2,141.08 | 6 |
| Brace knee support neoprene padded open patella med HCPCS L1810 | not published | not published | $149.59 – $276.74 | 6 |
| Brace m arm board HCPCS L3809 | not published | not published | $281.19 – $520.20 | 6 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $60.06 | $154.00 | $46.68 – $86.36 | 6 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $1,867.28 | $4,787.91 | $1,682.10 – $3,111.88 | 6 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $1,338.34 | $3,431.65 | $1,228.92 – $2,273.50 | 6 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $348.84 | $894.45 | $281.19 – $520.20 | 6 |
| Brace tlso flex cust HCPCS L0450 | not published | not published | $145.10 – $268.44 | 6 |
| Brace wrist classic lft sm HCPCS L3908 | $81.62 | $209.28 | $67.37 – $124.63 | 6 |
| Brachioplasty 15836 CPT 15836 | not published | not published | $1,937.00 – $5,458.16 | 8 |
| Brach/thor cath 1st CPT 36215 | $1,294.02 | $3,318.00 | $2,665.00 – $4,714.00 | 2 |
| Brach/thor cath 2nd CPT 36216 | $2,750.67 | $7,053.00 | $2,665.00 – $4,714.00 | 2 |
| Brach/thor cath 3rd CPT 36217 | $3,295.50 | $8,450.00 | $2,665.00 – $4,714.00 | 2 |
| Brach/thor cath addl CPT 36218 | $1,351.35 | $3,465.00 | $2,665.00 – $4,714.00 | 2 |
| Brachy source i-125 injection HCPCS C2638 | $36.57 | $93.77 | not published | 0 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $43.23 | $110.85 | not published | 0 |
| Brachy source palladium HCPCS C2640 | $182.53 | $468.03 | not published | 0 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $62.77 | $160.94 | not published | 0 |
| Brachy source yttrium-90 HCPCS C2616 | $33,271.98 | $85,312.77 | $17,771.01 – $32,876.37 | 6 |
| Brachy src nonstrand c-131 HCPCS C2643 | $80.25 | $205.76 | not published | 0 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $293.05 | $751.41 | $357.49 – $661.36 | 6 |
| Brachytx isodose complex CPT 77318 | $1,884.87 | $4,833.00 | $380.31 – $711.45 | 7 |
| Brachytx isodose intermed CPT 77317 | $829.14 | $2,126.00 | $349.73 – $703.58 | 7 |
| Brachytx isodose plan simple CPT 77316 | $1,324.83 | $3,397.00 | $268.84 – $703.58 | 7 |
| Braf gene CPT 81210 | $879.06 | $2,254.00 | $175.40 – $324.49 | 7 |
| Brain aneurysm repr complx CPT 61697 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Brain flow imaging only CPT 78610 | $187.20 | $480.00 | $383.22 – $1,020.28 | 7 |
| Brain image < 4 views CPT 78600 | $262.08 | $672.00 | $390.58 – $751.20 | 7 |
| Brain image 4+ views CPT 78605 | $1,061.19 | $2,721.00 | $416.72 – $1,020.28 | 7 |
| Brain image w/flow < 4 views CPT 78601 | $714.87 | $1,833.00 | $406.05 – $751.20 | 7 |
| Brain image w/flow 4 + views CPT 78606 | $1,186.77 | $3,043.00 | $551.50 – $1,111.74 | 7 |
| Brain imaging (3d) CPT 78607 | not published | not published | $701.88 – $1,401.42 | 2 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,914.51 | $4,909.00 | $354.36 – $655.56 | 6 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,671.93 | $4,287.00 | $354.36 – $655.56 | 6 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,429.35 | $3,665.00 | $242.35 – $448.35 | 6 |
| Brain MRI (with and without contrast) CPT 70553 | $2,393.04 | $6,136.00 | $354.36 – $655.56 | 6 |
| Brain MRI (with contrast) CPT 70552 | $1,983.93 | $5,087.00 | $354.36 – $655.56 | 6 |
| Brain MRI (without contrast) CPT 70551 | $1,825.59 | $4,681.00 | $242.35 – $448.35 | 6 |
| Bra surgical elizabeth pink sm HCPCS L8000 | not published | not published | $53.85 – $99.62 | 6 |
| Brca1&2 gene full seq alys CPT 81163 | $770.25 | $1,975.00 | $468.00 – $865.80 | 7 |
| Brca1&2 gen ful dup/del alys CPT 81164 | $960.96 | $2,464.00 | $584.23 – $1,080.83 | 7 |
| Brca1 dna gene analy known fam var CPT 81215 | $616.98 | $1,582.00 | $111.89 – $694.21 | 7 |
| Brca1 gene full dup/del alys CPT 81166 | $495.69 | $1,271.00 | $301.35 – $557.50 | 7 |
| Brca1 gene full seq alys CPT 81165 | $465.66 | $1,194.00 | $282.88 – $523.33 | 7 |
| Brca2 dna gene analy full seq analy CPT 81216 | $304.59 | $781.00 | $185.12 – $342.47 | 7 |
| Brca2 dna gene analy known fam var CPT 81217 | $616.98 | $1,582.00 | $111.89 – $694.21 | 7 |
| Brca2 gene full dup/del alys CPT 81167 | $465.66 | $1,194.00 | $282.88 – $523.33 | 7 |
| Brcassure ashkenazi panel-sendout CPT 81212 | $723.84 | $1,856.00 | $212.04 – $814.00 | 7 |
| Brcassure comprehensive panel-sendout CPT 81162 | $3,706.56 | $9,504.00 | $1,824.88 – $3,376.03 | 7 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $7,487.00 – $15,358.37 | 8 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,692.52 | $9,468.00 | $1,677.55 – $5,272.00 | 7 |
| Breastbone (Sternum) X-ray CPT 71120 | $309.27 | $793.00 | $44.14 – $163.53 | 7 |
| Breast prosthesis bra & form HCPCS L8001 | not published | not published | $155.28 – $287.27 | 6 |
| Breast prosthesis w adhesive HCPCS L8031 | not published | not published | $403.72 – $746.88 | 6 |
| Breast prosthes without adhesive HCPCS L8030 | not published | not published | $403.72 – $746.88 | 6 |
| Breast punct aspir cyst, bil CPT 19000 | $1,694.55 | $4,345.00 | $719.26 – $4,066.00 | 8 |
| Breast reconstruction CPT 19366 | not published | not published | $2,664.00 – $5,699.00 | 3 |
| Breast reconstruction 19357 CPT 19357 | $21,008.52 | $53,868.00 | $2,664.00 – $25,895.37 | 8 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $5,063.00 – $11,889.00 | 2 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Breast reduction CPT 19318 | not published | not published | $2,323.00 – $12,477.34 | 8 |
| Breath hydrogen test 91065 CPT 91065 | $459.81 | $1,179.00 | $219.32 – $2,665.00 | 7 |
| Breathing response hypoxia CPT 94450 | not published | not published | $130.69 – $241.79 | 6 |
| Breath recording infant CPT 94772 | $1,454.31 | $3,729.00 | $379.02 – $701.19 | 6 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $94.41 – $328.76 | 7 |
| Breath tst attain/anal c-14 CPT 78267 | $257.01 | $659.00 | $11.06 – $38.68 | 7 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $258.64 – $521.12 | 7 |
| Brexucabtagene car pos t HCPCS Q2053 | $1,055,251.95 | $2,705,774.23 | $0.03 – $1,120,791.00 | 7 |
| Brief chkin, 5-10, non-e/m HCPCS G2251 | not published | not published | $10.54 – $19.50 | 6 |
| Brief chkin by md/qhp, 11-20 HCPCS G2252 | not published | not published | $22.77 – $42.12 | 6 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $1.52 – $1.52 | 1 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $870.87 | $2,233.00 | $397.26 – $2,665.00 | 8 |
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.