Supplies, drugs & other prices at Wellstar North Fulton Medical Center

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

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

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ProcedureCash priceGross charge× Medicare
2019-ncov diagnostic p (U0001) $147.03 $377 4.1×
2d tee w or w/o fol w/con,in (C8925) $1,464.06 $3,754 1.8×
2d tte w or w/o fol w/con,co (C8923) $1,010.10 $2,590 1.3×
2d tte w or w/o fol w/con,fu (C8924) $542.49 $1,391 1.5×
Abltj perc cryoabltj img gdn nrv plex/trncl nrv (0442T) $7,346.04 $18,836 0.8×
Adm tocilizu covid-19 1st (M0249) $553.80 $1,420 1.2×
Adm tocilizu covid-19 2nd (M0250) $553.80 $1,420 1.2×
Admin hepatitis b vaccine (G0010) $36.23 $92.90 0.8×
Admin influenza virus vac (G0008) $62.79 $161 1.3×
Admin pneumococcal vaccine (G0009) $36.23 $92.90 0.8×
Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) $62.79 $161 1.7×
Blind cor sinus reducer impl (C9783) $13,666.38 $35,042 1.2×
Catheterize for urine spec (P9612) $97.50 $250 10.4×
Chemo extend iv infus w/pump (G0498) $1,124.37 $2,883 3.4×
Collagen cross-linking of cornea (including removal of the corneal epithelium and intraoperative pachymetry when… (0402T) $2,818.14 $7,226 1.2×
Covid-19 lab test non-cdc (U0002) $147.03 $377 2.9×
Diab manage trn per indiv (G0108) $78.58 $201.50 1.4×
Diab manage trn ind/group (G0109) $52.06 $133.50 3.2×
Direct refer hospital observ (G0379) $696.11 $1,784.90 1.2×
Drug test def 1-7 classes (G0480) $129.09 $331 1.1×
Drug test def 15-21 classes (G0482) $228.51 $585.92 1.1×
Drug test def 8-14 classes (G0481) $263.25 $675 1.7×
Elec alys cplx prgrmg iins ptn 4+ parameters (0590T) $335.40 $860 3.5×
Elec alys smpl prgrmg iins ptn 1-3 parameters (0589T) $335.40 $860 3.5×
Elec Alys Smpl Prgrmg Iins Sp/Sac Nrv 1-3 Param (0788T) $138.45 $355 1.4×
Elec stim other than wound (G0283) $213.33 $547 16.8×
Elec stim unattend for press (G0281) $140.01 $359 12.0×
Electrophysiologic eval icds w/ss electrode (0577T) $1,417.65 $3,635 1.1×
Endovascular Venous Arterialization Tibl/Prnl Vn (0620T) $25,290.33 $64,847 0.6×
Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein, open or… (0524T) $3,559.14 $9,126 1.1×
Ev fempop artl revsc tcat plmt IV st grf & clsr (0505T) $14,092.65 $36,135 1.2×
Extrnl counterpulse, per tx (G0166) $483.99 $1,241 3.6×
Fecal blood scrn immunoassay (G0328) $62.30 $159.75 3.5×
Hbot, full body chamber, 30m (G0277) $969.54 $2,486 6.9×
Hdr electronic brachytherapy ntrstl/intrcav (0395T) $1,957.80 $5,020 2.8×
Hep c screen high risk/other (G0472) $72.90 $186.90 1.6×
Hepb screen high risk indiv (G0499) $49.49 $126.90 1.8×
Home sleep test/type 2 porta (G0398) $846.69 $2,171 3.9×
Home sleep test/type 3 porta (G0399) $368.94 $946 1.7×
Home sleep test/type 4 porta (G0400) $846.69 $2,171 3.9×
Hospital outpt clinic visit (G0463) $249.21 $639 1.8×
Inj for sacroiliac jt anesth (G0260) $1,895.01 $4,859 2.6×
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that… (0216T) $1,081.86 $2,774 1.2×
Insertion of substernal implantable defibrillator electrode (0572T) $10,359.57 $26,563 1.2×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0516T) $12,030.72 $30,848 1.1×
Insertion of wireless cardiac stimulator for left ventricular pacing, including device interrogation and programming,… (0517T) $12,030.72 $30,848 1.1×
Insertion or replacement of intracardiac ischemia monitoring system, including testing of the lead and monitor, initial… (0526T) $11,089.65 $28,435 1.3×
Insertion wrls car stimulator lv pacg compl sys (0515T) $20,433.66 $52,394 0.9×
Insertion/replacement complete iims (0525T) $14,133.60 $36,240 0.7×
Insertion/replacement iims implantable mntr only (0527T) $11,089.65 $28,435 1.3×
Insj/Rplc Car Modulj Sys Pls Gen Transvns Eltrd (0408T) $25,910.04 $66,436 0.8×
Insj/Rplc Car Modulj Sys Ventr Electrode Only (0411T) $9,167.73 $23,507 1.1×
Insj/Rplc Cardiac Modulj Sys Atr Electrode Only (0410T) $9,167.73 $23,507 1.1×
Insj/Rplc Cardiac Modulj Sys Pls Generator Only (0409T) $25,910.04 $66,436 1.1×
Insj/Rplcmt Icds W/Substernal Electrode (0571T) $40,708.98 $104,382 1.3×
Intens cardiac rehab no exer (G0423) $246.87 $633 1.9×
Intens cardiac rehab w/exerc (G0422) $258.96 $664 2.0×
Interro Device Evaluation Cardiac Modulj System (0418T) $83.07 $213 2.2×
Interrog dev eval iims ip (0529T) $75.27 $193 2.0×
Interrogation dev eval icds w/ss eltrd in person (0576T) $44.46 $114 1.2×
Mra w/cont, abd (C8900) $1,670.76 $4,284 4.7×
Mra w/cont, chest (C8909) $1,166.49 $2,991 3.3×
Mra w/cont, lwr ext (C8912) $434.46 $1,114 1.2×
Mra w/cont, pelvis (C8918) $1,131.78 $2,902 3.2×
Mra w/o cont, abd (C8901) $810.22 $2,077.50 3.3×
Mra w/o cont, chest (C8910) $790.14 $2,026 3.3×
Mra w/o cont, lwr ext (C8913) $711.36 $1,824 2.9×
Mra w/o cont, pelvis (C8919) $820.56 $2,104 3.4×
Mra w/o fol w/cont, abd (C8902) $1,065.28 $2,731.50 3.0×
Mra w/o fol w/cont, chest (C8911) $1,146.40 $2,939.50 3.2×
Mra w/o fol w/cont, lwr ext (C8914) $753.48 $1,932 2.1×
Mra w/o fol w/cont, pelvis (C8920) $941.46 $2,414 2.7×
Mra, w/dye, spinal canal (C8931) $439.92 $1,128 1.2×
Mra, w/dye, upper extremity (C8934) $702 $1,800 2.0×
Mra, w/o dye, spinal canal (C8932) $439.92 $1,128 1.8×
Mra, w/o dye, upper extr (C8935) $585.20 $1,500.50 2.4×
Mra, w/o&w/dye, spinal canal (C8933) $941.46 $2,414 2.7×
Mra, w/o&w/dye, upper extr (C8936) $753.48 $1,932 2.1×
Mri w/cont, breast, bi (C8906) $1,157.32 $2,967.50 3.3×
Mri w/cont, breast, uni (C8903) $872.43 $2,237 4.9×
Mri w/o fol w/cont, breast, (C8908) $1,190.86 $3,053.50 3.4×
Mri w/o fol w/cont, brst, un (C8905) $927.62 $2,378.50 2.6×
Njx pltlt plasma w/img harvest/preparation (0232T) $1,104.09 $2,831 2.4×
Opto-acoustic img breast uni augmnt alys&reprt (0857T) $147.03 $377 1.4×
Oth resp proc, group (G0239) $194.22 $498 5.1×
Oth resp proc, indiv (G0238) $139.23 $357 4.7×
Pathogen test for platelets (P9100) $59.67 $153 1.0×
Pemivibart infusion (M0224) $527.28 $1,352 1.2×
Perc d-e cor revasc chro sin (C9607) $14,749.41 $37,819 0.8×
Perc d-e cor revasc t cabg s (C9604) $10,496.07 $26,913 0.9×
Perc d-e cor stent ather s (C9602) $10,105.29 $25,911 0.5×
Perc drug-el cor stent sing (C9600) $8,913.84 $22,856 0.8×
Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array… (0587T)
likely a partial charge, not the full procedure
$1,854.06 $4,754 0.3×
Perq Sacral Augmt Bilat Inj (0201T) $17,221.23 $44,157 2.3×
Perq Sacral Augmt Unilat Inj (0200T) $15,689.31 $40,229 2.1×
Pet not otherwise specified (G0235) $5,540.34 $14,206 13.6×
Place device/marker, non pro (C9728) $2,374.71 $6,089 1.7×
Place endorectal app (C9725) $1,215.24 $3,116 1.3×
Prgrmg dev eval icds ss ip (0575T) $44.46 $114 1.2×
Prgrmg dev eval iims ip (0528T) $75.27 $193 2.0×
Prgrmg Device Evaluation Cardiac Modulj System (0417T) $83.07 $213 2.2×
Prolonged iv inf, req pump (C8957) $962.91 $2,469 4.5×
Prostate biopsy, any mthd (G0416) $328.38 $842 0.9×
Psa screening (G0103) $37.83 $97 2.0×
Quan CT tiss charac i&r w/cncrnt CT exam (0722T) $825.63 $2,117 1.3×
Quan CT tiss charac w/o CT (0721T) $825.63 $2,117 1.3×
Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) $387.66 $994 0.4×
Quan mr alys tiss composition w/MRI 1orgn (0649T) $885.30 $2,270 0.9×
Quan mr alys tiss composition w/MRI mlt organs (0698T) $1,018.29 $2,611 1.1×
Reloc Skin Pocket Cardiac Modulj Pulse Generator (0416T) $2,700.75 $6,925 1.3×
Remote interrogation device evaluation of implantable cardioverter-defibrillator system with lead under breastbone,… (0579T) $44.46 $114 1.2×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing pulse generator component(s)… (0520T) $20,433.66 $52,394 1.9×
Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s)… (0519T)
unusually low: confirm this is the full procedure
$4,697.55 $12,045 0.4×
Removal Cardiac Modulj Sys Pls Generator Only (0412T) $5,416.71 $13,889 1.4×
Removal Cardiac Modulj Sys Transvenous Electrode (0413T) $5,416.71 $13,889 1.4×
Removal complete iims (0530T) $6,553.17 $16,803 1.7×
Removal iims electrode only (0531T) $6,553.17 $16,803 1.7×
Removal iims implt mntr only (0532T) $6,553.17 $16,803 1.7×
Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left… (0518T) $4,697.55 $12,045 1.2×
Removal Pg Wcs Lv Pacing Both Components (0861T) $4,878.51 $12,509 1.3×
Repos Cardiac Modulj Transvenous Electrode (0415T) $852.93 $2,187 1.3×
Repos prev impl ss impltbl dfb pacing eltrd (0574T) $4,252.95 $10,905 1.1×
Revasc intra lithotrip-ather (C9766) $15,598.83 $39,997 0.8×
Revasc intra lithotrip-stent (C9765) $15,598.83 $39,997 0.8×
Revasc intravasc lithotripsy (C9764) $7,799.61 $19,999 0.7×
Revasc lith-sten-ath tib/per (C9775) $30,561.96 $78,364 1.6×
Revasc lithotr-ather tib/per (C9774) $30,561.96 $78,364 1.6×
Revasc lithotr-stent tib/per (C9773) $30,561.96 $78,364 1.6×
Revasc lithotrip tibi/perone (C9772) $19,113.90 $49,010 1.6×
Revasc lithotrip-stent-ather (C9767) $25,096.11 $64,349 1.3×
Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse… (0588T) $1,386.06 $3,554 0.4×
Rmvl & Rpl Cardiac Modulj Sys Pls Generator Only (0414T) $25,910.04 $66,436 1.1×
Rmvl substernal implantable defibrillator eltrd (0573T) $4,252.95 $10,905 1.1×
Rmvl Substernal Impltbl Dfb Pulse Generator Only (0580T) $4,252.95 $10,905 1.1×
Rmvl&rplcmt substernal impltbl defibrillator pg (0614T) $28,959.45 $74,255 1.3×
Screen pap by tech w md supv (P3000) $52.65 $135 2.8×
Single energy x-ray study (G0130) $97.89 $251 0.9×
Smmg cncrnt appl imu snr (0778T) $262.47 $673 2.0×
Tcat Rmvl/Debulk Icar Mass Suction Device Perq (0644T) $7,589.79 $19,461 1.3×
Therapeutic procd strg endur (G0237) $53.82 $138 1.8×
Tomosynthesis, mammo (G0279) $44.66 $114.50 3.5×
Transcatheter implantation of coronary sinus reduction device including vascular access and closure, right heart… (0645T) $21,783.45 $55,855 1.2×
Transcatheter Renal Sympath Denervation Bilat (0339T) $7,819.89 $20,051 1.4×
Transcatheter renal sympath denervation unilat (0338T) $6,702.93 $17,187 1.2×
Trauma respons w/hosp criti (G0390) $4,151.74 $10,645.50 3.1×
Trluml peripheral atherectomy iliac artery ea (0238T) $11,454.69 $29,371 0.6×
Tte w or w/o contr, cont ecg (C8930) $848.06 $2,174.50 1.1×
Tte w or w/o fol w/con,stres (C8928) $1,305.33 $3,347 1.6×
Tte w or w/o fol w/cont, com (C8921) $1,220.31 $3,129 1.5×
Tte w or wo fol wcon,doppler (C8929) $1,070.55 $2,745 1.3×
Unsched dialysis esrd pt hos (G0257) $2,814.44 $7,216.50 4.0×
Vasc emb/occ w/prs cath (C9797) $21,172.71 $54,289 1.1×