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 |
|---|---|---|---|---|
| Fda ide #g240020 carry bag HCPCS Q0499 | $676.56 | $1,734.76 | not published | 0 |
| #fecal-sodium CPT 84302 | $52.65 | $135.00 | not published | 0 |
| Feeding tube reposition CPT 74355 | $684.45 | $1,755.00 | not published | 0 |
| Felbamate (felbatol(r)) - sendout CPT 80167 | $48.75 | $125.00 | not published | 0 |
| Fem/popl revasc w/stent CPT 37226 | $12,656.28 | $32,452.00 | not published | 0 |
| Ferritin CPT 82728 | $212.16 | $544.00 | not published | 0 |
| Fetal biophys profile w/nst 76818 CPT 76818 | $525.33 | $1,347.00 | not published | 0 |
| Fetal chrmoml microdeltj CPT 81422 | $1,234.74 | $3,166.00 | not published | 0 |
| Fetal contract stress test 59020 - 26 CPT 59020 | $1,031.94 | $2,646.00 | not published | 0 |
| Fetal cord puncture prenatal CPT 59012 | $626.34 | $1,606.00 | not published | 0 |
| Fetal fibronectin CPT 82731 | $542.88 | $1,392.00 | not published | 0 |
| Fetal fluid drainage w/us CPT 59074 | $626.34 | $1,606.00 | not published | 0 |
| Fetal hemoglobin (kleihauer betke) CPT 85460 | $124.02 | $318.00 | not published | 0 |
| Fetal hemoglobin rosette CPT 85461 | $86.58 | $222.00 | not published | 0 |
| Fetal lung maturity assess lam body dnst CPT 83664 | $51.09 | $131.00 | not published | 0 |
| Fetal non stress test CPT 59025 | $1,412.19 | $3,621.00 | not published | 0 |
| Fetal shunt placement w/us CPT 59076 | $626.34 | $1,606.00 | not published | 0 |
| Fibrin degradation d dimer quantitative CPT 85379 | $141.96 | $364.00 | not published | 0 |
| Fibrin degradation products CPT 85362 | $90.48 | $232.00 | not published | 0 |
| Fibrin degrade semiquant CPT 85378 | $203.58 | $522.00 | not published | 0 |
| Fibrin degradj d-dimer CPT 85380 | $184.47 | $473.00 | not published | 0 |
| Fibrinogen activity CPT 85384 | $116.22 | $298.00 | not published | 0 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $253.34 | $649.60 | not published | 0 |
| Fibrinolytic plasminogen CPT 85415 | $138.06 | $354.00 | not published | 0 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $194.22 | $498.00 | not published | 0 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $6,878.20 | $17,636.40 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $4,981.07 | $12,771.98 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,834.56 | $4,704.00 | not published | 0 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $612.30 | $1,570.00 | not published | 0 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $612.30 | $1,570.00 | not published | 0 |
| Fine needle asp without image guide 10021 CPT 10021 | $993.72 | $2,548.00 | not published | 0 |
| Finger X-ray (both hands) CPT 73140 | $182.13 | $467.00 | not published | 0 |
| Fitg c-lens keratoconus 1st CPT 92072 | $124.80 | $320.00 | not published | 0 |
| Fix g/colon tube w/device CPT 49460 | $1,719.90 | $4,410.00 | not published | 0 |
| Fl exam g/colon tube w contrast CPT 49465 | $2,416.05 | $6,195.00 | not published | 0 |
| Floor of mouth biopsy 41108 CPT 41108 | $2,040.09 | $5,231.00 | not published | 0 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | $590.46 | $1,514.00 | not published | 0 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $863.07 | $2,213.00 | not published | 0 |
| Flow cytometry marker each additional CPT 88185 | $91.26 | $234.00 | not published | 0 |
| Flow cytometry one marker technical component CPT 88184 | $120.51 | $309.00 | not published | 0 |
| Flt3 gene CPT 81245 | $501.15 | $1,285.00 | not published | 0 |
| Flt3 gene analysis CPT 81246 | $267.15 | $685.00 | not published | 0 |
| Fluidotherapy charges pt CPT 97022 | $84.63 | $217.00 | not published | 0 |
| Fluorescein angrph mltiframe CPT 92235 | $194.22 | $498.00 | not published | 0 |
| Fluorescein&icg angiography CPT 92242 | $882.18 | $2,262.00 | not published | 0 |
| Fluorescent antibody titer dna CPT 86256 | $116.61 | $299.00 | not published | 0 |
| Fluoroestradiol f 18 HCPCS A9591 | $996.06 | $2,554.00 | not published | 0 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $507.00 | $1,300.00 | not published | 0 |
| Fluoroguide needle placement CPT 77002 | $647.01 | $1,659.00 | not published | 0 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $489.84 | $1,256.00 | not published | 0 |
| Fmri brain by phys/psych CPT 70555 | $414.18 | $1,062.00 | not published | 0 |
| Fmri brain by tech CPT 70554 | $1,703.91 | $4,369.00 | not published | 0 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,834.56 | $4,704.00 | not published | 0 |
| Fna bx w/ct gdn ea addl CPT 10010 | $612.30 | $1,570.00 | not published | 0 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,834.56 | $4,704.00 | not published | 0 |
| Fna bx w/mr gdn ea addl CPT 10012 | $612.30 | $1,570.00 | not published | 0 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $119.48 | $306.36 | not published | 0 |
| Folic acid CPT 82746 | $260.91 | $669.00 | not published | 0 |
| Follow-up angiography CPT 75898 | $2,542.41 | $6,519.00 | not published | 0 |
| Fo nontorsion joint cf HCPCS L3935 | $213.69 | $547.93 | not published | 0 |
| Foot X-ray CPT 73630 | $261.30 | $670.00 | not published | 0 |
| Foot X-ray (2 views, both feet) CPT 73620 | $185.64 | $476.00 | not published | 0 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $303.14 | $777.28 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $268.18 | $687.65 | not published | 0 |
| Forearm X-ray (both sides) CPT 73090 | $238.68 | $612.00 | not published | 0 |
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $696.15 | $1,785.00 | not published | 0 |
| Fracture assessment via dxa CPT 77086 | $104.13 | $267.00 | not published | 0 |
| _fragile x methylation-sendout CPT 81244 | $74.49 | $191.00 | not published | 0 |
| Fragmenting of kidney stone CPT 50590 | $22,809.54 | $58,486.00 | not published | 0 |
| Frenectomy 41115 CPT 41115 | $1,939.47 | $4,973.00 | not published | 0 |
| Frenulotomy of penis CPT 54164 | $4,451.07 | $11,413.00 | not published | 0 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $426.66 | $1,094.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $306.15 | $785.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $165.36 | $424.00 | not published | 0 |
| Frozen blood freeze/thaw CPT 86932 | $179.01 | $459.00 | not published | 0 |
| Frozen blood prep CPT 86930 | $512.07 | $1,313.00 | not published | 0 |
| Frozen blood thaw CPT 86931 | $253.50 | $650.00 | not published | 0 |
| Fructosamine glycated protein CPT 82985 | $188.76 | $484.00 | not published | 0 |
| Ftl cgen abnor five anal CPT 81512 | $726.18 | $1,862.00 | not published | 0 |
| Ftl cgen abnor four anal CPT 81511 | $267.15 | $685.00 | not published | 0 |
| Ftl cgen abnor three anal CPT 81510 | $267.15 | $685.00 | not published | 0 |
| Full field erg w/i&r CPT 92273 | $393.12 | $1,008.00 | not published | 0 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $341.25 | $875.00 | not published | 0 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,063.49 | $5,291.00 | not published | 0 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,315.04 | $5,936.00 | not published | 0 |
| Functional brain mapping CPT 96020 | $261.69 | $671.00 | not published | 0 |
| Fundus photography with i&r 92250 CPT 92250 | $214.50 | $550.00 | not published | 0 |
| Fxn gene charac alleles CPT 81285 | $452.40 | $1,160.00 | not published | 0 |
| Fxn gene detc abnor alleles CPT 81284 | $225.42 | $578.00 | not published | 0 |
| Fxn gene full gene sequence CPT 81286 | $452.40 | $1,160.00 | not published | 0 |
| Fxn gene known famil variant CPT 81289 | $304.59 | $781.00 | not published | 0 |
| G6pd gene alys cmn variant CPT 81247 | $1,665.30 | $4,270.00 | not published | 0 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $118.56 | $304.00 | not published | 0 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $5,166.87 | $13,248.38 | not published | 0 |
| Gadobutrol 1 mmol/ml intravenous solution (wrapper) HCPCS A9585 | $245.70 | $630.00 | not published | 0 |
| Gadoxetate 0.25 mmol/ml (181.43 mg/ml) intravenous solution HCPCS A9581 | $249.80 | $640.50 | not published | 0 |
| Galac-1-phosphate uridyltran - sendout CPT 82775 | $29.64 | $76.00 | not published | 0 |
| Gallbladder and Bile Duct Scan (HIDA Scan) CPT 78226 | $1,078.74 | $2,766.00 | not published | 0 |
| Gallbladder Function Scan (HIDA with Medication) CPT 78227 | $1,078.74 | $2,766.00 | not published | 0 |
| Gallium illuccix 1 millicure HCPCS A9596 | $1,395.27 | $3,577.61 | 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.