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Short Term Acute Care HospitalVoluntary Non-Profit - Private

West Georgia Medical Center

WellStar Health System · Lagrange, GA

1514 Vernon Road, Lagrange, GA 30240(706) 882-1411

5 of 5

CMS star rating

442

Beds

8,989

Inpatient discharges a year

$301.3M

Net patient revenue a year

36

In-network payers

About this hospital

West Georgia Medical Center is a 442-bed voluntary non-profit - private hospital in Lagrange, GA, affiliated with WellStar Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 36 in-network payers and 449 disclosed rate categories.

  • Rural referral center
  • Disproportionate share hospital
  • 340B participant
  • Helipad
CCN
110016
NPI
1821221144
Health system
WellStar Health System
Teaching
No Medicare-funded residents
County
Troup County
Metro area
LaGrange, GA-AL MicroSA
Medicare contractor
Jurisdiction J, Palmetto GBA (10001)
In Medicare since
1966
Last CMS survey
2023

Prices for common services

The 24 services West Georgia Medical Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$8,955 - $15,074

from 4 insurers · median $11,872

UnitedHealthcare$14,406
Insurer A*$8,955
Insurer B*$9,338
Insurer C*$15,074

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Cesarean delivery, hospital stay

MS-DRG 788

$12,711 - $23,342

from 4 insurers · median $16,785

UnitedHealthcare$20,290
Insurer A*$12,711
Insurer B*$13,279
Insurer C*$23,342

CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Childbirth · Inpatient

Vaginal birth after prior cesarean, hospital stay

MS-DRG 807

$8,955 - $15,074

from 4 insurers · median $11,872

UnitedHealthcare$14,406
Insurer A*$8,955
Insurer B*$9,338
Insurer C*$15,074

CMS lists this service as CPT 59610, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$7,132 - $21,736

from 4 insurers · median $11,880

Aetna$7,132
Insurer A*$8,735
Insurer B*$15,026
Insurer C*$21,736
Medicare $5,818Nearby hospitals $7,01169% above nearby hospitals

47 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)

How the insurers pay at West Georgia Medical Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*23
401%
182
Insurer B*24
335%
192
Insurer C*22
180%
510
Insurer D*24
161%
710

How we chose these services: 5 appear in this hospital's own Medicare claims, 12 are common here based on CMS Medicare volume, and 7 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for West Georgia Medical Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Alliant Health PlansAmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner Health

More about this hospital

  • Quality

    5 of 5 stars

    • 151 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-0.30%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 32 services
    • 287 affiliated clinicians
    See doctors and services
  • Finances

    $301.3M net patient revenue

    • Operating margin on patient care 0.8%
    • $27.6M unreimbursed and uncompensated care
    • $40.2M net income
    See finances
  • Ownership and leadership

    Owned by WellStar Health System Inc

    • Private (not for profit)
    • Joseph A Reppert, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for West Georgia Medical Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
20-5497506West Georgia Medical Center58Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Alliant Health Plans, Allied Benefit Systems and 53 more1821221144 West Georgia Medical Center Inc.1649403973 West Georgia Medical Center Inc.1558594887 West Georgia Medical Center Inc.and 11 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1514 Vernon Road, Lagrange, GA 30240

(706) 882-1411

Get directions

Frequently asked questions

About West Georgia Medical Center's rates and hospital price transparency.

How much does an MRI cost at West Georgia Medical Center?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at West Georgia Medical Center range from $659 to $3,976 across 4 insurers. Blue Cross Blue Shield's rate is $1,195. The median at nearby comparable hospitals is $738. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at West Georgia Medical Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at West Georgia Medical Center range from $410 to $4,549 across 4 insurers. Cigna's rate is $676. The median at nearby comparable hospitals is $675. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at West Georgia Medical Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at West Georgia Medical Center range from $440 to $5,272 across 4 insurers. Blue Cross Blue Shield's rate is $4,100. The median at nearby comparable hospitals is $2,661. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at West Georgia Medical Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at West Georgia Medical Center range from $8,955 to $15,074 across 4 insurers. UnitedHealthcare's rate is $14,406. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at West Georgia Medical Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at West Georgia Medical Center range from $101 to $325 across 4 insurers. Aetna's rate is $137. The median at nearby comparable hospitals is $204. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at West Georgia Medical Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at West Georgia Medical Center range from $26,715 to $55,889 across 4 insurers. Aetna's rate is $51,791. The median at nearby comparable hospitals is $24,493. What a patient pays depends on their plan's deductible, coinsurance and network status.

What is West Georgia Medical Center's CMS star rating?

West Georgia Medical Center has a CMS overall hospital star rating of 5 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is the top rating, shared by 12% of US hospitals.

Is West Georgia Medical Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at West Georgia Medical Center for fiscal year 2027.

Does Medicare penalize West Georgia Medical Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts West Georgia Medical Center's base inpatient payments by an estimated 0.30% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at West Georgia Medical Center?

In 2024, the most common were septicemia or severe sepsis without mv >96 hours with mcc (255 discharges), heart failure and shock with mcc (109 discharges), septicemia or severe sepsis without mv >96 hours without mcc (44 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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CodingPricingPayer contractsCompliance
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  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
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