Wellstar Mountain Lakes Medical Center
Clayton, GA · Critical Access Hospital
Posts prices for 48 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-22.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Tonsillectomy and adenoidectomy (under age 12) (42820) | $6,600 | $16,500 | 1.3× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $1,125.20 | $2,813 | 1.4× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $1,020.40 | $2,551 | 1.3× |
| Diagnostic colonoscopy (45378) | $1,094 | $2,735 | 1.3× |
| Colonoscopy with biopsy (45380) | $1,338.80 | $3,347 | 1.3× |
| Colonoscopy with lesion removal (45385) | $1,338.80 | $3,347 | 1.3× |
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,053.60 | $2,634 | 1.4× |
| Cataract removal with lens insertion (66984) | $2,669.20 | $6,673 | 1.3× |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$125.60–$442 | $314–$1,105 | varies |
| MRI brain without contrast (70551) | $373.60 | $934 | 1.8× |
| MRI brain with contrast (70552) | $589.60 | $1,474 | 1.9× |
| MRI brain without and with contrast (70553) | $589.60 | $1,474 | 1.9× |
| X-ray lower spine, 4+ views (72110) | $137.60 | $344 | 1.5× |
| MRI lumbar spine without contrast (72148) | $373.63 | $934.08 | 1.8× |
| CT pelvis with contrast (72193) | $439.60 | $1,099 | 2.9× |
| MRI lower-extremity joint without contrast (73721) range across 11 matching MRF lines |
$373.60–$373.63 | $934–$934.08 | varies |
| CT abdomen and pelvis with contrast (74177) | $439.60 | $1,099 | 1.4× |
| Ultrasound, abdomen complete (76700) | $220.80 | $552 | 2.4× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $160.80 | $402 | 1.8× |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$125.60–$137.60 | $314–$344 | varies |
| Mammography, one breast (diagnostic) (77065) | $151.74 | $379.35 | 1.8× |
| Mammography, both breasts (diagnostic) (77066) | $191.10 | $477.75 | 1.7× |
| Basic metabolic panel (80048) | $50 | $125 | 5.9× |
| Comprehensive metabolic panel (80053) | $67.20 | $168 | 6.4× |
| Lipid panel (80061) | $69.60 | $174 | 5.2× |
| Renal function panel (80069) | $56.40 | $141 | 6.5× |
| Hepatic function panel (80076) | $57.20 | $143 | 7.0× |
| Urinalysis, non-automated, without microscopy (81002) | $4.40 | $11 | 1.3× |
| PSA, total (84153) range across 2 matching MRF lines |
$58.80–$95.60 | $147–$239 | varies |
| Thyroid stimulating hormone (TSH) (84443) | $56.80 | $142 | 3.4× |
| CBC with automated differential (85025) | $25.60 | $64 | 3.3× |
| CBC, automated (85027) | $28.80 | $72 | 4.5× |
| Prothrombin time (PT) (85610) | $32.80 | $82 | 7.6× |
| Partial thromboplastin time (PTT) (85730) | $46.80 | $117 | 7.8× |
| Psychotherapy, 30 minutes (90832) | $78.80 | $197 | 0.5× |
| Psychotherapy, 45 minutes (90834) | $104.40 | $261 | 0.7× |
| Psychotherapy, 60 minutes (90837) | $153.60 | $384 | 1.0× |
| Family psychotherapy, without patient (50 min) (90846) | $117.60 | $294 | 0.8× |
| Family psychotherapy, with patient (50 min) (90847) | $33.60 | $84 | 0.2× |
| Group psychotherapy (90853) | $28 | $70 | 0.3× |
| Electrocardiogram (ECG), complete (93000) | $16 | $40 | 0.3× |
| Sleep study (attended polysomnography) (95810) | $1,161.60 | $2,904 | 1.5× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $44 | $110 | 1.5× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 2 matching MRF lines |
$95.20–$109.60 | $238–$274 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 2 matching MRF lines |
$154.80–$177.20 | $387–$443 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) | $210.40 | $526 | 1.8× |
| Preventive visit, new patient (age 18–39) (99385) | $106.80 | $267 | — |
| Preventive visit, new patient (age 40–64) (99386) | $129.20 | $323 | — |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
More prices at this hospital
- Imaging: 181 codes with posted prices and Medicare benchmarks
- Lab & pathology: 254 codes with posted prices and Medicare benchmarks
- Visits & medical services: 161 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 338 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 15 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 5.7 MB) ↓ — captured 2026-08-22
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.