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 |
|---|---|---|---|---|
| Unlisted procedure colon CPT 45399 | not published | not published | $2,579.78 – $5,699.00 | 4 |
| Unlisted procedure esophagus CPT 43499 | not published | not published | $2,558.69 – $5,272.00 | 3 |
| Unlisted procedure eyelids CPT 67999 | not published | not published | $822.27 – $5,063.00 | 3 |
| Unlisted procedure larynx CPT 31599 | $511.68 | $1,312.00 | $689.46 – $3,391.00 | 3 |
| Unlisted procedure liver CPT 47399 | not published | not published | $1,985.95 – $5,063.00 | 3 |
| Unlisted procedure microbiology CPT 87999 | not published | not published | $28.70 – $28.70 | 1 |
| Unlisted procedure orbit CPT 67599 | not published | not published | $822.27 – $5,063.00 | 3 |
| Unlisted procedure pancreas CPT 48999 | not published | not published | $1,985.95 – $5,063.00 | 3 |
| Unlisted procedure rectum CPT 45999 | $1,397.37 | $3,583.00 | $2,579.78 – $5,063.00 | 3 |
| Unlisted procedure spine CPT 22899 | $308.10 | $790.00 | $665.65 – $3,391.00 | 3 |
| Unlisted procedure urinary 58750 CPT 58750 | not published | not published | $2,664.00 – $8,448.00 | 3 |
| Unlisted psychiatric service/proc 90899 CPT 90899 | $418.08 | $1,072.00 | not published | 0 |
| Unlisted px abdomen muscskel CPT 22999 | $5,500.95 | $14,105.00 | $665.65 – $3,391.00 | 3 |
| Unlisted px accessory sinus CPT 31299 | not published | not published | $689.46 – $5,063.00 | 3 |
| Unlisted px ant segment eye CPT 66999 | not published | not published | $3,391.00 – $6,577.81 | 3 |
| Unlisted px arthroscopy CPT 29999 | not published | not published | $665.65 – $3,391.00 | 3 |
| Unlisted px biliary tract CPT 47999 | not published | not published | $2,558.69 – $5,272.00 | 3 |
| Unlisted px casting/strpg CPT 29799 | $586.56 | $1,504.00 | $444.76 – $5,063.00 | 3 |
| Unlisted px conjunctiva CPT 68399 | not published | not published | $822.27 – $5,063.00 | 3 |
| Unlisted px diaphragm CPT 39599 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Unlisted px exc pressure ulc CPT 15999 | not published | not published | $1,985.95 – $5,063.00 | 3 |
| Unlisted px external ear CPT 69399 | not published | not published | $689.46 – $5,063.00 | 3 |
| Unlisted px extraocular musc CPT 67399 | not published | not published | $822.27 – $5,063.00 | 3 |
| Unlisted px foot/toes CPT 28899 | not published | not published | $665.65 – $3,391.00 | 3 |
| Unlisted px forearm/wrist CPT 25999 | not published | not published | $665.65 – $3,391.00 | 3 |
| Unlisted px hands/fingers CPT 26989 | not published | not published | $665.65 – $3,391.00 | 3 |
| Unlisted px inner ear CPT 69949 | not published | not published | $689.46 – $3,391.00 | 3 |
| Unlisted px lacrimal system CPT 68899 | not published | not published | $822.27 – $5,063.00 | 3 |
| Unlisted px leg/ankle CPT 27899 | not published | not published | $665.65 – $3,391.00 | 3 |
| Unlisted px male genital sys CPT 55899 | $1,925.04 | $4,936.00 | $697.61 – $4,714.00 | 3 |
| Unlisted px mediastinum CPT 39499 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Unlisted px med radj physics CPT 77399 | not published | not published | $254.94 – $382.99 | 2 |
| Unlisted px middle ear CPT 69799 | not published | not published | $689.46 – $3,391.00 | 3 |
| Unlisted px neck/thorax CPT 21899 | not published | not published | $689.46 – $5,063.00 | 3 |
| Unlisted px palate uvula CPT 42299 | not published | not published | $689.46 – $5,063.00 | 3 |
| Unlisted px pelvis/hip joint CPT 27299 | not published | not published | $665.65 – $3,391.00 | 3 |
| Unlisted px posterior segmnt CPT 67299 | not published | not published | $5,063.00 – $6,577.81 | 3 |
| Unlisted px salivry glnd/dux CPT 42699 | not published | not published | $689.46 – $3,391.00 | 3 |
| Unlisted px small intestine CPT 44799 | not published | not published | $2,558.69 – $5,272.00 | 3 |
| Unlisted px temporal bone CPT 69979 | not published | not published | $689.46 – $3,391.00 | 3 |
| Unlisted px ther rad tx plng CPT 77299 | not published | not published | $254.94 – $382.99 | 2 |
| Unlisted px tongue flr mouth CPT 41599 | $1,553.76 | $3,984.00 | $689.46 – $5,063.00 | 3 |
| Unlisted px vestibule mouth CPT 40899 | not published | not published | $689.46 – $6,760.00 | 3 |
| Unlisted reprod med lab proc CPT 89398 | not published | not published | $12.50 – $152.95 | 2 |
| Unlisted resp px dx nuc med CPT 78599 | $545.61 | $1,399.00 | $722.13 – $1,164.18 | 2 |
| Unlisted spec derm svc/px CPT 96999 | $173.55 | $445.00 | $565.10 – $565.10 | 1 |
| Unlisted surgical path px CPT 88399 | $439.92 | $1,128.00 | $12.07 – $152.95 | 3 |
| Unlisted transfusion med px CPT 86999 | $698.10 | $1,790.00 | $17.39 – $84.05 | 3 |
| Unlisted ultrasound procedure CPT 76999 | $291.33 | $747.00 | $129.78 – $256.49 | 2 |
| Unlisted urinalysis px CPT 81099 | $29.64 | $76.00 | $28.70 – $28.70 | 1 |
| Unlisted vasc endoscopy px CPT 37501 | not published | not published | $1,773.21 – $5,063.00 | 3 |
| Unlstd hematop ret/endo lymp CPT 78199 | not published | not published | $722.13 – $1,164.18 | 2 |
| Unlstd laps px mat care&dlvr CPT 59898 | not published | not published | $5,809.00 – $16,286.66 | 3 |
| Unlstd laps px sprmatic cord CPT 55559 | not published | not published | $5,809.00 – $16,286.66 | 3 |
| Unsched dialysis esrd pt hos HCPCS G0257 | $4,701.06 | $12,054.00 | not published | 0 |
| Upgrade pm system CPT 33214 | $5,840.64 | $14,976.00 | $9,000.00 – $34,203.00 | 3 |
| Upper Arm (Humerus) X-ray (left side) CPT 73060 | $235.17 | $603.00 | $47.40 – $256.49 | 4 |
| Upper Back (Thoracic Spine) CT Scan (with contrast) CPT 72129 | $1,748.37 | $4,483.00 | $386.46 – $518.62 | 3 |
| Upper Back (Thoracic Spine) CT Scan (without contrast) CPT 72128 | $1,577.16 | $4,044.00 | $299.86 – $346.37 | 3 |
| Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 | $2,429.31 | $6,229.00 | $611.16 – $1,085.52 | 3 |
| Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 | $2,001.87 | $5,133.00 | $536.81 – $1,085.52 | 3 |
| Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 | $1,762.41 | $4,519.00 | $345.61 – $731.25 | 3 |
| Upper Back (Thoracic Spine) X-ray (2 views) CPT 72070 | $324.48 | $832.00 | $52.31 – $310.32 | 4 |
| Upper Back (Thoracic Spine) X-ray (3 views) CPT 72072 | $384.93 | $987.00 | $53.93 – $310.32 | 4 |
| Upper Endoscopy (EGD, diagnostic) CPT 43235 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Upper Endoscopy (EGD, with biopsy) CPT 43239 | $1,405.56 | $3,604.00 | $1,694.00 – $5,272.00 | 5 |
| Upper ext harvest for cabg1 seg 35600 CPT 35600 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Upper GI Barium X-ray (barium and gas) CPT 74246 | $738.66 | $1,894.00 | $211.63 – $518.62 | 4 |
| Upper GI Barium X-ray (barium only) CPT 74240 | $491.01 | $1,259.00 | $178.94 – $518.62 | 4 |
| Uppr gi scope w/submuc inj CPT 43236 | not published | not published | $1,694.00 – $5,272.00 | 5 |
| Urachal cyst/sinus excision 51500 CPT 51500 | not published | not published | $2,323.00 – $16,286.66 | 5 |
| Urea nitrogen CPT 84520 | $58.50 | $150.00 | $6.91 – $13.67 | 4 |
| Urea nitrogen 24 hour urine CPT 84540 | $81.12 | $208.00 | $8.32 – $19.24 | 4 |
| Urea nitrogen clearance CPT 84545 | $163.80 | $420.00 | $11.57 – $24.91 | 4 |
| Urea nitrogen semi-quant CPT 84525 | not published | not published | $6.59 – $17.75 | 4 |
| Ureteral embolization/occl CPT 50705 | $3,041.22 | $7,798.00 | $2,665.00 – $3,391.00 | 2 |
| Ureteral reflux study CPT 78740 | $694.20 | $1,780.00 | $459.21 – $1,164.18 | 4 |
| Ureter endoscopy CPT 50970 | not published | not published | $1,308.00 – $9,840.21 | 5 |
| Ureter endoscopy & biopsy CPT 50955 | not published | not published | $1,308.00 – $14,605.40 | 5 |
| Ureter endoscopy & biopsy CPT 50974 | not published | not published | $1,308.00 – $14,605.40 | 5 |
| Ureter endoscopy & catheter CPT 50972 | not published | not published | $1,308.00 – $9,840.21 | 5 |
| Ureter endoscopy & treatment CPT 50957 | not published | not published | $1,308.00 – $14,605.40 | 5 |
| Ureter endoscopy & treatment CPT 50961 | not published | not published | $1,308.00 – $14,605.40 | 5 |
| Ureter endoscopy & treatment CPT 50976 | not published | not published | $1,308.00 – $14,605.40 | 5 |
| Ureter endoscopy & treatment CPT 50980 | not published | not published | $1,308.00 – $14,605.40 | 5 |
| Ureteroneocystostomy 50780 CPT 50780 | not published | not published | $5,063.00 – $6,179.00 | 2 |
| Ureteroureterostomy 50760 CPT 50760 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Urethrcystgrphy rtrgrde s&i CPT 74450 | $253.50 | $650.00 | $128.37 – $960.34 | 4 |
| Urethrlys transvag with scope CPT 53500 | not published | not published | $6,760.00 – $9,840.21 | 3 |
| Urethrocystography void s&i CPT 74455 | $390.39 | $1,001.00 | $150.35 – $691.66 | 4 |
| Uric acid blood CPT 84550 | $74.49 | $191.00 | $7.91 – $15.64 | 4 |
| Uric acid urine CPT 84560 | $93.60 | $240.00 | $8.32 – $17.58 | 4 |
| Urinalysis glass test CPT 81020 | not published | not published | $6.46 – $16.26 | 4 |
| Urinalysis microscopic only CPT 81015 | $49.14 | $126.00 | $5.32 – $10.55 | 4 |
| Urinalysis qual/semiquant excpt ia CPT 81005 | $46.80 | $120.00 | $3.79 – $7.51 | 4 |
| Urinalysis (with microscopy) CPT 81001 | $62.40 | $160.00 | $5.56 – $10.97 | 4 |
| Urinalysis (without microscopy) CPT 81003 | $74.88 | $192.00 | $3.94 – $7.78 | 4 |
| Urinary bldr retent nuc study CPT 78730 | not published | not published | $151.16 – $278.99 | 3 |
| Urinary reflex study CPT 51792 | not published | not published | $172.66 – $5,063.00 | 3 |
| Urine Culture Test CPT 87086 | $202.80 | $520.00 | $14.15 – $27.92 | 4 |
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.