Wellstar Sylvan Grove Hospital
1050 Mcdonough Road, Jackson, GA · Wellstar Health System · · NPI 1386664779
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Biofeedback, pt CPT 90901 | $72.93 | $187.00 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $3,570.45 | $9,155.00 | $1,308.00 – $5,272.00 | 5 |
| Biopsy arm/elbow soft tissue CPT 24066 | not published | not published | $1,694.00 – $8,020.55 | 5 |
| Biopsy, bone open deep CPT 20245 | $2,192.19 | $5,621.00 | $1,937.00 – $8,020.55 | 5 |
| Biopsy bone trocar/needle superficial CPT 20220 | $3,127.41 | $8,019.00 | $1,308.00 – $4,576.34 | 5 |
| Biopsy cervixsingle/multiple 57500 CPT 57500 | $500.37 | $1,283.00 | $1,308.00 – $4,066.00 | 5 |
| Biopsy conjunctiva CPT 68100 | $512.46 | $1,314.00 | $3,391.00 – $6,595.97 | 4 |
| Biopsy/excision of lymph node(s); open deep 38530 CPT 38530 | not published | not published | $1,694.00 – $10,759.21 | 5 |
| Biopsy external ear 69100 CPT 69100 | $416.52 | $1,068.00 | $689.46 – $5,063.00 | 4 |
| Biopsy eyelid & lid margin CPT 67810 | $3,577.08 | $9,172.00 | $822.27 – $3,391.00 | 4 |
| Biopsy eye muscle CPT 67346 | not published | not published | $2,572.00 – $10,913.47 | 4 |
| Biopsy finger joint lining CPT 26105 | not published | not published | $1,308.00 – $9,136.47 | 5 |
| Biopsy finger joint lining CPT 26110 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Biopsy forearm soft tissues CPT 25066 | not published | not published | $1,694.00 – $8,020.55 | 5 |
| Biopsy hand joint lining CPT 26100 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $3,413.28 | $8,752.00 | $2,572.00 – $8,020.55 | 4 |
| Biopsy knee joint lining CPT 27330 | not published | not published | $2,323.00 – $9,136.47 | 5 |
| Biopsy lower leg soft tissue CPT 27613 | not published | not published | $1,308.00 – $4,576.34 | 5 |
| Biopsy lower leg soft tissue 27610 CPT 27610 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Biopsy muscle percutaneous needle CPT 20206 | $3,127.41 | $8,019.00 | $1,308.00 – $5,272.00 | 5 |
| Biopsy needle liver percutaneous CPT 47000 | $3,539.25 | $9,075.00 | $1,308.00 – $5,272.00 | 5 |
| Biopsy needle lymph node superficial CPT 38505 | $2,198.04 | $5,636.00 | $1,308.00 – $5,272.00 | 5 |
| Biopsy of cornea CPT 65410 | not published | not published | $1,694.00 – $6,595.97 | 5 |
| Biopsy of epididymis CPT 54800 | $785.07 | $2,013.00 | $1,308.00 – $4,576.34 | 5 |
| Biopsy of foot joint lining CPT 28050 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Biopsy of foot joint lining CPT 28052 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Biopsy of heart lining CPT 93505 | $4,466.67 | $11,453.00 | $3,391.00 – $8,997.17 | 3 |
| Biopsy of hip joint CPT 27052 | not published | not published | $1,937.00 – $6,179.00 | 5 |
| Biopsy of inestine 44100 CPT 44100 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Biopsy of lip 40490 CPT 40490 | not published | not published | $689.46 – $5,063.00 | 3 |
| Biopsy of nail unit 11755 CPT 11755 | $841.23 | $2,157.00 | $1,985.95 – $4,066.00 | 4 |
| Biopsy of nerve CPT 64795 | not published | not published | $1,694.00 – $6,179.00 | 5 |
| Biopsy of ovary(s) 58900 CPT 58900 | not published | not published | $1,937.00 – $8,824.63 | 5 |
| Biopsy of pancreas open CPT 48100 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Biopsy of penis CPT 54105 | not published | not published | $1,308.00 – $8,020.55 | 5 |
| Biopsy of penis 54100 CPT 54100 | $1,605.24 | $4,116.00 | $1,308.00 – $5,272.00 | 5 |
| Biopsy of prostate CPT 55700 | $2,813.07 | $7,213.00 | $1,694.00 – $5,749.22 | 5 |
| Biopsy of prostate CPT 55705 | not published | not published | $1,694.00 – $9,840.21 | 5 |
| Biopsy of rectum wall anal approach 45100 CPT 45100 | $1,950.00 | $5,000.00 | $1,308.00 – $7,925.42 | 5 |
| Biopsy of sacroiliac joint CPT 27050 | not published | not published | $1,937.00 – $6,179.00 | 5 |
| Biopsy of salivary gland 42400 CPT 42400 | $2,816.19 | $7,221.00 | $1,985.95 – $4,066.00 | 4 |
| Biopsy of salivary glnd;incisional 42405 CPT 42405 | $3,249.48 | $8,332.00 | $1,694.00 – $5,272.00 | 5 |
| Biopsy of stomach CPT 43605 | not published | not published | $5,063.00 – $6,179.00 | 2 |
| Biopsy of tear gland CPT 68510 | $2,682.42 | $6,878.00 | $1,308.00 – $6,595.97 | 5 |
| Biopsy of tear sac CPT 68525 | not published | not published | $1,308.00 – $6,595.97 | 5 |
| Biopsy of testis CPT 54500 | $5,178.81 | $13,279.00 | $1,308.00 – $8,020.55 | 5 |
| Biopsy of testis CPT 54505 | not published | not published | $1,308.00 – $9,840.21 | 5 |
| Biopsy of toe joint lining CPT 28054 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Biopsy of upper nose/throat CPT 42804 | not published | not published | $1,308.00 – $9,087.85 | 5 |
| Biopsy of urethra CPT 53200 | $3,996.72 | $10,248.00 | $1,308.00 – $6,179.00 | 5 |
| Biopsy of wrist joint CPT 25100 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $65.18 – $482.12 | 3 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $65.18 – $482.12 | 3 |
| Biopsy/removal lymph nodes CPT 38525 | not published | not published | $1,694.00 – $10,759.21 | 5 |
| Biopsy/removal lymph nodes 38520 CPT 38520 | not published | not published | $1,694.00 – $10,759.21 | 5 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $4,298.97 | $11,023.00 | $1,308.00 – $5,272.00 | 5 |
| Biopsy roof of mouth CPT 42100 | not published | not published | $2,572.00 – $5,272.00 | 4 |
| Biopsy skin incisional single lesion CPT 11106 | $995.28 | $2,552.00 | $1,772.77 – $4,066.00 | 4 |
| Biopsy/soft tissue/neck or thorax 21550 CPT 21550 | $1,313.52 | $3,368.00 | $1,308.00 – $5,272.00 | 5 |
| Biopsy thigh soft tissues CPT 27324 | not published | not published | $1,308.00 – $8,020.55 | 5 |
| Biopsy tongue anterior two-thirds CPT 41100 | $644.67 | $1,653.00 | $1,308.00 – $3,391.00 | 5 |
| Biopsy vaginal mucosa xtnsv CPT 57105 | not published | not published | $1,694.00 – $8,824.63 | 5 |
| Biopsy vestibule of mouth 40808 CPT 40808 | $644.67 | $1,653.00 | $1,553.04 – $3,391.00 | 3 |
| Biopsy vrt bdy open lmbr/crv CPT 20251 | $3,151.20 | $8,080.00 | $1,937.00 – $20,193.44 | 5 |
| Biopsy vrt bdy open thoracic CPT 20250 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Biospy of bladder CPT 53899 | $5,326.23 | $13,657.00 | $697.61 – $3,391.00 | 3 |
| Biotinidase - quest CPT 82261 | $132.60 | $340.00 | $29.56 – $58.37 | 4 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $275.15 – $275.15 | 1 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $1,258.68 – $1,258.68 | 1 |
| Bis xtracell fluid analysis CPT 93702 | $212.55 | $545.00 | $440.91 – $440.91 | 1 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.30 – $0.30 | 1 |
| Bk molded distal cushion HCPCS L5668 | $159.64 | $409.34 | not published | 0 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $439.71 – $439.71 | 1 |
| Bladder Catheter Insertion (simple) CPT 51702 | $368.55 | $945.00 | $360.57 – $3,391.00 | 3 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $942.63 | $2,417.00 | $697.61 – $3,391.00 | 3 |
| Bld exchange truj oth thn nb CPT 36455 | not published | not published | $1,225.32 – $3,391.00 | 4 |
| Bld prd mix CPT 86965 | $271.05 | $695.00 | $29.85 – $482.12 | 4 |
| Bld push tfuj 2 yr/< CPT 36440 | $1,782.30 | $4,570.00 | $1,225.32 – $3,391.00 | 4 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $39.85 – $39.85 | 1 |
| Blepharoplasty lower 15820 CPT 15820 | $2,265.51 | $5,809.00 | $1,937.00 – $5,809.00 | 5 |
| Blepharoplasty upper 15822 CPT 15822 | $2,265.51 | $5,809.00 | $1,937.00 – $5,809.00 | 5 |
| Blepharoplasty upper eyelid 15823 CPT 15823 | $2,301.00 | $5,900.00 | $2,664.00 – $6,760.00 | 5 |
| Blepharp lwr eyelid fat pad CPT 15821 | not published | not published | $1,937.00 – $5,809.00 | 5 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $290.68 – $503.67 | 3 |
| Blind cor sinus reducer impl HCPCS C9783 | $13,666.38 | $35,042.00 | $9,000.00 – $31,052.45 | 3 |
| Blind interatrial shunt ide HCPCS C9758 | not published | not published | $51,845.38 – $56,095.00 | 2 |
| Blind myocar trpl bon marrow HCPCS C9782 | not published | not published | $5,063.00 – $56,095.00 | 3 |
| Blind/nonblind trans atrial HCPCS C9792 | not published | not published | $9,000.00 – $28,885.94 | 3 |
| Blink reflex test CPT 95933 | $127.14 | $326.00 | $172.66 – $172.66 | 1 |
| Blm gene CPT 81209 | not published | not published | $47.17 – $136.01 | 3 |
| Bln 1.2 mono emrg 15x1.2 HCPCS C1725 | $10,618.42 | $27,226.71 | not published | 0 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $5,330.60 | $13,668.21 | not published | 0 |
| Bln dil 900ml preperitnl HCPCS C1727 | $5,330.60 | $13,668.21 | not published | 0 |
| Bln inpact admiral 4x150x130cm HCPCS C2623 | $4,814.74 | $12,345.48 | not published | 0 |
| Bln press regulation 71-80cm HCPCS C1815 | $35,401.31 | $90,772.60 | not published | 0 |
| Bln stent lg 19mm diam 10-12mm palmaz gen trnshpat unmtd HCPCS C1877 | $33,318.08 | $85,430.97 | not published | 0 |
| Block brachial plexus w/cath plmt w/img CPT 64416 | $2,420.73 | $6,207.00 | $2,572.00 – $4,066.00 | 4 |
| Block femoral nerve cont infusion cath w/img CPT 64448 | $4,046.64 | $10,376.00 | $2,572.00 – $5,063.00 | 4 |
| Block paracervical nrv CPT 64435 | $2,313.09 | $5,931.00 | $1,952.00 – $4,066.00 | 4 |
| Block plantar digital nerve CPT 64455 | $1,016.73 | $2,607.00 | $836.02 – $3,391.00 | 3 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.