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 |
|---|---|---|---|---|
| Cystouretero & or pyeloscope CPT 52351 | $4,376.19 | $11,221.00 | not published | 0 |
| Cystouretero w/lithotripsy CPT 52353 | $7,873.71 | $20,189.00 | not published | 0 |
| Cystouretero w/stone remove CPT 52352 | $4,724.46 | $12,114.00 | not published | 0 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $2,325.96 | $5,964.00 | not published | 0 |
| Cystourethroscopy w/biopsy(s) 52204 CPT 52204 | $3,970.98 | $10,182.00 | not published | 0 |
| Cytogenetics 25-99 CPT 88274 | $216.84 | $556.00 | not published | 0 |
| Cytogenomic neo microra alys CPT 81277 | $1,911.78 | $4,902.00 | not published | 0 |
| Cytogenom microarray copy nmbr var CPT 81228 | $1,564.68 | $4,012.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $120.12 | $308.00 | not published | 0 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $153.66 | $394.00 | not published | 0 |
| Cyto/molecular report CPT 88291 | $91.65 | $235.00 | not published | 0 |
| Cytopath c/v auto in fluid CPT 88174 | $106.47 | $273.00 | not published | 0 |
| Cytopath c/v manual CPT 88150 | $8.97 | $23.00 | not published | 0 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $153.66 | $394.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $117.00 | $300.00 | not published | 0 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $168.87 | $433.00 | not published | 0 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $125.97 | $323.00 | not published | 0 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $221.13 | $567.00 | not published | 0 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $43.68 | $112.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $168.87 | $433.00 | not published | 0 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $463.32 | $1,188.00 | not published | 0 |
| Cytopath smear other source CPT 88160 | $78.39 | $201.00 | not published | 0 |
| Cytopath smear other source CPT 88162 | $792.09 | $2,031.00 | not published | 0 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $859.95 | $2,205.00 | not published | 0 |
| Dark field exam without collj CPT 87166 | $143.52 | $368.00 | not published | 0 |
| Dbrdmt prmlg les w/pdt CPT 96574 | $241.80 | $620.00 | not published | 0 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,774.81 | $9,679.00 | not published | 0 |
| Dch glucoscan CPT 82948 | $41.34 | $106.00 | not published | 0 |
| Dch pulmonary stress test CPT 94621 | $807.30 | $2,070.00 | not published | 0 |
| Dch validity tests CPT 81002 | $59.67 | $153.00 | not published | 0 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $4,021.68 | $10,312.00 | not published | 0 |
| Deamidated gliadin antibody iga CPT 86258 | $26.91 | $69.00 | not published | 0 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $852.93 | $2,187.00 | not published | 0 |
| Debridement (>20 cm) charge pt CPT 97598 | $1,035.06 | $2,654.00 | not published | 0 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,620.76 | $9,284.00 | not published | 0 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $926.25 | $2,375.00 | not published | 0 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,474.55 | $6,345.00 | not published | 0 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,533.48 | $3,932.00 | not published | 0 |
| Debride nail1-5 11720 CPT 11720 | $420.81 | $1,079.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $471.12 | $1,208.00 | not published | 0 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $823.68 | $2,112.00 | not published | 0 |
| Debride skin bone at fx site CPT 11012 | $3,278.34 | $8,406.00 | not published | 0 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $827.97 | $2,123.00 | not published | 0 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $116.22 | $298.00 | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $823.68 | $2,112.00 | not published | 0 |
| Debr inf skin add-on 11001 CPT 11001 | $106.86 | $274.00 | not published | 0 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,533.48 | $3,932.00 | not published | 0 |
| Decalcification CPT 88311 | $83.85 | $215.00 | not published | 0 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $1,297.53 | $3,327.00 | not published | 0 |
| Delay flap eye/nos/ear/lip CPT 15630 | $2,190.24 | $5,616.00 | not published | 0 |
| Delivery of placenta 59414 CPT 59414 | $6,783.66 | $17,394.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $229.32 | $588.00 | not published | 0 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $794.82 | $2,038.00 | not published | 0 |
| Dermabrasion suprfl any site CPT 15783 | $2,454.27 | $6,293.00 | not published | 0 |
| Dermapure 1 square cm HCPCS Q4152 | $4,137.81 | $10,609.78 | not published | 0 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $3,695.64 | $9,476.00 | not published | 0 |
| Design mlc device for imrt CPT 77338 | $4,659.72 | $11,948.00 | not published | 0 |
| Des thora aorta rpr without left sub art 33881 CPT 33881 | $5,698.68 | $14,612.00 | not published | 0 |
| Dest mal lesion feenlm 0.6-1cm 17281 CPT 17281 | $1,773.33 | $4,547.00 | not published | 0 |
| Dest mal lesion feenlm 1.1 - 2.0 cm 17282 CPT 17282 | $355.29 | $911.00 | not published | 0 |
| Dest mal lesion snhfg <0.5cm 17270 CPT 17270 | $222.30 | $570.00 | not published | 0 |
| Dest mal lesion snhfg 0.6-1cm 17271 CPT 17271 | $229.32 | $588.00 | not published | 0 |
| Dest mal lesion snhfg 1.1-2cm 17272 CPT 17272 | $171.60 | $440.00 | not published | 0 |
| Dest mal lesion tal <0.5 17260 CPT 17260 | $46.41 | $119.00 | not published | 0 |
| Dest mal lesion tal 0.6-1.0cm 17261 CPT 17261 | $222.30 | $570.00 | not published | 0 |
| Dest mal lesion tal 1.1-2.0cm 17262 CPT 17262 | $171.60 | $440.00 | not published | 0 |
| Dest mal lesion tal 2.1-3.0cm 17263 CPT 17263 | $222.30 | $570.00 | not published | 0 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $4,326.27 | $11,093.00 | not published | 0 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $1,441.44 | $3,696.00 | not published | 0 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $89.70 | $230.00 | not published | 0 |
| Destroy vulva lesion simple 56501 CPT 56501 | $4,077.84 | $10,456.00 | not published | 0 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $173.16 | $444.00 | not published | 0 |
| Destruct cut vasl lesions 10-50cm 17107 CPT 17107 | $789.75 | $2,025.00 | not published | 0 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $355.29 | $911.00 | not published | 0 |
| Destruct cut vasl lesions >50cm 17108 CPT 17108 | $737.10 | $1,890.00 | not published | 0 |
| Destruction 2-14 lesions 17003 CPT 17003 | $1,122.03 | $2,877.00 | not published | 0 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | $340.86 | $874.00 | not published | 0 |
| Destruction benign lesions < 14 lesions CPT 17110 | $2,690.22 | $6,898.00 | not published | 0 |
| Destruction by injection tx of nerve 64630 CPT 64630 | $2,143.44 | $5,496.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $1,441.44 | $3,696.00 | not published | 0 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $4,326.27 | $11,093.00 | not published | 0 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | $355.29 | $911.00 | not published | 0 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | $252.72 | $648.00 | not published | 0 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | $132.21 | $339.00 | not published | 0 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | $2,507.31 | $6,429.00 | not published | 0 |
| Destruction premal lesions 15/> 17004 CPT 17004 | $370.89 | $951.00 | not published | 0 |
| Destruction vag lesions simple 57061 CPT 57061 | $6,276.66 | $16,094.00 | not published | 0 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | $2,507.31 | $6,429.00 | not published | 0 |
| Devel tst phys/qhp 1st hr CPT 96112 | $393.12 | $1,008.00 | not published | 0 |
| Device ablt adv novasure HCPCS C1886 | $16,765.60 | $42,988.72 | not published | 0 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $4,298.87 | $11,022.75 | not published | 0 |
| Device sut capio slim opn HCPCS C2631 | $1,461.67 | $3,747.86 | not published | 0 |
| Device tiss remov myosure reach HCPCS C1782 | $591.75 | $1,517.31 | not published | 0 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | $339.30 | $870.00 | not published | 0 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $332.67 | $853.00 | not published | 0 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $296.79 | $761.00 | not published | 0 |
| Diabetes (HbA1c) Test CPT 83036 | $122.46 | $314.00 | not published | 0 |
| Diab manage trn ind/group HCPCS G0109 | $54.99 | $141.00 | not published | 0 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $1,365.00 | $3,500.00 | not published | 0 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $44.46 | $114.00 | 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.