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.

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ProcedureCash priceGross charge× 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×
Aep hearing status deter broadband stimuli i&r (92651) $373.60 $934 2.0×
Aep Neurodiagnostic I&R (92653) $366.20 $915.50 1.9×
Aep threshold estimation mlt frequencies i&r (92652) $373.60 $934 2.0×
Airway inhalation treatment (94640) $237.60 $594 1.2×
Basic vestibular evaluation (92540) $178.40 $446 0.9×
Behavioral and qualitative analysis of voice and resonance (92524) $160.40 $401 1.5×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $358.80 $897 1.1×
Caloric vestibular test w/rec bi bithermal (92537) $176.40 $441 1.6×
Canalith Repositioning (95992) $43.58 $108.96 1.1×
Cardiac Stress Tst,Tracing Only (93017) $335.20 $838 1.8×
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 Hormon Antineopl Sq/Im (96402) $80.96 $202.41 1.3×
Chemother, IV infusion, 1 hr (96413) $419.20 $1,048 1.4×
Chemother, IV infusion, ea add hr (96415) $85.20 $213 1.4×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $80.96 $202.41 1.3×
Chronic care mgmt svcs staff 1st 20 min cal mo (99490) $24.20 $60.50 0.3×
Color/duplex Doppler, complete (93975) $280 $700 1.3×
Complx chron care coord w/o pt vst 1st hr per mo (99487) $51.26 $128.14 0.3×
Comprehensive Hearing Test (92557) $107.40 $268.50 1.0×
Conditioning Play Audiometry (92582) $178.40 $446 1.6×
Cpap initiation and management (94660) $340 $850 1.8×
Cpt initial (94667) $146 $365 1.3×
Critical care (99291) $940.40 $2,351 1.3×
Debridement Open Wound 20 Sq Cm< (97597) $226.80 $567 1.3×
Demo &/or eval,pt use,aerosol device (94664) $237.60 $594 1.2×
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 Uxtr Art/Artl Bpgs Compl Bi Study (93930) $290.80 $727 1.4×
Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) $125.60 $314 1.4×
Dup-scan xtr veins unilateral/limited study (93971) $125.60 $314 1.4×
Duplex hemodialysis access (93990) $137.80 $344.50 1.5×
Duplex scan extracranial art compl bi study (93880) $290.80 $727 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×
EKG (93005) $70.40 $176 1.4×
Electrocochleography (92584) $188 $470 1.7×
Er level 1 (99281) $91.60 $229 1.2×
Er level ii (99282) $166 $415 1.2×
Er level iii (99283) $292.40 $731 1.2×
Er level IV (99284) $459.20 $1,148 1.3×
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×
Evaluation of speech fluency (92521) $195.60 $489 1.5×
Evaluation of speech sound production (92522) $163.20 $408 1.5×
Evaluation of swallowing function (92610) $91.60 $229 1.1×
Evoked Auditory Test,Comprehsv (92588) $358.80 $897 1.1×
Evoked auditory test,limited (92587) $358.80 $897 1.9×
Exhaled Air Analysis (94690) $70.40 $176 1.4×
External ECG rec>48hr<7d recording (93242) $40.80 $102 1.2×
Flow volume loop (94375) $358.80 $897 1.9×
Group Therapeutic Procedures (97150) $26.40 $66 1.5×
Holter Monitor Recording (93225) $142.40 $356 1.2×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $50.80 $127 1.4×
Immuniz admin,intranasal/oral,1 vac/tox (90473) $78.40 $196 1.2×
Immunization Admin (90471) $78.40 $196 1.2×
Injection intra arterial (96373) $258.40 $646 1.4×
Irrigaj Implntd Venous Access Drug Delivery Syst (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, therap/proph/diagnost,add infusion,1st hour (96367) $78.40 $196 1.2×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $258.40 $646 1.4×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $70 $175 1.7×
IV push initial (96374) $258.40 $646 1.4×
Manual therapy 15 min (97140) $51.20 $128 1.8×
Massage 15 min (97124) $46 $115 1.5×
Maximum voluntary ventilation (94200) $70.40 $176 1.4×
Mechanical chest wall oscillation (94669) $229.60 $574 1.2×
Mechanical traction (97012) $21.20 $53 1.5×
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×
Methacholine challenge (94070) $334.40 $836 1.0×
Mnt Group Ea 30 Min (97804) $19.04 $47.61 1.1×
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×
O2 uptk exp gas alys w/co2 output % o2 xtrc (94681) $336 $840 1.0×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $76 $190 1.6×
Oscillating Tracking Test (92545) $158.80 $397 0.8×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $47.60 $119 1.5×
Ot Contrast Bath Ea 15 Min (97034) $22.80 $57 1.6×
Ot eval high complex 60 min (97167) $150.40 $376 1.5×
Ot eval low complex 30 min (97165) $150.40 $376 1.5×
Ot eval mod complex 45 min (97166) $150.40 $376 1.5×
Ot Prosthetic Training, Each 15 Min (97761) $64 $160 1.6×
Ot re-eval est plan care (97168) $85.40 $213.50 1.2×
Paraffin bath (97018) $21.20 $53 3.5×
Phy/qhp op pulm rhb w/mntr (94626) $66.80 $167 1.3×
Phy/qhp op pulm rhb w/o 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 mgmt svc 1st 30 staff cal mo (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 Aquatic Therapy/Exercises (97113) $56.40 $141 1.5×
Pt Electric Current Therapy (97033) $40.40 $101 2.1×
Pt Electrical Stimulation (97032) $24.40 $61 1.7×
Pt eval high complex 45 min (97163) $149.20 $373 1.5×
Pt eval low complex 20 min (97161) $149.20 $373 1.5×
Pt Gait Training Therapy (97116) $44 $110 1.5×
Pt Infrared Therapy (97026) $10 $25 1.5×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $51.60 $129 1.6×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $149.20 $373 1.5×
Pt re-evaluation (97164) $104.40 $261 1.5×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $49.60 $124 1.5×
Pt Ultrasound Therapy (97035) $21.60 $54 1.5×
Pt Whirlpool Therapy (97022) $29.20 $73 1.9×
Pulm Funct Test Oscillometry (94728) $336 $840 3.0×
Pulm function test by gas (94727) $178.40 $446 0.9×
Pulmonary stress testing (94618) $146 $365 1.3×
Pure Tone Audiometry Air & Bone (92553) $183 $457.50 1.6×
Pure Tone Audiometry, Air (92552) $146 $365 1.3×
Rem mntr physiol param 1st dev supply ea 30 days (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 - Cardiac Event Monitor (93270) $96.40 $241 2.9×
Rt Chest Wall Manipulation,Subsequent (94668) $146 $365 1.3×
Sbsq psychiatric collab care mgmt 1st 60 mins (99493) $52.31 $130.77 0.6×
Sc Ther Infusion Reset Pump (96371) $105.80 $264.50 1.7×
Select picture audiometry (92583) $70 $175 1.4×
Sensory Integration Ea 15 Min (97533) $102.80 $257 1.7×
Smoking cessation > 10 min (99407) $37.60 $94 1.1×
Speech Audiometry Threshold (92555) $70 $175 1.4×
Speech Audiometry, Complete (92556) $71.20 $178 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 echo (93350) $610 $1,525 1.3×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $50.80 $127 1.2×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $258.40 $646 1.4×
Temp transcutaneous pacing (92953) $709.20 $1,773 1.2×
Test for abnormal eye movement using a moving target with recording (92544) $178.40 $446 1.6×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $35.60 $89 1.6×
Ther/Proph/Diag Inj Sc/Im (96372) $78.40 $196 1.2×
Therapeutic Activities (97530) $57.20 $143 1.6×
Therapeutic phlebotomy (99195) $142.40 $356 1.2×
Tilt Table Eval (93660) $580 $1,450 1.8×
Tinnitus assessment (92625) $178.40 $446 1.6×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $33.20 $83 1.0×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $630.80 $1,577 1.3×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $112.80 $282 1.5×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $126.40 $316 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×
Unlisted pulmonary service/procedure (94799) $176.40 $441 1.6×
Vasc Duplex Extrem Venous,Bilat (93970) $316.80 $792 1.5×
Vasc Duplex Scan Extracranial,Limited (93882) $125.60 $314 1.4×
Ventilation assist & mgmt inpatient 1st 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×