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 |
|---|---|---|---|---|
| Tympanostomy/ven tube/loc/top anes 69433 CPT 69433 | $911.43 | $2,337.00 | not published | 0 |
| Ua w/micro/comp poc CPT 81000 | $8.58 | $22.00 | not published | 0 |
| Ugt1a1 gene analy common variants CPT 81350 | $406.38 | $1,042.00 | not published | 0 |
| Ultrasound breast complete CPT 76641 | $382.20 | $980.00 | not published | 0 |
| Ultrasound breast unilateral limited (both sides) CPT 76642 | $382.20 | $980.00 | not published | 0 |
| Ultrasound doppler velocimetry fetal umbilical artery CPT 76820 | $463.32 | $1,188.00 | not published | 0 |
| Ultrasound dx ophth b-scan CPT 76512 | $145.08 | $372.00 | not published | 0 |
| Ultrasound elastography ea l target les CPT 76983 | $136.11 | $349.00 | not published | 0 |
| Ultrasound elastography parenchyma CPT 76981 | $136.11 | $349.00 | not published | 0 |
| Ultrasound encephalogram CPT 76506 | $693.03 | $1,777.00 | not published | 0 |
| Ultrasound exam k transpl w/doppler CPT 76776 | $307.32 | $788.00 | not published | 0 |
| Ultrasound fetal biophysical profile without non-stress testing CPT 76819 | $505.44 | $1,296.00 | not published | 0 |
| Ultrasound Guidance for a Needle Procedure CPT 76942 | $670.02 | $1,718.00 | not published | 0 |
| Ultrasound guidance for vascular access CPT 76937 | $290.16 | $744.00 | not published | 0 |
| Ultrasound guide intraoperative CPT 76998 | $819.00 | $2,100.00 | not published | 0 |
| Ultrasound guide tissue ablation CPT 76940 | $590.85 | $1,515.00 | not published | 0 |
| Ultrasound hips infant dynamic CPT 76885 | $556.14 | $1,426.00 | not published | 0 |
| Ultrasound infant hips ltd without stress CPT 76886 | $556.14 | $1,426.00 | not published | 0 |
| Ultrasound joint complete left CPT 76881 | $556.14 | $1,426.00 | not published | 0 |
| Ultrasound ob >=14wks ea addl gest CPT 76810 | $276.90 | $710.00 | not published | 0 |
| Ultrasound pregnant uterus < 14 weeks each additional gestation CPT 76802 | $239.46 | $614.00 | not published | 0 |
| Ultrasound pregnant uterus detailed fetal exam single/1st gestation CPT 76811 | $539.37 | $1,383.00 | not published | 0 |
| Ultrasound pregnant uterus follow up per fetus CPT 76816 | $323.70 | $830.00 | not published | 0 |
| Ultrasound prostate/transrectal CPT 76872 | $595.53 | $1,527.00 | not published | 0 |
| Ultrasound spinal canal and contents CPT 76800 | $524.55 | $1,345.00 | not published | 0 |
| Ultrasound transabd ea addl gest CPT 76812 | $203.19 | $521.00 | not published | 0 |
| Umbilical artery cath newborn 36660 CPT 36660 | $359.97 | $923.00 | not published | 0 |
| Unit mobile power mpu HCPCS Q0479 | $14,010.69 | $35,924.85 | not published | 0 |
| Unlistd noninvas vasc dx std CPT 93998 | $608.01 | $1,559.00 | not published | 0 |
| Unlisted cytopathology px CPT 88199 | $195.78 | $502.00 | not published | 0 |
| Unlisted endocrine px dx nuc CPT 78099 | $346.71 | $889.00 | not published | 0 |
| Unlisted fluoroscopic px CPT 76496 | $139.23 | $357.00 | not published | 0 |
| Unlisted hematology&coagj px CPT 85999 | $92.43 | $237.00 | not published | 0 |
| Unlisted maaa CPT 81599 | $421.20 | $1,080.00 | not published | 0 |
| Unlisted misc path test CPT 89240 | $119.34 | $306.00 | not published | 0 |
| Unlisted mr procedure CPT 76498 | $1,316.25 | $3,375.00 | not published | 0 |
| Unlisted procedure larynx CPT 31599 | $511.68 | $1,312.00 | not published | 0 |
| Unlisted procedure rectum CPT 45999 | $1,397.37 | $3,583.00 | not published | 0 |
| Unlisted procedure spine CPT 22899 | $308.10 | $790.00 | not published | 0 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | $418.08 | $1,072.00 | not published | 0 |
| Unlisted px abdomen muscskel CPT 22999 | $5,500.95 | $14,105.00 | not published | 0 |
| Unlisted px casting/strpg CPT 29799 | $586.56 | $1,504.00 | not published | 0 |
| Unlisted px male genital sys CPT 55899 | $1,925.04 | $4,936.00 | not published | 0 |
| Unlisted px tongue flr mouth CPT 41599 | $1,553.76 | $3,984.00 | not published | 0 |
| Unlisted resp px dx nuc med CPT 78599 | $545.61 | $1,399.00 | not published | 0 |
| Unlisted spec derm svc/px CPT 96999 | $173.55 | $445.00 | not published | 0 |
| Unlisted surgical path px CPT 88399 | $439.92 | $1,128.00 | not published | 0 |
| Unlisted transfusion med px CPT 86999 | $698.10 | $1,790.00 | not published | 0 |
| Unlisted ultrasound procedure CPT 76999 | $291.33 | $747.00 | not published | 0 |
| Unlisted urinalysis px CPT 81099 | $29.64 | $76.00 | not published | 0 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $4,701.06 | $12,054.00 | not published | 0 |
| Upgrade pm system CPT 33214 | $5,840.64 | $14,976.00 | not published | 0 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $235.17 | $603.00 | not published | 0 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,748.37 | $4,483.00 | not published | 0 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,577.16 | $4,044.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,429.31 | $6,229.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,001.87 | $5,133.00 | not published | 0 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,762.41 | $4,519.00 | not published | 0 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $324.48 | $832.00 | not published | 0 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $384.93 | $987.00 | not published | 0 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,405.56 | $3,604.00 | not published | 0 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $738.66 | $1,894.00 | not published | 0 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $491.01 | $1,259.00 | not published | 0 |
| Urea nitrogen CPT 84520 | $58.50 | $150.00 | not published | 0 |
| Urea nitrogen 24 hour urine CPT 84540 | $81.12 | $208.00 | not published | 0 |
| Urea nitrogen clearance CPT 84545 | $163.80 | $420.00 | not published | 0 |
| Ureteral embolization/occl CPT 50705 | $3,041.22 | $7,798.00 | not published | 0 |
| Ureteral reflux study CPT 78740 | $694.20 | $1,780.00 | not published | 0 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $253.50 | $650.00 | not published | 0 |
| Urethrocystography void s&i CPT 74455 | $390.39 | $1,001.00 | not published | 0 |
| Uric acid blood CPT 84550 | $74.49 | $191.00 | not published | 0 |
| Uric acid urine CPT 84560 | $93.60 | $240.00 | not published | 0 |
| Urinalysis microscopic only CPT 81015 | $49.14 | $126.00 | not published | 0 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $46.80 | $120.00 | not published | 0 |
| Urinalysis (with microscopy) CPT 81001 | $62.40 | $160.00 | not published | 0 |
| Urinalysis (without microscopy) CPT 81003 | $74.88 | $192.00 | not published | 0 |
| Urine Culture Test CPT 87086 | $202.80 | $520.00 | not published | 0 |
| Urine flow measurement 51736 CPT 51736 | $274.17 | $703.00 | not published | 0 |
| Urine pregnancy test CPT 81025 | $98.67 | $253.00 | not published | 0 |
| Urography, antegrade CPT 74425 | $489.45 | $1,255.00 | not published | 0 |
| Urography inf drip &/or bolus CPT 74410 | $599.82 | $1,538.00 | not published | 0 |
| Use 1st target lesion CPT 76982 | $136.11 | $349.00 | not published | 0 |
| Vaccine Administration (one shot) CPT 90471 | $62.79 | $161.00 | not published | 0 |
| Vad battery clip set hmii 14-v li-ion HCPCS Q0497 | $1,159.43 | $2,972.90 | not published | 0 |
| Vad cable power module dc input HCPCS Q0478 | $731.74 | $1,876.25 | not published | 0 |
| Vad univ batt charger hm 1440 HCPCS Q0495 | $14,170.94 | $36,335.75 | not published | 0 |
| Vaginal bx CPT 58999 | $4,428.06 | $11,354.00 | not published | 0 |
| Valproic acid total therapeutic drug level CPT 80164 | $121.68 | $312.00 | not published | 0 |
| Valvuloplasty aortic CPT 92986 | $4,057.56 | $10,404.00 | not published | 0 |
| Valvuloplasty mitral CPT 92987 | $5,573.10 | $14,290.00 | not published | 0 |
| Valvuloplasty pulmonary CPT 92990 | $7,809.36 | $20,024.00 | not published | 0 |
| Vancomycin peak therapeutic drug level CPT 80202 | $246.87 | $633.00 | not published | 0 |
| Varicella zoster antibody igg CPT 86787 | $128.70 | $330.00 | not published | 0 |
| Vasc emb/occ w/prs cath HCPCS C9797 | $21,172.71 | $54,289.00 | not published | 0 |
| Vasectomy CPT 55250 | $2,256.54 | $5,786.00 | not published | 0 |
| Veeg cont 2-12 hrs CPT 95713 | $841.23 | $2,157.00 | not published | 0 |
| Veeg ea 12-26hr cont mntr CPT 95716 | $3,530.67 | $9,053.00 | not published | 0 |
| Veeg intrmnt 2-12 hrs CPT 95712 | $645.06 | $1,654.00 | not published | 0 |
| Veeg unmon 12-26 hrs CPT 95714 | $822.90 | $2,110.00 | not published | 0 |
| Veeg unmon 2-12 hrs CPT 95711 | $441.09 | $1,131.00 | 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.