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 |
|---|---|---|---|---|
| Reticulocyte automated CPT 85045 | $62.01 | $159.00 | not published | 0 |
| Reticulocyte direct measurement automated CPT 85046 | $22.23 | $57.00 | not published | 0 |
| Revasc intra lithotrip-ather HCPCS C9766 | $15,598.83 | $39,997.00 | not published | 0 |
| Revasc intra lithotrip-stent HCPCS C9765 | $15,598.83 | $39,997.00 | not published | 0 |
| Revasc intravasc lithotripsy HCPCS C9764 | $7,799.61 | $19,999.00 | not published | 0 |
| Revasc lithotr-ather tib/per HCPCS C9774 | $30,561.96 | $78,364.00 | not published | 0 |
| Revasc lithotrip-stent-ather HCPCS C9767 | $25,096.11 | $64,349.00 | not published | 0 |
| Revasc lithotrip tibi/perone HCPCS C9772 | $19,113.90 | $49,010.00 | not published | 0 |
| Revasc lithotr-stent tib/per HCPCS C9773 | $30,561.96 | $78,364.00 | not published | 0 |
| Revasc lith-sten-ath tib/per HCPCS C9775 | $30,561.96 | $78,364.00 | not published | 0 |
| Revise eyelashes CPT 67825 | $350.22 | $898.00 | not published | 0 |
| Revise eyelid defect CPT 67911 | $1,655.55 | $4,245.00 | not published | 0 |
| Revision of bladder neck CPT 52500 | $7,584.72 | $19,448.00 | not published | 0 |
| Revision of cornea CPT 65600 | $1,841.19 | $4,721.00 | not published | 0 |
| Revision of eyelid CPT 67880 | $1,683.63 | $4,317.00 | not published | 0 |
| Revision of eyelid CPT 67882 | $673.53 | $1,727.00 | not published | 0 |
| Revision of eyelid CPT 67961 | $2,579.85 | $6,615.00 | not published | 0 |
| Revision of iris CPT 66761 | $524.94 | $1,346.00 | not published | 0 |
| Revision of iris CPT 66762 | $336.18 | $862.00 | not published | 0 |
| Revision of urethra CPT 53450 | $7,584.72 | $19,448.00 | not published | 0 |
| Revision tips CPT 37183 | $19,480.50 | $49,950.00 | not published | 0 |
| Revita, per sq cm HCPCS Q4180 | $3,016.07 | $7,733.52 | not published | 0 |
| Rev/rmv perph nstim eltrd ra CPT 64585 | $4,108.26 | $10,534.00 | not published | 0 |
| Revsc opn/prq tib/pero stent CPT 37234 | $6,322.68 | $16,212.00 | not published | 0 |
| Rf abltj nrv nrvtg si jt CPT 64625 | $4,967.04 | $12,736.00 | not published | 0 |
| Rheumatoid factor qualitative CPT 86430 | $72.54 | $186.00 | not published | 0 |
| Rheumatoid factor quantitative CPT 86431 | $79.56 | $204.00 | not published | 0 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $462.54 | $1,186.00 | not published | 0 |
| R hrt cath chd abnl nt cnj CPT 93594 | $4,880.85 | $12,515.00 | not published | 0 |
| R hrt cath chd nml nt cnj CPT 93593 | $4,880.85 | $12,515.00 | not published | 0 |
| Rib and Chest X-ray (3 views, left side) CPT 71101 | $327.21 | $839.00 | not published | 0 |
| Rib and Chest X-ray (4 or more views, both sides) CPT 71111 | $341.64 | $876.00 | not published | 0 |
| Rib X-ray (3 views, both sides) CPT 71110 | $331.89 | $851.00 | not published | 0 |
| Right ventric recording CPT 93603 | $625.56 | $1,604.00 | not published | 0 |
| Ring fx reform 11-13x17mm HCPCS L8610 | $94.45 | $242.19 | not published | 0 |
| R&l hrt cath chd abnl nt cnj CPT 93597 | $4,880.85 | $12,515.00 | not published | 0 |
| R&l hrt cath chd nml nt cnj CPT 93596 | $4,880.85 | $12,515.00 | not published | 0 |
| Rmv implant contraceptive capsule 11976 CPT 11976 | $493.74 | $1,266.00 | not published | 0 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $7,957.56 | $20,404.00 | not published | 0 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $2,510.43 | $6,437.00 | not published | 0 |
| Rmvl icd by tv extr CPT 33244 | $4,887.48 | $12,532.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen dual lead sys CPT 33263 | $26,030.94 | $66,746.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen mlt lead sys CPT 33264 | $36,173.67 | $92,753.00 | not published | 0 |
| Rmvl icd gen w/rplc icd gen sgl lead sys CPT 33262 | $19,909.50 | $51,050.00 | not published | 0 |
| Rmvl icd pulse gen only CPT 33241 | $1,524.12 | $3,908.00 | not published | 0 |
| Rmvl ndwellg tun pleural cath CPT 32552 | $1,699.23 | $4,357.00 | not published | 0 |
| Rmvl perm pm pulse gen CPT 33233 | $3,483.48 | $8,932.00 | not published | 0 |
| Rmvl perq right heart vad CPT 33997 | $4,114.11 | $10,549.00 | not published | 0 |
| Rmvl phrnc nrv stim pg only CPT 33280 | $7,148.31 | $18,329.00 | not published | 0 |
| Rmvl phrnc nrv stim sys CPT 33278 | $7,148.31 | $18,329.00 | not published | 0 |
| Rmvl phrnc nrv stim transvns CPT 33279 | $7,148.31 | $18,329.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen mlt lead sys CPT 33229 | $8,237.97 | $21,123.00 | not published | 0 |
| Rmvl pm gen w/rplc pm gen sgl lead sys CPT 33227 | $5,539.17 | $14,203.00 | not published | 0 |
| Rmvl pq iabp CPT 33968 | $9,328.02 | $23,918.00 | not published | 0 |
| Rmvl pq vad left hrt vein sep session CPT 33992 | $4,114.11 | $10,549.00 | not published | 0 |
| Rmvl sq defib electrode CPT 33272 | $2,160.60 | $5,540.00 | not published | 0 |
| Rmvl subq card rhythm mntr CPT 33286 | $1,496.04 | $3,836.00 | not published | 0 |
| Rmvl tongs/halo anthr indiv CPT 20665 | $1,052.61 | $2,699.00 | not published | 0 |
| Rmvl tv pm lead dual CPT 33235 | $1,773.72 | $4,548.00 | not published | 0 |
| Rmvl tv pm lead sgl CPT 33234 | $1,707.03 | $4,377.00 | not published | 0 |
| Rmv&rplcmt phrnc nrv stim ld CPT 33288 | $33,167.94 | $85,046.00 | not published | 0 |
| Rmv&rplcmt phrnc nrv stim pg CPT 33287 | $44,407.74 | $113,866.00 | not published | 0 |
| Rotavirus antibody CPT 86759 | $130.65 | $335.00 | not published | 0 |
| Rpl non-tun cvc wo sbq prt/pmp CPT 36580 | $3,956.55 | $10,145.00 | not published | 0 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $877.50 | $2,250.00 | not published | 0 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,248.00 | $3,200.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $1,326.00 | $3,400.00 | not published | 0 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $6,195.93 | $15,887.00 | not published | 0 |
| Rpl tun-cvad w subq port CPT 36582 | $4,862.91 | $12,469.00 | not published | 0 |
| Rpl tun cvc wo subq port CPT 36581 | $6,138.60 | $15,740.00 | not published | 0 |
| Rpr blood vsl grf oth vein lo ex CPT 35286 | $6,369.09 | $16,331.00 | not published | 0 |
| Rp therapy unlisted px CPT 79999 | $515.58 | $1,322.00 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $89.70 | $230.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $72.15 | $185.00 | not published | 0 |
| Rubeola antibody igg CPT 86765 | $129.48 | $332.00 | not published | 0 |
| Runx1 gene targeted seq alys CPT 81334 | $543.27 | $1,393.00 | not published | 0 |
| Russell viper venom diluted CPT 85613 | $125.19 | $321.00 | not published | 0 |
| Sacroiliac Joint X-ray (3 or more views) CPT 72202 | $276.90 | $710.00 | not published | 0 |
| Salivary gland function exam CPT 78232 | $719.16 | $1,844.00 | not published | 0 |
| Salivary gland imaging CPT 78230 | $585.00 | $1,500.00 | not published | 0 |
| Salivary glnd img serial img CPT 78231 | $585.00 | $1,500.00 | not published | 0 |
| Salmonella antibody CPT 86768 | $85.02 | $218.00 | not published | 0 |
| Sars-cov-2 antb quantitative CPT 86413 | $186.42 | $478.00 | not published | 0 |
| Sarscov coronavirus ag ia CPT 87426 | $171.99 | $441.00 | not published | 0 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $171.99 | $441.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $643.50 | $1,650.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $222.30 | $570.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $809.25 | $2,075.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $633.36 | $1,624.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $474.63 | $1,217.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $469.17 | $1,203.00 | not published | 0 |
| Sclerotherapy fluid collection pq w/img CPT 49185 | $3,937.83 | $10,097.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $2,579.32 | $6,613.65 | not published | 0 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | $92.82 | $238.00 | not published | 0 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | $53.04 | $136.00 | not published | 0 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $78.00 | $200.00 | not published | 0 |
| Screening Mammogram CPT 77067 | $331.50 | $850.00 | not published | 0 |
| Screening prostate cancer PSA HCPCS G0103 | $162.63 | $417.00 | not published | 0 |
| Screen pap by tech w md supv HCPCS P3000 | $52.65 | $135.00 | not published | 0 |
| Screen/visual acuity/bilat/quant 99173 CPT 99173 | $28.86 | $74.00 | 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.