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 |
|---|---|---|---|---|
| Split atogrft f/s/n/h/f/g/m/d gt 1st 100sqcm/</1 % CPT 15120 | $4,560.66 | $11,694.00 | not published | 0 |
| Split blood or products CPT 86985 | $157.95 | $405.00 | not published | 0 |
| Sprchoroidal spc njx rx agt CPT 67516 | $453.57 | $1,163.00 | not published | 0 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | $3,382.47 | $8,673.00 | not published | 0 |
| Srs linear based CPT 77372 | $18,301.53 | $46,927.00 | not published | 0 |
| Srs multisource CPT 77371 | $61,542.78 | $157,802.00 | not published | 0 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $244.14 | $626.00 | not published | 0 |
| Staph a dna amp probe CPT 87640 | $173.55 | $445.00 | not published | 0 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $140.01 | $359.00 | not published | 0 |
| Stem cells total count CPT 86367 | $109.20 | $280.00 | not published | 0 |
| Stent/athrectomy/fem/pop/unilat 37227 CPT 37227 | $17,598.75 | $45,125.00 | not published | 0 |
| Stent axios caut enh 15x10mm electrocaut HCPCS C1874 | $46,500.48 | $119,232.00 | not published | 0 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $1,322.36 | $3,390.66 | not published | 0 |
| Stent bili rx wallflx 10x80 uncvr HCPCS C1876 | $26,466.66 | $67,863.22 | not published | 0 |
| Stent iliac/open or perc/uni/init 37221 CPT 37221 | $12,394.20 | $31,780.00 | not published | 0 |
| Stent iliac/open/perc/ea ad/ipsila 37223 CPT 37223 | $5,454.93 | $13,987.00 | not published | 0 |
| Stent/tib/peroneal/unilat/initial 37230 CPT 37230 | $10,995.27 | $28,193.00 | not published | 0 |
| Sterile water/saline, 10 ml HCPCS A4216 | $13.32 | $34.16 | not published | 0 |
| Sterile water/saline, 500 ml HCPCS A4217 | $12.17 | $31.20 | not published | 0 |
| St evaluate speech sound production CPT 92522 | $244.14 | $626.00 | not published | 0 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $334.23 | $857.00 | not published | 0 |
| Stomach Emptying Scan (Nuclear Medicine) CPT 78264 | $982.80 | $2,520.00 | not published | 0 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $392.34 | $1,006.00 | not published | 0 |
| Strapping of chest CPT 29200 | $365.43 | $937.00 | not published | 0 |
| Strapping of elbow or wrist 29260 CPT 29260 | $145.86 | $374.00 | not published | 0 |
| Strapping of hand or finger CPT 29280 | $292.11 | $749.00 | not published | 0 |
| Strapping of hip CPT 29520 | $381.81 | $979.00 | not published | 0 |
| Strapping of knee CPT 29530 | $343.98 | $882.00 | not published | 0 |
| Strapping of toes 29550 CPT 29550 | $183.30 | $470.00 | not published | 0 |
| Strep a ag ia CPT 87430 | $81.51 | $209.00 | not published | 0 |
| Strep a dna dir probe CPT 87650 | $96.72 | $248.00 | not published | 0 |
| Strep b assay w/optic CPT 87802 | $46.41 | $119.00 | not published | 0 |
| Strep b dna amp probe CPT 87653 | $51.32 | $131.59 | not published | 0 |
| Stress test pulmonary CPT 94618 | $424.32 | $1,088.00 | not published | 0 |
| Stress tte complete CPT 93351 | $1,196.13 | $3,067.00 | not published | 0 |
| Str markers spec anal addl CPT 81266 | $1,110.72 | $2,848.00 | not published | 0 |
| Str markers specimen anal CPT 81265 | $1,477.32 | $3,788.00 | not published | 0 |
| Subq njx filling matrl 1cc/< CPT 11950 | $136.50 | $350.00 | not published | 0 |
| Surgical pathology level 1 gross examination only CPT 88300 | $135.33 | $347.00 | not published | 0 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $175.11 | $449.00 | not published | 0 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $270.27 | $693.00 | not published | 0 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $328.38 | $842.00 | not published | 0 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $311.22 | $798.00 | not published | 0 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $352.56 | $904.00 | not published | 0 |
| Susceptibility agar dilution per agent CPT 87181 | $39.78 | $102.00 | not published | 0 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $51.09 | $131.00 | not published | 0 |
| Susceptibility mic per plate CPT 87186 | $94.38 | $242.00 | not published | 0 |
| Suscept studies macrobroth dilution ea CPT 87188 | $663.78 | $1,702.00 | not published | 0 |
| Svc venogram s&i CPT 75827 | $2,159.43 | $5,537.00 | not published | 0 |
| Swallowing Evaluation (Bedside) CPT 92610 | $244.14 | $626.00 | not published | 0 |
| Swallowing Therapy Session CPT 92526 | $129.87 | $333.00 | not published | 0 |
| Sweat collection by iontophoresis CPT 89230 | $290.94 | $746.00 | not published | 0 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $49.14 | $126.00 | not published | 0 |
| System cardiomems hosp electronics HCPCS C2624 | $36,449.60 | $93,460.50 | not published | 0 |
| System pacing micra av HCPCS C1786 | $49,463.68 | $126,829.94 | not published | 0 |
| System pcmkr dual chamber leadless micra av2 intrdcr cath HCPCS C1785 | $12,193.46 | $31,265.28 | not published | 0 |
| System sealant biosentry tract HCPCS C2613 | $616.09 | $1,579.72 | not published | 0 |
| T3 (triiodothyronine) free CPT 84481 | $239.07 | $613.00 | not published | 0 |
| T3 (triiodothyronine) total CPT 84480 | $161.85 | $415.00 | not published | 0 |
| T4 (thyroxine) free CPT 84439 | $137.67 | $353.00 | not published | 0 |
| T4 (thyroxine) total CPT 84436 | $96.72 | $248.00 | not published | 0 |
| Tacrolimus therapeutic drug level CPT 80197 | $218.40 | $560.00 | not published | 0 |
| Tailbone (Sacrum and Coccyx) X-ray CPT 72220 | $287.04 | $736.00 | not published | 0 |
| Target gsa panel hmtlmph neop CPT 81450 | $2,819.70 | $7,230.00 | not published | 0 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $2,744.04 | $7,036.00 | not published | 0 |
| Target gsa panel organ neop CPT 81445 | $3,296.28 | $8,452.00 | not published | 0 |
| Tas congenital car anomal CPT 33741 | $6,003.27 | $15,393.00 | not published | 0 |
| Tavr perq femoral CPT 33361 | $13,308.36 | $34,124.00 | not published | 0 |
| Tbp gene detc abnor alleles CPT 81344 | $225.42 | $578.00 | not published | 0 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $115.05 | $295.00 | not published | 0 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $123.24 | $316.00 | not published | 0 |
| Tc-99m apcitide diag HCPCS A9504 | $2,081.04 | $5,336.00 | not published | 0 |
| Tc-99m bicisate HCPCS A9557 | $1,357.59 | $3,481.00 | not published | 0 |
| Tc-99m diag per dose HCPCS A4641 | $226.98 | $582.00 | not published | 0 |
| Tc-99m disofenin HCPCS A9510 | $151.32 | $388.00 | not published | 0 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | $1,304.16 | $3,344.00 | not published | 0 |
| Tc-99m exametazime diag HCPCS A9521 | $2,166.26 | $5,554.50 | not published | 0 |
| Tc-99m fanolesomab diag HCPCS A9566 | $2,860.65 | $7,335.00 | not published | 0 |
| Tc-99m gluceptate HCPCS A9550 | $1,338.87 | $3,433.00 | not published | 0 |
| Tc-99m labeled rbc HCPCS A9560 | $186.42 | $478.00 | not published | 0 |
| Tc-99m maa HCPCS A9540 | $396.63 | $1,017.00 | not published | 0 |
| Tc-99m mebrofenin HCPCS A9537 | $255.84 | $656.00 | not published | 0 |
| Tc-99m medronate HCPCS A9503 | $122.46 | $314.00 | not published | 0 |
| Tc-99m mertiatide HCPCS A9562 | $387.66 | $994.00 | not published | 0 |
| Tc-99m oxidronate HCPCS A9561 | $80.73 | $207.00 | not published | 0 |
| Tc-99m pentetate dtpa HCPCS A9539 | $95.94 | $246.00 | not published | 0 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | $123.24 | $316.00 | not published | 0 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $85.97 | $220.44 | not published | 0 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $128.31 | $329.00 | not published | 0 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $387.66 | $994.00 | not published | 0 |
| Tc-99m succimer (dmsa) HCPCS A9551 | $1,578.33 | $4,047.00 | not published | 0 |
| Tc-99m sulfur colloid HCPCS A9541 | $169.26 | $434.00 | not published | 0 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | $212.94 | $546.00 | not published | 0 |
| Tc-99m tilmanocept diag HCPCS A9520 | $930.54 | $2,386.00 | not published | 0 |
| Tca peel dermal 15789 CPT 15789 | $2,531.49 | $6,491.00 | not published | 0 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $313.20 | $803.07 | not published | 0 |
| T cells absolute cd 4 count CPT 86361 | $182.91 | $469.00 | not published | 0 |
| T cells total count CPT 86359 | $145.86 | $374.00 | not published | 0 |
| Tcranial magn stim tx deli CPT 90868 | $389.22 | $998.00 | not published | 0 |
| Tcranial magn stim tx plan CPT 90867 | $386.88 | $992.00 | 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.