Wellstar North Fulton Hospital
3000 Hospital Boulevard, Roswell, GA · Wellstar Health System · · NPI 1750312997
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 |
|---|---|---|---|---|
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $342.42 | $878.00 | $48.66 – $196.45 | 7 |
| X-ray male genital tract CPT 74440 | $205.14 | $526.00 | $143.81 – $448.35 | 7 |
| X-ray mandible ltd <4 views CPT 70100 | $213.72 | $548.00 | $54.76 – $163.53 | 7 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $44.95 – $85.66 | 3 |
| X-ray nose to rectum for foreign body child CPT 76010 | $259.74 | $666.00 | $39.23 – $163.53 | 7 |
| X-ray of mammary ducts CPT 77054 | $504.27 | $1,293.00 | $125.83 – $448.35 | 7 |
| X-ray optic foramina CPT 70190 | $134.55 | $345.00 | $55.57 – $163.53 | 7 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $633.36 | $1,624.00 | $231.38 – $744.45 | 7 |
| X-ray ribs 2 views left CPT 71100 | $283.92 | $728.00 | $49.85 – $163.53 | 7 |
| X-ray sella turcica CPT 70240 | $221.52 | $568.00 | $46.58 – $163.53 | 7 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $414.96 | $1,064.00 | $66.19 – $1,026.75 | 7 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $618.93 | $1,587.00 | $106.19 – $258.58 | 7 |
| 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 | $56.38 – $163.53 | 7 |
| X-ray surgical specimen CPT 76098 | $457.47 | $1,173.00 | $19.62 – $1,026.75 | 7 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $273.00 | $700.00 | $58.84 – $163.53 | 7 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $190.38 – $409.96 | 2 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $288.42 – $636.03 | 2 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $136.45 – $329.59 | 7 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $126.40 – $233.84 | 6 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $12.91 – $23.88 | 7 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.67 – $3.34 | 7 |
| Yersinia antibody CPT 86793 | $202.80 | $520.00 | $13.19 – $24.40 | 7 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $56,824.55 – $158,453.65 | 7 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $126.40 – $233.84 | 6 |
| Ziconotide injection HCPCS J2278 | not published | not published | $10.14 – $23.85 | 7 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.51 – $2.80 | 6 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $2.95 – $2.95 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $214.50 | $550.00 | $51.31 – $94.92 | 7 |
| Zika virus igm antibody CPT 86794 | $23.01 | $59.00 | $16.85 – $31.17 | 7 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | not published | not published | $13.70 – $13.70 | 1 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $7.88 – $21.78 | 7 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | not published | not published | $10.67 – $10.67 | 1 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $453.99 – $453.99 | 1 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $357.51 | 7 |
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.