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 |
|---|---|---|---|---|
| Opn tx orbit fx transantral CPT 21385 | not published | not published | $2,664.00 – $11,889.00 | 8 |
| Opn tx orbit fx w/bone grft CPT 21408 | not published | not published | $5,063.00 – $11,889.00 | 7 |
| Opn tx orbit fx w/implant CPT 21407 | not published | not published | $2,664.00 – $11,889.00 | 8 |
| Opn tx orbit fx without impl 21406 CPT 21406 | not published | not published | $2,323.00 – $11,889.00 | 8 |
| Opn tx orbit periorbtl implt CPT 21390 | not published | not published | $3,721.00 – $11,889.00 | 8 |
| Opn tx orbit periorbt w/grft CPT 21395 | not published | not published | $3,721.00 – $11,889.00 | 8 |
| Opps service,sched team conf HCPCS G0175 | not published | not published | $423.82 – $784.07 | 6 |
| Oprelvekin injection HCPCS J2355 | not published | not published | $813.71 – $813.71 | 1 |
| Opscpy extnd on/mac draw CPT 92202 | not published | not published | $59.92 – $110.85 | 6 |
| Opscpy extnd rta draw uni/bi CPT 92201 | not published | not published | $59.92 – $110.85 | 6 |
| Optical endomicroscpy interp CPT 88375 | not published | not published | $15.25 – $69.50 | 2 |
| Optx acrclv dslc aq/chrn grf CPT 23552 | not published | not published | $2,323.00 – $15,026.00 | 8 |
| Optx acromclv dislc aqt/chrn CPT 23550 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Optx acute shoulder dislc CPT 23660 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Optx carpl scphd fx int fixj CPT 25628 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Optx clavicular fx w/int fix CPT 23515 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Optx complicated mndblr fx CPT 21470 | not published | not published | $2,664.00 – $11,889.00 | 8 |
| Optx cranfcl sep comp mlt CPT 21433 | not published | not published | $6,012.85 – $11,889.00 | 7 |
| Optx cranfcl sep w/wiring CPT 21432 | not published | not published | $6,012.85 – $11,889.00 | 7 |
| Optx crnfcl sep comp mlt int CPT 21436 | not published | not published | $6,012.85 – $11,889.00 | 7 |
| Optx crnfc sep comp int&/xtr CPT 21435 | not published | not published | $6,012.85 – $11,889.00 | 7 |
| Optx crpl fx oth/thn scph ea CPT 25645 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Optx gr hmrl tbrs fx int fix CPT 23630 | not published | not published | $2,664.00 – $15,026.00 | 8 |
| Optx lunate dislocation CPT 25695 | not published | not published | $1,694.00 – $13,634.93 | 8 |
| Optx medial ankle fx CPT 27766 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Optx mndblr cndylr fx CPT 21465 | not published | not published | $2,323.00 – $11,889.00 | 8 |
| Optx mndblr fx wo ntrdntl CPT 21461 | not published | not published | $2,323.00 – $11,889.00 | 8 |
| Optx mndblr fx xtrnl fixj CPT 21454 | not published | not published | $2,664.00 – $11,123.77 | 8 |
| Optx mndblr/max alv ridge fx CPT 21445 | not published | not published | $2,323.00 – $11,889.00 | 8 |
| Optx palatal/max fracture CPT 21422 | not published | not published | $2,664.00 – $11,889.00 | 8 |
| Optx palatal/max fx comp CPT 21423 | not published | not published | $6,012.85 – $11,889.00 | 7 |
| Optx partclr fx&/dslc elbw w CPT 24587 | not published | not published | $2,664.00 – $24,124.78 | 8 |
| Optx post ankle fx CPT 27769 | not published | not published | $5,809.00 – $15,026.00 | 7 |
| Optx prox humrl fx w/int fix CPT 23615 | not published | not published | $2,323.00 – $24,124.78 | 8 |
| Optx prx hmrl fx fix rpr rpl CPT 23616 | not published | not published | $2,323.00 – $32,947.27 | 8 |
| Optx radial shaft fracture CPT 25515 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Optx rad/uln dislc aqt/chrnc CPT 25676 | not published | not published | $1,694.00 – $13,634.93 | 8 |
| Optx rdcrpl/ntrcrpl dislc 1+ CPT 25670 | not published | not published | $1,937.00 – $13,634.93 | 8 |
| Optx rdl shft fx&cltx rad/ul CPT 25525 | not published | not published | $2,323.00 – $15,026.00 | 8 |
| Optx rdl shft fx&dstl rad/ul CPT 25526 | not published | not published | $2,664.00 – $15,026.00 | 8 |
| Optx rdl&uln shft fx rds&uln CPT 25575 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Optx rdl&uln shft fx rds/uln CPT 25574 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Optx scapular fx w/int fixj CPT 23585 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Optx sho dislc fx CPT 23670 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Optx sho dislc neck fx fixj CPT 23680 | not published | not published | $1,937.00 – $24,124.78 | 8 |
| Optx strclv dslc aq/chrn grf CPT 23532 | not published | not published | $2,323.00 – $13,634.93 | 8 |
| Optx strnclav dislc aqt/chrn CPT 23530 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Optx thigh fx CPT 27269 | not published | not published | $4,714.00 – $13,634.93 | 7 |
| Optx tmprmand dislocation CPT 21490 | not published | not published | $1,937.00 – $11,889.00 | 8 |
| Optx trns-scphprlnr fx dislc CPT 25685 | not published | not published | $1,937.00 – $13,634.93 | 8 |
| Optx ulnar shft fx int fixj CPT 25545 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Optx ulnar styloid fracture CPT 25652 | not published | not published | $4,220.00 – $15,026.00 | 7 |
| Oral aprepitant HCPCS J8501 | not published | not published | $5.45 – $5.45 | 1 |
| Oral busulfan HCPCS J8510 | not published | not published | $10.12 – $18.72 | 6 |
| Oral everolimus HCPCS J7527 | not published | not published | $4.42 – $4.42 | 1 |
| Oral hiv-1/hiv-2 screen HCPCS G0435 | not published | not published | $11.98 – $22.16 | 7 |
| Oral methotrexate (jylamvo) HCPCS J8611 | not published | not published | $18.47 – $34.16 | 6 |
| Oral methotrexate (xatmep) HCPCS J8612 | not published | not published | $22.68 – $41.96 | 6 |
| Oral netupitant, palonosetro HCPCS J8655 | not published | not published | $422.89 – $942.26 | 7 |
| Orbitocranial approach/skull CPT 61584 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Orbitocranial approach/skull CPT 61585 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Orbitocranial approach/skull CPT 61592 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Orchiectomy partial CPT 54522 | not published | not published | $1,937.00 – $6,623.68 | 8 |
| Orchiopexy (fowler-stephens) CPT 54650 | not published | not published | $2,323.00 – $8,448.00 | 8 |
| Orchiopexy ingun/scrot appr CPT 54640 | not published | not published | $2,323.00 – $8,448.00 | 8 |
| Organic acids total quant ea spec CPT 83918 | $185.72 | $476.20 | $23.60 – $43.66 | 7 |
| Oritavancin 1,200 mg intravenous solution HCPCS J2406 | not published | not published | $42.48 – $112.31 | 7 |
| Oritavancin 400 mg intravenous solution HCPCS J2407 | not published | not published | $28.68 – $64.95 | 7 |
| Oropharyngeal biopsy 42800 CPT 42800 | $1,311.18 | $3,362.00 | $1,308.00 – $4,066.00 | 8 |
| Orphenadrine citrate 30 mg/ml injection solution HCPCS J2360 | not published | not published | $26.66 – $26.66 | 1 |
| Ortho dvc repair per 15 min HCPCS L4205 | not published | not published | $29.95 – $55.41 | 6 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $279.81 | $717.46 | $324.72 – $600.73 | 6 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $693.87 | $1,779.16 | $562.35 – $1,040.35 | 6 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $830.31 | $2,129.00 | $1,441.90 – $2,667.52 | 6 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $772.99 | $1,982.02 | $892.81 – $1,651.70 | 6 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $284.55 | $729.62 | $304.58 – $563.47 | 6 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $315.01 | $807.71 | $361.18 – $668.18 | 6 |
| Ortho hnd metcrpl fx prefb w/fit&adj HCPCS L3917 | not published | not published | $118.79 – $219.76 | 6 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $267.74 | $686.52 | $304.58 – $563.47 | 6 |
| Orthopantogram CPT 70355 | $248.04 | $636.00 | $22.07 – $163.53 | 7 |
| Orthopedic shoe add rub insl HCPCS L3510 | not published | not published | $36.18 – $66.93 | 6 |
| Orthop traing supvj phys/qhp CPT 92066 | not published | not published | $59.92 – $110.85 | 6 |
| Ortho shoe add full sole HCPCS L3540 | not published | not published | $62.87 – $116.31 | 6 |
| Ortho shoe add half sole HCPCS L3530 | not published | not published | $39.28 – $72.67 | 6 |
| Ortho shoe add leather insol HCPCS L3500 | not published | not published | $36.18 – $66.93 | 6 |
| Ortho shoe add march bar HCPCS L3595 | not published | not published | $51.85 – $95.92 | 6 |
| Ortho sidebar disconnect HCPCS L2768 | not published | not published | $161.00 – $297.85 | 6 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $662.39 | $1,698.44 | $529.16 – $978.95 | 6 |
| Orthovisc inj per dose HCPCS J7324 | not published | not published | $114.54 – $410.09 | 7 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $611.08 | $1,566.88 | $375.59 – $694.84 | 6 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $410.92 | $1,053.63 | $1,115.21 – $2,063.14 | 6 |
| Oscillation chest wall mechanical per session CPT 94669 | $566.28 | $1,452.00 | $222.42 – $411.47 | 6 |
| O shoe add felt w leath insl HCPCS L3520 | not published | not published | $39.28 – $72.67 | 6 |
| O shoe add horseshoe toe tap HCPCS L3560 | not published | not published | $28.26 – $52.28 | 6 |
| O shoe add instep extension HCPCS L3570 | not published | not published | $105.33 – $194.86 | 6 |
| O shoe add instep velcro clo HCPCS L3580 | not published | not published | $80.14 – $148.26 | 6 |
| O shoe add standard toe tap HCPCS L3550 | not published | not published | $11.02 – $20.39 | 6 |
| O shoe convert to sof counte HCPCS L3590 | not published | not published | $66.01 – $122.12 | 6 |
| Osmolality blood CPT 83930 | $114.27 | $293.00 | $6.61 – $12.23 | 7 |
| Osmolality urine CPT 83935 | $125.97 | $323.00 | $6.82 – $12.62 | 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.