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 |
|---|---|---|---|---|
| Shoulder MRI (with and without contrast) CPT 73223 | $2,061.54 | $5,286.00 | $354.36 – $655.56 | 6 |
| Shoulder MRI (with contrast) CPT 73222 | $1,743.30 | $4,470.00 | $682.25 – $1,473.04 | 6 |
| Shoulder MRI (without contrast) CPT 73221 | $1,549.08 | $3,972.00 | $242.35 – $448.35 | 6 |
| Shoulder prosthesis removal CPT 23334 | not published | not published | $5,809.00 – $13,634.93 | 7 |
| Shoulder prosthesis removal CPT 23335 | not published | not published | $5,809.00 – $13,634.93 | 7 |
| Shoulder X-ray CPT 73030 | $276.90 | $710.00 | $44.95 – $163.53 | 7 |
| Shoulder X-ray (single view, both shoulders) CPT 73020 | $201.63 | $517.00 | $34.33 – $163.53 | 7 |
| Shunt as-aort to pulm art CPT 33755 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Shunt central w/prostc graft CPT 33764 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Shunt desc aorta to pulm art CPT 33762 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $3,581.59 | $9,183.56 | not published | 0 |
| Shuntogram nonvascular supervision & interpretation CPT 75809 | $400.92 | $1,028.00 | $106.19 – $294.84 | 7 |
| Shunt subclavian to pulm art CPT 33750 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Shunt supr v/c p-art 1 lung CPT 33766 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Shunt supr v/c p-art bth lng CPT 33767 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $12.22 – $22.61 | 7 |
| Sialography s&i CPT 70390 | $376.35 | $965.00 | $171.59 – $448.35 | 7 |
| Sialolithotomy 42330 CPT 42330 | $1,959.75 | $5,025.00 | $3,367.56 – $6,229.98 | 7 |
| Sickling rbc CPT 85660 | $65.91 | $169.00 | $5.51 – $10.19 | 7 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $944.57 – $4,066.00 | 8 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $944.57 – $5,272.00 | 8 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,215.44 – $5,272.00 | 8 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $944.57 – $4,066.00 | 8 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $1,215.44 – $5,272.00 | 7 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,374.75 | $3,525.00 | $1,215.44 – $5,272.00 | 8 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $3,391.00 – $11,407.64 | 7 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $2,819.28 – $5,272.00 | 7 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,215.44 – $5,272.00 | 8 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $1,740.57 | $4,463.00 | $944.57 – $5,272.00 | 8 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,215.44 – $5,272.00 | 8 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $944.57 – $4,066.00 | 8 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $813.93 | $2,087.00 | $59.92 – $110.85 | 6 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,215.44 – $5,272.00 | 8 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.51 – $0.51 | 1 |
| Sim ang w/prs cath rad emb HCPCS C8004 | not published | not published | $11,725.59 – $21,692.34 | 6 |
| Simple cystometrogram 51725 CPT 51725 | $396.63 | $1,017.00 | $253.77 – $2,665.00 | 8 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $354.67 | $909.40 | $218.03 – $218.03 | 1 |
| Single energy x-ray study HCPCS G0130 | $97.89 | $251.00 | $106.19 – $196.45 | 6 |
| Single transfer toe-hand CPT 26553 | not published | not published | $1,694.00 – $13,634.93 | 8 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,610.70 | $4,130.00 | $178.16 – $329.59 | 6 |
| Sinus CT scan (with contrast) CPT 70487 | $1,473.03 | $3,777.00 | $178.16 – $329.59 | 6 |
| Sinus CT scan (without contrast) CPT 70486 | $1,319.37 | $3,383.00 | $106.19 – $196.45 | 6 |
| Sinus/juglr venogram s&i CPT 75860 | $1,971.06 | $5,054.00 | $201.82 – $5,933.13 | 7 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $1,694.00 – $6,229.98 | 8 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $2,323.00 – $11,889.00 | 8 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,694.00 – $11,889.00 | 8 |
| Sinus X-ray (complete) CPT 70220 | $375.57 | $963.00 | $57.20 – $163.53 | 7 |
| Sinus X-ray (limited) CPT 70210 | $218.40 | $560.00 | $48.22 – $163.53 | 7 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $55,272.32 – $140,228.73 | 7 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $2.02 – $2.02 | 1 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $84.57 – $156.46 | 6 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $28.78 – $28.78 | 1 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $28.78 – $28.78 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $2,323.00 – $8,448.00 | 8 |
| Skin Biopsy CPT 11102 | $560.04 | $1,436.00 | $412.90 – $2,665.00 | 7 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,190.24 | $5,616.00 | $1,937.00 – $6,179.00 | 8 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,937.00 – $5,809.00 | 3 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,937.00 – $8,448.00 | 8 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,937.00 – $5,272.00 | 8 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,937.00 – $5,809.00 | 3 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $6.61 – $54.35 | 7 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Skull X-ray (1 to 3 views) CPT 70250 | $276.90 | $710.00 | $53.93 – $196.45 | 7 |
| Skull X-ray (complete) CPT 70260 | $412.23 | $1,057.00 | $64.55 – $196.45 | 7 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,966.25 – $1,966.25 | 1 |
| Slco1b1 gene com variants CPT 81328 | $674.70 | $1,730.00 | $174.81 – $323.40 | 7 |
| Sleep study attended CPT 95807 | $1,237.08 | $3,172.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $3,068.13 | $7,867.00 | $872.23 – $1,613.63 | 6 |
| Sleep study unattended CPT 95806 | $430.95 | $1,105.00 | $219.32 – $405.73 | 6 |
| Sleeve fing rolyan med HCPCS L3933 | $210.38 | $539.44 | not published | 0 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Sling suprapubic suburetheral HCPCS C1771 | $15,381.89 | $39,440.75 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $1,694.00 – $6,623.68 | 8 |
| Slitting of prepuce CPT 54001 | $4,451.07 | $11,413.00 | $1,694.00 – $6,179.00 | 8 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $142.35 | $365.00 | not published | 0 |
| Slp eval non-spch gen comm dev CPT 92605 | $285.09 | $731.00 | not published | 0 |
| Slp pure tone screening CPT 92551 | $70.20 | $180.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $59.92 – $110.85 | 6 |
| Slp ther svc non-spch gen CPT 92606 | $106.08 | $272.00 | not published | 0 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $3,159.80 – $45,738.60 | 7 |
| Small animal inoculation CPT 87003 | not published | not published | $16.84 – $31.15 | 7 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $557.70 | $1,430.00 | $178.16 – $329.59 | 7 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,694.00 – $5,272.00 | 8 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,694.00 – $5,272.00 | 8 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,694.00 – $5,272.00 | 8 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,694.00 – $5,272.00 | 8 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,694.00 – $5,272.00 | 8 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,694.00 – $5,272.00 | 8 |
| Small bowel endoscopy CPT 44382 | not published | not published | $921.24 – $5,272.00 | 8 |
| Small bowel endoscopy CPT 44384 | not published | not published | $1,949.06 – $5,272.00 | 7 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,694.00 – $5,272.00 | 8 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,694.00 – $5,272.00 | 8 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,694.00 – $5,272.00 | 8 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,694.00 – $5,272.00 | 8 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $921.24 – $5,272.00 | 8 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $1,949.06 – $5,272.00 | 7 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $6,166.29 – $11,407.64 | 8 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $0.02 | 6 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $120.51 | $309.00 | $5.39 – $9.97 | 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.