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 |
|---|---|---|---|---|
| Change ureter stent percut CPT 50382 | $17,297.28 | $44,352.00 | not published | 0 |
| Chemo adm cns w/lmbr punct CPT 96450 | $437.19 | $1,121.00 | not published | 0 |
| Chemodener muscle larynx emg CPT 64617 | $382.20 | $980.00 | not published | 0 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $631.80 | $1,620.00 | not published | 0 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $631.80 | $1,620.00 | not published | 0 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $1,895.01 | $4,859.00 | not published | 0 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $1,895.01 | $4,859.00 | not published | 0 |
| Chemodenervation/face muscl/unilat 64612 CPT 64612 | $783.90 | $2,010.00 | not published | 0 |
| Chemodenerv eccrine glands CPT 64653 | $521.82 | $1,338.00 | not published | 0 |
| Chemodenerv eccrine glands 64650 CPT 64650 | $521.82 | $1,338.00 | not published | 0 |
| Chemodenerv musc migraine 64615 CPT 64615 | $781.56 | $2,004.00 | not published | 0 |
| Chemodenerv musc neck dyston 64616 CPT 64616 | $783.90 | $2,010.00 | not published | 0 |
| Chemodenerv saliv glands bilat 64611 CPT 64611 | $430.17 | $1,103.00 | not published | 0 |
| Chemodenerv trunk musc 1-5 64646 CPT 64646 | $1,895.01 | $4,859.00 | not published | 0 |
| Chemodenerv trunk musc 6/] 64647 CPT 64647 | $1,973.40 | $5,060.00 | not published | 0 |
| Chemo extend IV infus w/pump HCPCS G0498 | $1,124.37 | $2,883.00 | not published | 0 |
| Chemo ia infuse each addl hr CPT 96423 | $198.51 | $509.00 | not published | 0 |
| Chemo ia infusion up to 1 hr CPT 96422 | $604.89 | $1,551.00 | not published | 0 |
| Chemo ia push tecnique CPT 96420 | $618.93 | $1,587.00 | not published | 0 |
| Chemo intralesional over 7 CPT 96406 | $757.38 | $1,942.00 | not published | 0 |
| Chemo intralesional up to 7 96405 CPT 96405 | $618.93 | $1,587.00 | not published | 0 |
| Chemotherapy injection 96542 CPT 96542 | $482.04 | $1,236.00 | not published | 0 |
| Chemotx admn pertl cav impl CPT 96446 | $437.19 | $1,121.00 | not published | 0 |
| Chest 2 vws w oblique CPT 71048 | $385.71 | $989.00 | not published | 0 |
| Chest apical lordotic proj CPT 71047 | $316.68 | $812.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $1,918.02 | $4,918.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $1,562.34 | $4,006.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $1,540.50 | $3,950.00 | not published | 0 |
| Chest Physiotherapy (first session) CPT 94667 | $514.41 | $1,319.00 | not published | 0 |
| Chest Physiotherapy (follow-up session) CPT 94668 | $401.31 | $1,029.00 | not published | 0 |
| Chest Ultrasound CPT 76604 | $377.91 | $969.00 | not published | 0 |
| Chest X-ray CPT 71046 | $294.06 | $754.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $252.72 | $648.00 | not published | 0 |
| Chg pr pul rehab for copd patients CPT 94626 | $133.77 | $343.00 | not published | 0 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $770.25 | $1,975.00 | not published | 0 |
| Chimerism anal no cell selec CPT 81267 | $210.21 | $539.00 | not published | 0 |
| Chimerism anal w/cell select CPT 81268 | $1,110.72 | $2,848.00 | not published | 0 |
| Chlamydia culture CPT 87110 | $215.28 | $552.00 | not published | 0 |
| Chlamydia trachomatis ag if CPT 87270 | $80.34 | $206.00 | not published | 0 |
| Chlamydia type CPT 87140 | $239.07 | $613.00 | not published | 0 |
| Chlnggrphy intraop addl s&i CPT 74301 | $337.35 | $865.00 | not published | 0 |
| Chloride CPT 82435 | $62.01 | $159.00 | not published | 0 |
| Chloride 24 hour urine CPT 82436 | $65.91 | $169.00 | not published | 0 |
| Chmotx admn plrl cav thrcnts CPT 96440 | $437.19 | $1,121.00 | not published | 0 |
| Cholangiogram percutaneous compl CPT 47532 | $2,155.92 | $5,528.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $639.99 | $1,641.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $4,031.04 | $10,336.00 | not published | 0 |
| Cholesterol CPT 82465 | $76.44 | $196.00 | not published | 0 |
| Cholesterol body fluid CPT 84999 | $108.42 | $278.00 | not published | 0 |
| Cholesterol (Lipid) Test CPT 80061 | $166.92 | $428.00 | not published | 0 |
| Cholinesterase CPT 82480 | $110.76 | $284.00 | not published | 0 |
| Chorion biopsy CPT 59015 | $893.10 | $2,290.00 | not published | 0 |
| Chrom analysis CPT 88273 | $462.93 | $1,187.00 | not published | 0 |
| Chromatography CPT 83021 | $120.51 | $309.00 | not published | 0 |
| Chromogenic substrate assay CPT 85130 | $225.42 | $578.00 | not published | 0 |
| Chromo high res and frag x - sendout CPT 81243 | $888.03 | $2,277.00 | not published | 0 |
| Chromosome analys amniotic CPT 88269 | $722.67 | $1,853.00 | not published | 0 |
| Chromosome analysis 15-20 cell count CPT 88262 | $1,066.26 | $2,734.00 | not published | 0 |
| Chromosome analysis 45 CPT 88263 | $1,266.72 | $3,248.00 | not published | 0 |
| Chromosome analysis 5 CPT 88261 | $878.67 | $2,253.00 | not published | 0 |
| Chromosome banding study CPT 88283 | $235.95 | $605.00 | not published | 0 |
| Chromosome count additional CPT 88285 | $434.07 | $1,113.00 | not published | 0 |
| Chromosome karyotype study CPT 88280 | $434.07 | $1,113.00 | not published | 0 |
| Chromosome study additional CPT 88289 | $147.03 | $377.00 | not published | 0 |
| Chronic urticaria - sendout CPT 86343 | $119.34 | $306.00 | not published | 0 |
| Chylomicron screen, bf - sendout CPT 82664 | $114.27 | $293.00 | not published | 0 |
| Cid ext speech process repl HCPCS L8627 | $17,338.78 | $44,458.42 | not published | 0 |
| Ciliary transsleral therapy CPT 66710 | $336.18 | $862.00 | not published | 0 |
| Cine/video x-rays CPT 76120 | $136.50 | $350.00 | not published | 0 |
| Circum 28 days or older CPT 54161 | $5,118.75 | $13,125.00 | not published | 0 |
| Circumcise/surg/28 days or < 54160 CPT 54160 | $2,490.15 | $6,385.00 | not published | 0 |
| Circumcision (newborn) CPT 54150 | $1,751.88 | $4,492.00 | not published | 0 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $606.06 | $1,554.00 | not published | 0 |
| Clamp isol transpolr 5mmx6.5cm transpolar HCPCS C1733 | $14,749.43 | $37,819.06 | not published | 0 |
| Clean out mastoid cavity CPT 69222 | $3,922.62 | $10,058.00 | not published | 0 |
| Clearance of airways CPT 31720 | $163.80 | $420.00 | not published | 0 |
| Clip ligating vesolock lg HCPCS C1760 | $32,045.77 | $82,168.65 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $577.22 | $1,480.05 | not published | 0 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $806.13 | $2,067.00 | not published | 0 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $3,082.17 | $7,903.00 | not published | 0 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $478.53 | $1,227.00 | not published | 0 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $9,945.00 | $25,500.00 | not published | 0 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $900.51 | $2,309.00 | not published | 0 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $973.44 | $2,496.00 | not published | 0 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $900.51 | $2,309.00 | not published | 0 |
| Closed tx orbit w/manipulj CPT 21401 | $4,781.79 | $12,261.00 | not published | 0 |
| Closed tx post hip arthroplasty disloc w/anes 27266 CPT 27266 | $4,015.05 | $10,295.00 | not published | 0 |
| Closed tx septal&nose fx CPT 21337 | $9,650.94 | $24,746.00 | not published | 0 |
| Closed tx sesamoid fx 28530 CPT 28530 | $900.51 | $2,309.00 | not published | 0 |
| Closed tx/talus fracture without manip 28430 CPT 28430 | $806.13 | $2,067.00 | not published | 0 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $306.54 | $786.00 | not published | 0 |
| Close tear duct opening CPT 68760 | $347.88 | $892.00 | not published | 0 |
| Close tear duct opening CPT 68761 | $315.90 | $810.00 | not published | 0 |
| Clos txnose fx without stablz 21315 CPT 21315 | $8,630.31 | $22,129.00 | not published | 0 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $1,183.65 | $3,035.00 | not published | 0 |
| Closure of eyelid by suture CPT 67875 | $1,107.60 | $2,840.00 | not published | 0 |
| Closure paravalvlr leak pq CPT 33999 | $7,723.17 | $19,803.00 | not published | 0 |
| Clot factor viii reltd antgn CPT 85244 | $306.15 | $785.00 | not published | 0 |
| Clot factor xii hageman CPT 85280 | $218.01 | $559.00 | not published | 0 |
| Clot factor xiii fibrin scrn CPT 85291 | $201.24 | $516.00 | 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.