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 |
|---|---|---|---|---|
| Microdissection laser CPT 88380 | $1,196.13 | $3,067.00 | not published | 0 |
| Microdissection manual CPT 88381 | $531.18 | $1,362.00 | not published | 0 |
| Microsatellite instability CPT 81301 | $929.37 | $2,383.00 | not published | 0 |
| Microvolt t-wave assess CPT 93025 | $785.46 | $2,014.00 | not published | 0 |
| Mid and Lower Back (Thoracolumbar Spine) X-ray CPT 72080 | $304.20 | $780.00 | not published | 0 |
| Middle cerebral artery echo CPT 76821 | $257.01 | $659.00 | not published | 0 |
| Mlh1 gene CPT 81288 | $593.19 | $1,521.00 | not published | 0 |
| Mlh1 gene full seq CPT 81292 | $563.55 | $1,445.00 | not published | 0 |
| Mog-igg1 antb flo cytmtry ea CPT 86363 | $51.48 | $132.00 | not published | 0 |
| Monitor reveal linq ii cardiac HCPCS C1764 | $9,132.98 | $23,417.91 | not published | 0 |
| Mopath procedure level 1 CPT 81400 | $326.04 | $836.00 | not published | 0 |
| Mopath procedure level 3 CPT 81402 | $585.00 | $1,500.00 | not published | 0 |
| Mopath procedure level 5 CPT 81404 | $1,673.49 | $4,291.00 | not published | 0 |
| Mopath procedure level 6 CPT 81405 | $1,508.13 | $3,867.00 | not published | 0 |
| Mopath procedure level 7 CPT 81406 | $1,958.97 | $5,023.00 | not published | 0 |
| Morphometric analysis in situ hybridization computer-assisted per specimen each multiplex stain CPT 88374 | $732.42 | $1,878.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain computer-assisted CPT 88361 | $311.22 | $798.00 | not published | 0 |
| Morphometric analysis tumor ihc qn/sq per specimen each single antibody stain manual CPT 88360 | $466.44 | $1,196.00 | not published | 0 |
| Motor &/ sens nrve cndj test CPT 95905 | $337.74 | $866.00 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88373 | $732.42 | $1,878.00 | not published | 0 |
| M/phmtrc alys ishquant/semiq CPT 88377 | $732.42 | $1,878.00 | not published | 0 |
| M/phmtrc alysishquant/semiq CPT 88369 | $610.35 | $1,565.00 | not published | 0 |
| Mpl gene analysis common variants CPT 81338 | $91.26 | $234.00 | not published | 0 |
| M.pneumon dna dir probe CPT 87580 | $40.17 | $103.00 | not published | 0 |
| MRA chest w IV cont HCPCS C8909 | $1,166.49 | $2,991.00 | not published | 0 |
| MRA chest wo IV cont HCPCS C8910 | $1,161.03 | $2,977.00 | not published | 0 |
| MRA chest wwo IV cont HCPCS C8911 | $1,873.56 | $4,804.00 | not published | 0 |
| MRA pelvis w IV cont HCPCS C8918 | $1,131.78 | $2,902.00 | not published | 0 |
| MRA pelvis wo IV cont HCPCS C8919 | $1,221.87 | $3,133.00 | not published | 0 |
| MRA w/cont, abd HCPCS C8900 | $1,670.76 | $4,284.00 | not published | 0 |
| MRA w/cont, lwr ext HCPCS C8912 | $434.46 | $1,114.00 | not published | 0 |
| Mra, w/dye, spinal canal HCPCS C8931 | $439.92 | $1,128.00 | not published | 0 |
| Mra, w/dye, upper extremity HCPCS C8934 | $702.00 | $1,800.00 | not published | 0 |
| MRA without cont, abd HCPCS C8901 | $1,201.20 | $3,080.00 | not published | 0 |
| MRA without cont, lwr ext HCPCS C8913 | $1,003.47 | $2,573.00 | not published | 0 |
| Mra, without dye, spinal canal HCPCS C8932 | $439.92 | $1,128.00 | not published | 0 |
| Mra, without dye, upper extr HCPCS C8935 | $751.14 | $1,926.00 | not published | 0 |
| MRA without fol w/cont, abd HCPCS C8902 | $1,711.32 | $4,388.00 | not published | 0 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,087.71 | $2,789.00 | not published | 0 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $1,463.67 | $3,753.00 | not published | 0 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $1,463.67 | $3,753.00 | not published | 0 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $1,087.71 | $2,789.00 | not published | 0 |
| Mr elastography CPT 76391 | $684.06 | $1,754.00 | not published | 0 |
| MRI breast c- unilateral CPT 77046 | $1,366.17 | $3,503.00 | not published | 0 |
| MRI breast without cont bi CPT 77047 | $1,895.01 | $4,859.00 | not published | 0 |
| MRI breast w IV cont bi CPT 77049 | $2,034.63 | $5,217.00 | not published | 0 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,479.66 | $3,794.00 | not published | 0 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,604.46 | $4,114.00 | not published | 0 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $1,927.38 | $4,942.00 | not published | 0 |
| MRI chest without contrast CPT 71550 | $1,810.38 | $4,642.00 | not published | 0 |
| MRI chest without & w/contrast CPT 71552 | $2,129.40 | $5,460.00 | not published | 0 |
| MRI fetal ea addl gestation CPT 74713 | $233.22 | $598.00 | not published | 0 |
| MRI fetal sngl/1st gestation CPT 74712 | $132.21 | $339.00 | not published | 0 |
| MRI guid ndl plc s&i CPT 77021 | $1,129.44 | $2,896.00 | not published | 0 |
| MRI guid parenchymal tiss ablation CPT 77022 | $334.62 | $858.00 | not published | 0 |
| MRI loex nonjt w IV cont CPT 73719 | $1,739.40 | $4,460.00 | not published | 0 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,716.39 | $4,401.00 | not published | 0 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $2,090.40 | $5,360.00 | not published | 0 |
| MRI orbit fac&nck w IV cont CPT 70542 | $2,132.13 | $5,467.00 | not published | 0 |
| MRI tmj CPT 70336 | $1,276.08 | $3,272.00 | not published | 0 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,741.74 | $4,466.00 | not published | 0 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,115.36 | $5,424.00 | not published | 0 |
| MRI upper extremity w/dye CPT 73219 | $1,905.15 | $4,885.00 | not published | 0 |
| MRI w/cont, breast, bi HCPCS C8906 | $1,967.55 | $5,045.00 | not published | 0 |
| MRI w/cont, breast, uni HCPCS C8903 | $1,423.11 | $3,649.00 | not published | 0 |
| MRI without fol w/cont, breast HCPCS C8908 | $2,034.63 | $5,217.00 | not published | 0 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $1,508.13 | $3,867.00 | not published | 0 |
| Mr spectroscopy CPT 76390 | $1,539.72 | $3,948.00 | not published | 0 |
| Mthfr gene analy common variants CPT 81291 | $296.79 | $761.00 | not published | 0 |
| Mucin synovial fluid CPT 83872 | $65.52 | $168.00 | not published | 0 |
| Mucopolysaccharides CPT 83864 | $299.13 | $767.00 | not published | 0 |
| Multiple sleep latency test CPT 95805 | $1,531.14 | $3,926.00 | not published | 0 |
| Mumps antibody igg CPT 86735 | $106.86 | $274.00 | not published | 0 |
| Muscle test cran nerv unilat CPT 95867 | $377.52 | $968.00 | not published | 0 |
| Muscle test hemidiaphragm CPT 95866 | $121.68 | $312.00 | not published | 0 |
| Muscle test larynx CPT 95865 | $317.07 | $813.00 | not published | 0 |
| Muscle test one fiber CPT 95872 | $273.00 | $700.00 | not published | 0 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $4,331.73 | $11,107.00 | not published | 0 |
| Mycobacteria dna amp probe CPT 87551 | $67.86 | $174.00 | not published | 0 |
| Mycoplasma antibody igm CPT 86738 | $87.36 | $224.00 | not published | 0 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $289.77 | $743.00 | not published | 0 |
| Myelogphy 2/> spine regions CPT 72270 | $883.35 | $2,265.00 | not published | 0 |
| Myelography l-s spine CPT 72265 | $1,103.70 | $2,830.00 | not published | 0 |
| Myelography neck spine CPT 72240 | $1,103.70 | $2,830.00 | not published | 0 |
| Myelography thoracic spine CPT 72255 | $1,103.70 | $2,830.00 | not published | 0 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $3,997.89 | $10,251.00 | not published | 0 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,112.59 | $7,981.00 | not published | 0 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,112.59 | $7,981.00 | not published | 0 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,112.59 | $7,981.00 | not published | 0 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $175.50 | $450.00 | not published | 0 |
| Myocrd img pet 1std rst/strs CPT 78491 | $2,383.68 | $6,112.00 | not published | 0 |
| Myocrd img pet 1 std w/ct CPT 78429 | $2,135.64 | $5,476.00 | not published | 0 |
| Myocrd img pet 2rtracer CT CPT 78433 | $2,543.19 | $6,521.00 | not published | 0 |
| Myocrd img pet mlt rst&strs CPT 78492 | $2,712.06 | $6,954.00 | not published | 0 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $228.15 | $585.00 | not published | 0 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $2,340.78 | $6,002.00 | not published | 0 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $595.14 | $1,526.00 | not published | 0 |
| Natriuretic peptide CPT 83880 | $207.48 | $532.00 | not published | 0 |
| Natural killer cells total count CPT 86357 | $111.54 | $286.00 | not published | 0 |
| Navigational bronchoscopy 31627 CPT 31627 | $283.53 | $727.00 | 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.