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 |
|---|---|---|---|---|
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $3,224.91 | $8,269.00 | $921.24 – $5,272.00 | 7 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $944.57 – $1,747.46 | 6 |
| Gi trc img intral esophagus CPT 91111 | $1,545.57 | $3,963.00 | $921.24 – $5,272.00 | 7 |
| Gi wireless capsule measure CPT 91112 | $1,049.49 | $2,691.00 | $921.24 – $5,272.00 | 7 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $101.12 – $187.07 | 7 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $61.52 – $113.81 | 7 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $35.00 – $64.75 | 7 |
| Glassia injection HCPCS J0257 | not published | not published | $5.64 – $13.17 | 7 |
| Glaucoma scrn hgh risk direc HCPCS G0117 | not published | not published | $29.38 – $54.35 | 6 |
| Glaucoma scrn hgh risk direc HCPCS G0118 | not published | not published | $37.94 – $70.19 | 6 |
| Glaucoma surgery CPT 66150 | not published | not published | $2,323.00 – $7,766.99 | 8 |
| Glaucoma surgery CPT 66155 | not published | not published | $2,323.00 – $7,766.99 | 8 |
| Glaucoma surgery CPT 66160 | not published | not published | $1,694.00 – $6,179.00 | 8 |
| Glaucoma surgery CPT 66170 | not published | not published | $2,323.00 – $6,179.00 | 8 |
| Glove finger flexion right lg xl HCPCS L3912 | not published | not published | $108.07 – $199.93 | 6 |
| Glucagon 1 mg solution for injection HCPCS J1610 | not published | not published | $182.45 – $449.81 | 7 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | not published | not published | $148.99 – $275.63 | 6 |
| Glucagon plasma - sendout CPT 82943 | $205.92 | $528.00 | $14.29 – $26.44 | 7 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $46.07 – $85.23 | 7 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $50.50 – $93.43 | 7 |
| Glucagon tolerance test CPT 82946 | not published | not published | $17.77 – $32.87 | 7 |
| Glucose 1 hr post dose CPT 82950 | $77.61 | $199.00 | $4.75 – $8.79 | 7 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | not published | not published | $6.05 – $11.19 | 7 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $5.46 | $14.00 | $3.28 – $6.07 | 7 |
| Glucose blood quantitative CPT 82947 | $83.85 | $215.00 | $3.93 – $7.27 | 7 |
| Glucose body fluid CPT 82945 | $140.01 | $359.00 | $3.93 – $7.27 | 7 |
| Glucose monitoring continual min 72hr pt CPT 95249 | $73.32 | $188.00 | $59.92 – $110.85 | 6 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $189.54 | $486.00 | $12.87 – $23.81 | 7 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $48.36 | $124.00 | $3.92 – $7.25 | 7 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | not published | not published | $1.11 – $1.11 | 1 |
| Gold sodium thiomaleate inj HCPCS J1600 | not published | not published | $57.47 – $57.47 | 1 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | not published | not published | $11.04 – $39.78 | 7 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $219.18 | $562.00 | $18.58 – $34.37 | 7 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $148.41 – $274.56 | 7 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $253.11 | $649.00 | $18.52 – $34.26 | 7 |
| Gonioscopy CPT 92020 | $145.86 | $374.00 | $135.14 – $250.01 | 6 |
| Goniotomy CPT 65820 | not published | not published | $1,308.00 – $7,766.99 | 8 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | not published | not published | $733.66 – $1,456.55 | 7 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | not published | not published | $58.09 – $233.84 | 6 |
| Graft bone flex 2.5cm x 5cm grafton-cost per sq cm HCPCS Q4205 | not published | not published | $126.40 – $233.84 | 6 |
| Graft fish skin 16mm round marigen 2units-cost per sq cm HCPCS Q4158 | $17,618.72 | $45,176.20 | $126.40 – $233.84 | 6 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $1,937.00 – $8,448.00 | 8 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | not published | not published | $59.30 – $233.84 | 6 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | not published | not published | $1,454.05 – $1,454.05 | 1 |
| Graft nerve adv 3-4x70mm HCPCS C1762 | $24,646.06 | $63,195.03 | not published | 0 |
| Graft patch felt ptfe 2x2 HCPCS C1768 | $44,279.60 | $113,537.43 | not published | 0 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | not published | not published | $124.67 – $233.84 | 6 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $1,413.85 | $3,625.26 | $126.40 – $233.84 | 6 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $5,089.62 | $13,050.32 | $126.40 – $233.84 | 6 |
| Graft sft tiss theraskin lg 5.1x7.6cm meshed 39 sq cm-q4121-cost per sq cm HCPCS Q4121 | $208.78 | $535.34 | $92.35 – $233.84 | 6 |
| Graft tis hmatrix dermis 10x5 -cost per sq cm HCPCS Q4134 | not published | not published | $126.40 – $233.84 | 6 |
| Graft wnd mtrx grfx core 1.5x2cm-q4132-cost per sq cm HCPCS Q4132 | not published | not published | $126.40 – $233.84 | 6 |
| Graft xenmtrx sft rect 15x20cm HCPCS C1781 | $55,695.63 | $142,809.30 | not published | 0 |
| Graft xenmtrx sft rect 19x28cm HCPCS C2625 | $25,834.81 | $66,243.10 | not published | 0 |
| Granisetron 1 mg tab HCPCS Q0166 | not published | not published | $5.83 – $5.83 | 1 |
| Granisetron hcl injection HCPCS J1626 | not published | not published | $0.44 – $0.44 | 1 |
| Granulocyte pheresis ea unit HCPCS P9050 | $1,967.55 | $5,045.00 | not published | 0 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,323.00 – $13,634.93 | 8 |
| Great toe with reduction 28495 CPT 28495 | $900.51 | $2,309.00 | $250.54 – $2,665.00 | 7 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $2,095.70 – $5,272.00 | 7 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $3,599.41 – $8,448.00 | 7 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | $4,128.93 | $10,587.00 | $3,599.41 – $8,448.00 | 7 |
| Ground mileage HCPCS A0425 | $17.55 | $45.00 | $9.33 – $17.26 | 6 |
| Group behave couns 2-10 HCPCS G0473 | not published | not published | $38.06 – $70.41 | 6 |
| Group mnt 2 or more 30 mins HCPCS G0271 | not published | not published | $12.51 – $23.14 | 6 |
| Group train without patient HCPCS G0543 | not published | not published | $29.38 – $54.35 | 6 |
| Growth hormone antibody CPT 86277 | not published | not published | $15.74 – $29.12 | 7 |
| Growth hormone panel CPT 80428 | not published | not published | $66.70 – $123.40 | 7 |
| Growth hormone panel CPT 80430 | not published | not published | $126.96 – $239.26 | 7 |
| Growth stimulation gene 2 CPT 83006 | $223.47 | $573.00 | $35.92 – $139.86 | 7 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $38.06 – $70.41 | 6 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $38.06 – $70.41 | 6 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $5,063.00 – $11,889.00 | 2 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,949.06 – $6,179.00 | 7 |
| G-tube reposition CPT 43761 | $4,334.85 | $11,115.00 | $253.77 – $2,665.00 | 8 |
| Gu dilat ureter/urethra s&i CPT 74485 | $821.73 | $2,107.00 | $151.16 – $3,927.98 | 7 |
| Guided cath fluid drainage 10030 CPT 10030 | $7,100.34 | $18,206.00 | $719.26 – $4,066.00 | 7 |
| Guide wire threaded 1.4x150mm HCPCS C1769 | $3,531.94 | $9,056.25 | not published | 0 |
| Guide worley csg 9fx50cm std HCPCS C1892 | $945.75 | $2,425.00 | not published | 0 |
| Guid loc target vol rad tx CPT 77387 | $1,051.44 | $2,696.00 | $89.89 – $173.38 | 3 |
| Gum graft CPT 41870 | not published | not published | $1,575.96 – $5,272.00 | 7 |
| Gw stiffened micro access kit HCPCS C1894 | $13,326.50 | $34,170.52 | not published | 0 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $2,323.00 – $7,357.37 | 8 |
| Hair analysis HCPCS P2031 | not published | not published | $7.33 – $7.33 | 1 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $750.69 – $2,665.00 | 7 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $412.90 – $2,665.00 | 8 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $412.90 – $2,665.00 | 8 |
| Hallus-valgus nt dyn pre ots HCPCS L3100 | not published | not published | $53.41 – $98.81 | 6 |
| Halo cervical into body jack HCPCS L0820 | not published | not published | $2,495.61 – $4,616.88 | 6 |
| Halo cervical into jckt vest HCPCS L0810 | not published | not published | $3,084.99 – $5,707.23 | 6 |
| Halo cerv into milwaukee typ HCPCS L0830 | not published | not published | $3,603.40 – $6,666.29 | 6 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | not published | not published | $10.58 – $10.58 | 1 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | not published | not published | $2.31 – $2.31 | 1 |
| Halo repl liner/interface HCPCS L0861 | not published | not published | $266.32 – $492.69 | 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.