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 |
|---|---|---|---|---|
| _afb id by dna probe rflx ast CPT 87149 | $38.22 | $98.00 | not published | 0 |
| #afb mycobacteria suscep. #1 CPT 87190 | $73.71 | $189.00 | not published | 0 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $378.69 | $971.00 | not published | 0 |
| Aff2 gen aly detc abnl allel CPT 81171 | $225.42 | $578.00 | not published | 0 |
| Aff2 gen alys charac alleles CPT 81172 | $452.40 | $1,160.00 | not published | 0 |
| Afo rig ant tib tcf/= custom HCPCS L1932 | $1,200.70 | $3,078.71 | not published | 0 |
| After cataract laser surgery CPT 66821 | $721.89 | $1,851.00 | not published | 0 |
| Air conduction bilat CPT 92552 | $81.12 | $208.00 | not published | 0 |
| Air injection into abdomen 49400 CPT 49400 | $2,454.66 | $6,294.00 | not published | 0 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $484.38 | $1,242.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $91.65 | $235.00 | not published | 0 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $139.62 | $358.00 | not published | 0 |
| Albumin serum plasma or whole blood CPT 82040 | $53.82 | $138.00 | not published | 0 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $36.27 | $93.00 | not published | 0 |
| Alkaline phosphatase CPT 84075 | $65.91 | $169.00 | not published | 0 |
| Allergen alpha lactalbumin ige CPT 86008 | $33.93 | $87.00 | not published | 0 |
| Allergen egg white ige CPT 86003 | $37.05 | $95.00 | not published | 0 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $53.82 | $138.00 | not published | 0 |
| Allergy injections; 2 or more 95117 CPT 95117 | $37.44 | $96.00 | not published | 0 |
| Allergy injection; single 95115 CPT 95115 | $51.48 | $132.00 | not published | 0 |
| Allergy Skin Testing CPT 95004 | $53.43 | $137.00 | not published | 0 |
| Allg patch or app # of tests 95044 CPT 95044 | $39.00 | $100.00 | not published | 0 |
| Allograft amniotic activebarrier 200 2x2cm-q4100-cost per sheet HCPCS Q4100 | $22,121.61 | $56,722.08 | not published | 0 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $18,284.60 | $46,883.60 | not published | 0 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $1,609.35 | $4,126.54 | not published | 0 |
| All tstg perq&iq drugs/biol CPT 95018 | $41.34 | $106.00 | not published | 0 |
| All tstg perq&iq w/venoms CPT 95017 | $41.34 | $106.00 | not published | 0 |
| Alpha-fetoprotein tumor marker CPT 82105 | $199.68 | $512.00 | not published | 0 |
| Als 1 HCPCS A0426 | $892.32 | $2,288.00 | not published | 0 |
| Als1-emergency HCPCS A0427 | $1,288.56 | $3,304.00 | not published | 0 |
| Als 2 HCPCS A0433 | $1,288.56 | $3,304.00 | not published | 0 |
| Alt/sgpt CPT 84460 | $62.01 | $159.00 | not published | 0 |
| Aluminum - quest CPT 82108 | $227.76 | $584.00 | not published | 0 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | $1,743.30 | $4,470.00 | not published | 0 |
| Ambl bp mntr w/sw a/r CPT 93788 | $161.46 | $414.00 | not published | 0 |
| Amino acid screen, urine CPT 82128 | $314.73 | $807.00 | not published | 0 |
| Aminolevulinic acid delta CPT 82135 | $194.61 | $499.00 | not published | 0 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $12.13 | $31.10 | not published | 0 |
| Ammonia CPT 82140 | $249.21 | $639.00 | not published | 0 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $1,733.55 | $4,445.00 | not published | 0 |
| Amniocentesis therapeutic CPT 59001 | $453.57 | $1,163.00 | not published | 0 |
| Amniotic fluid scan CPT 82143 | $33.15 | $85.00 | not published | 0 |
| Amputation toe metatarsophalangeal joint CPT 28820 | $3,777.93 | $9,687.00 | not published | 0 |
| Amylase CPT 82150 | $132.60 | $340.00 | not published | 0 |
| Ana ds-dna CPT 86226 | $69.03 | $177.00 | not published | 0 |
| Anal pressure record CPT 91122 | $1,131.00 | $2,900.00 | not published | 0 |
| Anal/urinary muscle study CPT 51784 | $461.37 | $1,183.00 | not published | 0 |
| Anal/urinary muscle study CPT 51785 | $671.97 | $1,723.00 | not published | 0 |
| Analysis complx cranial nerve pulse gen prgrmg 95977 CPT 95977 | $340.47 | $873.00 | not published | 0 |
| Analysis gene f2 20210g>a variant CPT 81240 | $253.50 | $650.00 | not published | 0 |
| Analysis gene f5 leiden variant CPT 81241 | $253.11 | $649.00 | not published | 0 |
| Analysis; simple cranial nerv pulse gen prgrmg 95976 CPT 95976 | $107.64 | $276.00 | not published | 0 |
| Analyze neurostimulator simple w/reprogramming 95971 CPT 95971 | $1,692.21 | $4,339.00 | not published | 0 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $47.97 | $123.00 | not published | 0 |
| Anca screen with reflex to titer -quest CPT 86021 | $152.49 | $391.00 | not published | 0 |
| An cholangiogram percutaneous compl CPT 47531 | $1,991.34 | $5,106.00 | not published | 0 |
| An fluoro guide for cvp CPT 77001 | $469.17 | $1,203.00 | not published | 0 |
| Angio balloon ctrl dialysis seg add-on CPT 36907 | $5,341.83 | $13,697.00 | not published | 0 |
| Angioplasty fem/pop unilat 37224 CPT 37224 | $8,013.72 | $20,548.00 | not published | 0 |
| Angioplasty/iliac/init ves/unilat 37220 CPT 37220 | $11,524.11 | $29,549.00 | not published | 0 |
| Angioplasty tib/pero/unilat/ea add 37232 CPT 37232 | $5,370.69 | $13,771.00 | not published | 0 |
| Angio tib/peroneal/init ves/unila 37228 CPT 37228 | $10,233.99 | $26,241.00 | not published | 0 |
| Angio trnslmnl balloon same artery ea addl CPT 37247 | $3,655.86 | $9,374.00 | not published | 0 |
| Angio trnslmnl balloon same artery ini CPT 37246 | $5,341.83 | $13,697.00 | not published | 0 |
| Angio trnslmnl balloon same vein ea addl CPT 37249 | $3,660.93 | $9,387.00 | not published | 0 |
| Angio trnslmnl balloon same vein ini CPT 37248 | $5,350.02 | $13,718.00 | not published | 0 |
| Ankle X-ray CPT 73610 | $261.30 | $670.00 | not published | 0 |
| Ankle X-ray (2 views, both ankles) CPT 73600 | $197.73 | $507.00 | not published | 0 |
| Anl sp inf pmp w/mdreprg&fil CPT 62370 | $591.24 | $1,516.00 | not published | 0 |
| Anogenital exam child w imag CPT 99170 | $106.86 | $274.00 | not published | 0 |
| Anora (draw only) CPT 99001 | $8.58 | $22.00 | not published | 0 |
| Anoscopy remove fb 46608 CPT 46608 | $1,054.95 | $2,705.00 | not published | 0 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $55.38 | $142.00 | not published | 0 |
| Antibody elution rbc reference CPT 86860 | $231.27 | $593.00 | not published | 0 |
| Antibody htlv/hiv confirm test CPT 86689 | $166.92 | $428.00 | not published | 0 |
| Antibody htlv-i CPT 86687 | $49.53 | $127.00 | not published | 0 |
| Antibody htlv-ii CPT 86688 | $49.53 | $127.00 | not published | 0 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $249.99 | $641.00 | not published | 0 |
| Antibody id rbc panel CPT 86870 | $460.59 | $1,181.00 | not published | 0 |
| Antibody influenza virus CPT 86710 | $119.34 | $306.00 | not published | 0 |
| Antibody lymphocytic choriomeningitis CPT 86727 | $118.17 | $303.00 | not published | 0 |
| Antibody screen rbc CPT 86850 | $246.87 | $633.00 | not published | 0 |
| Antibody tetanus CPT 86774 | $109.98 | $282.00 | not published | 0 |
| Anti mog serum - sendout CPT 86362 | $16.38 | $42.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $22.23 | $57.00 | not published | 0 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $22.23 | $57.00 | not published | 0 |
| Antinuclear antibodies CPT 86038 | $175.89 | $451.00 | not published | 0 |
| Antinuclear antibodies titer CPT 86039 | $101.79 | $261.00 | not published | 0 |
| Antiphosphatidylserine antibody CPT 86148 | $84.63 | $217.00 | not published | 0 |
| Antistreptolysin o screen CPT 86063 | $72.93 | $187.00 | not published | 0 |
| Antistreptolysin o titer CPT 86060 | $88.14 | $226.00 | not published | 0 |
| Antithrombin iii activity CPT 85300 | $207.09 | $531.00 | not published | 0 |
| Aortic Aneurysm Screening Ultrasound CPT 76706 | $268.32 | $688.00 | not published | 0 |
| Apheresis plasma CPT 36514 | $3,510.00 | $9,000.00 | not published | 0 |
| Apheresis platelets CPT 36513 | $7,534.80 | $19,320.00 | not published | 0 |
| Apheresis rbc CPT 36512 | $7,470.06 | $19,154.00 | not published | 0 |
| Apheresis wbc CPT 36511 | $7,470.06 | $19,154.00 | not published | 0 |
| Apl(pml-rara) quant - sendout CPT 81315 | $1,038.18 | $2,662.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,170.00 | $3,000.00 | not published | 0 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $498.81 | $1,279.00 | 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.