How many shoppable procedure prices are published for Wellstar Kennestone Regional Medical Center?

Wellstar Kennestone Regional Medical Center in Marietta, GA currently has 122 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Wellstar Kennestone Regional Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Wellstar Kennestone Regional Medical Center's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Wellstar Kennestone Regional Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Wellstar Kennestone Regional Medical Center an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Government - Hospital District or Authority 642 Beds · urban Updated: 2026-04-01

Wellstar Kennestone Regional Medical Center

677 Church Street, Marietta, GA 30060 · 122 Priced Procedures · 67% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.42×vs. Fair Market Price

Typical commercial prices here are +42% above the fair benchmark (1.42×) even after accounting for local nurse/doctor wages and patient complexity.

79/100 · Corroborated

79/100Self-Pay Cash Beats Insurance 24% of the Time

File Completeness51

Price Logic93

Peer Alignment65

Clean Billing89

Real Cash Discount100

High Price · Lower Safety

2-Star CMS clinical quality rating paired with 1.42× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

Wellstar Kennestone Regional Medical Center prices shoppable and inpatient services (1.5× to 1.7× Medicare, divergence 1.13×) in alignment with regional hospital peers (1.42× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#72 of 100 in GA · 71st State Percentile#2,499 of 3,385 in U.S. · 73rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.13× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 24% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 67% patient recommendation (62/100 safety score)
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.42× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (5.4×) & laboratory (3.5×) services average 1.13× higher multiples than routine shoppable care (1.5×)
Even at low-cost facilities (1.42× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 14.4× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.13× Divergence

1.7× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+6% Upper Tail

Q25 1.13× · Q50 1.64× · Q75 1.74×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.5× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.7× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

5.4× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

3.5× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

24% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 62/100Elevated

Procedure Prices at Wellstar Kennestone Regional Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 122 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$33,066	$30,775	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$21,579	$19,087	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$21,457	$19,432	1.1×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$19,977	$17,936	1.1×
Total hip replacement CPT Code: `27130`	—	$16,710	$13,413	1.2×
Total knee replacement CPT Code: `27447`	—	$16,710	$13,523	1.2×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$11,206	$8,223	1.4×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$8,784	$6,109	1.4×
Inguinal hernia repair CPT Code: `49505`	—	$6,389	$3,629	1.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,849	$3,372	1.7×
Bunion correction surgery CPT Code: `28296`	—	$5,809	$3,446	1.7×
Breast lump removal CPT Code: `19120`	—	$5,809	$3,875	1.5×
Vaginal delivery (full package) CPT Code: `59400`	—	$5,063	$2,680	1.9×
C-section delivery (full package) CPT Code: `59510`	—	$5,063	$2,975	1.7×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,337	$2,540	1.7×
Trauma team activation HCPCS Code: `G0390`	$4,152	$2,383	$1,453	1.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$2,249	$1,256	1.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,747	$981	1.8×
Upper endoscopy with biopsy CPT Code: `43239`	$1,406	$1,704	$987	1.7×
Sleep study (overnight, in lab) CPT Code: `95810`	$3,068	$1,535	$1,021	1.5×
Injection procedure for pain management HCPCS Code: `G0260`	$1,895	$1,326	$855	1.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,835	$977	$583	1.7×
Blood transfusion CPT Code: `36430`	$1,278	$854	$498	1.7×
Psychological testing by technician CPT Code: `96138`	$372	$799	$395	2.0×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,393	$614	$511	1.2×
Rabies immune globulin HCPCS Code: `90375`	—	$549	$322	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$205	$527	$448	1.2×
Neurobehavioral status check CPT Code: `96116`	$556	$386	$231	1.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$541	$401	$272	1.5×
MRI, brain (no contrast) CPT Code: `70551`	$203	$393	$343	1.1×
Group therapy session CPT Code: `90853`	$367	$367	$100	3.7×
MRI, lower back (no contrast) CPT Code: `72148`	$1,776	$384	$338	1.1×
MRI, knee or other leg joint CPT Code: `73721`	$203	$407	$369	1.1×
Breathing treatment (nebulizer) CPT Code: `94640`	$284	$391	$201	unverified
Psychotherapy session (45 minutes) CPT Code: `90834`	$389	$317	$166	1.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,881	$304	$258	1.2×
Psychiatric evaluation (first visit) CPT Code: `90791`	$536	$317	$185	unverified
Psychotherapy session (60 minutes) CPT Code: `90837`	$759	$317	$181	unverified
Family therapy session CPT Code: `90847`	$205	$317	$173	unverified
Hepatitis B immune globulin HCPCS Code: `90371`	—	$263	$151	1.7×
CT scan, head (with contrast) CPT Code: `70460`	$1,588	$278	$242	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,224	$286	$303	0.9×
Psychological testing evaluation CPT Code: `96136`	$286	$238	$128	unverified
Ultrasound, thyroid and neck CPT Code: `76536`	$556	$205	$132	1.6×
Ultrasound, abdomen (complete) CPT Code: `76700`	$732	$190	$134	1.4×
CT scan, pelvis CPT Code: `72192`	$1,310	$202	$163	1.2×
CT scan, sinuses CPT Code: `70486`	$1,319	$202	$166	1.2×
CT scan, chest (no contrast) CPT Code: `71250`	$107	$202	$167	1.2×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,611	$202	$168	1.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$107	$202	$169	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$168	$168	$123	1.4×
Ultrasound, pelvis CPT Code: `76856`	$98	$176	$130	1.4×
CT scan, head (no contrast) CPT Code: `70450`	$1,419	$178	$160	1.1×
Ultrasound, abdomen (limited) CPT Code: `76705`	$547	$144	$126	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$70	$157	$148	1.1×
X-ray, hip CPT Code: `73502`	$189	$106	$93	1.1×
Screening mammogram (both breasts) CPT Code: `77067`	$332	$130	$123	1.1×
X-ray, hand CPT Code: `73130`	$264	$95	$93	1.0×
X-ray, ankle CPT Code: `73610`	$261	$95	$93	1.0×
X-ray, pelvis CPT Code: `72170`	$243	$112	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$253	$93	$92	1.0×
X-ray, foot CPT Code: `73630`	$261	$93	$92	1.0×
X-ray, chest (two views) CPT Code: `71046`	$294	$93	$93	1.0×
X-ray, lower back CPT Code: `72110`	$506	$112	$112	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$173	$82	$86	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$306	$105	$64	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$615	$347	1.8×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$391	$203	1.9×
Pneumococcal vaccine HCPCS Code: `90732`	—	$408	$140	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$197	$111	1.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$101	$56	1.8×
Drug screening test HCPCS Code: `G0480`	$119	$119	$116	1.0×
Hepatitis B vaccine HCPCS Code: `90744`	—	$92	$37	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$61	$39	1.6×
Flu vaccine injection HCPCS Code: `G0008`	$63	$84	$48	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$63	$84	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$63	$84	$49	unverified
Blood test, vitamin D CPT Code: `82306`	$303	$53	$31	1.7×
Blood antibody screen CPT Code: `86850`	$247	$56	$46	1.2×
Orthotic fitting and training CPT Code: `97760`	$60	$50	$51	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$9	$6	$3	2.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$12	$11	$6	1.8×
Blood test, calcium CPT Code: `82310`	$62	$9	$5	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$25	$9	$5	1.8×
Culture, bacterial CPT Code: `87070`	$18	$16	$9	1.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	$60	$7	$4	1.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$59	$7	$4	1.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$85	$14	$8	1.8×
Hepatitis C antibody test CPT Code: `86803`	$140	$26	$15	1.7×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$138	$19	$11	1.7×
Culture, blood CPT Code: `87040`	$21	$19	$11	1.7×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$42	$25	1.7×
Blood test, amylase CPT Code: `82150`	$13	$12	$7	1.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$122	$17	$10	1.7×
Blood test, basic metabolic panel CPT Code: `80048`	$44	$15	$9	1.7×
Blood test, liver function panel CPT Code: `80076`	$104	$15	$9	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$50	$37	$38	1.0×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$78	$38	$40	0.9×
Blood test, lipase CPT Code: `83690`	$143	$12	$7	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$88	$35	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$83	$35	$38	0.9×
Prosthetic fitting and training CPT Code: `97761`	$99	$41	$45	0.9×
Blood test, potassium CPT Code: `84132`	$75	$8	$5	1.6×
Blood test, sodium CPT Code: `84295`	$68	$8	$5	1.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$38	$8	$5	1.6×
Electrical stimulation therapy HCPCS Code: `G0283`	$213	$14	$14	1.0×
Physical therapy (gait training) CPT Code: `97116`	$83	$30	$33	0.9×
Speech therapy (group session) CPT Code: `92508`	$109	$24	$27	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$98	$30	$34	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$88	$30	$35	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$66	$24	$35	0.7×
X-ray, shoulder CPT Code: `73030`	$25	$25	$92	0.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$25	$25	$93	0.3×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$167	$25	$14	unverified
Blood test, vitamin B12 CPT Code: `82607`	$262	$27	$16	unverified
Blood test, magnesium CPT Code: `83735`	$84	$12	$7	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$206	$33	$19	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$171	$30	$18	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$163	$35	$20	unverified
Blood test, hemoglobin CPT Code: `85018`	$21	$4	$3	1.3×
Hospital observation (per hour) HCPCS Code: `G0378`	$2	$2	$86	0.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$212	$25	$14	unverified

Showing top 25 high-impact procedures of 122 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at Wellstar Kennestone Regional Medical Center (Zero PHI Required)

CMS CCN: 110035

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $33,066

1. Amount on Your Bill or Quote ($) Pre-filled with Wellstar Kennestone Regional Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Wellstar Kennestone Regional Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$48,583 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($79,358) is $48,583 above the denoised Fair BaseRate ($30,775) and 3.4× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Public IRS & CMS ownership records classify Wellstar Kennestone Regional Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite62/100

Would Recommend67%

Rated 9 or 10 (HCAHPS)65%

Median ER Wait263 min

Left ER Before Seen1%

30-Day Mortality vs U.S.better

Unplanned Readmissionbetter

Hip/Knee Complication Rate3.8%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Wellstar Kennestone Regional Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-03-18·administrative_or_closure
Met Requirements
Recorded
2024-09-18·administrative_or_closure
Closure Notice
Recorded
2024-06-13·cap_corrective_action
CAP Request
Recorded
2024-03-07·warning_notice
Warning Notice
Recorded
2022-03-08·administrative_or_closure
Closure Notice
Recorded
2021-09-30·cap_corrective_action
CAP Request
Recorded
2021-04-19·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,253 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Wellstar Kennestone Regional Medical Center.

Price Index: 0.98× regional baseline

Quality: 69/100 CMS composite

Median Household Income$98,712U.S. Census ACS

Local Uninsured Share12.2%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 79/100 · Corroborated CMS CCN 110035

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 110035) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-04-01

Validated Rate Rows1,311 (CMS v3.0.0)

File Integrity DigestVerified · CCN 110035

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy