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 |
|---|---|---|---|---|
| Desoxycorticosterone CPT 82633 | not published | not published | $30.98 – $57.31 | 7 |
| Des thora aorta/ea add prox prosth 33884 CPT 33884 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $5,698.68 | $14,612.00 | $5,063.00 – $6,859.00 | 2 |
| Des thor aorta/prox ext prosth/ini 33883 CPT 33883 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Dest mal lesion feenlm <0.5cm 17280 CPT 17280 | not published | not published | $203.79 – $2,665.00 | 7 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $1,773.33 | $4,547.00 | $203.79 – $2,665.00 | 7 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $355.29 | $911.00 | $203.79 – $2,665.00 | 7 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $222.30 | $570.00 | $203.79 – $2,665.00 | 7 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $229.32 | $588.00 | $203.79 – $2,665.00 | 7 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $171.60 | $440.00 | $203.79 – $2,665.00 | 7 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $46.41 | $119.00 | $203.79 – $2,665.00 | 7 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $222.30 | $570.00 | $203.79 – $2,665.00 | 7 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $171.60 | $440.00 | $203.79 – $2,665.00 | 7 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $222.30 | $570.00 | $203.79 – $2,665.00 | 7 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $4,326.27 | $11,093.00 | $1,983.41 – $6,179.00 | 7 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,441.44 | $3,696.00 | $2,665.00 – $3,391.00 | 2 |
| Destroy internal hemorrhoids destroy 46930 CPT 46930 | not published | not published | $1,215.44 – $4,066.00 | 7 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $89.70 | $230.00 | $203.79 – $2,665.00 | 8 |
| Destroy vulva lesion extensive 56515 CPT 56515 | not published | not published | $1,937.00 – $5,272.00 | 8 |
| Destroy vulva lesion simple 56501 CPT 56501 | $4,077.84 | $10,456.00 | $1,308.00 – $5,272.00 | 8 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $173.16 | $444.00 | $203.79 – $2,665.00 | 7 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $789.75 | $2,025.00 | $750.69 – $2,665.00 | 7 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $355.29 | $911.00 | $412.90 – $2,665.00 | 7 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $737.10 | $1,890.00 | $2,095.70 – $5,272.00 | 7 |
| Destruction 2-14 lesions 17003 CPT 17003 | $1,122.03 | $2,877.00 | $2,665.00 – $3,391.00 | 2 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $2,095.70 – $5,272.00 | 7 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $1,308.00 – $6,179.00 | 8 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $340.86 | $874.00 | $412.90 – $2,665.00 | 7 |
| Destruction benign lesions < 14 lesions CPT 17110 | $2,690.22 | $6,898.00 | $203.79 – $2,665.00 | 7 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $2,143.44 | $5,496.00 | $898.37 – $4,066.00 | 8 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,441.44 | $3,696.00 | $2,665.00 – $3,391.00 | 2 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $4,326.27 | $11,093.00 | $1,983.41 – $6,179.00 | 7 |
| Destruction ciliary body CPT 66700 | not published | not published | $1,694.00 – $5,272.00 | 8 |
| Destruction ciliary body CPT 66720 | not published | not published | $1,694.00 – $6,179.00 | 8 |
| Destruction ciliary body CPT 66740 | not published | not published | $1,694.00 – $6,179.00 | 8 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $355.29 | $911.00 | $203.79 – $2,665.00 | 7 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $1,308.00 – $6,179.00 | 8 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $2,414.84 – $6,179.00 | 7 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $412.90 – $2,665.00 | 7 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $412.90 – $2,665.00 | 7 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $252.72 | $648.00 | $412.90 – $2,665.00 | 7 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $412.90 – $2,665.00 | 7 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $132.21 | $339.00 | $412.90 – $2,665.00 | 7 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $2,507.31 | $6,429.00 | $1,308.00 – $5,272.00 | 8 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $370.89 | $951.00 | $412.90 – $2,665.00 | 7 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $2,819.28 – $7,487.00 | 8 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $1,308.00 – $6,179.00 | 8 |
| Destruction vag lesions simple 57061 CPT 57061 | $6,276.66 | $16,094.00 | $1,308.00 – $6,179.00 | 8 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $2,507.31 | $6,429.00 | $2,095.70 – $5,272.00 | 7 |
| Detect agent nos dna dir CPT 87797 | not published | not published | $30.03 – $55.56 | 7 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $43.67 – $80.79 | 7 |
| Devel tst phys/qhp 1st hr CPT 96112 | $393.12 | $1,008.00 | $130.69 – $241.79 | 6 |
| Device ablt adv novasure HCPCS C1886 | $16,765.60 | $42,988.72 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $4,298.87 | $11,022.75 | not published | 0 |
| Device intraute mirena HCPCS J7298 | not published | not published | $2,361.40 – $2,361.40 | 1 |
| Device sut capio slim opn HCPCS C2631 | $1,461.67 | $3,747.86 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $591.75 | $1,517.31 | not published | 0 |
| Devise bowel pouch CPT 44316 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $339.30 | $870.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $332.67 | $853.00 | $39.23 – $163.53 | 7 |
| Dexametha opth insert 0.1 mg HCPCS J1096 | not published | not published | $102.94 – $352.79 | 7 |
| Dexamethasone 0.4 mg/0.1 ml intraocular injection - cnr HCPCS J1095 | not published | not published | $2.23 – $2.44 | 2 |
| Dexamethasone 4 mg tablet HCPCS J8540 | not published | not published | $0.11 – $0.11 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | not published | not published | $0.21 – $0.21 | 1 |
| Dexamethasone intra implant HCPCS J7312 | not published | not published | $204.61 – $530.32 | 7 |
| Dexamethasone panel CPT 80420 | not published | not published | $122.06 – $299.48 | 7 |
| Dexmedetomidine film, 1 mcg HCPCS J1105 | not published | not published | $2.49 – $2.49 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | not published | not published | $63.06 – $480.23 | 7 |
| Dextran 40 infusion HCPCS J7100 | not published | not published | $75.90 – $75.90 | 1 |
| Dextran 75 infusion HCPCS J7110 | not published | not published | $27.68 – $27.68 | 1 |
| Dextroamphetamine HCPCS S0160 | not published | not published | $1.35 – $1.35 | 1 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | not published | not published | $2.25 – $2.25 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | not published | not published | $15.51 – $15.51 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | not published | not published | $3.43 – $3.43 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | not published | not published | $6.86 – $6.86 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $296.79 | $761.00 | $22.23 – $41.13 | 7 |
| Diabetes (HbA1c) Test CPT 83036 | $122.46 | $314.00 | $9.71 – $17.96 | 7 |
| Diabetes training group per 30 min g0109 HCPCS G0136 | not published | not published | $38.06 – $70.41 | 6 |
| Diab manage trn ind/group HCPCS G0109 | $54.99 | $141.00 | $16.24 – $30.04 | 6 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $1,694.00 – $5,272.00 | 8 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $1,937.00 – $11,889.00 | 8 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $453.74 – $2,665.00 | 7 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $1,215.44 – $5,272.00 | 7 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $1,365.00 | $3,500.00 | $135.14 – $2,665.00 | 7 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $276.98 – $426.58 | 3 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $44.46 | $114.00 | $216.52 – $543.39 | 3 |
| Diagnostic laryngoscopy 31505 CPT 31505 | $205.14 | $526.00 | $202.74 – $2,665.00 | 8 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $2,006.94 | $5,146.00 | $202.74 – $2,665.00 | 7 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $388.05 | $995.00 | $98.82 – $182.82 | 7 |
| Diagnostic Mammogram (one breast) CPT 77065 | $349.05 | $895.00 | $76.97 – $142.39 | 7 |
| Diagnostic radio unlisted proc CPT 76499 | $146.25 | $375.00 | $88.39 – $163.53 | 7 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $9,279.66 | $23,794.00 | $2,665.00 – $3,391.00 | 2 |
| Dialysis one evaluation CPT 90945 | $827.97 | $2,123.00 | $423.82 – $784.07 | 6 |
| Diathermy eg microwave CPT 97024 | $50.31 | $129.00 | $6.87 – $12.71 | 6 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $321.75 | $825.00 | $0.13 – $0.13 | 1 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | not published | not published | $16.30 – $16.30 | 1 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $28.40 – $28.40 | 1 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.46 – $0.46 | 1 |
| Diffusing capacity CPT 94729 | $541.71 | $1,389.00 | not published | 0 |
| Digit nerve surgery add-on CPT 64778 | not published | not published | $1,694.00 – $4,714.00 | 3 |
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.