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 |
|---|---|---|---|---|
| Colposcopy vulva 56820 CPT 56820 | $99.84 | $256.00 | not published | 0 |
| Colposcopy w/biopsy of cervix 57455 CPT 57455 | $390.00 | $1,000.00 | not published | 0 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $308.88 | $792.00 | not published | 0 |
| Compatibility test each unit electronic CPT 86923 | $191.49 | $491.00 | not published | 0 |
| Compatibility test each unit immediate spin technique CPT 86920 | $217.23 | $557.00 | not published | 0 |
| Compatibility test incubate CPT 86921 | $171.60 | $440.00 | not published | 0 |
| Comp cystometrogram/void presssure 51728 CPT 51728 | $1,399.32 | $3,588.00 | not published | 0 |
| Comp cystometrogram/void/uret pres 51729 CPT 51729 | $1,399.32 | $3,588.00 | not published | 0 |
| Complement antigen each component c3 CPT 86160 | $157.17 | $403.00 | not published | 0 |
| Complement fixation each CPT 86171 | $99.06 | $254.00 | not published | 0 |
| Complex repair trunk 1.1-2.5cm 13120 CPT 13120 | $1,727.70 | $4,430.00 | not published | 0 |
| Complex repair trunk 2.6-7.5cm 13101 CPT 13101 | $2,221.44 | $5,696.00 | not published | 0 |
| Complex uroflowmetry (electronic) 51741 CPT 51741 | $346.71 | $889.00 | not published | 0 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $2,221.44 | $5,696.00 | not published | 0 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $2,221.44 | $5,696.00 | not published | 0 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $1,727.70 | $4,430.00 | not published | 0 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $1,727.70 | $4,430.00 | not published | 0 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $1,930.50 | $4,950.00 | not published | 0 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $1,930.50 | $4,950.00 | not published | 0 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $1,727.70 | $4,430.00 | not published | 0 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $2,221.44 | $5,696.00 | not published | 0 |
| Complx repair trunk addl 5cm/< 13102 CPT 13102 | $376.35 | $965.00 | not published | 0 |
| Composite byp grft pros&vein CPT 35681 | $1,267.50 | $3,250.00 | not published | 0 |
| Comprehensive hearing test CPT 92557 | $394.29 | $1,011.00 | not published | 0 |
| Compre oph exam est pt 1/> CPT 92014 | $113.10 | $290.00 | not published | 0 |
| Compre oph exam new pt 1/> CPT 92004 | $146.64 | $376.00 | not published | 0 |
| Concentration infection agents any type CPT 87015 | $80.34 | $206.00 | not published | 0 |
| Conditioning play audiometry 92582 CPT 92582 | $189.15 | $485.00 | not published | 0 |
| Condylomata destruction 56420 CPT 56420 | $799.50 | $2,050.00 | not published | 0 |
| Conization/cerv/loop electrode exc 57522 CPT 57522 | $1,053.00 | $2,700.00 | not published | 0 |
| Connect omega .5mm HCPCS L8613 | $40,292.75 | $103,314.74 | not published | 0 |
| Connector tis 2x10mm HCPCS C9352 | $3,630.83 | $9,309.83 | not published | 0 |
| Consultation pathology during surgery CPT 88329 | $296.40 | $760.00 | not published | 0 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $447.33 | $1,147.00 | not published | 0 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $159.12 | $408.00 | not published | 0 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $223.86 | $574.00 | not published | 0 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $120.90 | $310.00 | not published | 0 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $125.37 | $321.45 | not published | 0 |
| Consult comp w/report rfrd material CPT 88325 | $931.71 | $2,389.00 | not published | 0 |
| Contact lens fitting for tx CPT 92071 | $224.25 | $575.00 | not published | 0 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,496.00 | $6,400.00 | not published | 0 |
| Contrast exam thoracic aorta CPT 75600 | $2,142.66 | $5,494.00 | not published | 0 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,944.11 | $7,549.00 | not published | 0 |
| Contrast x-ray gallbladder CPT 74290 | $350.22 | $898.00 | not published | 0 |
| Contrast x-ray of ankle CPT 73615 | $263.25 | $675.00 | not published | 0 |
| Contrast x-ray of brain CPT 70010 | $735.93 | $1,887.00 | not published | 0 |
| Contrast x-ray of brain CPT 70015 | $390.78 | $1,002.00 | not published | 0 |
| Contrast x-ray of elbow CPT 73085 | $359.97 | $923.00 | not published | 0 |
| Contrast x-ray of hip CPT 73525 | $578.76 | $1,484.00 | not published | 0 |
| Contrast x-ray of knee joint CPT 73580 | $276.90 | $710.00 | not published | 0 |
| Contrast x-ray of wrist CPT 73115 | $242.97 | $623.00 | not published | 0 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $10,823.87 | $27,753.52 | not published | 0 |
| Controller infinity pt dbs HCPCS C1787 | $55,451.69 | $142,183.81 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $1,249.95 | $3,205.00 | not published | 0 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | $1,870.44 | $4,796.00 | not published | 0 |
| Control of nosebleed ant comp 30903 CPT 30903 | $1,117.74 | $2,866.00 | not published | 0 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $1,117.74 | $2,866.00 | not published | 0 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $579.93 | $1,487.00 | not published | 0 |
| Conversion ext bil drg cath CPT 47535 | $3,304.86 | $8,474.00 | not published | 0 |
| Convert nephrostomy catheter CPT 50434 | $6,119.49 | $15,691.00 | not published | 0 |
| Conv gtube to jtube CPT 44373 | $1,496.04 | $3,836.00 | not published | 0 |
| Coombs direct CPT 86880 | $175.89 | $451.00 | not published | 0 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $149.76 | $384.00 | not published | 0 |
| Coombs indirect titer reference CPT 86886 | $278.46 | $714.00 | not published | 0 |
| Copper cu 64 dotatate diag HCPCS A9592 | $6,213.64 | $15,932.40 | not published | 0 |
| Core ndl bx lng/med perq CPT 32408 | $3,535.35 | $9,065.00 | not published | 0 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $5,896.80 | $15,120.00 | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $10,540.92 | $27,028.00 | not published | 0 |
| Coronary angio/lv gram/lt heart CPT 93458 | $9,933.30 | $25,470.00 | not published | 0 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $11,036.61 | $28,299.00 | not published | 0 |
| Coronary art/grft angio s&i CPT 93455 | $6,590.61 | $16,899.00 | not published | 0 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $5,981.82 | $15,338.00 | not published | 0 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $1,409.07 | $3,613.00 | not published | 0 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | $80.73 | $207.00 | not published | 0 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | $957.84 | $2,456.00 | not published | 0 |
| Cortisol total am CPT 82533 | $278.07 | $713.00 | not published | 0 |
| Co-treatment - group 15 mins, st CPT 92508 | $108.81 | $279.00 | not published | 0 |
| Counseling smoke cess interm >10mins CPT 99407 | $43.68 | $112.00 | not published | 0 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $9,802.24 | $25,133.94 | not published | 0 |
| Cover eye w/membrane CPT 65778 | $612.69 | $1,571.00 | not published | 0 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $59.05 | $151.42 | not published | 0 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $553.80 | $1,420.00 | not published | 0 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $553.80 | $1,420.00 | not published | 0 |
| Covid-19 lab test non-cdc HCPCS U0002 | $147.03 | $377.00 | not published | 0 |
| #covid19rsv-rsv CPT 87634 | $129.48 | $332.00 | not published | 0 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $170.82 | $438.00 | not published | 0 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $1,653.60 | $4,240.00 | not published | 0 |
| C-peptide CPT 84681 | $241.02 | $618.00 | not published | 0 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $904.80 | $2,320.00 | not published | 0 |
| Cptrized corneal topography CPT 92025 | $111.93 | $287.00 | not published | 0 |
| Cptr ophth dx img post segmt CPT 92134 | $79.56 | $204.00 | not published | 0 |
| Crbrospnl fld flw imag cistern CPT 78630 | $450.84 | $1,156.00 | not published | 0 |
| C-reactive protein CPT 86140 | $138.45 | $355.00 | not published | 0 |
| C-reactive protein high sensitivity CPT 86141 | $91.65 | $235.00 | not published | 0 |
| C-reactive protein, quantitative CPT 86406 | $93.99 | $241.00 | not published | 0 |
| Creatine kinase CPT 82550 | $118.56 | $304.00 | not published | 0 |
| Creatine kinase isoenzymes CPT 82552 | $184.47 | $473.00 | not published | 0 |
| Creatine kinase mb CPT 82553 | $196.17 | $503.00 | not published | 0 |
| Creatine - sendout CPT 82540 | $35.10 | $90.00 | not published | 0 |
| Creatinine CPT 82565 | $39.39 | $101.00 | 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.