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 |
|---|---|---|---|---|
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,313.52 | $3,368.00 | not published | 0 |
| Biopsy tongue anterior two-thirds CPT 41100 | $644.67 | $1,653.00 | not published | 0 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $644.67 | $1,653.00 | not published | 0 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | $3,151.20 | $8,080.00 | not published | 0 |
| Biospy of bladder CPT 53899 | $5,326.23 | $13,657.00 | not published | 0 |
| Biotinidase - quest CPT 82261 | $132.60 | $340.00 | not published | 0 |
| Bis xtracell fluid analysis CPT 93702 | $212.55 | $545.00 | not published | 0 |
| Bk molded distal cushion HCPCS L5668 | $159.64 | $409.34 | not published | 0 |
| Bladder Catheter Insertion (simple) CPT 51702 | $368.55 | $945.00 | not published | 0 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $942.63 | $2,417.00 | not published | 0 |
| Bld prd mix CPT 86965 | $271.05 | $695.00 | not published | 0 |
| Bld push tfuj 2 yr/< CPT 36440 | $1,782.30 | $4,570.00 | not published | 0 |
| Blepharoplasty lower 15820 CPT 15820 | $2,265.51 | $5,809.00 | not published | 0 |
| Blepharoplasty upper 15822 CPT 15822 | $2,265.51 | $5,809.00 | not published | 0 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $2,301.00 | $5,900.00 | not published | 0 |
| Blind cor sinus reducer impl HCPCS C9783 | $13,666.38 | $35,042.00 | not published | 0 |
| Blink reflex test CPT 95933 | $127.14 | $326.00 | not published | 0 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $10,618.42 | $27,226.71 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $5,330.60 | $13,668.21 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $5,330.60 | $13,668.21 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $4,814.74 | $12,345.48 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $35,401.31 | $90,772.60 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $33,318.08 | $85,430.97 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $2,420.73 | $6,207.00 | not published | 0 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $4,046.64 | $10,376.00 | not published | 0 |
| Block paracervical nrv CPT 64435 | $2,313.09 | $5,931.00 | not published | 0 |
| Block plantar digital nerve CPT 64455 | $1,016.73 | $2,607.00 | not published | 0 |
| Block tap inj(s) w/wo img bi CPT 64488 | $3,543.54 | $9,086.00 | not published | 0 |
| Block tap inj(s) w/wo img uni CPT 64486 | $3,354.39 | $8,601.00 | not published | 0 |
| Blood Clotting (PT/INR) Test CPT 85610 | $68.25 | $175.00 | not published | 0 |
| Blood Clotting (PTT) Test CPT 85730 | $79.56 | $204.00 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $105.69 | $271.00 | not published | 0 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $83.85 | $215.00 | not published | 0 |
| Blood count spun microhematocrit CPT 85013 | $50.31 | $129.00 | not published | 0 |
| Blood Culture Test CPT 87040 | $171.99 | $441.00 | not published | 0 |
| Blood draw capillary 36416 CPT 36416 | $26.91 | $69.00 | not published | 0 |
| Blood Draw (Venipuncture) CPT 36415 | $12.48 | $32.00 | not published | 0 |
| Blood gases o2 saturation direct measurement CPT 82805 | $277.29 | $711.00 | not published | 0 |
| Blood gases ph venous CPT 82800 | $131.82 | $338.00 | not published | 0 |
| Blood, l/r, irradiated HCPCS P9056 | $476.58 | $1,222.00 | not published | 0 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $124.80 | $320.00 | not published | 0 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $48.36 | $124.00 | not published | 0 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $37.05 | $95.00 | not published | 0 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $52.65 | $135.00 | not published | 0 |
| Blood smear interpretation CPT 85060 | $86.58 | $222.00 | not published | 0 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | $38.61 | $99.00 | not published | 0 |
| Blood split unit HCPCS P9011 | $344.37 | $883.00 | not published | 0 |
| Blood Transfusion CPT 36430 | $1,782.30 | $4,570.00 | not published | 0 |
| Blood typing abo CPT 86900 | $98.67 | $253.00 | not published | 0 |
| Blood typing ag donor ea ag CPT 86902 | $306.15 | $785.00 | not published | 0 |
| Blood typing paternity test CPT 86910 | $86.58 | $222.00 | not published | 0 |
| Blood typing patient serum CPT 86904 | $172.77 | $443.00 | not published | 0 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $181.74 | $466.00 | not published | 0 |
| Blood typing rh (d) CPT 86901 | $78.39 | $201.00 | not published | 0 |
| Blood typing rh phenotype complete reference CPT 86906 | $418.47 | $1,073.00 | not published | 0 |
| Bls-emergency HCPCS A0429 | $892.32 | $2,288.00 | not published | 0 |
| Bone Age X-ray (hand and wrist) CPT 77072 | $218.40 | $560.00 | not published | 0 |
| Bone biopsy open superficial CPT 20240 | $5,178.42 | $13,278.00 | not published | 0 |
| Bone Density Scan (DEXA) CPT 77080 | $407.94 | $1,046.00 | not published | 0 |
| Bone imaging multiple areas CPT 78305 | $909.48 | $2,332.00 | not published | 0 |
| Bone/joint imaging ltd area CPT 78300 | $732.03 | $1,877.00 | not published | 0 |
| Bone marrow;aspiration only 38220 CPT 38220 | $2,147.73 | $5,507.00 | not published | 0 |
| Bone marrow aspir bone grfg CPT 20939 | $2,147.73 | $5,507.00 | not published | 0 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $2,577.12 | $6,608.00 | not published | 0 |
| Bone marrow imaging body CPT 78104 | $641.94 | $1,646.00 | not published | 0 |
| Bone marrow imaging ltd CPT 78102 | $591.63 | $1,517.00 | not published | 0 |
| Bone marrow imaging mult CPT 78103 | $610.74 | $1,566.00 | not published | 0 |
| Bone marrow interpretation CPT 85097 | $375.96 | $964.00 | not published | 0 |
| Bone mineral single photon CPT 78350 | $312.39 | $801.00 | not published | 0 |
| Bone survey-lead poisoning CPT 77074 | $217.23 | $557.00 | not published | 0 |
| Boot cast sandal rocker med HCPCS L3265 | $123.12 | $315.68 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $509.81 | $1,307.20 | not published | 0 |
| Boot walker genesis mid-calf full shell s HCPCS L4361 | $131.59 | $337.41 | not published | 0 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $48.75 | $125.00 | not published | 0 |
| (both sides) donor search management CPT 38204 | $4,321.98 | $11,082.00 | not published | 0 |
| (both sides) smear without diff wbc count CPT 85008 | $38.22 | $98.00 | not published | 0 |
| Bowel imaging CPT 78290 | $745.29 | $1,911.00 | not published | 0 |
| Brace afo lg left 6607 HCPCS L1930 | $318.48 | $816.62 | not published | 0 |
| Brace back pinnacle lo 627 lumbar HCPCS L0627 | $459.44 | $1,178.04 | not published | 0 |
| Brace back pinnacle tlso 464 HCPCS L0464 | $2,150.44 | $5,513.96 | not published | 0 |
| Brace back t-lso custom HCPCS L0486 | $1,764.07 | $4,523.26 | not published | 0 |
| Brace cust back lso HCPCS L0631 | $1,407.93 | $3,610.08 | not published | 0 |
| Brace fx hum ovr shldr sm HCPCS L3980 | $420.76 | $1,078.88 | not published | 0 |
| Brace knee extender plus 22-30in HCPCS L1832 | $1,014.05 | $2,600.13 | not published | 0 |
| Brace or Splint Fitting and Training (each 15 minutes) CPT 97760 | $60.06 | $154.00 | not published | 0 |
| Brace ortho exos 28-50in sm HCPCS L0637 | $1,867.28 | $4,787.91 | not published | 0 |
| Brace ortho tlso 2xl 19in strnl y bar wst belt pd shldr HCPCS L0456 | $1,338.34 | $3,431.65 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $348.84 | $894.45 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $81.62 | $209.28 | not published | 0 |
| Brach/thor cath 1st CPT 36215 | $1,294.02 | $3,318.00 | not published | 0 |
| Brach/thor cath 2nd CPT 36216 | $2,750.67 | $7,053.00 | not published | 0 |
| Brach/thor cath 3rd CPT 36217 | $3,295.50 | $8,450.00 | not published | 0 |
| Brach/thor cath addl CPT 36218 | $1,351.35 | $3,465.00 | not published | 0 |
| Brachy source i-125 injection HCPCS C2638 | $36.57 | $93.77 | not published | 0 |
| Brachy source iodine-125 nonstranded HCPCS C2639 | $43.23 | $110.85 | not published | 0 |
| Brachy source palladium HCPCS C2640 | $182.53 | $468.03 | not published | 0 |
| Brachy source palladium-103 nonstranded HCPCS C2641 | $62.77 | $160.94 | not published | 0 |
| Brachy source yttrium-90 HCPCS C2616 | $33,271.98 | $85,312.77 | not published | 0 |
| Brachy src nonstrand c-131 HCPCS C2643 | $80.25 | $205.76 | not published | 0 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $293.05 | $751.41 | 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.