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 |
|---|---|---|---|---|
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $512.85 | $1,315.00 | not published | 0 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $266.37 | $683.00 | not published | 0 |
| Influenza dna amp prob addl CPT 87503 | $225.81 | $579.00 | not published | 0 |
| Infuse radioactive materials CPT 77750 | $1,240.98 | $3,182.00 | not published | 0 |
| Ingest challenge ea addl 60 min CPT 95079 | $189.54 | $486.00 | not published | 0 |
| Ingest challenge ini 120 min CPT 95076 | $854.88 | $2,192.00 | not published | 0 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $697.32 | $1,788.00 | not published | 0 |
| Inj cntr knee arthro incl ct/mri CPT 27369 | $409.11 | $1,049.00 | not published | 0 |
| Inj dx for sinogram CPT 20501 | $697.71 | $1,789.00 | not published | 0 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $1,807.65 | $4,635.00 | not published | 0 |
| Injection arthrography hip without anesthesia (both sides) CPT 27093 | $764.40 | $1,960.00 | not published | 0 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $1,832.61 | $4,699.00 | not published | 0 |
| Injection during cath supravalvular aortography CPT 93567 | $1,783.08 | $4,572.00 | not published | 0 |
| Injection epidural blood patch or clot CPT 62273 | $1,987.44 | $5,096.00 | not published | 0 |
| Injection eye drug CPT 67028 | $709.80 | $1,820.00 | not published | 0 |
| Injection for arthrography wrist (both sides) CPT 25246 | $588.12 | $1,508.00 | not published | 0 |
| Injection for bladder x-ray CPT 51600 | $890.37 | $2,283.00 | not published | 0 |
| Injection for hip x-ray CPT 27095 | $1,529.58 | $3,922.00 | not published | 0 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $591.63 | $1,517.00 | not published | 0 |
| Injection for tear sac x-ray CPT 68850 | $504.27 | $1,293.00 | not published | 0 |
| Injection for ureter x-ray CPT 50684 | $219.18 | $562.00 | not published | 0 |
| Injection for ureter x-ray CPT 50690 | $742.17 | $1,903.00 | not published | 0 |
| Injection into brain canal CPT 61055 | $1,266.72 | $3,248.00 | not published | 0 |
| Injection jaw joint x-ray CPT 21116 | $451.23 | $1,157.00 | not published | 0 |
| Injection jugular CPT 36299 | $1,134.12 | $2,908.00 | not published | 0 |
| Injection of sinus tract CPT 20500 | $2,436.33 | $6,247.00 | not published | 0 |
| Injection,onabotulinumtoxina HCPCS J0585 | $131.04 | $336.00 | not published | 0 |
| Injection px peyronie ds CPT 54200 | $471.51 | $1,209.00 | not published | 0 |
| Injection radioactive tracer sentinel node (both sides) CPT 38792 | $1,164.93 | $2,987.00 | not published | 0 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $1,895.01 | $4,859.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid femoral nerve left CPT 64447 | $2,867.67 | $7,353.00 | not published | 0 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $2,049.06 | $5,254.00 | not published | 0 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $4,175.73 | $10,707.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $1,346.28 | $3,452.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $2,719.08 | $6,972.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $1,346.28 | $3,452.00 | not published | 0 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $3,041.22 | $7,798.00 | not published | 0 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $6,020.82 | $15,438.00 | not published | 0 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $1,758.12 | $4,508.00 | not published | 0 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $1,396.20 | $3,580.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $1,210.56 | $3,104.00 | not published | 0 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $1,248.00 | $3,200.00 | not published | 0 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push same substance/drug CPT 96376 | $164.96 | $422.98 | not published | 0 |
| Injection treatment of eye CPT 66020 | $2,601.69 | $6,671.00 | not published | 0 |
| Injection treatment of eye CPT 66030 | $1,022.19 | $2,621.00 | not published | 0 |
| Injection treatment of nerve CPT 64605 | $4,535.70 | $11,630.00 | not published | 0 |
| Injection treatment of nerve CPT 64610 | $4,535.70 | $11,630.00 | not published | 0 |
| Inject/treat eye socket CPT 67500 | $282.36 | $724.00 | not published | 0 |
| Inject/treat eye socket CPT 67515 | $670.02 | $1,718.00 | not published | 0 |
| Inj epidural sgl cerv-thor without img CPT 62320 | $1,895.01 | $4,859.00 | not published | 0 |
| Inj epidural sgl lumb-sacral without img CPT 62322 | $1,740.18 | $4,462.00 | not published | 0 |
| Inj for ext venography CPT 36005 | $394.29 | $1,011.00 | not published | 0 |
| Inj for mammo ductogram CPT 19030 | $1,127.49 | $2,891.00 | not published | 0 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $79.56 | $204.00 | not published | 0 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,646.97 | $4,223.00 | not published | 0 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $2,920.32 | $7,488.00 | not published | 0 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $2,311.53 | $5,927.00 | not published | 0 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $1,250.34 | $3,206.00 | not published | 0 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $1,377.87 | $3,533.00 | not published | 0 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $2,028.39 | $5,201.00 | not published | 0 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $136.89 | $351.00 | not published | 0 |
| Inj intralesional > 7 lsns CPT 11901 | $129.48 | $332.00 | not published | 0 |
| Inj multihance HCPCS A9577 | $51.48 | $132.00 | not published | 0 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,522.56 | $3,904.00 | not published | 0 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $1,343.55 | $3,445.00 | not published | 0 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $1,165.71 | $2,989.00 | not published | 0 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $756.76 | $1,940.40 | not published | 0 |
| Inj peritoneal venous shunt CPT 49427 | $541.71 | $1,389.00 | not published | 0 |
| Inj proc ankle arthr CPT 27648 | $567.45 | $1,455.00 | not published | 0 |
| Inj proc elbow arthro CPT 24220 | $645.84 | $1,656.00 | not published | 0 |
| Inj proc for lymphang CPT 38790 | $1,718.73 | $4,407.00 | not published | 0 |
| Inj proc lumbr disk ea lvl CPT 62290 | $894.27 | $2,293.00 | not published | 0 |
| Inj proc myelogram lumbar CPT 62284 | $2,359.50 | $6,050.00 | not published | 0 |
| Inj proc sialogram CPT 42550 | $420.42 | $1,078.00 | not published | 0 |
| Inj prohance multipack HCPCS A9576 | $51.48 | $132.00 | not published | 0 |
| Inj retro urethrocysto CPT 51610 | $685.23 | $1,757.00 | not published | 0 |
| Inj scleros sol mult veins CPT 36471 | $1,343.55 | $3,445.00 | not published | 0 |
| Inj scleros sol sgl vein CPT 36470 | $695.37 | $1,783.00 | not published | 0 |
| Inj w/fluor eval cv device CPT 36598 | $422.37 | $1,083.00 | not published | 0 |
| Ins cath ren art 1st bi CPT 36252 | $4,017.78 | $10,302.00 | not published | 0 |
| Ins cath ren art 1st uni CPT 36251 | $4,525.95 | $11,605.00 | not published | 0 |
| Ins cath ren art 2nd+ bi CPT 36254 | $4,778.67 | $12,253.00 | not published | 0 |
| Ins cath ren art 2nd+ uni CPT 36253 | $4,525.95 | $11,605.00 | not published | 0 |
| Ins cerv dilator (sep proc) CPT 59200 | $1,263.60 | $3,240.00 | not published | 0 |
| Insert and remove bone pin CPT 20650 | $6,879.60 | $17,640.00 | not published | 0 |
| Insert cath pleura with image CPT 32557 | $3,542.37 | $9,083.00 | not published | 0 |
| Insert cath pleura without image CPT 32556 | $3,381.30 | $8,670.00 | not published | 0 |
| Insert drug delivery implant CPT 11981 | $3,895.32 | $9,988.00 | not published | 0 |
| Insert hepatic shunt (tips) CPT 37182 | $30,645.03 | $78,577.00 | not published | 0 |
| Insert intrauterine device iud CPT 58300 | $850.59 | $2,181.00 | not published | 0 |
| Insertion catheter artery nfs ther chemotx 36640 CPT 36640 | $3,483.09 | $8,931.00 | not published | 0 |
| Insertion catheter bladder non indwelling CPT 51701 | $368.55 | $945.00 | not published | 0 |
| Insertion catheter pleural indwelling tunneled with cuff CPT 32550 | $7,394.40 | $18,960.00 | not published | 0 |
| Insertion intra aortic balloon assist device percutaneous CPT 33967 | $3,836.04 | $9,836.00 | not published | 0 |
| Insertion intravascular vena cava (ivc) access supervision & interpretation w/imaging guidance CPT 37191 | $9,627.15 | $24,685.00 | not published | 0 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $6,195.93 | $15,887.00 | not published | 0 |
| Insertion of catheter vein CPT 36481 | $2,664.48 | $6,832.00 | not published | 0 |
| Insertion of catheter vein CPT 36500 | $1,220.70 | $3,130.00 | not published | 0 |
| Insertion of heart electrode 33211 CPT 33211 | $3,483.48 | $8,932.00 | not published | 0 |
| Insertion of new/replacement ppm w/transvenous electrode(s) atrial & ventricular CPT 33208 | $11,476.53 | $29,427.00 | 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.