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 |
|---|---|---|---|---|
| Ewho w/joint(s) cf HCPCS L3764 | $830.31 | $2,129.00 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | $370.89 | $951.00 | not published | 0 |
| Exam pelvic add-on CPT 99459 | $27.69 | $71.00 | not published | 0 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $2,634.84 | $6,756.00 | not published | 0 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $1,473.42 | $3,778.00 | not published | 0 |
| Exc back tum deep 5 cm/> CPT 21933 | $336.18 | $862.00 | not published | 0 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $202.80 | $520.00 | not published | 0 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $2,683.98 | $6,882.00 | not published | 0 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $2,244.06 | $5,754.00 | not published | 0 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $624.78 | $1,602.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $577.59 | $1,481.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $925.47 | $2,373.00 | not published | 0 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $99.84 | $256.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $4,006.47 | $10,273.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $5,688.15 | $14,585.00 | not published | 0 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $3,335.67 | $8,553.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $1,955.46 | $5,014.00 | not published | 0 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,228.50 | $3,150.00 | not published | 0 |
| Exc face tum deep < 2 cm CPT 21013 | $1,586.13 | $4,067.00 | not published | 0 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $495.69 | $1,271.00 | not published | 0 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $1,064.70 | $2,730.00 | not published | 0 |
| Exc forearm les sc 3 cm/> CPT 25071 | $1,586.13 | $4,067.00 | not published | 0 |
| Exchange biliary drg cath CPT 47536 | $2,916.42 | $7,478.00 | not published | 0 |
| Exchange drainage catheter CPT 49423 | $1,325.61 | $3,399.00 | not published | 0 |
| Exchange nephrostomy cath CPT 50435 | $4,387.11 | $11,249.00 | not published | 0 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $3,399.24 | $8,716.00 | not published | 0 |
| Excise lesion testis CPT 54512 | $1,368.12 | $3,508.00 | not published | 0 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $1,957.80 | $5,020.00 | not published | 0 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $565.50 | $1,450.00 | not published | 0 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $4,962.75 | $12,725.00 | not published | 0 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,440.66 | $3,694.00 | not published | 0 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $3,381.30 | $8,670.00 | not published | 0 |
| Excision of penis lesion(s) 54060 CPT 54060 | $2,882.49 | $7,391.00 | not published | 0 |
| Exc les conjunctiva <1 cm CPT 68110 | $1,060.80 | $2,720.00 | not published | 0 |
| Exc les conjunctiva >1 cm CPT 68115 | $2,682.42 | $6,878.00 | not published | 0 |
| Exc malig feenl <0.5cm 11640 CPT 11640 | $1,322.10 | $3,390.00 | not published | 0 |
| Exc malig feenl 1.1-2 11642 CPT 11642 | $1,322.10 | $3,390.00 | not published | 0 |
| Exc malig snhfg 0.6-1.0 cm 11621 CPT 11621 | $1,064.70 | $2,730.00 | not published | 0 |
| Exc malig snhfg 2.1-3 cm 11623 CPT 11623 | $1,849.38 | $4,742.00 | not published | 0 |
| Exc malig tal <0.5cm 11600 CPT 11600 | $632.97 | $1,623.00 | not published | 0 |
| Exc malig tal 0.6-1.0cm 11601 CPT 11601 | $823.68 | $2,112.00 | not published | 0 |
| Exc mal+marg tal 1.1-2 cm 11602 CPT 11602 | $988.26 | $2,534.00 | not published | 0 |
| Exc mal+marg tal 2.1-3 cm 11603 CPT 11603 | $1,546.35 | $3,965.00 | not published | 0 |
| Exc mal+marg tal 3.1-4 cm 11604 CPT 11604 | $1,322.10 | $3,390.00 | not published | 0 |
| Exc neck tum deep < 5 cm CPT 21556 | $3,501.81 | $8,979.00 | not published | 0 |
| Exc skn hdrdnt ax smpl/ntrm CPT 11450 | $365.04 | $936.00 | not published | 0 |
| Exc snhfg mal+mrg 1.1-2 11622 CPT 11622 | $1,064.70 | $2,730.00 | not published | 0 |
| Exc snhfg mal+mrg 3.1-4 11624 CPT 11624 | $2,299.83 | $5,897.00 | not published | 0 |
| Exc snhfg mal+mrg >4 cm 11626 CPT 11626 | $3,705.78 | $9,502.00 | not published | 0 |
| Exc thrombosed hemorrhoid 46320 CPT 46320 | $1,231.62 | $3,158.00 | not published | 0 |
| Exc tr-ext mal+marg tal >4 cm 11606 CPT 11606 | $1,904.37 | $4,883.00 | not published | 0 |
| Exercise tst brncspsm w/ecg CPT 94617 | $424.32 | $1,088.00 | not published | 0 |
| Exercise tst brncspsm wo ecg CPT 94619 | $424.32 | $1,088.00 | not published | 0 |
| Exercise w/hemodynamic meas CPT 93464 | $355.29 | $911.00 | not published | 0 |
| Exome sequence analysis CPT 81415 | $3,666.78 | $9,402.00 | not published | 0 |
| Exome sequence analysis CPT 81416 | $6,039.54 | $15,486.00 | not published | 0 |
| Expander breast 300cc mod hght extra proj smth natrelle HCPCS L8600 | $2,034.40 | $5,216.40 | not published | 0 |
| Expander tiss 133s-mv-12-t 300ml natrelle smth HCPCS C1789 | $5,241.49 | $13,439.73 | not published | 0 |
| Exploration retroperitoneal area 49010 CPT 49010 | $1,233.18 | $3,162.00 | not published | 0 |
| Explore/irrigate tear ducts CPT 68840 | $361.92 | $928.00 | not published | 0 |
| Explore penetrating wnd/extremity 20103 CPT 20103 | $7,992.66 | $20,494.00 | not published | 0 |
| Explore scrotum CPT 55110 | $2,256.54 | $5,786.00 | not published | 0 |
| Explore wound abdomen 20102 CPT 20102 | $2,156.70 | $5,530.00 | not published | 0 |
| Exp w remove/deep fb/forearm/wrist 25248 CPT 25248 | $10,082.67 | $25,853.00 | not published | 0 |
| Ex sq tumor/face or scalp < 2 cm 21011 CPT 21011 | $2,286.96 | $5,864.00 | not published | 0 |
| Ex sq tumor/face or scalp 2 cm/> 21012 CPT 21012 | $2,017.08 | $5,172.00 | not published | 0 |
| Ext ecg>7d<15d scan a/r CPT 93247 | $63.57 | $163.00 | not published | 0 |
| Extended visual field xm CPT 92083 | $78.00 | $200.00 | not published | 0 |
| External chromosome analysis 20-25 cells CPT 88264 | $533.91 | $1,369.00 | not published | 0 |
| External newborn metabolic screening panel HCPCS S3620 | $93.99 | $241.00 | not published | 0 |
| External ocular photography CPT 92285 | $62.40 | $160.00 | not published | 0 |
| External pretreatment of serum for use in antibody identification by dilution CPT 86976 | $111.15 | $285.00 | not published | 0 |
| External recharg sys intern HCPCS L8689 | $10,113.85 | $25,932.96 | not published | 0 |
| External tissue culture neoplastic disorders bone marrow/blood cells CPT 88237 | $334.62 | $858.00 | not published | 0 |
| Extractable nuclear antigen/antibody any method each antibody centromere CPT 86235 | $134.94 | $346.00 | not published | 0 |
| Extrnl counterpulse, per tx HCPCS G0166 | $643.11 | $1,649.00 | not published | 0 |
| Eye implant band 40 HCPCS C1784 | $28,995.79 | $74,348.19 | not published | 0 |
| Eye Socket (Orbit) X-ray CPT 70200 | $349.05 | $895.00 | not published | 0 |
| Eye Socket, Pituitary or Ear CT Scan (with and without contrast) CPT 70482 | $1,686.75 | $4,325.00 | not published | 0 |
| Eye Socket, Pituitary or Ear CT Scan (with contrast) CPT 70481 | $1,551.42 | $3,978.00 | not published | 0 |
| Eye Socket, Pituitary or Ear CT Scan (without contrast) CPT 70480 | $1,385.28 | $3,552.00 | not published | 0 |
| Ezh2 gene common variants CPT 81237 | $288.21 | $739.00 | not published | 0 |
| Ezh2 gene full gene sequence CPT 81236 | $465.66 | $1,194.00 | not published | 0 |
| F-18 fdg pet diag HCPCS A9552 | $867.36 | $2,224.00 | not published | 0 |
| F-18 florbetapir less than or equal to 10 mci HCPCS A9586 | $5,224.83 | $13,397.00 | not published | 0 |
| F-18 fluciclovine per mci HCPCS A9588 | $902.07 | $2,313.00 | not published | 0 |
| F-18 sodium fluoride HCPCS A9580 | $226.20 | $580.00 | not published | 0 |
| F9 full gene sequence CPT 81238 | $2,118.87 | $5,433.00 | not published | 0 |
| Face, Eye Socket and Neck MRI (with and without contrast) CPT 70543 | $2,184.00 | $5,600.00 | not published | 0 |
| Face, Eye Socket and Neck MRI (without contrast) CPT 70540 | $1,782.69 | $4,571.00 | not published | 0 |
| Facial Bones X-ray (1 to 2 views) CPT 70140 | $260.52 | $668.00 | not published | 0 |
| Facial Bones X-ray (complete) CPT 70150 | $378.69 | $971.00 | not published | 0 |
| Factor ix CPT 85250 | $280.80 | $720.00 | not published | 0 |
| Factor viii CPT 85240 | $280.80 | $720.00 | not published | 0 |
| Fallopian tube recnl CPT 58345 | $5,663.19 | $14,521.00 | not published | 0 |
| Family therapy without pt 50min 90846 CPT 90846 | $184.86 | $474.00 | not published | 0 |
| Family therapy with patient 50 min 90847 CPT 90847 | $204.75 | $525.00 | not published | 0 |
| Fancc gene CPT 81242 | $490.23 | $1,257.00 | not published | 0 |
| Fat/lipids feces qualitative CPT 82705 | $101.40 | $260.00 | not published | 0 |
| Fatty acids nonesterified CPT 82725 | $49.92 | $128.00 | 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.