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 |
|---|---|---|---|---|
| Clot factor xiii fibrin stab CPT 85290 | $491.01 | $1,259.00 | not published | 0 |
| Clotting assay whole blood CPT 85396 | $266.76 | $684.00 | not published | 0 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $900.51 | $2,309.00 | not published | 0 |
| Clsd tx bimalleol ank fx without manip 27808 CPT 27808 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $900.51 | $2,309.00 | not published | 0 |
| Clsd tx clav dislc without manip 23520 CPT 23520 | $3,446.82 | $8,838.00 | not published | 0 |
| Clsd tx clavicle dislocation without manip 23540 CPT 23540 | $900.51 | $2,309.00 | not published | 0 |
| Clsd tx clavicle fracture w/manip 23505 CPT 23505 | $11,121.63 | $28,517.00 | not published | 0 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx coccygeal fracture 27200 CPT 27200 | $900.51 | $2,309.00 | not published | 0 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $676.65 | $1,735.00 | not published | 0 |
| Clsd tx/dis tib/wt bear no manip 27824 CPT 27824 | $444.99 | $1,141.00 | not published | 0 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $900.51 | $2,309.00 | not published | 0 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $5,193.24 | $13,316.00 | not published | 0 |
| Clsd tx finger tendon w/wo perq pin 26432 CPT 26432 | $3,272.10 | $8,390.00 | not published | 0 |
| Clsd tx fracture of radius 25500 CPT 25500 | $900.51 | $2,309.00 | not published | 0 |
| Clsd tx/fx grt toe/phalanx/phalang 28490 CPT 28490 | $900.51 | $2,309.00 | not published | 0 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $900.51 | $2,309.00 | not published | 0 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $3,446.82 | $8,838.00 | not published | 0 |
| Clsd tx fx radius/ulna without manip 25560 CPT 25560 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $3,446.82 | $8,838.00 | not published | 0 |
| Clsd tx/grt hum tube fx without manip 23620 CPT 23620 | $384.54 | $986.00 | not published | 0 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $444.99 | $1,141.00 | not published | 0 |
| Clsd tx humeral fract without manip 24530 CPT 24530 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx iphal jnt disl w/manip req anes CPT 26775 | $8,713.38 | $22,342.00 | not published | 0 |
| Clsd tx mandibular fx without manip 21450 CPT 21450 | $1,661.79 | $4,261.00 | not published | 0 |
| Clsd tx/metacar/interphal artic fx 26740 CPT 26740 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $900.51 | $2,309.00 | not published | 0 |
| Clsd tx metacarp fx w/manip&ext fix ea bone 26607 CPT 26607 | $6,536.79 | $16,761.00 | not published | 0 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx/metatarsal fx without manip 28470 CPT 28470 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx/nasal bone fx/stabilize 21320 CPT 21320 | $8,630.31 | $22,129.00 | not published | 0 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $1,118.91 | $2,869.00 | not published | 0 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $900.51 | $2,309.00 | not published | 0 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $262.86 | $674.00 | not published | 0 |
| Clsd tx pelvic ring fx CPT 27197 | $541.71 | $1,389.00 | not published | 0 |
| Clsd tx pelvic ring fx CPT 27198 | $541.71 | $1,389.00 | not published | 0 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $9,945.00 | $25,500.00 | not published | 0 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx/radial head/neck fx/no manip 24650 CPT 24650 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $3,446.82 | $8,838.00 | not published | 0 |
| Clsd tx/scapular fx without manip 23570 CPT 23570 | $276.90 | $710.00 | not published | 0 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $3,272.10 | $8,390.00 | not published | 0 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $973.44 | $2,496.00 | not published | 0 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $7,791.81 | $19,979.00 | not published | 0 |
| Clsd tx/talotarsal dislocat/anes 28575 CPT 28575 | $9,945.00 | $25,500.00 | not published | 0 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $559.65 | $1,435.00 | not published | 0 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $900.51 | $2,309.00 | not published | 0 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $1,707.42 | $4,378.00 | not published | 0 |
| Clsd tx/ulnar shaft fx without manip 25530 CPT 25530 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx vert body fx without manip req &w/csting/bracing CPT 22310 | $730.08 | $1,872.00 | not published | 0 |
| Clsd tx wrist carpal fx without manip 25630 CPT 25630 | $900.51 | $2,309.00 | not published | 0 |
| Clsd tx wrist scaphoid fx without manip 25622 CPT 25622 | $900.51 | $2,309.00 | not published | 0 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $806.13 | $2,067.00 | not published | 0 |
| Clsd tx wrist ulnar styloid fx 25650 CPT 25650 | $900.51 | $2,309.00 | not published | 0 |
| Clsd/ulnar fx/prox end without manip 24670 CPT 24670 | $806.13 | $2,067.00 | not published | 0 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $9,945.00 | $25,500.00 | not published | 0 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $3,082.17 | $7,903.00 | not published | 0 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $9,945.00 | $25,500.00 | not published | 0 |
| Cltx hum epcndylr fx wo mnpj CPT 24560 | $806.13 | $2,067.00 | not published | 0 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $3,446.82 | $8,838.00 | not published | 0 |
| Cltx humrl cndylr fx wo mnpj CPT 24576 | $900.51 | $2,309.00 | not published | 0 |
| Cltx lunate dislc w/mnpj CPT 25690 | $9,945.00 | $25,500.00 | not published | 0 |
| Cltx mndblr fx ntrdntl fixj CPT 21453 | $6,776.64 | $17,376.00 | not published | 0 |
| Cltx mndblr fx w/mnpj CPT 21451 | $4,218.24 | $10,816.00 | not published | 0 |
| Cltx palatal/max fx wire fix CPT 21421 | $3,610.62 | $9,258.00 | not published | 0 |
| Cltx post ankle fx CPT 27767 | $806.13 | $2,067.00 | not published | 0 |
| Cltx post ankle fx w/mnpj CPT 27768 | $973.44 | $2,496.00 | not published | 0 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $3,446.82 | $8,838.00 | not published | 0 |
| Cltx strnclav dislc w/mnpj CPT 23525 | $262.86 | $674.00 | not published | 0 |
| Cltx thigh fx CPT 27267 | $1,852.89 | $4,751.00 | not published | 0 |
| C motor evoked lwr limbs CPT 95929 | $571.74 | $1,466.00 | not published | 0 |
| C motor evoked uppr limbs CPT 95928 | $670.02 | $1,718.00 | not published | 0 |
| C motor evoked upr&lwr limbs CPT 95939 | $670.02 | $1,718.00 | not published | 0 |
| Cmptr ophth dx img ant segmt CPT 92132 | $79.17 | $203.00 | not published | 0 |
| Cmptr ophth img optic nerve CPT 92133 | $79.56 | $204.00 | not published | 0 |
| #cms hgb-sulfhemoglobin CPT 83060 | $353.34 | $906.00 | not published | 0 |
| #cmvcul-virus inoculation shell CPT 87254 | $102.57 | $263.00 | not published | 0 |
| Cmv pcr-sendout CPT 87496 | $733.98 | $1,882.00 | not published | 0 |
| Cnbp gene detc abnor allele CPT 81187 | $616.59 | $1,581.00 | not published | 0 |
| Co2 monitor per day CPT 94681 | $652.86 | $1,674.00 | not published | 0 |
| Coagulation time activated teg CPT 85347 | $36.66 | $94.00 | not published | 0 |
| Cold agglutinin screen (arc) CPT 86156 | $74.49 | $191.00 | not published | 0 |
| Cold agglutinin titer CPT 86157 | $23.01 | $59.00 | not published | 0 |
| Collagen dressing <=16 sq in HCPCS A6021 | $3,236.71 | $8,299.25 | not published | 0 |
| Collagen imp urinary 2.5 ml HCPCS L8603 | $1,949.63 | $4,999.05 | not published | 0 |
| Collarbone (Clavicle) X-ray (both sides) CPT 73000 | $241.80 | $620.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $36.33 | $93.15 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $534.84 | $1,371.38 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $127.71 | $327.47 | not published | 0 |
| Collar extrication adult univ HCPCS L0200 | $764.15 | $1,959.36 | not published | 0 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $344.37 | $883.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $179.79 | $461.00 | not published | 0 |
| Colposcopy/cervix/bx vagina/cervix 57421 CPT 57421 | $829.14 | $2,126.00 | not published | 0 |
| Colposcopy/cervix/inc up/adjacent vag 57452 CPT 57452 | $329.94 | $846.00 | 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.