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 |
|---|---|---|---|---|
| Screw cortex 2.0 x 10mm HCPCS C1713 | $30,739.56 | $78,819.39 | not published | 0 |
| Scrotal (Testicle) Ultrasound CPT 76870 | $553.41 | $1,419.00 | not published | 0 |
| Sec art mech thrmbc non-intracranial add-on CPT 37186 | $2,789.28 | $7,152.00 | not published | 0 |
| Sedation moderate same physician performing a gastrointestinal endoscopic service >= 5 years initial 15 minutes intra-service time HCPCS G0500 | $79.56 | $204.00 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $53.82 | $138.00 | not published | 0 |
| Self-Care and Home Skills Training (each 15 minutes) CPT 97535 | $83.46 | $214.00 | not published | 0 |
| Self-mgmt educ/train 2-4 pt 30min CPT 98961 | $164.97 | $423.00 | not published | 0 |
| Self-mgmt educ/train 5-8 pt 30min CPT 98962 | $166.14 | $426.00 | not published | 0 |
| Semen analysis presence/motility CPT 89321 | $33.54 | $86.00 | not published | 0 |
| Sensorimotor examination CPT 92060 | $64.35 | $165.00 | not published | 0 |
| Sept9 promoter methylation analysis CPT 81327 | $316.68 | $812.00 | not published | 0 |
| Serial casting application 97139app CPT 97139 | $78.39 | $201.00 | not published | 0 |
| Serpina1 gene CPT 81332 | $636.09 | $1,631.00 | not published | 0 |
| Set radiation therapy field CPT 77280 | $522.99 | $1,341.00 | not published | 0 |
| Set radiation therapy field CPT 77285 | $845.91 | $2,169.00 | not published | 0 |
| Set radiation therapy field CPT 77290 | $1,021.41 | $2,619.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.5cm/< CPT 11310 | $347.88 | $892.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 0.6-1.0cm CPT 11311 | $163.80 | $420.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m 1.1-2cm CPT 11312 | $202.80 | $520.00 | not published | 0 |
| Shave sgl skin lsn f/e/e/n/l/m >2cm CPT 11313 | $1,904.37 | $4,883.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.5cm/< CPT 11305 | $138.84 | $356.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 0.6-1.0 cm CPT 11306 | $138.84 | $356.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g 1.1-2cm CPT 11307 | $156.00 | $400.00 | not published | 0 |
| Shave sgl skin lsn s/n/h/f/g >2cm CPT 11308 | $2,190.24 | $5,616.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.5cm/< CPT 11300 | $159.12 | $408.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 0.6-1.0cm CPT 11301 | $138.84 | $356.00 | not published | 0 |
| Shave sgl skin lsn t/a/l 1.1-2.0cm CPT 11302 | $370.89 | $951.00 | not published | 0 |
| Sheath gldlight lasr 12fx50cm HCPCS C2629 | $5,366.12 | $13,759.29 | not published | 0 |
| Shoe post-op mens m HCPCS L3260 | $49.25 | $126.27 | not published | 0 |
| Shot (Injection into Muscle or Under the Skin) CPT 96372 | $121.29 | $311.00 | not published | 0 |
| Shoulder AC Joint X-ray (both sides) CPT 73050 | $271.44 | $696.00 | not published | 0 |
| Shoulder Blade (Scapula) X-ray (both sides) CPT 73010 | $238.68 | $612.00 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,061.54 | $5,286.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $1,743.30 | $4,470.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $1,549.08 | $3,972.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $276.90 | $710.00 | not published | 0 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $201.63 | $517.00 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,581.59 | $9,183.56 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $400.92 | $1,028.00 | not published | 0 |
| Sialography s&i CPT 70390 | $376.35 | $965.00 | not published | 0 |
| Sialolithotomy 42330 CPT 42330 | $1,959.75 | $5,025.00 | not published | 0 |
| Sickling rbc CPT 85660 | $65.91 | $169.00 | not published | 0 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,374.75 | $3,525.00 | not published | 0 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $1,740.57 | $4,463.00 | not published | 0 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $813.93 | $2,087.00 | not published | 0 |
| Simple cystometrogram 51725 CPT 51725 | $396.63 | $1,017.00 | not published | 0 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $354.67 | $909.40 | not published | 0 |
| Single energy x-ray study HCPCS G0130 | $97.89 | $251.00 | not published | 0 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,610.70 | $4,130.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $1,473.03 | $3,777.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,319.37 | $3,383.00 | not published | 0 |
| Sinus/juglr venogram s&i CPT 75860 | $1,971.06 | $5,054.00 | not published | 0 |
| Sinus X-ray (complete) CPT 70220 | $375.57 | $963.00 | not published | 0 |
| Sinus X-ray (limited) CPT 70210 | $218.40 | $560.00 | not published | 0 |
| Skin Biopsy CPT 11102 | $560.04 | $1,436.00 | not published | 0 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,190.24 | $5,616.00 | not published | 0 |
| Skull X-ray (1 to 3 views) CPT 70250 | $276.90 | $710.00 | not published | 0 |
| Skull X-ray (complete) CPT 70260 | $412.23 | $1,057.00 | not published | 0 |
| Slco1b1 gene com variants CPT 81328 | $674.70 | $1,730.00 | not published | 0 |
| Sleep study attended CPT 95807 | $1,237.08 | $3,172.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $3,068.13 | $7,867.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $430.95 | $1,105.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $210.38 | $539.44 | not published | 0 |
| Sling suprapubic suburetheral HCPCS C1771 | $15,381.89 | $39,440.75 | not published | 0 |
| Slitting of prepuce CPT 54001 | $4,451.07 | $11,413.00 | not published | 0 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $142.35 | $365.00 | not published | 0 |
| Slp eval non-spch gen comm dev CPT 92605 | $285.09 | $731.00 | not published | 0 |
| Slp pure tone screening CPT 92551 | $70.20 | $180.00 | not published | 0 |
| Slp ther svc non-spch gen CPT 92606 | $106.08 | $272.00 | not published | 0 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $557.70 | $1,430.00 | not published | 0 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $120.51 | $309.00 | not published | 0 |
| Smear gram stain CPT 87205 | $80.34 | $206.00 | not published | 0 |
| Smear nasal eosinophil CPT 89190 | $94.77 | $243.00 | not published | 0 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $102.57 | $263.00 | not published | 0 |
| Smear wet mount CPT 87210 | $70.59 | $181.00 | not published | 0 |
| Smn1 gene full gene sequence CPT 81336 | $495.69 | $1,271.00 | not published | 0 |
| Smn1 gen nown famil seq vrnt CPT 81337 | $304.59 | $781.00 | not published | 0 |
| Snrpn/ube3a gene CPT 81331 | $69.81 | $179.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $74.49 | $191.00 | not published | 0 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $8.07 | $20.70 | not published | 0 |
| Sodium serum/plasma/whole blood CPT 84295 | $67.86 | $174.00 | not published | 0 |
| Somatosensory testing CPT 95927 | $1,316.25 | $3,375.00 | not published | 0 |
| So neo gsap dna mcrstl ins CPT 81457 | $4,563.00 | $11,700.00 | not published | 0 |
| Sp bone algrft morsel add-on CPT 20930 | $803.40 | $2,060.00 | not published | 0 |
| Special physics consult CPT 77370 | $477.75 | $1,225.00 | not published | 0 |
| Special radiation dosimetry CPT 77331 | $353.34 | $906.00 | not published | 0 |
| Special radiation treatment CPT 77470 | $1,515.93 | $3,887.00 | not published | 0 |
| Special teletx port plan CPT 77321 | $696.93 | $1,787.00 | not published | 0 |
| Specific gravity body fluid CPT 84315 | $33.15 | $85.00 | not published | 0 |
| Specimen fat stain CPT 89125 | $102.96 | $264.00 | not published | 0 |
| Speech and Language Evaluation (comprehensive) CPT 92523 | $244.14 | $626.00 | not published | 0 |
| Speech audiometry complete CPT 92556 | $172.77 | $443.00 | not published | 0 |
| Speech evaluation complex CPT 70371 | $598.26 | $1,534.00 | not published | 0 |
| Speech recep thresh CPT 92555 | $130.26 | $334.00 | not published | 0 |
| Speech Therapy Session (one-on-one) CPT 92507 | $172.77 | $443.00 | not published | 0 |
| Sperm identification CPT 89257 | $88.14 | $226.00 | not published | 0 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $2,049.06 | $5,254.00 | not published | 0 |
| Spine X-ray (single view, one level) CPT 72020 | $182.13 | $467.00 | not published | 0 |
| Spleen imaging CPT 78185 | $773.76 | $1,984.00 | not published | 0 |
| Splint dorsal bloc wh med perf 3.2mm lf polyflex ii HCPCS L3906 | $418.94 | $1,074.20 | 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.