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 |
|---|---|---|---|---|
| Warde pancreatic elastase fecal quantitative CPT 82653 | $53.43 | $137.00 | not published | 0 |
| Warde protein c antigen CPT 85302 | $395.07 | $1,013.00 | not published | 0 |
| Warde sex hormone binding globulin CPT 84270 | $125.97 | $323.00 | not published | 0 |
| Warde somatomedin CPT 84305 | $260.13 | $667.00 | not published | 0 |
| Warde sugars single qualitative each specimen stool CPT 84376 | $49.92 | $128.00 | not published | 0 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $121.29 | $311.00 | not published | 0 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $526.11 | $1,349.00 | not published | 0 |
| Warde topiramate therapeutic drug level CPT 80201 | $94.77 | $243.00 | not published | 0 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | $264.81 | $679.00 | not published | 0 |
| Warde viscosity CPT 85810 | $145.86 | $374.00 | not published | 0 |
| Warde vitamin a CPT 84590 | $190.32 | $488.00 | not published | 0 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $358.80 | $920.00 | not published | 0 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $510.90 | $1,310.00 | not published | 0 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $44.85 | $115.00 | not published | 0 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $367.38 | $942.00 | not published | 0 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $161.85 | $415.00 | not published | 0 |
| Warde zinc CPT 84630 | $178.62 | $458.00 | not published | 0 |
| Wash harvest stem cells CPT 38209 | $803.79 | $2,061.00 | not published | 0 |
| Wbc automated CPT 85048 | $59.28 | $152.00 | not published | 0 |
| Wedging of cast CPT 29740 | $614.64 | $1,576.00 | not published | 0 |
| Wedging of clubfoot cast CPT 29750 | $304.98 | $782.00 | not published | 0 |
| Western blot test CPT 84181 | $186.03 | $477.00 | not published | 0 |
| Whfo nontorsion joint prefab HCPCS L3931 | $284.17 | $728.64 | not published | 0 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $442.81 | $1,135.40 | not published | 0 |
| Whole blood for transfusion HCPCS P9010 | $761.28 | $1,952.00 | not published | 0 |
| Whole blood or red blood cells frozen/deglycerolized/washed leukocytes reduced each unit HCPCS P9054 | $1,555.32 | $3,988.00 | not published | 0 |
| Whole blood/red blood cells leukocytes reduced cmv negative each unit HCPCS P9051 | $1,088.88 | $2,792.00 | not published | 0 |
| Whole-Body Bone Scan (Nuclear Medicine) CPT 78306 | $1,087.32 | $2,788.00 | not published | 0 |
| Whole mitochondrial genome CPT 81460 | $1,385.28 | $3,552.00 | not published | 0 |
| Whole Skeleton X-ray Survey CPT 77075 | $801.45 | $2,055.00 | not published | 0 |
| Wnd prep f/n/hf/g addl cm CPT 15005 | $865.80 | $2,220.00 | not published | 0 |
| Wound Cleaning and Dead Tissue Removal (up to 20 sq cm) CPT 97597 | $852.93 | $2,187.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $695.37 | $1,783.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $689.91 | $1,769.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $211.38 | $542.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $352.56 | $904.00 | not published | 0 |
| Wrist X-ray CPT 73110 | $235.17 | $603.00 | not published | 0 |
| Wrist X-ray (2 views, both wrists) CPT 73100 | $197.73 | $507.00 | not published | 0 |
| Xe133 xenon 10mci HCPCS A9558 | $64.35 | $165.00 | not published | 0 |
| Xfer tis f/c/c/m/n/a/g/h/f 10sq cm/< CPT 14040 | $2,157.48 | $5,532.00 | not published | 0 |
| Xfer tis s/a/l 10 sq cm/< CPT 14020 | $2,190.24 | $5,616.00 | not published | 0 |
| Xm archive tissue molec anal CPT 88363 | $20.28 | $52.00 | not published | 0 |
| Xpos opn fmrl eprst aor uni add-on CPT 34812 | $2,338.05 | $5,995.00 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $329.55 | $845.00 | not published | 0 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $491.01 | $1,259.00 | not published | 0 |
| X-ray bone length studies CPT 77073 | $240.63 | $617.00 | not published | 0 |
| X-ray bone survey infant CPT 77076 | $559.26 | $1,434.00 | not published | 0 |
| Xray endovasc thor ao repr CPT 75956 | $5,261.88 | $13,492.00 | not published | 0 |
| Xray endovasc thor ao repr CPT 75957 | $7,990.32 | $20,488.00 | not published | 0 |
| X-ray exam entire spi 4/5 vw CPT 72083 | $441.48 | $1,132.00 | not published | 0 |
| X-ray exam entire spi 6/> vw CPT 72084 | $597.48 | $1,532.00 | not published | 0 |
| X-ray exam of arm infant CPT 73092 | $248.82 | $638.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $168.09 | $431.00 | not published | 0 |
| X-ray exam of jaw joint CPT 70328 | $240.63 | $617.00 | not published | 0 |
| X-ray exam of jaw joint CPT 70332 | $370.89 | $951.00 | not published | 0 |
| X-ray exam of mastoids CPT 70120 | $101.40 | $260.00 | not published | 0 |
| X-ray exam of penis CPT 74445 | $171.99 | $441.00 | not published | 0 |
| X-ray exam of tear duct CPT 70170 | $572.91 | $1,469.00 | not published | 0 |
| X-ray exam si joints CPT 72200 | $169.65 | $435.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $414.57 | $1,063.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $238.29 | $611.00 | not published | 0 |
| X-ray fallopian tube CPT 74742 | $609.57 | $1,563.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $271.05 | $695.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $304.98 | $782.00 | not published | 0 |
| X-ray joint survey 1 view CPT 77077 | $187.20 | $480.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $256.62 | $658.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $342.42 | $878.00 | not published | 0 |
| X-ray male genital tract CPT 74440 | $205.14 | $526.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $213.72 | $548.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $259.74 | $666.00 | not published | 0 |
| X-ray of mammary ducts CPT 77054 | $504.27 | $1,293.00 | not published | 0 |
| X-ray optic foramina CPT 70190 | $134.55 | $345.00 | not published | 0 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $633.36 | $1,624.00 | not published | 0 |
| X-ray ribs 2 views left CPT 71100 | $283.92 | $728.00 | not published | 0 |
| X-ray sella turcica CPT 70240 | $221.52 | $568.00 | not published | 0 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $414.96 | $1,064.00 | not published | 0 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $618.93 | $1,587.00 | not published | 0 |
| X-ray small intestine follow-through study CPT 74248 | $804.18 | $2,062.00 | not published | 0 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $514.80 | $1,320.00 | not published | 0 |
| X-ray surgical specimen CPT 76098 | $457.47 | $1,173.00 | not published | 0 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $273.00 | $700.00 | not published | 0 |
| Yersinia antibody CPT 86793 | $202.80 | $520.00 | not published | 0 |
| Zika virus dna/rna amp probe CPT 87662 | $214.50 | $550.00 | not published | 0 |
| Zika virus igm antibody CPT 86794 | $23.01 | $59.00 | 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.