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 |
|---|---|---|---|---|
| Treat radius fracture CPT 24666 | not published | not published | $2,323.00 – $37,149.33 | 5 |
| Treat sesamoid bone fracture CPT 28531 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Treat skull fracture CPT 62000 | not published | not published | $5,063.00 – $11,889.00 | 3 |
| Treat skull fracture CPT 62005 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Treat slipped epiphysis CPT 27176 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Treat slipped epiphysis CPT 27175 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Treat slipped epiphysis CPT 27177 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Treat slipped epiphysis CPT 27178 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Treat slipped epiphysis CPT 27181 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Treat spinal cord lesion CPT 62280 | not published | not published | $1,308.00 – $4,066.00 | 5 |
| Treat spinal cord lesion CPT 62281 | $2,420.73 | $6,207.00 | $1,308.00 – $4,066.00 | 5 |
| Treat spine fracture CPT 22325 | not published | not published | $1,937.00 – $15,026.00 | 3 |
| Treat sternum fracture CPT 21820 | not published | not published | $665.65 – $3,391.00 | 5 |
| Treat tail bone fracture CPT 27202 | not published | not published | $1,694.00 – $15,026.00 | 5 |
| Treat thigh fracture CPT 27230 | $262.86 | $674.00 | $665.65 – $3,391.00 | 5 |
| Treat thigh fracture CPT 27235 | not published | not published | $6,389.00 – $20,193.44 | 3 |
| Treat thigh fracture CPT 27236 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Treat thigh fracture CPT 27238 | $3,446.82 | $8,838.00 | $1,308.00 – $4,536.58 | 5 |
| Treat thigh fracture CPT 27245 | not published | not published | $6,760.00 – $11,889.00 | 2 |
| Treat thigh fracture CPT 27246 | $560.82 | $1,438.00 | $665.65 – $3,391.00 | 5 |
| Treat thigh fracture CPT 27248 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Treat thigh fracture CPT 27240 | not published | not published | $3,391.00 – $5,272.00 | 2 |
| Treat thigh fracture CPT 27244 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Treat thigh fx growth plate CPT 27516 | not published | not published | $665.65 – $3,391.00 | 5 |
| Treat thigh fx growth plate CPT 27517 | $2,048.67 | $5,253.00 | $1,308.00 – $4,536.58 | 5 |
| Treat thigh fx growth plate CPT 27519 | not published | not published | $6,760.00 – $11,889.00 | 2 |
| Treat thorax spine fracture CPT 22327 | not published | not published | $1,937.00 – $15,026.00 | 3 |
| Treat thumb fracture CPT 26650 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Treat thumb fracture CPT 26665 | not published | not published | $2,323.00 – $15,026.00 | 5 |
| Treat toe dislocation CPT 28636 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Treat toe dislocation CPT 28665 | not published | not published | $758.05 – $3,391.00 | 5 |
| Treat toe dislocation CPT 28666 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Treat toe fracture CPT 28525 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Treat trigeminal nerve CPT 61790 | not published | not published | $1,937.00 – $6,179.00 | 5 |
| Treat trigeminal tract CPT 61791 | not published | not published | $1,937.00 – $6,179.00 | 5 |
| Treat ulnar fracture CPT 24675 | $1,118.91 | $2,869.00 | $1,308.00 – $4,536.58 | 5 |
| Treat ulnar fracture CPT 24685 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Treat vaginal bleeding CPT 57180 | not published | not published | $562.46 – $5,063.00 | 5 |
| Treat wrist bone fracture CPT 25635 | $3,082.17 | $7,903.00 | $1,308.00 – $4,536.58 | 5 |
| Treat wrist dislocation CPT 25675 | $806.13 | $2,067.00 | $665.65 – $3,391.00 | 5 |
| Tremelimumab-actl 20 mg/ml intravenous solution HCPCS J9347 | not published | not published | $263.85 – $470.87 | 2 |
| Treponema pallidum ag if CPT 87285 | not published | not published | $21.02 – $42.14 | 4 |
| Treponema pallidum antibody CPT 86780 | $59.28 | $152.00 | $22.76 – $45.81 | 4 |
| Treprostinil injection HCPCS J3285 | not published | not published | $106.64 – $195.07 | 3 |
| Treprostinil, non-comp unit HCPCS J7686 | not published | not published | $1,448.85 – $1,448.85 | 1 |
| Trg gene rearrangement anal CPT 81342 | $636.87 | $1,633.00 | $329.88 – $697.19 | 4 |
| Trh stimulation panel CPT 80439 | not published | not published | $97.56 – $232.55 | 4 |
| Triamcinolone acetonide 40 mg/ml suspension for injection HCPCS J3301 | not published | not published | $1.72 – $1.72 | 1 |
| Triamcinolone a inj prs-free HCPCS J3300 | not published | not published | $45.88 – $45.88 | 1 |
| Triamcinolone diacetate inj HCPCS J3302 | not published | not published | $0.53 – $0.53 | 1 |
| Triamcinolone hexacetonl inj HCPCS J3303 | not published | not published | $15.80 – $15.80 | 1 |
| Trichinella antibody CPT 86784 | $268.32 | $688.00 | $22.01 – $43.46 | 4 |
| Trichomonas assay w/optic CPT 87808 | not published | not published | $21.02 – $52.90 | 4 |
| #tricyclicantidprssnt CPT 80337 | not published | not published | $29.23 – $29.23 | 1 |
| Triglycerides CPT 84478 | $76.44 | $196.00 | $10.08 – $19.86 | 4 |
| Trilaciclib 300 mg intravenous solution HCPCS J1448 | not published | not published | $10.24 – $17.99 | 3 |
| Trimethobenzamide hci 250mg HCPCS Q0173 | not published | not published | $1.60 – $1.60 | 1 |
| Trimethobenzamide hcl inj HCPCS J3250 | not published | not published | $97.11 – $97.11 | 1 |
| Trim nail(s) HCPCS G0127 | not published | not published | $172.66 – $2,665.00 | 2 |
| Trim nondyst nails CPT 11719 | $471.12 | $1,208.00 | $172.66 – $5,063.00 | 3 |
| Triptorelin pamoate HCPCS J3315 | not published | not published | $917.34 – $1,431.02 | 3 |
| Trluml dil aq o/f can without st CPT 66174 | not published | not published | $5,699.00 – $11,889.00 | 4 |
| Trluml dil aq o/f can w/st CPT 66175 | not published | not published | $5,699.00 – $14,752.70 | 4 |
| Trml dstrj ios bvn 1st 2 l/s CPT 64628 | not published | not published | $6,760.00 – $37,149.33 | 3 |
| Trml dstrj ios bvn ea addl CPT 64629 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Trmt of fracture (femoral shaft) 27500 CPT 27500 | $3,446.82 | $8,838.00 | $665.65 – $3,391.00 | 5 |
| Trnscath plc stent crv crtd without prtct CPT 37216 | $7,795.71 | $19,989.00 | $5,809.00 – $6,859.00 | 2 |
| Trnscath plc stent crv crtd w/prtct CPT 37215 | $8,486.40 | $21,760.00 | $5,809.00 – $6,859.00 | 2 |
| Trnscath plc stnt ante carotid art CPT 37218 | $5,960.76 | $15,284.00 | $5,809.00 – $6,859.00 | 2 |
| Trnscath plc vas stent w/s&i ea addl artery CPT 37237 | $5,630.43 | $14,437.00 | $3,391.00 – $15,026.00 | 2 |
| Trnscath plc vas stent w/s&i ea addl vein CPT 37239 | $5,630.43 | $14,437.00 | $3,391.00 – $15,026.00 | 2 |
| Trnscath plc vas stent w/s&i ini vein CPT 37238 | $7,773.09 | $19,931.00 | $5,809.00 – $31,052.45 | 3 |
| Trnscath retrv pq vasc fb w/guide CPT 37197 | $5,555.55 | $14,245.00 | $5,809.00 – $9,032.00 | 4 |
| Trnscath tx thromblytc artery non-intracrn ini day CPT 37211 | $6,542.64 | $16,776.00 | $3,391.00 – $15,511.46 | 4 |
| Trnscath tx thromblytc art/ven sbsq day CPT 37213 | $7,852.26 | $20,134.00 | $4,066.00 – $9,032.00 | 4 |
| Trnscath tx thromblytc cath rmv sbsq day CPT 37214 | $7,852.26 | $20,134.00 | $4,066.00 – $9,032.00 | 4 |
| Trnscath tx thromblytc vein ini day CPT 37212 | $7,852.26 | $20,134.00 | $3,391.00 – $8,997.17 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss any area 30.1-60sqcm CPT 14301 | $4,128.93 | $10,587.00 | $5,809.00 – $10,126.62 | 4 |
| Trnsfr/rearrngmnt adjcnt tiss defec ea addl 30sqcm/< CPT 14302 | $2,786.55 | $7,145.00 | $2,665.00 – $3,391.00 | 2 |
| Trnsfr/rearrngmnt adjcnt tiss e/n/e/l dfct 10sqcm/< CPT 14060 | $2,454.27 | $6,293.00 | $1,937.00 – $5,809.00 | 5 |
| Trnsfr/rearrngmnt adjcnt tiss eye/nose/ear/lip 10.1-30sqcm CPT 14061 | $2,051.79 | $5,261.00 | $1,937.00 – $5,809.00 | 5 |
| Trnsfr/rearrngmnt adjcnt tiss sclp/arm/lg 10.1-30sqcm CPT 14021 | $2,786.55 | $7,145.00 | $1,937.00 – $5,809.00 | 5 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10.1-30sqcm CPT 14001 | $2,328.30 | $5,970.00 | $1,937.00 – $5,809.00 | 5 |
| Trnsfr/rearrngmnt adjcnt tiss trnk 10sqcm/< CPT 14000 | $2,190.24 | $5,616.00 | $1,694.00 – $5,272.00 | 5 |
| Trnsplj pd lvr&bwl cd154+cll CPT 81560 | $30.42 | $78.00 | $2,216.93 – $2,216.93 | 1 |
| Trnsxj/repos abrrnt rnl vsls CPT 50100 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Troponin quantitative CPT 84484 | $190.32 | $488.00 | $17.24 – $43.15 | 4 |
| Tr retinal les preterm inf CPT 67229 | not published | not published | $1,640.73 – $4,714.00 | 3 |
| Trurl dstrj prst8 tiss rf wv CPT 53854 | $4,912.83 | $12,597.00 | $4,714.00 – $9,840.21 | 4 |
| Truskin, per sq centimeter HCPCS Q4167 | not published | not published | $195.94 – $195.94 | 1 |
| Tte w or without contr, cont ecg HCPCS C8930 | $1,501.11 | $3,849.00 | not published | 0 |
| Tte w or without fol w/con,stres HCPCS C8928 | $1,305.33 | $3,347.00 | not published | 0 |
| Tte w or without fol w/cont, com HCPCS C8921 | $1,220.31 | $3,129.00 | not published | 0 |
| Tubal Ligation (Laparoscopic) CPT 58670 | not published | not published | $1,937.00 – $16,286.66 | 5 |
| Tube trach disp innr can 5 xlt HCPCS A7521 | $532.41 | $1,365.16 | not published | 0 |
| Tube trach fen sz 6 uncuffed HCPCS A7520 | $132.40 | $339.48 | not published | 0 |
| Tumor cell deplete of harvst CPT 38211 | not published | not published | $1,225.32 – $5,063.00 | 4 |
| Tvh >250 gms 58290 CPT 58290 | not published | not published | $6,760.00 – $21,329.47 | 3 |
| Tvh w/mmk 58267 CPT 58267 | not published | not published | $5,063.00 – $8,448.00 | 2 |
| Tx atrial fib pulm vein isol CPT 93656 | $14,880.45 | $38,155.00 | $9,000.00 – $67,039.17 | 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.