Visits & medical services prices at Wellstar Mountain Lakes Medical Center

Clayton, GA · every code in this section with a posted price and a Medicare benchmark.

161 codes. Prices are the hospital's own posted facility charges.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
1St psychiatric collab care mgmt 1st 70 mins (99492) $58.15 $145.38 0.7×
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $178 $445 1.6×
Admn Sarscov2 Vacc 1 Dose (90480) $50.80 $127 1.4×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $373.60 $934 2.0×
Aep neurodiagnostic i&r (92653)
range across 2 matching MRF lines		 $358.80–$373.60 $897–$934 varies
Aep threshold estimation mlt frequencies i&r (92652) $373.60 $934 2.0×
Airway Inhalation Treatment (94640)
range across 6 matching MRF lines		 $11.20–$244 $28–$610 varies
Airway resistance by oscillometry (94728) $336 $840 3.0×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $21.60 $54 1.5×
Application Modality 1/> Areas Infrared (97026) $10 $25 1.5×
Assessment of tinnitus (92625) $178.40 $446 1.6×
Audiometry Air & Bone (92553)
range across 2 matching MRF lines		 $178.40–$187.60 $446–$469 varies
Basic vestibular evaluation (92540) $178.40 $446 0.9×
Behavral qualit analys voice (92524) $160.40 $401 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $358.80 $897 1.1×
Caloric Vstblr Test W/Rec (92537) $176.40 $441 1.6×
Canalith repositioning proc (95992)
range across 4 matching MRF lines		 $28.80–$50 $72–$125 varies
Cardiac Stress Tst,Tracing Only (93017)
range across 2 matching MRF lines		 $334.40–$336 $836–$840 varies
Cardiopulmonary exercise testing (94621) $358.80 $897 1.1×
Cardiopulmonary resuscitation (92950) $334.40 $836 1.8×
Cardioversion (92960) $709.20 $1,773 1.2×
Cbt 1st hour (94644) $142.40 $356 1.2×
Cervical Vemp Testing W/I&R (92517) $188 $470 1.7×
Chemo Anti-Neopl Sq/Im (96401) $80.96 $202.41 1.3×
Chemo Hormon Antineopl Sq/Im (96402) $80.96 $202.41 1.3×
Chemo IV infusion addl hr (96415) $85.20 $213 1.4×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $419.20 $1,048 1.4×
Chest Wall Manipulation (94668) $146 $365 1.3×
Chron Care Mgmt Srvc 20 Min (99490) $24.20 $60.50 0.3×
Color/duplex Doppler, complete (93975) $280 $700 1.3×
Community/Work Reintegration Trainj Ea 15 Min (97537) $47.60 $119 1.5×
Complex chronic care mgmt svc 1st 60 min cal mo (99487) $51.26 $128.14 0.3×
Comprehensive Hearing Test (92557)
range across 2 matching MRF lines		 $36.80–$178 $92–$445 varies
Conditioning Play Audiometry (92582) $178.40 $446 1.6×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $340 $850 1.8×
Cpt initial (94667) $146 $365 1.3×
Critical care first hour (99291) $940.40 $2,351 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $226.80 $567 1.3×
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $358.80 $897 1.1×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $280 $700 1.3×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $316.80 $792 1.5×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $125.60 $314 1.4×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $316.80 $792 1.5×
Dup-scan xtr veins unilateral/limited study (93971) $125.60 $314 1.4×
Duplex Scan Hemodialysis Access (93990)
range across 2 matching MRF lines		 $137.60–$138 $344–$345 varies
Duplex up extrem art bilat (93930) $290.80 $727 1.4×
Duplex up extrem art unilat/ltd (93931) $125.60 $314 1.4×
Dx Anal Cochlear Imp,Pt >7 Yrs,Reprog (92604) $178.40 $446 1.6×
Echo Heart Xthoracic,Limited (93308) $290.80 $727 1.4×
Electrical Stimulation Ea 15 Min (97032) $24.40 $61 1.7×
Electrocardiogram Tracing (93005) $70.40 $176 1.4×
Electrocochleography (92584) $188 $470 1.7×
Emergency Dept Visit Level 2 (99282) $166 $415 1.2×
Emergency Dept Visit Level 3 (99283) $292.40 $731 1.2×
Emergency Dept Visit Level 4 (99284) $459.20 $1,148 1.3×
Er level 1 (99281) $91.60 $229 1.2×
Er level v (99285) $659.20 $1,648 1.3×
Eval aud funcj cand/po surg implt dev 1st hr (92626) $178.40 $446 1.6×
Evaluate pt use of inhaler (94664) $237.60 $594 1.2×
Evaluate Speech Production (92522) $163.20 $408 1.5×
Evaluate Swallowing Function (92610) $91.60 $229 1.1×
Evaluation of speech fluency (92521) $195.60 $489 1.5×
Evoked Auditory Test,Limited (92587) $358.80 $897 1.9×
External ECG rec>48hr<7d recording (93242) $40.80 $102 1.2×
Extracranial Bilat Study (93880) $290.80 $727 1.4×
Extracranial Uni/Ltd Study (93882) $125.60 $314 1.4×
Group Therapeutic Procedures (97150) $26.40 $66 1.5×
Holter monitor recording (93225) $142.40 $356 1.2×
Im Adm Intransl/Oral 1 Vaccine (90473) $78.40 $196 1.2×
Immunization administration (90471)
range across 3 matching MRF lines		 $40.80–$78.40 $102–$196 varies
Iontophoresis 15 min (97033) $40.40 $101 2.1×
Irrig Drug Delivery Device (96523) $70.40 $176 1.4×
IV infusion hydration each additional hour (96361) $70 $175 1.7×
IV infusion hydration initial 31 min-1 hour (96360) $258.40 $646 1.4×
IV infusion ther proph addl sequential to 1 hr (96367)
range across 3 matching MRF lines		 $78.40–$84.80 $196–$212 varies
IV infusion therapy prophylaxis/dx ea hour (96366) $70 $175 1.7×
IV push initial (96374)
range across 5 matching MRF lines		 $78.40–$258.40 $196–$646 varies
Lung Function Test (Mbc/Mvv) (94200) $70.40 $176 1.4×
Mechanical chest wall oscillation per session (94669) $229.60 $574 1.2×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $38.80 $97 1.2×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $47.60 $119 1.3×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $19.04 $47.61 1.1×
Methacholine challenge (94070) $334.40 $836 1.0×
Multiple Sleep Latency Test (95805) $788.40 $1,971 1.0×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $238.40 $596 1.4×
Neuromuscular Reeducation (97112) $51.60 $129 1.6×
O2 Uptk Exp Gas Alys W/Co2 Output % O2 Xtrc (94681) $336 $840 1.0×
Optokinetic Nystagmus Test (92544) $178.40 $446 1.6×
Oral Function Therapy (92526) $126.40 $316 1.5×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $76 $190 1.6×
Oscillating Tracking Test (92545) $158.80 $397 0.8×
Ot Contrast Bath Ea 15 Min (97034) $22.80 $57 1.6×
Ot eval high complexity (97167) $150.40 $376 1.5×
Ot Eval Low Complex (97165) $150.40 $376 1.5×
Ot Eval Moderate Complexity (97166) $150.40 $376 1.5×
Ot manual therapy 15 min (97140) $51.20 $128 1.8×
Ot paraffin bath (97018) $21.20 $53 3.5×
Ot Prosthetic Training, Each 15 Min (97761) $64 $160 1.6×
Ot Re-Eval Est Plan Care (97168)
range across 2 matching MRF lines		 $66–$104.80 $165–$262 varies
Oxygen Uptake Rest Indirect (94690) $70.40 $176 1.4×
Phlebotomy therapeutic (99195) $142.40 $356 1.2×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $66.80 $167 1.3×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $68.80 $172 1.3×
Plethysmography (94726) $334.40 $836 1.0×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $1,190.80 $2,977 1.6×
Positional nystagmus test (92542) $146 $365 1.3×
Principal care management services, for a single high-risk disease, with the following required elements: one complex… (99426) $24 $59.99 0.3×
Psychiatric diagnostic evaluation (90791) $171.60 $429 1.1×
Psychoanalysis (90845) $99.20 $248 0.6×
Psytx Crisis Initial 60 Min (90839) $148 $370 1.0×
Pt Eval High Complex (97163) $149.20 $373 1.5×
Pt eval low complex 20 min (97161) $149.20 $373 1.5×
Pt Eval Mod Complex (97162) $149.20 $373 1.5×
Pt gait training 15 min (97116) $44 $110 1.5×
Pt mechanical traction (97012) $21.20 $53 1.5×
Pt Re-Eval Est Plan Care (97164) $104.40 $261 1.5×
Pulm function test by gas (94727) $178.40 $446 0.9×
Pulmonary service/procedure (94799)
range across 3 matching MRF lines		 $176.40–$178.40 $441–$446 varies
Pulmonary Stress Testing (94618) $146 $365 1.3×
Pure Tone Audiometry Air (92552) $146 $365 1.3×
Rem mntr physiol param 1st dev supply ea 30 d (99454) $16.95 $42.37 0.5×
Rem mntr physiol param 1st set up pt educaj eqp (99453) $7.22 $18.04 0.1×
Remote 30 Day Ecg Rev/Report (93270) $96.40 $241 2.9×
Respiratory flow volume loop (94375) $358.80 $897 1.9×
Sbsq Psyc Collab Care Mgmt (99493) $52.31 $130.77 0.6×
Select picture audiometry (92583) $70 $175 1.4×
Self Care Mngment Training (97535) $49.60 $124 1.5×
Sensory Integration Ea 15 Min (97533) $102.80 $257 1.7×
Speech Audiometry Complete (92556) $71.20 $178 1.4×
Speech audiometry threshold (92555) $70 $175 1.4×
Speech sound lang comprehen (92523) $334.80 $837 1.5×
Spirometry (94010) $178.80 $447 0.9×
Spontaneous Nystagmus Test (92541) $146 $365 1.3×
Stenger Test, Pure Tone (92565) $70 $175 1.4×
Stress Tte Only (93350) $610 $1,525 1.3×
Subcutaneous Infusion Each Additional Hour (96370) $50.80 $127 1.2×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $258.40 $646 1.4×
Subq Infusion Additional Pump Infusion Site (96371)
range across 2 matching MRF lines		 $103.60–$108 $259–$270 varies
Temp transcutaneous pacing (92953) $709.20 $1,773 1.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $35.60 $89 1.6×
Ther Px 1/> Areas Each 15 Min Aqua Ther W/Xerss (97113) $56.40 $141 1.5×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $46 $115 1.5×
Ther/Proph/Diag Inj Ia (96373) $258.40 $646 1.4×
Ther/Proph/Diag Inj Sc/Im (96372)
range across 7 matching MRF lines		 $78.40–$85.60 $196–$214 varies
Ther/Proph/Diag Iv Inf Init (96365) $258.40 $646 1.4×
Therapeutic Activities (97530) $57.20 $143 1.6×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $580 $1,450 1.8×
Tobacco Use Cessation Intensive >10 Minutes (99407) $37.60 $94 1.1×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $33.20 $83 1.0×
Tte w/doppler, complete (93306) $630.80 $1,577 1.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $112.80 $282 1.5×
Tx/Pro/Dx Inj New Drug Addon (96375) $50.80 $127 1.2×
Tympanometry (92567) $46 $115 1.4×
Tympanometry and reflex threshold measurements (92550) $178 $445 0.9×
Unlisted otorhinolaryngological service (92700) $34 $85 1.3×
Vent Mgmt Inpat Init Day (94002) $615.20 $1,538 1.1×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $615.20 $1,538 1.1×
Visual reinforcement audiometry (vra) (92579) $178.40 $446 0.9×
Vital capacity, total (94150) $178 $445 1.6×
Wheelchair Mgmt Ea 15 Min (97542) $47.60 $119 1.5×
Whirlpool Therapy (97022) $29.20 $73 1.9×

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.