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 |
|---|---|---|---|---|
| Low-Dose Lung Cancer Screening CT Scan CPT 71271 | $331.50 | $850.00 | $106.19 – $196.45 | 6 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $1,958.19 | $5,021.00 | $178.16 – $329.59 | 6 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,705.08 | $4,372.00 | $354.36 – $655.56 | 6 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,610.70 | $4,130.00 | $106.19 – $196.45 | 6 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $2,370.03 | $6,077.00 | $354.36 – $655.56 | 6 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $2,045.55 | $5,245.00 | $354.36 – $655.56 | 6 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,775.67 | $4,553.00 | $242.35 – $448.35 | 6 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $341.64 | $876.00 | $38.82 – $196.45 | 7 |
| Lower Back (Lumbar Spine) X-ray (4 or more views) CPT 72110 | $505.83 | $1,297.00 | $52.80 – $196.45 | 7 |
| Lower Back (Lumbar Spine) X-ray (with bending views) CPT 72114 | $513.63 | $1,317.00 | $75.08 – $196.45 | 7 |
| Lower jaw bone graft CPT 21215 | not published | not published | $3,721.00 – $11,889.00 | 8 |
| Lower Leg (Shin) X-ray (both sides) CPT 73590 | $238.68 | $612.00 | $46.58 – $163.53 | 7 |
| Low frequency non-thermal Ultrasound CPT 97610 | $272.22 | $698.00 | $203.79 – $377.01 | 6 |
| Loxapine for inhalation 1 mg HCPCS J2062 | not published | not published | $15.90 – $29.42 | 6 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $6,760.00 – $19,974.20 | 7 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $6,760.00 – $19,974.20 | 7 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $6,760.00 – $19,974.20 | 7 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $6,760.00 – $19,974.20 | 7 |
| Lso corset front HCPCS L0972 | not published | not published | $134.25 – $248.36 | 6 |
| Lso flex no ri stays pre ots HCPCS L0628 | not published | not published | $65.17 – $120.56 | 6 |
| Lso full corset HCPCS L0976 | not published | not published | $244.99 – $453.23 | 6 |
| Lso r post pnl sj-t9 pre cst HCPCS L0630 | not published | not published | $200.07 – $370.13 | 6 |
| Lso sag-coronal panel custom HCPCS L0638 | not published | not published | $1,629.67 – $3,014.89 | 6 |
| Lso sag-co shell pnl pre ots HCPCS L0651 | not published | not published | $922.75 – $1,707.09 | 6 |
| Lso sag ctr rigi pos pre ots HCPCS L0643 | not published | not published | $125.81 – $232.75 | 6 |
| Lso sagit rigid panel prefab HCPCS L0635 | not published | not published | $1,313.90 – $2,430.72 | 6 |
| Lso sagittal rigid panel cus HCPCS L0636 | not published | not published | $1,938.77 – $3,586.72 | 6 |
| Lso sc r pos/lat pnl pre cst HCPCS L0633 | not published | not published | $354.33 – $655.51 | 6 |
| Lso sc r pos/lat pnl pre ots HCPCS L0649 | not published | not published | $222.77 – $412.12 | 6 |
| Lso s/c shell/panel custom HCPCS L0640 | not published | not published | $1,292.96 – $2,391.98 | 6 |
| Lso s/c shell/panel prefab HCPCS L0639 | not published | not published | $1,682.10 – $3,111.88 | 6 |
| L/s ratio fetal lung CPT 83661 | $476.19 | $1,221.00 | $21.99 – $40.68 | 7 |
| Lumbar bolster pad HCPCS L1030 | not published | not published | $97.47 – $180.32 | 6 |
| Lumbar derotation pad HCPCS L1240 | not published | not published | $112.41 – $207.96 | 6 |
| Lumbar diskogram s&i CPT 72295 | $667.29 | $1,711.00 | $125.02 – $3,669.31 | 7 |
| Lumbar or lumbar rib pad HCPCS L1040 | not published | not published | $117.32 – $217.04 | 6 |
| Lumbar sling HCPCS L1090 | not published | not published | $105.33 – $194.86 | 6 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $8,245.00 – $32,947.27 | 7 |
| Lumizyme injection HCPCS J0221 | not published | not published | $206.59 – $481.16 | 7 |
| Lung Function Test Before and After an Inhaler CPT 94060 | $731.64 | $1,876.00 | $379.02 – $701.19 | 6 |
| Lung function test (mbc/mvv) CPT 94200 | $182.91 | $469.00 | $59.92 – $110.85 | 6 |
| Lung Function Test (Spirometry) CPT 94010 | $415.35 | $1,065.00 | $219.32 – $405.73 | 6 |
| Lung perfusion imaging CPT 78580 | $650.52 | $1,668.00 | $406.05 – $751.20 | 7 |
| Lung transplant double CPT 32853 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Lung transplant single CPT 32851 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Lung transplant with bypass CPT 32852 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Lung transplant with bypass CPT 32854 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Lurbinectedin 4 mg intravenous solution HCPCS J9223 | not published | not published | $207.13 – $478.30 | 7 |
| Luspatercept-aamt 25 mg subcutaneous solution HCPCS J0896 | not published | not published | $41.98 – $99.11 | 7 |
| Lutetium lu 177 dotatat ther HCPCS A9513 | $26,421.41 | $67,747.20 | $316.99 – $726.97 | 7 |
| Lutetium lu 177 vipivotide HCPCS A9607 | $2,737.80 | $7,020.00 | $255.84 – $473.30 | 6 |
| Lvad shower bag heartmate HCPCS Q0501 | $542.77 | $1,391.73 | $632.25 – $1,169.66 | 6 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $29.38 – $2,665.00 | 7 |
| Lwr ext dynamic prosth pylon HCPCS L5985 | not published | not published | $349.58 – $646.72 | 6 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $20.05 – $37.09 | 7 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $5,063.00 – $15,358.37 | 7 |
| Lymphatics/lymph node imaging CPT 78195 | $920.79 | $2,361.00 | $551.50 – $1,104.50 | 7 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $36.56 – $98.93 | 7 |
| Lymphocyte transformation mitogen CPT 86353 | $235.56 | $604.00 | $49.03 – $90.71 | 7 |
| Lymphocytotoxicity assay CPT 86805 | not published | not published | $91.61 – $350.59 | 7 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $47.59 – $88.04 | 7 |
| Lymph vessel x-ray arm/leg CPT 75801 | $687.96 | $1,764.00 | $506.93 – $1,178.75 | 7 |
| Lymph vessel x-ray arms/legs CPT 75803 | $2,229.24 | $5,716.00 | $501.21 – $2,957.95 | 7 |
| Lymph vessel x-ray trunk CPT 75805 | $2,542.41 | $6,519.00 | $537.19 – $5,933.13 | 7 |
| Lymph vessel x-ray trunk CPT 75807 | $1,775.28 | $4,552.00 | $549.45 – $5,933.13 | 7 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $547.80 – $2,665.00 | 8 |
| Lysis of labial adhesions CPT 56441 | $6,276.66 | $16,094.00 | $1,308.00 – $6,179.00 | 8 |
| Lysis penil circumic lesion CPT 54162 | $4,673.37 | $11,983.00 | $1,694.00 – $6,179.00 | 8 |
| Lyumjev for insulin pump use HCPCS J1813 | not published | not published | $29.50 – $53.87 | 2 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $7.74 – $17.16 | 3 |
| Macroscopic exam arthropod CPT 87168 | $113.88 | $292.00 | $4.27 – $7.90 | 7 |
| Macroscopic exam parasite CPT 87169 | $43.29 | $111.00 | $4.31 – $7.97 | 7 |
| Magnesium CPT 83735 | $83.85 | $215.00 | $6.70 – $12.40 | 7 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | not published | not published | $0.93 – $0.93 | 1 |
| Magnetic image bone marrow CPT 77084 | $333.06 | $854.00 | $242.35 – $674.39 | 7 |
| Makena, 10 mg HCPCS J1726 | not published | not published | $41.80 – $43.65 | 2 |
| Malaria antibody CPT 86750 | not published | not published | $13.19 – $24.40 | 7 |
| Male sling procedure CPT 53440 | not published | not published | $1,694.00 – $24,791.43 | 8 |
| Mammosite ced HCPCS C1728 | $5,848.89 | $14,997.15 | not published | 0 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $1,633.26 – $3,021.53 | 7 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $1,633.26 – $5,272.00 | 7 |
| Manipulation of hip joint CPT 27275 | not published | not published | $1,633.26 – $5,272.00 | 8 |
| Manipulation of spine CPT 22505 | not published | not published | $1,633.26 – $5,272.00 | 8 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $250.54 – $2,665.00 | 7 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | not published | not published | $4.84 – $4.84 | 1 |
| Mannitol for inhaler HCPCS J7665 | not published | not published | $12.79 – $12.79 | 1 |
| Man's shoe oxford brace HCPCS L3225 | not published | not published | $77.73 – $143.80 | 6 |
| Manual diff wbc count b-coat CPT 85009 | $25.74 | $66.00 | $5.07 – $9.38 | 7 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | $567.06 | $1,454.00 | not published | 0 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Map tachycard site(s) CPT 93609 | $2,755.74 | $7,066.00 | $2,665.00 – $9,000.00 | 2 |
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $52.49 – $115.75 | 7 |
| Marker biop eviva buckle ss HCPCS A4648 | $508.60 | $1,304.10 | not published | 0 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Mastectomy form HCPCS L8020 | not published | not published | $279.11 – $516.35 | 6 |
| Mastectomy partial CPT 19301 | not published | not published | $1,937.00 – $7,357.37 | 8 |
| Mast mod rad CPT 19307 | not published | not published | $6,744.51 – $12,477.34 | 7 |
| Mastoidectomy CPT 69501 | not published | not published | $3,721.00 – $11,889.00 | 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.