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 |
|---|---|---|---|---|
| Potassium serum/plasma/whole blood CPT 84132 | $75.27 | $193.00 | not published | 0 |
| Ppp2r2b gen detc abnor allel CPT 81343 | $225.42 | $578.00 | not published | 0 |
| Pq biliary strict dil s&i CPT 74363 | $1,102.53 | $2,827.00 | not published | 0 |
| Pq dr cath chg w cont s&i CPT 75984 | $711.36 | $1,824.00 | not published | 0 |
| Pq kyphplsty 1 bdy lumb w/img CPT 22514 | $9,898.59 | $25,381.00 | not published | 0 |
| Pq thr inj ext pse CPT 36002 | $532.74 | $1,366.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr/lmb-scr w/img addl CPT 22512 | $3,226.47 | $8,273.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj crv-thr w/img ini CPT 22510 | $12,164.49 | $31,191.00 | not published | 0 |
| Pq vrtbrplst 1 bdy inj lmb-scr w/img ini CPT 22511 | $10,935.21 | $28,039.00 | not published | 0 |
| Pr amput fgr/thumb prim/sec any joint/phal sgl incl neurectomies w dir clsr CPT 26951 | $3,281.46 | $8,414.00 | not published | 0 |
| Pr application of long arm splint CPT 29105 | $549.12 | $1,408.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $614.64 | $1,576.00 | not published | 0 |
| Pr assessment emotional/behavioral per instrument brief CPT 96127 | $43.29 | $111.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $560.04 | $1,436.00 | not published | 0 |
| Pr counseling smoke/tobacco intermediate greater 3 - 10 minutes CPT 99406 | $51.87 | $133.00 | not published | 0 |
| Prcrd drg 0-5yr or w/anomly CPT 33018 | $2,688.27 | $6,893.00 | not published | 0 |
| Prcrd drg 6+yr without anomly CPT 33017 | $6,075.03 | $15,577.00 | not published | 0 |
| Pr cystourethroscopy with insertion indwelling ureteral stent CPT 52332 | $6,766.11 | $17,349.00 | not published | 0 |
| Prealbumin CPT 84134 | $143.13 | $367.00 | not published | 0 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $4,036.89 | $10,351.00 | not published | 0 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $572.13 | $1,467.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $539.37 | $1,383.00 | not published | 0 |
| Pregnancy Ultrasound (limited) CPT 76815 | $334.23 | $857.00 | not published | 0 |
| Prep skin to 100cm2 other CPT 15004 | $1,862.64 | $4,776.00 | not published | 0 |
| Prep skin to 100cm2 trk/ext CPT 15002 | $1,862.64 | $4,776.00 | not published | 0 |
| Prep skn trk/ext adl 100cm2 CPT 15003 | $776.49 | $1,991.00 | not published | 0 |
| Pressure velocity wire add ves CPT 93572 | $1,138.41 | $2,919.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | $189.15 | $485.00 | not published | 0 |
| Pretreat rbc absorption reference CPT 86978 | $267.93 | $687.00 | not published | 0 |
| Pretreat rbc density gradient separation reference CPT 86972 | $254.67 | $653.00 | not published | 0 |
| Pretreat rbc w chem/drugs reference CPT 86970 | $166.14 | $426.00 | not published | 0 |
| Pretreat rbc w enzyme reference CPT 86971 | $181.74 | $466.00 | not published | 0 |
| Pr evaluation psychiatric diagnostic w/medical services CPT 90792 | $198.12 | $508.00 | not published | 0 |
| Pr excision benign lesion scalp/neck/hands/feet/genitalia <= 0.5 cm CPT 11420 | $2,191.02 | $5,618.00 | not published | 0 |
| Pr excision benign lesion trunk/arms/legs 3.1 - 4.0 cm CPT 11404 | $2,043.99 | $5,241.00 | not published | 0 |
| Pr excision nail/nail matrix partial/complete permanent removal CPT 11750 | $2,510.43 | $6,437.00 | not published | 0 |
| Prgrmg dev eval impltbl sys CPT 93260 | $44.46 | $114.00 | not published | 0 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $102.96 | $264.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $62.40 | $160.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $67.08 | $172.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $83.85 | $215.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $90.48 | $232.00 | not published | 0 |
| Prgr stim/pace a/iv drug CPT 93623 | $2,753.40 | $7,060.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial CPT 37184 | $6,705.66 | $17,194.00 | not published | 0 |
| Prim art mech thrmbc non-intracranial add-on CPT 37185 | $2,161.77 | $5,543.00 | not published | 0 |
| Pr incision & drainage abscess complicated/multiple CPT 10061 | $794.82 | $2,038.00 | not published | 0 |
| Pr incision & drainage abscess simple/single CPT 10060 | $794.82 | $2,038.00 | not published | 0 |
| Pr incision & drainage abscess vulva/perineal CPT 56405 | $1,504.62 | $3,858.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $1,533.48 | $3,932.00 | not published | 0 |
| Pr management transitional care high w/in 7 days of discharge CPT 99496 | $156.39 | $401.00 | not published | 0 |
| Pr management transitional care moderate w/in 14 days of discharge CPT 99495 | $156.78 | $402.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $566.67 | $1,453.00 | not published | 0 |
| Probe cryo 1150mm endo flex ster disp HCPCS C2618 | $8,476.65 | $21,735.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68810 | $361.92 | $928.00 | not published | 0 |
| Probe nasolacrimal duct CPT 68815 | $2,902.77 | $7,443.00 | not published | 0 |
| Procalcitonin CPT 84145 | $239.07 | $613.00 | not published | 0 |
| Proctosigmoidoscopy dx 45300 CPT 45300 | $482.04 | $1,236.00 | not published | 0 |
| Proctosigmoidoscopy w/fb remove 45307 CPT 45307 | $3,878.94 | $9,946.00 | not published | 0 |
| Progesterone CPT 84144 | $225.03 | $577.00 | not published | 0 |
| Prolactin CPT 84146 | $238.68 | $612.00 | not published | 0 |
| Prolonged IV inf, req pump HCPCS C8957 | $962.91 | $2,469.00 | not published | 0 |
| Proph rta dtchmnt crtx dthrm CPT 67141 | $211.77 | $543.00 | not published | 0 |
| Proph rta dtchmnt pc CPT 67145 | $679.77 | $1,743.00 | not published | 0 |
| Prostate biopsy, any mthd HCPCS G0416 | $328.38 | $842.00 | not published | 0 |
| Prostatic rf thermotx CPT 53852 | $7,149.09 | $18,331.00 | not published | 0 |
| Prosthesis voc advantage 20f 14mm HCPCS L8509 | $256.32 | $657.22 | not published | 0 |
| Protein c activity CPT 85303 | $250.77 | $643.00 | not published | 0 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $127.92 | $328.00 | not published | 0 |
| Protein s total CPT 85305 | $346.71 | $889.00 | not published | 0 |
| Protein total 24 hour urine CPT 84156 | $75.27 | $193.00 | not published | 0 |
| Protein total body fluid CPT 84157 | $93.60 | $240.00 | not published | 0 |
| Protein total serum plasma whole blood CPT 84155 | $69.81 | $179.00 | not published | 0 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $64.35 | $165.00 | not published | 0 |
| Pr planning advance care 1st 30 minutes CPT 99497 | $123.24 | $316.00 | not published | 0 |
| Prq av fstl crtj uxtr 1 acs CPT 36836 | $25,755.99 | $66,041.00 | not published | 0 |
| Prq av fstl crt uxtr sep acs CPT 36837 | $25,755.99 | $66,041.00 | not published | 0 |
| Prq card angio/athrect addl CPT 92925 | $2,230.80 | $5,720.00 | not published | 0 |
| Prq cardiac angio addl art CPT 92921 | $2,435.55 | $6,245.00 | not published | 0 |
| Prq card revasc chronic addl CPT 92944 | $12,141.09 | $31,131.00 | not published | 0 |
| Prq card revasc mi 1 vsl CPT 92941 | $14,749.41 | $37,819.00 | not published | 0 |
| Prq card revasc mi 1 vsl drug-eluting HCPCS C9606 | $14,749.41 | $37,819.00 | not published | 0 |
| Prq card stent/ath/angio CPT 92934 | $7,496.97 | $19,223.00 | not published | 0 |
| Prq card stent w/angio addl CPT 92929 | $2,611.44 | $6,696.00 | not published | 0 |
| Prq revasc byp graft 1 art and/or branches CPT 92937 | $10,496.07 | $26,913.00 | not published | 0 |
| Prq revasc byp graft addl CPT 92938 | $7,888.14 | $20,226.00 | not published | 0 |
| Prq skel fix clcnl fx w/mnpj CPT 28406 | $28,472.73 | $73,007.00 | not published | 0 |
| Prq skel fix talus fx w/mnpj CPT 28436 | $12,733.89 | $32,651.00 | not published | 0 |
| Prq tcat plmt ntrac st 1 les CPT 92928 | $9,761.70 | $25,030.00 | not published | 0 |
| Prq trlml c athrc st angiop1 CPT 92933 | $11,115.78 | $28,502.00 | not published | 0 |
| Prq trluml c angiop 1art&/br CPT 92920 | $4,644.51 | $11,909.00 | not published | 0 |
| Prq trluml c athrc 1 art&/br CPT 92924 | $7,809.36 | $20,024.00 | not published | 0 |
| Prq trluml revsc ch occ ant CPT 92943 | $14,749.41 | $37,819.00 | not published | 0 |
| Pr removal drug delivery implant CPT 11982 | $5,250.57 | $13,463.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $368.55 | $945.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $836.16 | $2,144.00 | not published | 0 |
| Pr repair intermediate wounds scalp/axillae/trunk/extremities 2.6 - 7.5 cm CPT 12032 | $821.73 | $2,107.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb <= 2.5 cm CPT 12011 | $741.00 | $1,900.00 | not published | 0 |
| Pr repair sprfcl wd simple face/ears/eyelids/nose/lips/muc memb 2.6-5.0 cm CPT 12013 | $741.00 | $1,900.00 | not published | 0 |
| Pr repair sprfcl wounds simple scalp/neck/axillae/gent/trunk/ext <= 2.5 cm CPT 12001 | $741.00 | $1,900.00 | not published | 0 |
| Pr repair superficial wd simple scalp/neck/ax/gent/trunk/ext 2.6-7.5 cm CPT 12002 | $741.00 | $1,900.00 | 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.