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 |
|---|---|---|---|---|
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $51.48 | $132.00 | $14.46 – $69.80 | 7 |
| Molded inner boot HCPCS L2280 | not published | not published | $557.83 – $1,031.99 | 6 |
| Molded socket shin sach foot HCPCS L5100 | not published | not published | $2,946.06 – $5,450.21 | 6 |
| Mold sckt ext knee shin sach HCPCS L5150 | not published | not published | $4,299.18 – $7,953.48 | 6 |
| Mold socket ank hgt with toe f HCPCS L5010 | not published | not published | $1,564.83 – $2,894.94 | 6 |
| Mold socket bent knee shin s HCPCS L5160 | not published | not published | $4,676.12 – $8,650.82 | 6 |
| Molecular pathology interpr HCPCS G0452 | not published | not published | $22.45 – $27.58 | 2 |
| Mometasone sinus sinuva HCPCS J7402 | not published | not published | $11.34 – $27.98 | 7 |
| Mon cable elec/pneum vad rep HCPCS Q0486 | not published | not published | $362.21 – $670.09 | 6 |
| Monitor cable elec vad, rep HCPCS Q0485 | not published | not published | $435.21 – $805.14 | 6 |
| Monitor elec vad, rep HCPCS Q0483 | not published | not published | $23,212.40 – $42,942.94 | 6 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $9,132.98 | $23,417.91 | not published | 0 |
| Monovisc inj per dose HCPCS J7327 | not published | not published | $636.59 – $2,039.47 | 7 |
| Monthly tx for dmht 20mins HCPCS G0553 | not published | not published | $135.23 – $250.17 | 6 |
| Mopath procedure level 1 CPT 81400 | $326.04 | $836.00 | $63.96 – $118.33 | 7 |
| Mopath procedure level 3 CPT 81402 | $585.00 | $1,500.00 | $150.33 – $278.11 | 7 |
| Mopath procedure level 5 CPT 81404 | $1,673.49 | $4,291.00 | $274.83 – $508.44 | 7 |
| Mopath procedure level 6 CPT 81405 | $1,508.13 | $3,867.00 | $301.35 – $557.50 | 7 |
| Mopath procedure level 7 CPT 81406 | $1,958.97 | $5,023.00 | $282.88 – $523.33 | 7 |
| Mopath procedure level 8 CPT 81407 | not published | not published | $846.27 – $1,565.60 | 7 |
| Mopath procedure level 9 CPT 81408 | not published | not published | $1,068.15 – $3,700.00 | 7 |
| Morphine 4 mg/ml injection (wrapper) HCPCS J2270 | not published | not published | $8.73 – $8.73 | 1 |
| Morphine 4 mg/ml injection (wrapper)|discarded drug not administered HCPCS J2272 | not published | not published | $7.74 – $25.71 | 2 |
| Morphine 500 mg HCPCS S0093 | not published | not published | $15.59 – $15.59 | 1 |
| Morphine (pf) 0.25 mg/0.5 ml injection (neo/ped) - cnr HCPCS J2274 | not published | not published | $22.01 – $22.01 | 1 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $732.42 | $1,878.00 | $173.05 – $320.14 | 7 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $311.22 | $798.00 | $41.46 – $673.55 | 7 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $466.44 | $1,196.00 | $41.46 – $320.14 | 7 |
| Mosunetuzumab-axgb 1 mg/ml intravenous solution HCPCS J9350 | not published | not published | $654.63 – $1,211.06 | 6 |
| Motion analysis video/3d CPT 96000 | not published | not published | $379.02 – $701.19 | 6 |
| Motion test w/ft press meas CPT 96001 | not published | not published | $872.23 – $1,613.63 | 6 |
| Motor &/ sens nrve cndj test CPT 95905 | $337.74 | $866.00 | $453.74 – $839.43 | 6 |
| Mouth vestibule bx/w complex rpr 40814 CPT 40814 | not published | not published | $1,694.00 – $6,229.98 | 8 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $732.42 | $1,878.00 | $46.82 – $116.84 | 3 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $732.42 | $1,878.00 | $173.05 – $320.14 | 7 |
| M/phmtrc alysishquant/semiq CPT 88369 | $610.35 | $1,565.00 | $58.43 – $170.77 | 3 |
| M/phmtrc alys skeletal musc CPT 88355 | not published | not published | $41.46 – $320.14 | 7 |
| Mpl gene analysis common variants CPT 81338 | $91.26 | $234.00 | $150.33 – $278.11 | 7 |
| M.pneumon dna dir probe CPT 87580 | $40.17 | $103.00 | $20.05 – $37.09 | 7 |
| M.pneumon dna quant CPT 87582 | not published | not published | $73.14 – $559.85 | 7 |
| Mpsv4 vaccine subq CPT 90733 | not published | not published | $262.93 – $262.93 | 1 |
| MRA abdomen post contrast CPT 74185 | not published | not published | $721.45 – $914.87 | 2 |
| MRA aorta thoracic w/wo contrast CPT 71555 | not published | not published | $710.02 – $904.44 | 2 |
| MRA chest w IV cont HCPCS C8909 | $1,166.49 | $2,991.00 | $354.36 – $655.56 | 6 |
| MRA chest wo IV cont HCPCS C8910 | $1,161.03 | $2,977.00 | $242.35 – $448.35 | 6 |
| MRA chest wwo IV cont HCPCS C8911 | $1,873.56 | $4,804.00 | $354.36 – $655.56 | 6 |
| MRA ext low(run-off)pst cntrst CPT 73725 | not published | not published | $715.74 – $920.49 | 2 |
| MRA pelvis CPT 72198 | not published | not published | $717.38 – $915.68 | 2 |
| MRA pelvis w IV cont HCPCS C8918 | $1,131.78 | $2,902.00 | $354.36 – $655.56 | 6 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,221.87 | $3,133.00 | $242.35 – $448.35 | 6 |
| MRA spinal canal CPT 72159 | not published | not published | $749.24 – $933.33 | 2 |
| MRA upper extremity post contrast-bil CPT 73225 | not published | not published | $742.70 – $943.75 | 2 |
| MRA w/cont, abd HCPCS C8900 | $1,670.76 | $4,284.00 | $354.36 – $655.56 | 6 |
| MRA w/cont, lwr ext HCPCS C8912 | $434.46 | $1,114.00 | $354.36 – $655.56 | 6 |
| Mra, w/dye, spinal canal HCPCS C8931 | $439.92 | $1,128.00 | $354.36 – $655.56 | 6 |
| Mra, w/dye, upper extremity HCPCS C8934 | $702.00 | $1,800.00 | $354.36 – $655.56 | 6 |
| MRA without cont, abd HCPCS C8901 | $1,201.20 | $3,080.00 | $242.35 – $448.35 | 6 |
| MRA without cont, lwr ext HCPCS C8913 | $1,003.47 | $2,573.00 | $242.35 – $448.35 | 6 |
| Mra, without dye, spinal canal HCPCS C8932 | $439.92 | $1,128.00 | $242.35 – $448.35 | 6 |
| Mra, without dye, upper extr HCPCS C8935 | $751.14 | $1,926.00 | $242.35 – $448.35 | 6 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,711.32 | $4,388.00 | $354.36 – $655.56 | 6 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,087.71 | $2,789.00 | $354.36 – $655.56 | 6 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $1,463.67 | $3,753.00 | $354.36 – $655.56 | 6 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $1,463.67 | $3,753.00 | $354.36 – $655.56 | 6 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $1,087.71 | $2,789.00 | $354.36 – $655.56 | 6 |
| Mr elastography CPT 76391 | $684.06 | $1,754.00 | $242.35 – $448.35 | 6 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $5,809.00 – $20,937.90 | 7 |
| MRI brain w/dye CPT 70558 | not published | not published | $178.16 – $329.59 | 6 |
| MRI brain without dye CPT 70557 | not published | not published | $555.00 – $1,026.75 | 6 |
| MRI brain without & w/dye CPT 70559 | not published | not published | $178.16 – $329.59 | 6 |
| MRI breast c- unilateral CPT 77046 | $1,366.17 | $3,503.00 | $242.35 – $448.35 | 6 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $667.75 – $667.75 | 1 |
| MRI breast without cont bi CPT 77047 | $1,895.01 | $4,859.00 | $242.35 – $448.35 | 6 |
| MRI breast w IV cont bi CPT 77049 | $2,034.63 | $5,217.00 | $664.48 – $664.48 | 1 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,479.66 | $3,794.00 | $242.35 – $448.35 | 6 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,604.46 | $4,114.00 | $354.36 – $655.56 | 6 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $1,927.38 | $4,942.00 | $796.24 – $1,473.04 | 6 |
| MRI chest without contrast CPT 71550 | $1,810.38 | $4,642.00 | $242.35 – $448.35 | 6 |
| MRI chest without & w/contrast CPT 71552 | $2,129.40 | $5,460.00 | $354.36 – $655.56 | 6 |
| MRI chest w IV cont CPT 71551 | not published | not published | $796.24 – $1,473.04 | 6 |
| MRI compatible system HCPCS L0859 | not published | not published | $1,399.89 – $2,589.80 | 6 |
| MRI fetal ea addl gestation CPT 74713 | $233.22 | $598.00 | $321.11 – $331.05 | 2 |
| MRI fetal sngl/1st gestation CPT 74712 | $132.21 | $339.00 | $242.35 – $448.35 | 6 |
| MRI guid ndl plc s&i CPT 77021 | $1,129.44 | $2,896.00 | $581.15 – $749.68 | 2 |
| MRI guid parenchymal tiss ablation CPT 77022 | $334.62 | $858.00 | $1,079.78 – $1,079.78 | 1 |
| MRI loex nonjt w IV cont CPT 73719 | $1,739.40 | $4,460.00 | $354.36 – $655.56 | 6 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,716.39 | $4,401.00 | $242.35 – $448.35 | 6 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,090.40 | $5,360.00 | $354.36 – $655.56 | 6 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,132.13 | $5,467.00 | $354.36 – $655.56 | 6 |
| MRI tmj CPT 70336 | $1,276.08 | $3,272.00 | $242.35 – $540.13 | 7 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,741.74 | $4,466.00 | $242.35 – $448.35 | 6 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,115.36 | $5,424.00 | $354.36 – $655.56 | 6 |
| MRI upper extremity w/dye CPT 73219 | $1,905.15 | $4,885.00 | $354.36 – $655.56 | 6 |
| MRI w/cont, breast, bi HCPCS C8906 | $1,967.55 | $5,045.00 | $354.36 – $655.56 | 6 |
| MRI w/cont, breast, uni HCPCS C8903 | $1,423.11 | $3,649.00 | $178.16 – $329.59 | 6 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,034.63 | $5,217.00 | $354.36 – $655.56 | 6 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,508.13 | $3,867.00 | $354.36 – $655.56 | 6 |
| Mr safety determination physician/other qhp CPT 76016 | not published | not published | $88.39 – $163.53 | 6 |
| Mr safety implant elec prepj CPT 76018 | not published | not published | $96.56 – $178.64 | 6 |
| Mr safety implt pos&/immoblj CPT 76019 | not published | not published | $59.92 – $110.85 | 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.