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 |
|---|---|---|---|---|
| Electrophysiology evaluation CPT 93641 | $3,431.61 | $8,799.00 | not published | 0 |
| Electrophysiology evaluation CPT 93642 | $3,911.70 | $10,030.00 | not published | 0 |
| Electrophysiology evaluation CPT 93644 | $3,431.61 | $8,799.00 | not published | 0 |
| Electrophys map 3d add-on CPT 93613 | $2,755.74 | $7,066.00 | not published | 0 |
| Embolization s&i CPT 75894 | $4,517.76 | $11,584.00 | not published | 0 |
| Embo or occlude vascular arterial s&i CPT 37242 | $16,031.73 | $41,107.00 | not published | 0 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $15,266.94 | $39,146.00 | not published | 0 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $28,608.45 | $73,355.00 | not published | 0 |
| Embo or occlude vascular venous s&i CPT 37241 | $15,266.94 | $39,146.00 | not published | 0 |
| Embryo transfer intrauterine CPT 58974 | $998.79 | $2,561.00 | not published | 0 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $5,488.47 | $14,073.00 | not published | 0 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $4,938.96 | $12,664.00 | not published | 0 |
| Emb w/colposcopy 58110 CPT 58110 | $149.37 | $383.00 | not published | 0 |
| Emb without cervical dilation 58100 CPT 58100 | $426.66 | $1,094.00 | not published | 0 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $622.83 | $1,597.00 | not published | 0 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $888.81 | $2,279.00 | not published | 0 |
| Emg cranial nerve bilateral CPT 95868 | $565.89 | $1,451.00 | not published | 0 |
| Emg needle test 1-extremity CPT 95860 | $436.02 | $1,118.00 | not published | 0 |
| Emg needle test 4-extremities CPT 95864 | $1,228.89 | $3,151.00 | not published | 0 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $184.86 | $474.00 | not published | 0 |
| Encephalitis, california igg/igm CPT 86651 | $131.43 | $337.00 | not published | 0 |
| Encephalitis, st louis igg/igm CPT 86653 | $131.43 | $337.00 | not published | 0 |
| Encephalitis, western equine igg/igm CPT 86654 | $131.43 | $337.00 | not published | 0 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $7,813.26 | $20,034.00 | not published | 0 |
| Endo cath bile duct s&i CPT 74328 | $389.22 | $998.00 | not published | 0 |
| Endo cath panc duct s&i CPT 74329 | $367.77 | $943.00 | not published | 0 |
| Endocerv curettage w/scope 57456 CPT 57456 | $114.66 | $294.00 | not published | 0 |
| Endocervical curettage 57505 CPT 57505 | $121.68 | $312.00 | not published | 0 |
| Endo cholangiopancreatograph CPT 43261 | $6,006.00 | $15,400.00 | not published | 0 |
| Endoluminal bx biliary tree CPT 47543 | $914.55 | $2,345.00 | not published | 0 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $708.63 | $1,817.00 | not published | 0 |
| Endoluminl ivus oct c 1st CPT 92978 | $2,717.91 | $6,969.00 | not published | 0 |
| Endoluminl ivus oct c ea CPT 92979 | $1,166.10 | $2,990.00 | not published | 0 |
| Endoscopy swallow (fees) vid CPT 92612 | $330.33 | $847.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,756.52 | $7,068.00 | not published | 0 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $3,695.64 | $9,476.00 | not published | 0 |
| Endovasc tempory vessel occl CPT 61623 | $6,705.66 | $17,194.00 | not published | 0 |
| Endovas iliac a device addon CPT 34808 | $1,764.36 | $4,524.00 | not published | 0 |
| Endovenous laser vein addon 36479 CPT 36479 | $89.70 | $230.00 | not published | 0 |
| Endovenous mchnchem 1st vein CPT 36473 | $5,134.35 | $13,165.00 | not published | 0 |
| Endovenous mchnchem add-on CPT 36474 | $3,851.25 | $9,875.00 | not published | 0 |
| Endovenous rf abl vein addl CPT 36476 | $3,734.64 | $9,576.00 | not published | 0 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $6,459.57 | $16,563.00 | not published | 0 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $73.71 | $189.00 | not published | 0 |
| Enzyme histochemistry CPT 88319 | $455.91 | $1,169.00 | not published | 0 |
| Ep & ablate supravent arrhyt CPT 93653 | $20,039.37 | $51,383.00 | not published | 0 |
| Ep & ablate ventric tachy CPT 93654 | $20,039.37 | $51,383.00 | not published | 0 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $2,281.11 | $5,849.00 | not published | 0 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $2,026.05 | $5,195.00 | not published | 0 |
| Epidural lysis on single day 62264 CPT 62264 | $2,420.73 | $6,207.00 | not published | 0 |
| Ep induct arrhy by elect pacing CPT 93618 | $2,753.40 | $7,060.00 | not published | 0 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,588.78 | $9,202.00 | not published | 0 |
| Epstein barr early antigen antibody CPT 86663 | $94.77 | $243.00 | not published | 0 |
| Epstein barr nuclear antigen antibody CPT 86664 | $94.77 | $243.00 | not published | 0 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $129.48 | $332.00 | not published | 0 |
| Ercp biliary & pancreas CPT 74330 | $1,469.13 | $3,767.00 | not published | 0 |
| Ercp w/specimen collection CPT 43260 | $4,440.54 | $11,386.00 | not published | 0 |
| ER Visit (level 1, minor) CPT 99281 | $224.25 | $575.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $341.25 | $875.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $643.50 | $1,650.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $875.16 | $2,244.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $4,258.80 | $10,920.00 | not published | 0 |
| Esophageal dilat s&i CPT 74360 | $457.86 | $1,174.00 | not published | 0 |
| Esophageal motility CPT 78258 | $517.92 | $1,328.00 | not published | 0 |
| Esophagosc flex trnsn biopsy CPT 43198 | $1,654.38 | $4,242.00 | not published | 0 |
| Esophagoscopy balloon <30mm CPT 43220 | $1,447.68 | $3,712.00 | not published | 0 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $89.70 | $230.00 | not published | 0 |
| Esophagoscopy flex dx brush CPT 43197 | $1,654.38 | $4,242.00 | not published | 0 |
| Esophagus motility study CPT 91010 | $2,431.26 | $6,234.00 | not published | 0 |
| Esoph balloon distension tst CPT 91040 | $613.86 | $1,574.00 | not published | 0 |
| Esoph endoscopy dilation CPT 43226 | $2,221.83 | $5,697.00 | not published | 0 |
| Esoph imped function test CPT 91037 | $733.20 | $1,880.00 | not published | 0 |
| Esoph imped funct test > 1hr CPT 91038 | $603.72 | $1,548.00 | not published | 0 |
| Establish access to aorta CPT 36160 | $4,731.09 | $12,131.00 | not published | 0 |
| Establish access to artery CPT 36100 | $3,175.77 | $8,143.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $127.53 | $327.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $168.09 | $431.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $193.83 | $497.00 | not published | 0 |
| Estradiol total CPT 82670 | $277.29 | $711.00 | not published | 0 |
| Estrogens total-sendout CPT 82672 | $176.67 | $453.00 | not published | 0 |
| Ethylene glycol -sendout CPT 82693 | $196.56 | $504.00 | not published | 0 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $245.31 | $629.00 | not published | 0 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $249.21 | $639.00 | not published | 0 |
| Evaluation heart device CPT 93640 | $6,372.21 | $16,339.00 | not published | 0 |
| Evaluation of speech fluency 92521 CPT 92521 | $244.14 | $626.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $536.25 | $1,375.00 | not published | 0 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $31,035.03 | $79,577.00 | not published | 0 |
| Evasc prlng admn rx agnt add CPT 61651 | $19,183.71 | $49,189.00 | not published | 0 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $2,492.88 | $6,392.00 | not published | 0 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $2,511.99 | $6,441.00 | not published | 0 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | $11,524.11 | $29,549.00 | not published | 0 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $11,524.11 | $29,549.00 | not published | 0 |
| Event monitor CPT 93270 | $63.18 | $162.00 | not published | 0 |
| Evoked auditory tst complete CPT 92588 | $514.80 | $1,320.00 | not published | 0 |
| Evoked oa emissions ltd CPT 92587 | $340.47 | $873.00 | not published | 0 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $234.00 | $600.00 | not published | 0 |
| Evoked potentials upper limbs CPT 95925 | $2,475.72 | $6,348.00 | not published | 0 |
| Evoked potential visual not glaucoma CPT 95930 | $1,584.57 | $4,063.00 | not published | 0 |
| Evok oa screening qual CPT 92558 | $484.77 | $1,243.00 | not published | 0 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $735.05 | $1,884.74 | 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.