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 |
|---|---|---|---|---|
| Hemoglobin methemoglobin quantitative CPT 83050 | $98.67 | $253.00 | not published | 0 |
| Hemoglobin-oxygen affinity CPT 82820 | $32.37 | $83.00 | not published | 0 |
| Hemoglobin plasma CPT 83051 | $77.22 | $198.00 | not published | 0 |
| Hemoglobin urine CPT 83069 | $54.21 | $139.00 | not published | 0 |
| Hemolysin acid CPT 85475 | $366.60 | $940.00 | not published | 0 |
| Hemolysins/agglutinins auto CPT 86940 | $209.04 | $536.00 | not published | 0 |
| Hemolysins and agglutinins incubated CPT 86941 | $387.66 | $994.00 | not published | 0 |
| Hemophilus influenza antibdy CPT 86684 | $109.59 | $281.00 | not published | 0 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $530.79 | $1,361.00 | not published | 0 |
| Heparin assay CPT 85520 | $220.74 | $566.00 | not published | 0 |
| Heparin neutralization CPT 85525 | $71.37 | $183.00 | not published | 0 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.16 | $0.41 | not published | 0 |
| Heparin-protamine tolerance CPT 85530 | $24.96 | $64.00 | not published | 0 |
| Hepatitis a antibody igm CPT 86709 | $127.14 | $326.00 | not published | 0 |
| Hepatitis b core antibody igm CPT 86705 | $110.37 | $283.00 | not published | 0 |
| Hepatitis b core antibody total CPT 86704 | $91.26 | $234.00 | not published | 0 |
| Hepatitis b surface antibody CPT 86706 | $81.12 | $208.00 | not published | 0 |
| Hepatitis c antibody CPT 86803 | $140.01 | $359.00 | not published | 0 |
| Hepatitis g dna dir probe CPT 87525 | $40.17 | $103.00 | not published | 0 |
| Herpes simplex 1 ag if CPT 87274 | $280.02 | $718.00 | not published | 0 |
| Herpes simplex 2 ag if CPT 87273 | $280.02 | $718.00 | not published | 0 |
| Herpes simplex type 1 antibody igg CPT 86695 | $96.33 | $247.00 | not published | 0 |
| Herpes simplex type 2 antibody igg CPT 86696 | $96.33 | $247.00 | not published | 0 |
| Herpes simplex virus isolation CPT 87255 | $313.56 | $804.00 | not published | 0 |
| Heterophile antibodies screening CPT 86308 | $79.56 | $204.00 | not published | 0 |
| Hgb methemoglobin qual CPT 83045 | $75.66 | $194.00 | not published | 0 |
| Hhv-6 dna quant CPT 87533 | $319.80 | $820.00 | not published | 0 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $271.05 | $695.00 | not published | 0 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $304.98 | $782.00 | not published | 0 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $168.09 | $431.00 | not published | 0 |
| Hip X-ray CPT 73502 | $189.15 | $485.00 | not published | 0 |
| Histamine CPT 83088 | $219.18 | $562.00 | not published | 0 |
| Histochemical stains add-on CPT 88314 | $232.83 | $597.00 | not published | 0 |
| Hiv-1 ag ia CPT 87390 | $223.08 | $572.00 | not published | 0 |
| Hla class i high defin qual CPT 86832 | $574.86 | $1,474.00 | not published | 0 |
| Hla class ii high defin qual CPT 86833 | $578.37 | $1,483.00 | not published | 0 |
| Hla class i&ii antibody qual CPT 86828 | $496.86 | $1,274.00 | not published | 0 |
| Hla class ii phenotype qual CPT 86831 | $341.64 | $876.00 | not published | 0 |
| Hla class i phenotype qual CPT 86830 | $341.64 | $876.00 | not published | 0 |
| Hla i & ii typing hr CPT 81378 | $1,128.66 | $2,894.00 | not published | 0 |
| Hla i & ii typing lr CPT 81370 | $1,407.51 | $3,609.00 | not published | 0 |
| Hla ii typing 1 loc hr CPT 81382 | $290.94 | $746.00 | not published | 0 |
| Hla ii typing ag equiv lr CPT 81375 | $372.06 | $954.00 | not published | 0 |
| Hla i low res one antigen equiv ea CPT 81374 | $145.94 | $374.21 | not published | 0 |
| Hla i typing complete lr CPT 81372 | $631.80 | $1,620.00 | not published | 0 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $392.34 | $1,006.00 | not published | 0 |
| Hla i typing low res one locus ea CPT 81373 | $400.92 | $1,028.00 | not published | 0 |
| Hla typing a b or c CPT 86813 | $503.88 | $1,292.00 | not published | 0 |
| Hla x-match noncytotoxc addl CPT 86826 | $97.11 | $249.00 | not published | 0 |
| Hla x-math non-cytotoxic CPT 86825 | $263.25 | $675.00 | not published | 0 |
| Hlth bhv assmt/reassessment CPT 96156 | $350.22 | $898.00 | not published | 0 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | $350.22 | $898.00 | not published | 0 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | $350.22 | $898.00 | not published | 0 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | $350.22 | $898.00 | not published | 0 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $9.52 | $24.40 | not published | 0 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $102.96 | $264.00 | not published | 0 |
| Home sleep test/type 2 porta HCPCS G0398 | $846.69 | $2,171.00 | not published | 0 |
| Home sleep test/type 3 porta HCPCS G0399 | $973.83 | $2,497.00 | not published | 0 |
| Home sleep test/type 4 porta HCPCS G0400 | $846.69 | $2,171.00 | not published | 0 |
| Homocysteine CPT 83090 | $384.54 | $986.00 | not published | 0 |
| Homogenization tissue CPT 87176 | $81.51 | $209.00 | not published | 0 |
| Homovanillic acid (hva) CPT 83150 | $38.51 | $98.75 | not published | 0 |
| Ho post-op hip abduction HCPCS L1686 | $1,264.31 | $3,241.83 | not published | 0 |
| Hpa-5 genotyping CPT 81109 | $248.43 | $637.00 | not published | 0 |
| Hpv low-risk types CPT 87623 | $148.98 | $382.00 | not published | 0 |
| Hpv types 16 & 18 only CPT 87625 | $140.01 | $359.00 | not published | 0 |
| H pylori ag ia CPT 87339 | $95.94 | $246.00 | not published | 0 |
| H pylori (c-13) breath CPT 83013 | $306.15 | $785.00 | not published | 0 |
| H pylori drug admin CPT 83014 | $11.31 | $29.00 | not published | 0 |
| Hrdtry cardmypy gene panel CPT 81439 | $1,234.74 | $3,166.00 | not published | 0 |
| Htt gene charac alleles CPT 81274 | $452.40 | $1,160.00 | not published | 0 |
| Htt gene detc abnor alleles CPT 81271 | $225.42 | $578.00 | not published | 0 |
| Human epididymis protein 4 (he4) CPT 86305 | $235.17 | $603.00 | not published | 0 |
| Hydrxycorticsterds 17- (17-ohcs) CPT 83491 | $244.92 | $628.00 | not published | 0 |
| Hysterosalpingography s&i CPT 74740 | $321.36 | $824.00 | not published | 0 |
| I-123 iobenguane diag HCPCS A9582 | $3,423.81 | $8,779.00 | not published | 0 |
| I-123 ioflupane diag HCPCS A9584 | $2,667.99 | $6,841.00 | not published | 0 |
| I-123 sod iodide diag per 100 uci HCPCS A9516 | $123.24 | $316.00 | not published | 0 |
| I-131 iobenguane sulf diag mibg HCPCS A9508 | $2,463.63 | $6,317.00 | not published | 0 |
| I131 iodide cap, rx HCPCS A9517 | $387.62 | $993.89 | not published | 0 |
| I131 max 100uci HCPCS A9531 | $57.72 | $148.00 | not published | 0 |
| I131 serum albumin, dx HCPCS A9524 | $2,970.37 | $7,616.34 | not published | 0 |
| Iaadi respiratory synctial virus CPT 87280 | $46.02 | $118.00 | not published | 0 |
| Iadna legionella pneumophila amplified probe tq CPT 87541 | $243.75 | $625.00 | not published | 0 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $186.42 | $478.00 | not published | 0 |
| Icd cobalt xt dr MRI is1 df1 HCPCS C1721 | $24,213.35 | $62,085.51 | not published | 0 |
| Icd crtd cobalt hf MRI is1 df1 HCPCS C1882 | $43,666.45 | $111,965.26 | not published | 0 |
| Icd crtp serena MRI HCPCS C2621 | $14,360.25 | $36,821.16 | not published | 0 |
| Icd reliance df4 ib 64cm HCPCS C1895 | $9,069.61 | $23,255.42 | not published | 0 |
| Icut allergy test drug/bug CPT 95024 | $87.75 | $225.00 | not published | 0 |
| Idecabtagene vicleucel car HCPCS Q2055 | $1,129,895.40 | $2,897,167.68 | not published | 0 |
| Idet single level CPT 22526 | $368.55 | $945.00 | not published | 0 |
| Idh1 common variants CPT 81120 | $263.64 | $676.00 | not published | 0 |
| Idh2 common variants CPT 81121 | $415.35 | $1,065.00 | not published | 0 |
| I&d lacrimal sac CPT 68420 | $2,552.94 | $6,546.00 | not published | 0 |
| I&d upper arm/elbow deep abscess/hematoma CPT 23930 | $6,765.72 | $17,348.00 | not published | 0 |
| Igh@/bcl2 translocation alys CPT 81278 | $351.00 | $900.00 | not published | 0 |
| Igh gene rearrange amp meth CPT 81261 | $1,030.77 | $2,643.00 | not published | 0 |
| Igh@ var region somatic mutation analy CPT 81263 | $3,531.06 | $9,054.00 | not published | 0 |
| Igk rearrangeabn clonal pop CPT 81264 | $399.36 | $1,024.00 | 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.