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 |
|---|---|---|---|---|
| Partial removal of eye fluid CPT 67010 | not published | not published | $2,323.00 – $6,179.00 | 8 |
| Partial removal of fibula CPT 27641 | not published | not published | $1,694.00 – $8,448.00 | 8 |
| Partial removal of foot bone CPT 28288 | not published | not published | $1,937.00 – $6,179.00 | 8 |
| Partial removal of hand bone CPT 26230 | not published | not published | $3,323.41 – $6,148.32 | 8 |
| Partial removal of heart sac 33030 CPT 33030 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of larynx CPT 31367 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of larynx CPT 31368 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of larynx CPT 31370 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of larynx CPT 31375 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of larynx CPT 31380 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of larynx CPT 31382 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of lip CPT 40530 | not published | not published | $1,694.00 – $6,229.98 | 8 |
| Partial removal of liver CPT 47125 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of liver CPT 47130 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of lung 32480 CPT 32480 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of nose CPT 30150 | not published | not published | $1,937.00 – $11,889.00 | 8 |
| Partial removal of pancreas CPT 48145 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of pancreas CPT 48150 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of penis CPT 54120 | not published | not published | $1,694.00 – $8,448.00 | 8 |
| Partial removal of pharynx 42890 CPT 42890 | not published | not published | $3,721.00 – $11,889.00 | 8 |
| Partial removal of radius CPT 25151 | not published | not published | $1,694.00 – $8,448.00 | 8 |
| Partial removal of radius CPT 25230 | not published | not published | $2,323.00 – $8,448.00 | 8 |
| Partial removal of rectum CPT 45111 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of rectum CPT 45114 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of rectum CPT 45116 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of rib CPT 21600 | not published | not published | $1,694.00 – $13,634.93 | 8 |
| Partial removal of sternum CPT 21620 | not published | not published | $1,694.00 – $11,889.00 | 8 |
| Partial removal of thyroid CPT 60220 | not published | not published | $1,694.00 – $15,026.00 | 8 |
| Partial removal of thyroid CPT 60225 | not published | not published | $1,937.00 – $15,026.00 | 8 |
| Partial removal of tibia CPT 27640 | not published | not published | $1,694.00 – $8,448.00 | 8 |
| Partial removal of toe CPT 28160 | not published | not published | $1,937.00 – $6,179.00 | 8 |
| Partial removal of tongue CPT 41120 | not published | not published | $2,664.00 – $11,889.00 | 8 |
| Partial removal of tongue CPT 41130 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Partial removal of ulna CPT 25119 | not published | not published | $1,937.00 – $8,448.00 | 8 |
| Partial removal of ulna CPT 25150 | not published | not published | $1,694.00 – $8,448.00 | 8 |
| Partial removal of ulna CPT 25240 | not published | not published | $2,323.00 – $8,448.00 | 8 |
| Partial removal of vaginal wall 57106 CPT 57106 | not published | not published | $3,287.99 – $6,179.00 | 7 |
| Partial removal tear gland CPT 68505 | not published | not published | $1,937.00 – $8,448.00 | 8 |
| Partial thyroid excision CPT 60210 | not published | not published | $1,694.00 – $15,026.00 | 8 |
| Partial thyroid lobect w/contratlat stot lobec 60212 CPT 60212 | not published | not published | $6,140.52 – $15,026.00 | 7 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $4,418.35 | $11,329.11 | $4.84 – $4.84 | 1 |
| Part removal hip bone deep CPT 27071 | not published | not published | $3,323.41 – $15,026.00 | 7 |
| Part removal of metatarsal CPT 28110 | not published | not published | $1,937.00 – $6,179.00 | 8 |
| Part removal of metatarsal CPT 28113 | not published | not published | $1,937.00 – $6,179.00 | 8 |
| Part removal of metatarsal 28112 CPT 28112 | not published | not published | $1,937.00 – $6,179.00 | 8 |
| Part remove hip bone super CPT 27070 | not published | not published | $3,323.41 – $15,026.00 | 7 |
| Passy muir valve metal trach HCPCS L8501 | not published | not published | $179.42 – $331.93 | 6 |
| Path clin consltj high 41-60 CPT 80505 | not published | not published | $173.05 – $320.14 | 7 |
| Path clin consltj mod 21-40 CPT 80504 | not published | not published | $173.05 – $320.14 | 7 |
| Path clin consltj prolng svc CPT 80506 | not published | not published | $51.91 – $51.91 | 1 |
| Path clin consltj sf 5-20 CPT 80503 | not published | not published | $52.93 – $97.92 | 7 |
| Patient recorded spirometry CPT 94014 | not published | not published | $453.74 – $839.43 | 6 |
| Patient recorded spirometry CPT 94015 | $338.52 | $868.00 | $219.32 – $405.73 | 6 |
| Patten bottom HCPCS L2370 | not published | not published | $294.98 – $545.71 | 6 |
| Pca3/klk3 antigen CPT 81313 | not published | not published | $240.18 – $471.84 | 7 |
| Pcv21 vaccine im CPT 90684 | not published | not published | $614.27 – $614.27 | 1 |
| Pdgfra gene CPT 81314 | $743.34 | $1,906.00 | $329.51 – $609.59 | 7 |
| Pd hl 3.5in 4d med rbr mld 6432 HCPCS L3350 | not published | not published | $28.26 – $52.28 | 6 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | $241.80 | $620.00 | $203.79 – $2,665.00 | 7 |
| Pedcle fh/ch/ch/m/n/ax/g/h/f CPT 15574 | not published | not published | $1,937.00 – $5,272.00 | 8 |
| Ped home apnea mntr att only CPT 94775 | not published | not published | $130.69 – $241.79 | 6 |
| Ped home apnea mntr dl&alys CPT 94776 | not published | not published | $130.69 – $241.79 | 6 |
| Pediatric electric hand HCPCS L7008 | not published | not published | $6,630.37 – $12,266.18 | 6 |
| Pediatric electric hook HCPCS L7045 | not published | not published | $1,978.79 – $3,660.76 | 6 |
| Pedicle enel/ntroral 15576 CPT 15576 | $2,255.76 | $5,784.00 | $1,937.00 – $5,272.00 | 8 |
| Ped term dev, hand, vol clos HCPCS L6714 | not published | not published | $1,638.27 – $3,030.80 | 6 |
| Ped term dev, hand, vol open HCPCS L6713 | not published | not published | $1,934.13 – $3,578.14 | 6 |
| Ped term dev, hook, vol clos HCPCS L6712 | not published | not published | $1,532.52 – $2,835.16 | 6 |
| Ped term dev, hook, vol open HCPCS L6711 | not published | not published | $832.33 – $1,539.81 | 6 |
| Pegademase bovine, 25 iu HCPCS J2504 | not published | not published | $701.33 – $701.33 | 1 |
| Pegaptanib sodium injection HCPCS J2503 | not published | not published | $1,497.16 – $1,497.16 | 1 |
| Pegaspargase injection HCPCS J9266 | not published | not published | $28,424.06 – $57,136.78 | 7 |
| Pegfilgrastim 6 mg/0.6 ml (deliverable) wearable subcutaneous injector HCPCS J2506 | not published | not published | $38.08 – $444.35 | 7 |
| Pegfilgrastim-apgf 6 mg/0.6 ml subcutaneous syringe HCPCS Q5122 | not published | not published | $131.16 – $644.08 | 7 |
| Pegfilgrastim-cbqv 6 mg/0.6 ml subcutaneous syringe HCPCS Q5111 | not published | not published | $106.33 – $486.04 | 7 |
| Pegfilgrastim-fpgk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5127 | not published | not published | $184.91 – $342.08 | 6 |
| Pegfilgrastim-jmdb 6 mg/0.6 ml subcutaneous syringe HCPCS Q5108 | not published | not published | $99.13 – $476.60 | 7 |
| Pegfilgrastim-pbbk 6 mg/0.6 ml subcutaneous syringe HCPCS Q5130 | not published | not published | $137.96 – $255.24 | 6 |
| Peginesatide injection HCPCS J0890 | not published | not published | $15.63 – $15.63 | 1 |
| Peg interferon alfa-2a/180 HCPCS S0145 | not published | not published | $2,164.63 – $2,164.63 | 1 |
| Pegloticase 8 mg/ml intravenous solution HCPCS J2507 | not published | not published | $3,660.83 – $7,912.50 | 7 |
| Pegunigalsidase alfa-iwxj HCPCS J2508 | not published | not published | $228.16 – $422.09 | 6 |
| Pelv band/spread bar thigh c HCPCS L1640 | not published | not published | $530.24 – $980.94 | 6 |
| Pelvic band & belt thigh fla HCPCS L2192 | not published | not published | $409.73 – $758.00 | 6 |
| Pelvic control band & belt b HCPCS L2640 | not published | not published | $386.17 – $714.41 | 6 |
| Pelvic control band & belt u HCPCS L2630 | not published | not published | $284.55 – $526.42 | 6 |
| Pelvic control hip heavy dut HCPCS L2620 | not published | not published | $307.25 – $568.41 | 6 |
| Pelvic control pelvic sling HCPCS L2580 | not published | not published | $691.79 – $1,279.81 | 6 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,872.00 | $4,800.00 | $178.16 – $329.59 | 6 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,602.51 | $4,109.00 | $178.16 – $329.59 | 6 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,310.40 | $3,360.00 | $106.19 – $196.45 | 6 |
| Pelvic exenteration CPT 45126 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Pelvic & hip control thigh c HCPCS L1680 | not published | not published | $1,616.80 – $2,991.08 | 6 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,090.79 | $5,361.00 | $354.36 – $655.56 | 6 |
| Pelvic MRI (with contrast) CPT 72196 | $1,854.06 | $4,754.00 | $354.36 – $655.56 | 6 |
| Pelvic MRI (without contrast) CPT 72195 | $1,810.38 | $4,642.00 | $242.35 – $448.35 | 6 |
| Pelvic ring fracture uni/bil HCPCS G0413 | not published | not published | $6,760.00 – $13,634.93 | 7 |
| Pelvic ring fx treat int fix HCPCS G0414 | not published | not published | $7,370.23 – $15,026.00 | 7 |
| Pelvic Ultrasound (complete) CPT 76856 | $614.64 | $1,576.00 | $106.19 – $196.45 | 7 |
| Pelvic Ultrasound (limited) CPT 76857 | $370.11 | $949.00 | $53.93 – $196.45 | 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.