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 |
|---|---|---|---|---|
| Oncology prostate prob score CPT 81539 | $420.85 | $1,079.09 | not published | 0 |
| Oncoprotein dcp CPT 83951 | $307.71 | $789.00 | not published | 0 |
| Onc prostate 3 genes CPT 81551 | $3,887.13 | $9,967.00 | not published | 0 |
| Onc prostate mrna 46 genes CPT 81541 | $3,887.13 | $9,967.00 | not published | 0 |
| Ophthalmic biometry CPT 92136 | $88.53 | $227.00 | not published | 0 |
| Oph Ultrasound dx ant sgm Ultrasound uni/bi CPT 76513 | $251.94 | $646.00 | not published | 0 |
| Organic acids total quant ea spec CPT 83918 | $185.72 | $476.20 | not published | 0 |
| Oropharyngeal biopsy 42800 CPT 42800 | $1,311.18 | $3,362.00 | not published | 0 |
| Ortho elbow without jnt cstm w/fit&adj HCPCS L3702 | $279.81 | $717.46 | not published | 0 |
| Ortho elbow w/lock w/ft&adj HCPCS L3760 | $693.87 | $1,779.16 | not published | 0 |
| Ortho ewhf rigd without jnt cstm w HCPCS L3765 | $830.31 | $2,129.00 | not published | 0 |
| Ortho ewh rgd without jnt cstm w/fit&adj HCPCS L3763 | $772.99 | $1,982.02 | not published | 0 |
| Ortho hnd/fngr without jnt cstm w/fit&adj HCPCS L3913 | $284.55 | $729.62 | not published | 0 |
| Ortho hnd/fngr w/jnt cstm w/fit&adj HCPCS L3921 | $315.01 | $807.71 | not published | 0 |
| Ortho hnd without jnt w/fit&adj HCPCS L3919 | $267.74 | $686.52 | not published | 0 |
| Orthopantogram CPT 70355 | $248.04 | $636.00 | not published | 0 |
| Orthosis lso rigd frm hyperex HCPCS L0472 | $662.39 | $1,698.44 | not published | 0 |
| Ortho whf rigd without jnt cstm w/fit&adj HCPCS L3808 | $611.08 | $1,566.88 | not published | 0 |
| Ortho wrst/hnd w/jnt cstm w/fit&adj HCPCS L3905 | $410.92 | $1,053.63 | not published | 0 |
| Oscillation chest wall mechanical per session CPT 94669 | $566.28 | $1,452.00 | not published | 0 |
| Osmolality blood CPT 83930 | $114.27 | $293.00 | not published | 0 |
| Osmolality urine CPT 83935 | $125.97 | $323.00 | not published | 0 |
| Osteopath manip tx/5-6 body region 98927 CPT 98927 | $46.80 | $120.00 | not published | 0 |
| Osteopath manip tx/7-8 body region 98928 CPT 98928 | $101.40 | $260.00 | not published | 0 |
| Osteopath manip tx/9-10 body region98929 CPT 98929 | $95.16 | $244.00 | not published | 0 |
| Other immunoelectrophoresis CPT 86325 | $44.07 | $113.00 | not published | 0 |
| Oth resp proc, group HCPCS G0239 | $194.22 | $498.00 | not published | 0 |
| Oth resp proc, indiv HCPCS G0238 | $139.23 | $357.00 | not published | 0 |
| Ot management orthotic(s)/prosthetic subsequent encounter each 15 minutes CPT 97763 | $68.25 | $175.00 | not published | 0 |
| Otolaryngo binocular microscopy 92504 CPT 92504 | $46.41 | $119.00 | not published | 0 |
| Ot re-evaluation patient/family CPT 97168 | $96.33 | $247.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact each additional 15 minutes CPT 97130 | $57.72 | $148.00 | not published | 0 |
| Ot therapeutic interventions cognitive skills direct patient contact initial 15 minutes CPT 97129 | $72.54 | $186.00 | not published | 0 |
| Pabpn1 gene detc abnor allel CPT 81312 | $225.42 | $578.00 | not published | 0 |
| Palb2 gene full gene seq CPT 81307 | $466.44 | $1,196.00 | not published | 0 |
| Palb2 gene known famil vrnt CPT 81308 | $496.86 | $1,274.00 | not published | 0 |
| Parathormone (pth) intact CPT 83970 | $358.02 | $918.00 | not published | 0 |
| Parathyrd planar w/spect&ct CPT 78072 | $1,070.16 | $2,744.00 | not published | 0 |
| Parathyroid planar imaging CPT 78070 | $725.40 | $1,860.00 | not published | 0 |
| Parathyroid planar img w/tomo spect CPT 78071 | $998.79 | $2,561.00 | not published | 0 |
| Paring/cutting benign hyperkeratotic lesion single CPT 11055 | $407.55 | $1,045.00 | not published | 0 |
| Partial removal finger bone CPT 26236 | $1,820.52 | $4,668.00 | not published | 0 |
| Partial removal foot fascia CPT 28060 | $8,303.49 | $21,291.00 | not published | 0 |
| Particle matristem matrix 1000mg micron-q4118-cost per mg HCPCS Q4118 | $4,418.35 | $11,329.11 | not published | 0 |
| Patient recorded spirometry CPT 94015 | $338.52 | $868.00 | not published | 0 |
| Pdgfra gene CPT 81314 | $743.34 | $1,906.00 | not published | 0 |
| Pdt dstr prmlg les phys/qhp CPT 96573 | $241.80 | $620.00 | not published | 0 |
| Pedicle enel/ntroral 15576 CPT 15576 | $2,255.76 | $5,784.00 | not published | 0 |
| Pelvic CT scan (with and without contrast) CPT 72194 | $1,872.00 | $4,800.00 | not published | 0 |
| Pelvic CT scan (with contrast) CPT 72193 | $1,602.51 | $4,109.00 | not published | 0 |
| Pelvic CT scan (without contrast) CPT 72192 | $1,310.40 | $3,360.00 | not published | 0 |
| Pelvic MRI (with and without contrast) CPT 72197 | $2,090.79 | $5,361.00 | not published | 0 |
| Pelvic MRI (with contrast) CPT 72196 | $1,854.06 | $4,754.00 | not published | 0 |
| Pelvic MRI (without contrast) CPT 72195 | $1,810.38 | $4,642.00 | not published | 0 |
| Pelvic Ultrasound (complete) CPT 76856 | $614.64 | $1,576.00 | not published | 0 |
| Pelvic Ultrasound (limited) CPT 76857 | $370.11 | $949.00 | not published | 0 |
| Pelvis X-ray (1 to 2 views) CPT 72170 | $242.58 | $622.00 | not published | 0 |
| Pelvis X-ray (complete, 4 or more views) CPT 72190 | $264.42 | $678.00 | not published | 0 |
| Pemivibart infusion HCPCS M0224 | $527.28 | $1,352.00 | not published | 0 |
| Penile injection CPT 54235 | $736.71 | $1,889.00 | not published | 0 |
| Penile rear tip xtnd 0.5cm HCPCS C2622 | $21,728.88 | $55,715.08 | not published | 0 |
| Penile vascular study CPT 93980 | $326.82 | $838.00 | not published | 0 |
| Penile vascular study CPT 93981 | $192.66 | $494.00 | not published | 0 |
| Perc cryo ablate renal tum CPT 50593 | $12,071.67 | $30,953.00 | not published | 0 |
| Perc d-e cor revasc chro add HCPCS C9608 | $12,141.09 | $31,131.00 | not published | 0 |
| Perc d-e cor revasc chro sin HCPCS C9607 | $14,749.41 | $37,819.00 | not published | 0 |
| Perc d-e cor revasc t cabg b HCPCS C9605 | $10,496.07 | $26,913.00 | not published | 0 |
| Perc d-e cor revasc t cabg s HCPCS C9604 | $10,496.07 | $26,913.00 | not published | 0 |
| Perc d-e cor stent ather br HCPCS C9603 | $7,496.97 | $19,223.00 | not published | 0 |
| Perc d-e cor stent ather s HCPCS C9602 | $10,105.29 | $25,911.00 | not published | 0 |
| Perc drug-el cor stent bran HCPCS C9601 | $2,611.44 | $6,696.00 | not published | 0 |
| Perc drug-el cor stent sing HCPCS C9600 | $8,913.84 | $22,856.00 | not published | 0 |
| Perc rf ablate renal tumor CPT 50592 | $6,016.14 | $15,426.00 | not published | 0 |
| Percut ablate liver rf CPT 47382 | $3,271.32 | $8,388.00 | not published | 0 |
| Perflutren lipid microspheres 1.1 mg/ml intravenous suspension HCPCS Q9957 | $377.60 | $968.20 | not published | 0 |
| Pericardial drain w/cath pq w/ct guid CPT 33019 | $2,688.27 | $6,893.00 | not published | 0 |
| Pericardiocentesis wwo imaging CPT 33016 | $2,688.27 | $6,893.00 | not published | 0 |
| Peripheral vascular rehab CPT 93668 | $183.30 | $470.00 | not published | 0 |
| Peritoneal cath sub q resv per CPT 49419 | $6,493.50 | $16,650.00 | not published | 0 |
| Peritoneogram rs&i CPT 74190 | $223.47 | $573.00 | not published | 0 |
| Perit-vens shunt pat tst CPT 78291 | $580.71 | $1,489.00 | not published | 0 |
| Perq art m-thrombect &/nfs CPT 61645 | $31,265.52 | $80,168.00 | not published | 0 |
| Perq clsr tcat l atr apndge CPT 33340 | $12,032.67 | $30,853.00 | not published | 0 |
| Perq dev breast 1st mr guide CPT 19287 | $3,033.03 | $7,777.00 | not published | 0 |
| Perq dev breast 1st strtctc CPT 19283 | $1,821.30 | $4,670.00 | not published | 0 |
| Perq nl/pl lithotrp smpl<2cm CPT 50080 | $8,748.48 | $22,432.00 | not published | 0 |
| Perq p-art revsc 1 abnor bi CPT 33903 | $15,916.29 | $40,811.00 | not published | 0 |
| Perq p-art revsc 1 abnor uni CPT 33902 | $22,633.26 | $58,034.00 | not published | 0 |
| Perq p-art revsc 1 nm nt bi CPT 33901 | $15,916.29 | $40,811.00 | not published | 0 |
| Perq p-art revsc 1 nm nt uni CPT 33900 | $22,633.26 | $58,034.00 | not published | 0 |
| Perq p-art revsc each addl CPT 33904 | $7,958.34 | $20,406.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47538 | $4,248.27 | $10,893.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47539 | $4,837.95 | $12,405.00 | not published | 0 |
| Perq plmt bile duct stent CPT 47540 | $5,203.38 | $13,342.00 | not published | 0 |
| Perq rplcmt g-tube req revsn gstrst trk CPT 43763 | $636.09 | $1,631.00 | not published | 0 |
| Perq skel fix ulnar styld fx CPT 25651 | $14,239.29 | $36,511.00 | not published | 0 |
| Perq transcath closure each CPT 93592 | $7,544.16 | $19,344.00 | not published | 0 |
| Perq transcath closure pda CPT 93582 | $13,110.63 | $33,617.00 | not published | 0 |
| Perq transcath cls aortic CPT 93591 | $22,633.26 | $58,034.00 | not published | 0 |
| Perq transcath cls mitral CPT 93590 | $22,633.26 | $58,034.00 | 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.