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 |
|---|---|---|---|---|
| Afo supramalleolar custom HCPCS L1907 | not published | not published | $695.27 – $1,286.25 | 6 |
| Afo tib fx cast molded to pt HCPCS L2108 | not published | not published | $1,227.78 – $2,271.39 | 6 |
| Afo tib fx cast plaster mold HCPCS L2106 | not published | not published | $781.31 – $1,445.42 | 6 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | not published | not published | $666.99 – $1,233.93 | 6 |
| Afo tibial fracture rigid HCPCS L2116 | not published | not published | $878.76 – $1,625.71 | 6 |
| Afo tibial fracture soft HCPCS L2112 | not published | not published | $582.98 – $1,078.51 | 6 |
| Afo, walk boot type, cus fab HCPCS L4631 | not published | not published | $1,843.94 – $3,411.29 | 6 |
| Afo w/ankle joint, prefab HCPCS L1971 | not published | not published | $579.17 – $1,071.46 | 6 |
| After cataract laser surgery CPT 66821 | $721.89 | $1,851.00 | $558.64 – $4,066.00 | 8 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $230.15 – $526.66 | 7 |
| Ag detect nos ia single CPT 87450 | not published | not published | $17.38 – $30.23 | 2 |
| Air conduction bilat CPT 92552 | $81.12 | $208.00 | $135.14 – $250.01 | 6 |
| Air injection into abdomen 49400 CPT 49400 | $2,454.66 | $6,294.00 | $1,308.00 – $3,391.00 | 3 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $484.38 | $1,242.00 | $130.69 – $241.79 | 6 |
| Ak 4 bar ling w/hydraul swig HCPCS L5613 | not published | not published | $3,083.91 – $5,705.23 | 6 |
| Ak 4 bar link w/fric swing HCPCS L5611 | not published | not published | $1,972.47 – $3,649.07 | 6 |
| Ak/bk self-aligning unit ea HCPCS L5617 | not published | not published | $692.69 – $1,281.48 | 6 |
| Ak flex inner socket ext fra HCPCS L5651 | not published | not published | $1,470.22 – $2,719.91 | 6 |
| Ak/knee disartic acrylic soc HCPCS L5631 | not published | not published | $537.91 – $995.13 | 6 |
| Ak/knee disartic pelvic band HCPCS L5697 | not published | not published | $98.28 – $181.82 | 6 |
| Ak/knee disartic pelvic join HCPCS L5696 | not published | not published | $226.51 – $419.04 | 6 |
| Ak/knee disartic silesian ba HCPCS L5698 | not published | not published | $160.70 – $297.30 | 6 |
| Ak open end sach HCPCS L5321 | not published | not published | $4,881.34 – $9,030.48 | 6 |
| Ak pelvic control belt light HCPCS L5692 | not published | not published | $162.67 – $300.94 | 6 |
| Ak pelvic control belt pad/l HCPCS L5694 | not published | not published | $222.10 – $410.88 | 6 |
| Ak sleeve susp neoprene/equa HCPCS L5695 | not published | not published | $205.01 – $379.27 | 6 |
| Ak univ multiplex sys frict HCPCS L5616 | not published | not published | $1,666.52 – $3,083.06 | 6 |
| Albumin body fluid quantitative each specimen CPT 82042 | $91.65 | $235.00 | $7.78 – $14.39 | 7 |
| Albumin (human), 25%, 50ml HCPCS P9047 | not published | not published | $53.08 – $138.99 | 7 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $55.60 | 7 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | not published | not published | $53.08 – $138.99 | 7 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $27.80 | 7 |
| Albumin ischemia modified CPT 82045 | not published | not published | $33.94 – $62.79 | 7 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $139.62 | $358.00 | $5.78 – $10.69 | 7 |
| Albumin serum plasma or whole blood CPT 82040 | $53.82 | $138.00 | $4.95 – $9.16 | 7 |
| Albuterol comp con HCPCS J7610 | not published | not published | $2.34 – $2.34 | 1 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.97 – $0.97 | 1 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.36 – $0.36 | 1 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.30 – $0.30 | 1 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.13 – $0.13 | 1 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $36.27 | $93.00 | $17.27 – $31.95 | 7 |
| Alcohols biomarkers 3/more CPT 80322 | not published | not published | $17.64 – $17.64 | 1 |
| Alcohol/sub misuse assess HCPCS G2011 | not published | not published | $29.38 – $54.35 | 6 |
| Alcohol/subs interv 15-30mn HCPCS G0396 | not published | not published | $38.06 – $70.41 | 6 |
| Alcohol/subs interv >30 min HCPCS G0397 | not published | not published | $180.28 – $333.53 | 6 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $3,338.87 – $10,057.44 | 7 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $125.50 – $232.18 | 7 |
| Alefacept HCPCS J0215 | not published | not published | $79.37 – $79.37 | 1 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,429.89 – $5,694.85 | 7 |
| Alglucerase injection HCPCS J0205 | not published | not published | $80.11 – $80.11 | 1 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $310.24 – $515.06 | 3 |
| Alkaline phosphatase CPT 84075 | $65.91 | $169.00 | $5.18 – $9.58 | 7 |
| Allergen alpha lactalbumin ige CPT 86008 | $33.93 | $87.00 | $17.93 – $33.17 | 7 |
| Allergen egg white ige CPT 86003 | $37.05 | $95.00 | $5.22 – $9.66 | 7 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $53.82 | $138.00 | $7.97 – $14.74 | 7 |
| Allergy injections; 2 or more 95117 CPT 95117 | $37.44 | $96.00 | $47.56 – $87.99 | 6 |
| Allergy injection; single 95115 CPT 95115 | $51.48 | $132.00 | $47.56 – $87.99 | 6 |
| Allergy Skin Testing CPT 95004 | $53.43 | $137.00 | $872.23 – $1,613.63 | 6 |
| Allg patch or app # of tests 95044 CPT 95044 | $39.00 | $100.00 | $872.23 – $1,613.63 | 6 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $5,809.00 – $24,124.78 | 7 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $32.50 – $32.50 | 1 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $126.40 – $233.84 | 6 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $126.40 – $233.84 | 6 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $22,121.61 | $56,722.08 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $58.30 – $233.84 | 6 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $18,284.60 | $46,883.60 | $126.40 – $233.84 | 6 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $126.40 – $233.84 | 6 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,609.35 | $4,126.54 | not published | 0 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $126.40 – $233.84 | 6 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $126.40 – $233.84 | 6 |
| Alloskin HCPCS Q4115 | not published | not published | $28.88 – $233.84 | 6 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $72.39 – $233.84 | 6 |
| All tstg perq&iq drugs/biol CPT 95018 | $41.34 | $106.00 | $37.94 – $70.19 | 6 |
| All tstg perq&iq w/venoms CPT 95017 | $41.34 | $106.00 | $29.38 – $54.35 | 6 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $5.46 – $12.03 | 7 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $64.41 – $119.16 | 7 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $17.00 – $31.45 | 7 |
| Alpha-fetoprotein tumor marker CPT 82105 | $199.68 | $512.00 | $16.77 – $31.02 | 7 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $19.97 – $19.97 | 1 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $49.02 – $49.02 | 1 |
| Als 1 HCPCS A0426 | $892.32 | $2,288.00 | $352.20 – $651.57 | 6 |
| Als1-emergency HCPCS A0427 | $1,288.56 | $3,304.00 | $557.65 – $1,031.65 | 6 |
| Als 2 HCPCS A0433 | $1,288.56 | $3,304.00 | $807.13 – $1,493.19 | 6 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | not published | not published | $94.45 – $233.94 | 7 |
| Alt/sgpt CPT 84460 | $62.01 | $159.00 | $5.30 – $9.80 | 7 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.66 – $8.63 | 6 |
| Aluminum - quest CPT 82108 | $227.76 | $584.00 | $25.48 – $47.14 | 7 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $3,367.56 – $6,229.98 | 7 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $1,743.30 | $4,470.00 | $96.56 – $178.64 | 6 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $26.59 – $26.59 | 1 |
| Ambl bp mntr w/sw a/r CPT 93788 | $161.46 | $414.00 | $135.14 – $250.01 | 6 |
| Amifostine HCPCS J0207 | not published | not published | $2,082.95 – $3,009.58 | 2 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $1.03 – $1.03 | 1 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $5.99 – $11.08 | 7 |
| Amino acid screen, urine CPT 82128 | $314.73 | $807.00 | $13.87 – $25.66 | 7 |
| Amino acid single qual CPT 82127 | not published | not published | $14.18 – $26.23 | 7 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $19.61 – $36.28 | 7 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.79 – $4.21 | 7 |
| Aminolevulinic acid delta CPT 82135 | $194.61 | $499.00 | $16.45 – $30.43 | 7 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $392.09 – $1,038.85 | 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.