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 |
|---|---|---|---|---|
| Creatinine 24 hour urine CPT 82570 | $79.95 | $205.00 | not published | 0 |
| Creatinine clearance urine CPT 82575 | $175.50 | $450.00 | not published | 0 |
| #creutz-prot.,western blot CPT 84182 | $429.78 | $1,102.00 | not published | 0 |
| Crisis psychotherapy 90839 CPT 90839 | $536.25 | $1,375.00 | not published | 0 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $194.61 | $499.00 | not published | 0 |
| Critical care each additional 30 minutes CPT 99292 | $1,155.18 | $2,962.00 | not published | 0 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $5,251.74 | $13,466.00 | not published | 0 |
| Cryo fib comp path redu each HCPCS P9026 | $108.42 | $278.00 | not published | 0 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $20.69 | $53.05 | not published | 0 |
| Cryoprecipitate each unit HCPCS P9012 | $377.13 | $967.00 | not published | 0 |
| Cryopreserve stem cells CPT 38207 | $1,009.71 | $2,589.00 | not published | 0 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $138.84 | $356.00 | not published | 0 |
| Cryotherapy of acne 17340 CPT 17340 | $101.79 | $261.00 | not published | 0 |
| Cryptococcus abs qn - sendout CPT 86641 | $89.70 | $230.00 | not published | 0 |
| Cryptosporidium antigen CPT 87272 | $101.79 | $261.00 | not published | 0 |
| Crystal identification light microscopy CPT 89060 | $106.08 | $272.00 | not published | 0 |
| Csf leakage imaging CPT 78650 | $238.68 | $612.00 | not published | 0 |
| Csf shunt reprogram 62252 CPT 62252 | $2,331.42 | $5,978.00 | not published | 0 |
| Csf ventriculography CPT 78635 | $714.87 | $1,833.00 | not published | 0 |
| Cstb gene detc abnor allele CPT 81188 | $225.42 | $578.00 | not published | 0 |
| Cstb gene full gene sequence CPT 81189 | $288.21 | $739.00 | not published | 0 |
| Cstb gene known famil vrnt CPT 81190 | $304.59 | $781.00 | not published | 0 |
| CT 3d report other modality w/workstation CPT 76377 | $613.47 | $1,573.00 | not published | 0 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,760.46 | $4,514.00 | not published | 0 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $2,770.56 | $7,104.00 | not published | 0 |
| CT Angiogram of the Abdomen CPT 74175 | $2,050.23 | $5,257.00 | not published | 0 |
| CT Angiogram of the Abdomen and Both Legs CPT 75635 | $3,444.87 | $8,833.00 | not published | 0 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,347.84 | $3,456.00 | not published | 0 |
| CT Angiogram of the Head CPT 70496 | $2,136.42 | $5,478.00 | not published | 0 |
| CT Angiogram of the Neck CPT 70498 | $1,769.43 | $4,537.00 | not published | 0 |
| CT angio hrt w/3d image CPT 75574 | $1,403.61 | $3,599.00 | not published | 0 |
| CT angio pelvis CPT 72191 | $1,775.28 | $4,552.00 | not published | 0 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,380.60 | $3,540.00 | not published | 0 |
| CT guidance for needle placement CPT 77012 | $1,776.45 | $4,555.00 | not published | 0 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $1,113.84 | $2,856.00 | not published | 0 |
| CT guid cryo ablat intramuscular CPT 20999 | $2,141.10 | $5,490.00 | not published | 0 |
| CT guid parench tis ablat CPT 77013 | $1,228.50 | $3,150.00 | not published | 0 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $1,665.30 | $4,270.00 | not published | 0 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $1,769.43 | $4,537.00 | not published | 0 |
| CT hrt w/3d image CPT 75572 | $2,075.58 | $5,322.00 | not published | 0 |
| CT limited or localized follow-up study CPT 76380 | $831.87 | $2,133.00 | not published | 0 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,419.21 | $3,639.00 | not published | 0 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $1,117.74 | $2,866.00 | not published | 0 |
| CT scan for localization CPT 77011 | $959.40 | $2,460.00 | not published | 0 |
| CT scan for therapy guide CPT 77014 | $840.06 | $2,154.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,133.65 | $8,035.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $2,737.80 | $7,020.00 | not published | 0 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,224.17 | $5,703.00 | not published | 0 |
| CT t-spine w /wo contrast CPT 72130 | $2,033.46 | $5,214.00 | not published | 0 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,382.16 | $3,544.00 | not published | 0 |
| Culture aerobic additional method definitive id each CPT 87077 | $96.72 | $248.00 | not published | 0 |
| Culture afb any source CPT 87116 | $145.86 | $374.00 | not published | 0 |
| Culture anaerobic additional method definitive id each CPT 87076 | $104.52 | $268.00 | not published | 0 |
| Culture anaerobic except blood CPT 87075 | $159.90 | $410.00 | not published | 0 |
| Culture bacteria anaerobic CPT 87073 | $132.99 | $341.00 | not published | 0 |
| Culture bact stool aero addl path ea CPT 87046 | $93.21 | $239.00 | not published | 0 |
| Culture body fluid CPT 87070 | $159.90 | $410.00 | not published | 0 |
| Culture fungi definitive id mold CPT 87107 | $100.62 | $258.00 | not published | 0 |
| Culture fungi definitive id yeast CPT 87106 | $100.62 | $258.00 | not published | 0 |
| Culture fungi other (except blood) CPT 87102 | $271.44 | $696.00 | not published | 0 |
| Culture fungi skin/hair/nail CPT 87101 | $161.46 | $414.00 | not published | 0 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $88.14 | $226.00 | not published | 0 |
| Culture mycoplasma any source CPT 87109 | $219.57 | $563.00 | not published | 0 |
| Culture quantitative aerobic other source CPT 87071 | $159.90 | $410.00 | not published | 0 |
| Culture screening strep group a CPT 87081 | $159.90 | $410.00 | not published | 0 |
| Culture typing added method CPT 87158 | $10.92 | $28.00 | not published | 0 |
| Culture typing immunologic CPT 87147 | $44.46 | $114.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $306.15 | $785.00 | not published | 0 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $159.12 | $408.00 | not published | 0 |
| Culture urine each isolate CPT 87088 | $72.15 | $185.00 | not published | 0 |
| Culture virus isolation CPT 87250 | $165.75 | $425.00 | not published | 0 |
| Curette/treat cornea CPT 65435 | $1,175.85 | $3,015.00 | not published | 0 |
| Curette/treat cornea CPT 65436 | $2,818.14 | $7,226.00 | not published | 0 |
| Cutter lead HCPCS C1773 | $12,372.27 | $31,723.78 | not published | 0 |
| Cv line/pic reposition CPT 36597 | $2,498.73 | $6,407.00 | not published | 0 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $65.52 | $168.00 | not published | 0 |
| Cyclic citrullinated peptide antibody CPT 86200 | $128.70 | $330.00 | not published | 0 |
| Cyclosporine 2 hour CPT 80158 | $130.65 | $335.00 | not published | 0 |
| Cylinder pump set 20cm titan zero angl HCPCS C1813 | $33,196.18 | $85,118.40 | not published | 0 |
| Cyp2c19 gene com variants CPT 81225 | $290.16 | $744.00 | not published | 0 |
| Cyp2c9 gene com variants CPT 81227 | $287.82 | $738.00 | not published | 0 |
| Cyp2d6 gene com variants CPT 81226 | $644.67 | $1,653.00 | not published | 0 |
| Cyp3a4 gene common variants CPT 81230 | $245.31 | $629.00 | not published | 0 |
| Cyp3a5 gene common variants CPT 81231 | $245.31 | $629.00 | not published | 0 |
| Cystatin c CPT 82610 | $122.46 | $314.00 | not published | 0 |
| Cystine urine quantitative CPT 82131 | $459.42 | $1,178.00 | not published | 0 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $256.62 | $658.00 | not published | 0 |
| Cystoscopy and radiotracer CPT 52250 | $6,600.75 | $16,925.00 | not published | 0 |
| Cystoscopy and treatment CPT 52214 | $3,970.98 | $10,182.00 | not published | 0 |
| Cystoscopy and treatment CPT 52224 | $3,970.98 | $10,182.00 | not published | 0 |
| Cystoscopy and treatment CPT 52234 | $6,766.11 | $17,349.00 | not published | 0 |
| Cystoscopy and treatment CPT 52235 | $6,766.11 | $17,349.00 | not published | 0 |
| Cystoscopy and treatment CPT 52265 | $3,970.98 | $10,182.00 | not published | 0 |
| Cystoscopy and treatment CPT 52310 | $4,142.19 | $10,621.00 | not published | 0 |
| Cystoscopy and treatment CPT 52315 | $4,772.04 | $12,236.00 | not published | 0 |
| Cystoscopy and treatment CPT 52320 | $3,970.98 | $10,182.00 | not published | 0 |
| Cystoscopy (Bladder Scope) CPT 52000 | $1,619.67 | $4,153.00 | not published | 0 |
| Cystoscopy chemodenervation CPT 52287 | $3,970.98 | $10,182.00 | not published | 0 |
| Cystoscopy removal of clots CPT 52001 | $3,970.98 | $10,182.00 | not published | 0 |
| Cystoscopy & ureter catheter CPT 52005 | $3,970.98 | $10,182.00 | 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.