Wellstar Roosevelt Long Term Acute Care at Warm Springs
6135 Roosevelt Highway, P O Box 280, GA · Wellstar Health System · · NPI 1427468362
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | $92.04 | $236.00 | not published | 0 |
| 17-hydroxypregnenolone CPT 84143 | $140.79 | $361.00 | not published | 0 |
| 17-ketosteroids CPT 83586 | $116.61 | $299.00 | not published | 0 |
| 2019-ncov diagnostic p HCPCS U0001 | $147.03 | $377.00 | not published | 0 |
| 24 hr ambulatory b/p monitor CPT 93786 | $174.33 | $447.00 | not published | 0 |
| 2d tee w or without fol w/con,in HCPCS C8925 | $1,464.06 | $3,754.00 | not published | 0 |
| 2d tte w or without fol w/con,co HCPCS C8923 | $1,432.08 | $3,672.00 | not published | 0 |
| 2nd order venous cath CPT 36012 | $1,349.40 | $3,460.00 | not published | 0 |
| 3d ech img cgen car anomal CPT 93319 | $101.40 | $260.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $4,672.59 | $11,981.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $100.62 | $258.00 | not published | 0 |
| 5' nucleotidase - sendout CPT 83915 | $127.92 | $328.00 | not published | 0 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $398.97 | $1,023.00 | not published | 0 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $46.80 | $120.00 | not published | 0 |
| Abd aorta w/runoff s&i CPT 75630 | $2,637.18 | $6,762.00 | not published | 0 |
| Abd/low ext cath 1st CPT 36245 | $1,180.14 | $3,026.00 | not published | 0 |
| Abd/low ext cath 2nd CPT 36246 | $2,650.05 | $6,795.00 | not published | 0 |
| Abd/low ext cath 3rd CPT 36247 | $3,050.58 | $7,822.00 | not published | 0 |
| Abd/low ext cath addl CPT 36248 | $1,166.10 | $2,990.00 | not published | 0 |
| Abdominal and Pelvic Blood Vessel Ultrasound (complete) CPT 93975 | $776.49 | $1,991.00 | not published | 0 |
| Abdominal and Pelvic Blood Vessel Ultrasound (limited) CPT 93976 | $278.07 | $713.00 | not published | 0 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,888.77 | $4,843.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,683.63 | $4,317.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,358.76 | $3,484.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,279.16 | $5,844.00 | not published | 0 |
| Abdominal MRI (with contrast) CPT 74182 | $2,077.14 | $5,326.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $1,883.70 | $4,830.00 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $2,424.63 | $6,217.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $732.03 | $1,877.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $603.33 | $1,547.00 | not published | 0 |
| Abdominal X-ray (2 views) CPT 74019 | $303.81 | $779.00 | not published | 0 |
| Abdominal X-ray Series (acute, with chest view) CPT 74022 | $347.88 | $892.00 | not published | 0 |
| Abdominal X-ray (single view) CPT 74018 | $285.09 | $731.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $1,144.26 | $2,934.00 | not published | 0 |
| Abl1 gene CPT 81170 | $1,642.29 | $4,211.00 | not published | 0 |
| Ablate arrhythmia add on CPT 93655 | $6,828.51 | $17,509.00 | not published | 0 |
| Ablate bone tumor(s) cryo perq 20983 CPT 20983 | $6,403.41 | $16,419.00 | not published | 0 |
| Ablate bone tumor(s) perq CPT 20982 | $9,773.01 | $25,059.00 | not published | 0 |
| Ablate heart dysrhythm focus CPT 93650 | $6,856.20 | $17,580.00 | not published | 0 |
| Ablate inf turbinate submuc 30802 CPT 30802 | $1,126.32 | $2,888.00 | not published | 0 |
| Ablate inf turbinate superf 30801 CPT 30801 | $6,287.19 | $16,121.00 | not published | 0 |
| Ablate pulm tumor perq crybl CPT 32994 | $3,271.32 | $8,388.00 | not published | 0 |
| Ablate pulm tumor perq rf CPT 32998 | $10,765.95 | $27,605.00 | not published | 0 |
| Ablation cardiac vagal inputs atrium CPT 93799 | $906.75 | $2,325.00 | not published | 0 |
| Ablation cryo abd perit om CPT 49999 | $1,815.06 | $4,654.00 | not published | 0 |
| Ablation cryo adrenal tumor CPT 60699 | $6,286.80 | $16,120.00 | not published | 0 |
| Ablation cryo pq chest wall tumor(s) w/guid CPT 23929 | $441.09 | $1,131.00 | not published | 0 |
| Ablation cryo pq liver tumor(s) CPT 47383 | $3,271.32 | $8,388.00 | not published | 0 |
| Ablation cryo retro lymph node CPT 38999 | $1,948.83 | $4,997.00 | not published | 0 |
| Ablation cryo thigh/knee CPT 27599 | $262.86 | $674.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $615.03 | $1,577.00 | not published | 0 |
| Abortion (mpr) CPT 59866 | $626.34 | $1,606.00 | not published | 0 |
| Abrasion lesion single CPT 15786 | $340.86 | $874.00 | not published | 0 |
| Abscess drain retroperitoneal surg code CPT 49406 | $3,675.75 | $9,425.00 | not published | 0 |
| Access & clsr pq fem art endogft dlvry w/img uni CPT 34713 | $2,786.16 | $7,144.00 | not published | 0 |
| Access thoracic lymph duct CPT 38794 | $879.45 | $2,255.00 | not published | 0 |
| Acetaminophen level CPT 80143 | $30.81 | $79.00 | not published | 0 |
| Acetone qualitative CPT 82009 | $89.70 | $230.00 | not published | 0 |
| Aco ccm; at least 20 min 99490aco CPT 99490 | $145.86 | $374.00 | not published | 0 |
| Aco ccm; ea addl 20 min 99439aco CPT 99439 | $46.41 | $119.00 | not published | 0 |
| Aco cmplx chron care addl 20 min 99489aco CPT 99489 | $64.74 | $166.00 | not published | 0 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $56.16 | $144.00 | not published | 0 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $33.54 | $86.00 | not published | 0 |
| Acoustic immitance testing CPT 92570 | $312.78 | $802.00 | not published | 0 |
| Acoustic refl threshold tst CPT 92568 | $169.26 | $434.00 | not published | 0 |
| Actigraphy testing CPT 95803 | $89.70 | $230.00 | not published | 0 |
| Actinotherapy uv light CPT 96900 | $63.96 | $164.00 | not published | 0 |
| Acup 1/> w/estim 1st 15 min CPT 97813 | $56.16 | $144.00 | not published | 0 |
| Acup 1/> w/estim ea addl 15 CPT 97814 | $154.05 | $395.00 | not published | 0 |
| Acup 1/> without estim ea add 15 CPT 97811 | $154.05 | $395.00 | not published | 0 |
| Acup 1/> wo estim 1st 15 min CPT 97810 | $42.90 | $110.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $409.50 | $1,050.00 | not published | 0 |
| Acute venous thrombus image CPT 78456 | $492.57 | $1,263.00 | not published | 0 |
| #acylcarnitineprfl CPT 82017 | $202.02 | $518.00 | not published | 0 |
| Adapter b 8 channel 10cm HCPCS C1883 | $19,520.11 | $50,051.56 | not published | 0 |
| Adding walker to prev cast CPT 29440 | $185.64 | $476.00 | not published | 0 |
| Adenovirus ag ia CPT 87301 | $22.62 | $58.00 | not published | 0 |
| Adenovirus antibody,serum - quest CPT 86603 | $104.52 | $268.00 | not published | 0 |
| Adh-sendout CPT 84588 | $371.67 | $953.00 | not published | 0 |
| Adj gastric band via subq port CPT 43999 | $1,666.86 | $4,274.00 | not published | 0 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | $2,786.55 | $7,145.00 | not published | 0 |
| Adjustment gastric band HCPCS S2083 | $501.54 | $1,286.00 | not published | 0 |
| Admin ecg contrast agent CPT 93352 | $187.59 | $481.00 | not published | 0 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $198.51 | $509.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $456.30 | $1,170.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $695.37 | $1,783.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $437.19 | $1,121.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $442.26 | $1,134.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $495.69 | $1,271.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $62.79 | $161.00 | not published | 0 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $62.79 | $161.00 | not published | 0 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $62.79 | $161.00 | not published | 0 |
| Administration vaccine hepatitis b HCPCS G0010 | $62.79 | $161.00 | not published | 0 |
| Administration vaccine influenza virus HCPCS G0008 | $62.79 | $161.00 | not published | 0 |
| Administration vaccine pneumococcal HCPCS G0009 | $62.79 | $161.00 | not published | 0 |
| Adrenal cortex & medulla img CPT 78075 | $710.19 | $1,821.00 | not published | 0 |
| Advance care planning each additional 30 min 99498 CPT 99498 | $121.68 | $312.00 | not published | 0 |
| Aep hearing status deter i&r CPT 92651 | $241.41 | $619.00 | not published | 0 |
| Aep neurodiagnostic i&r CPT 92653 | $379.08 | $972.00 | not published | 0 |
| Aep thrshld est mlt freq i&r CPT 92652 | $379.08 | $972.00 | not published | 0 |
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.