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 |
|---|---|---|---|---|
| Brachy source yttrium-90 HCPCS C2616 | $33,271.98 | $85,312.77 | not published | 0 |
| Brachy src nonstrand c-131 HCPCS C2643 | $80.25 | $205.76 | not published | 0 |
| Brachy src nonstrand hdr ir-192 HCPCS C1717 | $293.05 | $751.41 | not published | 0 |
| Brachytx isodose complex CPT 77318 | $1,884.87 | $4,833.00 | $474.76 – $1,042.95 | 4 |
| Brachytx isodose intermed CPT 77317 | $829.14 | $2,126.00 | $349.73 – $1,042.95 | 4 |
| Brachytx isodose plan simple CPT 77316 | $1,324.83 | $3,397.00 | $268.84 – $1,042.95 | 4 |
| Braf gene CPT 81210 | $879.06 | $2,254.00 | $215.10 – $606.88 | 4 |
| Brain aneurysm repr complx CPT 61697 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Brain aneurysm repr complx CPT 61698 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Brain aneurysm repr simple CPT 61700 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Brain biopsy w/ct/mr guide CPT 61751 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Brain cavity shunt w/scope CPT 62201 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Brain flow imaging only CPT 78610 | $187.20 | $480.00 | $383.22 – $1,525.66 | 4 |
| Brain image < 4 views CPT 78600 | $262.08 | $672.00 | $390.58 – $1,164.18 | 4 |
| Brain image 4+ views CPT 78605 | $1,061.19 | $2,721.00 | $416.72 – $1,525.66 | 4 |
| Brain image w/flow < 4 views CPT 78601 | $714.87 | $1,833.00 | $455.12 – $1,164.18 | 4 |
| Brain image w/flow 4 + views CPT 78606 | $1,186.77 | $3,043.00 | $715.76 – $1,525.66 | 4 |
| Brain imaging (3d) CPT 78607 | not published | not published | $701.88 – $1,401.42 | 2 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $1,914.51 | $4,909.00 | $1,085.52 – $1,456.13 | 3 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $1,671.93 | $4,287.00 | $755.77 – $1,085.52 | 3 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $1,429.35 | $3,665.00 | $691.66 – $962.99 | 3 |
| Brain MRI (with and without contrast) CPT 70553 | $2,393.04 | $6,136.00 | $603.81 – $1,085.52 | 3 |
| Brain MRI (with contrast) CPT 70552 | $1,983.93 | $5,087.00 | $530.27 – $1,085.52 | 3 |
| Brain MRI (without contrast) CPT 70551 | $1,825.59 | $4,681.00 | $360.33 – $861.95 | 3 |
| Brca1&2 gene full seq alys CPT 81163 | $770.25 | $1,975.00 | $561.60 – $1,619.28 | 3 |
| Brca1&2 gen ful dup/del alys CPT 81164 | $960.96 | $2,464.00 | $701.08 – $2,021.44 | 3 |
| Brca1 dna gene analy known fam var CPT 81215 | $616.98 | $1,582.00 | $111.89 – $1,298.36 | 4 |
| Brca1 gene full dup/del alys CPT 81166 | $495.69 | $1,271.00 | $361.62 – $1,042.67 | 3 |
| Brca1 gene full seq alys CPT 81165 | $465.66 | $1,194.00 | $339.46 – $978.76 | 3 |
| Brca2 dna gene analy full seq analy CPT 81216 | $304.59 | $781.00 | $222.14 – $868.74 | 3 |
| Brca2 dna gene analy known fam var CPT 81217 | $616.98 | $1,582.00 | $111.89 – $1,298.36 | 4 |
| Brca2 gene full dup/del alys CPT 81167 | $465.66 | $1,194.00 | $339.46 – $978.76 | 3 |
| Brcassure ashkenazi panel-sendout CPT 81212 | $723.84 | $1,856.00 | $212.04 – $1,522.40 | 4 |
| Brcassure comprehensive panel-sendout CPT 81162 | $3,706.56 | $9,504.00 | $2,983.03 – $6,314.08 | 4 |
| Breast augmentation 19325 CPT 19325 | not published | not published | $7,487.00 – $26,608.13 | 5 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,692.52 | $9,468.00 | $4,220.00 – $5,272.00 | 4 |
| Breastbone (Sternum) X-ray CPT 71120 | $309.27 | $793.00 | $44.14 – $256.49 | 4 |
| Breast punct aspir cyst, bil CPT 19000 | $1,694.55 | $4,345.00 | $1,308.00 – $4,066.00 | 5 |
| Breast reconstruction CPT 19366 | not published | not published | $2,664.00 – $5,699.00 | 3 |
| Breast reconstruction 19357 CPT 19357 | $21,008.52 | $53,868.00 | $2,664.00 – $49,740.55 | 5 |
| Breast reconstruction tram flap 19367 CPT 19367 | not published | not published | $5,063.00 – $11,889.00 | 2 |
| Breast reconstr w/lat flap 19361 CPT 19361 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Breast reduction CPT 19318 | not published | not published | $2,323.00 – $18,406.78 | 5 |
| Breath hydrogen test 91065 CPT 91065 | $459.81 | $1,179.00 | $440.91 – $2,665.00 | 2 |
| Breathing response hypoxia CPT 94450 | not published | not published | $440.91 – $440.91 | 1 |
| Breath recording infant CPT 94772 | $1,454.31 | $3,729.00 | not published | 0 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $209.98 – $424.10 | 4 |
| Breath tst attain/anal c-14 CPT 78267 | $257.01 | $659.00 | $24.51 – $49.90 | 4 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $474.46 – $797.91 | 3 |
| Brexucabtagene car pos t HCPCS Q2053 | $1,055,251.95 | $2,705,774.23 | $0.03 – $1,120,791.00 | 2 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $1.52 – $1.52 | 1 |
| Bronch/asp/tracheobronch tree/subs 31646 CPT 31646 | $870.87 | $2,233.00 | $1,152.56 – $3,391.00 | 5 |
| Bronch ebus ivntj perph les 31654 CPT 31654 | $2,467.92 | $6,328.00 | $2,665.00 – $3,437.00 | 3 |
| Bronch ebus samplng 1/2 node CPT 31652 | $6,602.31 | $16,929.00 | $4,714.00 – $10,570.38 | 4 |
| Bronch ebus samplng 3/> node CPT 31653 | $6,602.31 | $16,929.00 | $4,714.00 – $10,570.38 | 4 |
| Bronchial allergy tests CPT 95070 | $746.46 | $1,914.00 | not published | 0 |
| Bronchial brush biopsy CPT 31717 | not published | not published | $1,152.56 – $3,391.00 | 5 |
| Bronchial challenge CPT 94070 | $875.94 | $2,246.00 | $885.97 – $885.97 | 1 |
| Bronchial valve addl insert CPT 31651 | $3,524.82 | $9,038.00 | $2,665.00 – $7,349.00 | 3 |
| Bronchial valve init insert CPT 31647 | $12,196.47 | $31,273.00 | $4,714.00 – $19,319.08 | 4 |
| Bronchial valve remov addl CPT 31649 | $3,205.41 | $8,219.00 | $3,391.00 – $5,272.00 | 4 |
| Bronchial valve remov init CPT 31648 | $6,582.03 | $16,877.00 | $4,714.00 – $10,570.38 | 4 |
| Bronchoscopy bronch stents CPT 31636 | $13,052.13 | $33,467.00 | $1,694.00 – $19,319.08 | 5 |
| Bronchoscopy clear airways 31645 CPT 31645 | $3,215.94 | $8,246.00 | $1,308.00 – $5,272.00 | 5 |
| Bronchoscopy dilate/fx repr CPT 31630 | $6,602.31 | $16,929.00 | $1,694.00 – $10,570.38 | 5 |
| Bronchoscopy dilate w/stent CPT 31631 | $12,230.01 | $31,359.00 | $1,694.00 – $19,319.08 | 5 |
| Bronchoscopy/lung bx addl 31632 CPT 31632 | $2,237.04 | $5,736.00 | $2,665.00 – $4,714.00 | 3 |
| Bronchoscopy/lung bx each 31628 CPT 31628 | $6,602.31 | $16,929.00 | $1,694.00 – $10,570.38 | 5 |
| Bronchoscopy/needle bx addl 31633 CPT 31633 | $2,458.56 | $6,304.00 | $2,665.00 – $4,714.00 | 3 |
| Bronchoscopy/needle bx each 31629 CPT 31629 | $6,602.31 | $16,929.00 | $1,694.00 – $10,570.38 | 5 |
| Bronchoscopy revise stent CPT 31638 | $13,052.13 | $33,467.00 | $1,694.00 – $19,319.08 | 5 |
| Bronchoscopy stent add-on CPT 31637 | $2,476.11 | $6,349.00 | $1,308.00 – $3,391.00 | 4 |
| Bronchoscopy treat blockage CPT 31641 | $6,602.31 | $16,929.00 | $1,694.00 – $10,570.38 | 5 |
| Bronchoscopy w/biopsy(s) 31625 CPT 31625 | $3,215.94 | $8,246.00 | $1,694.00 – $5,272.00 | 5 |
| Bronchoscopy w/fb removal 31635 CPT 31635 | $3,215.94 | $8,246.00 | $1,694.00 – $5,272.00 | 5 |
| Bronchoscopy w/markers CPT 31626 | $12,230.01 | $31,359.00 | $4,220.00 – $19,319.08 | 4 |
| Bronchoscopy w/tumor excise CPT 31640 | $6,944.73 | $17,807.00 | $1,694.00 – $10,570.38 | 5 |
| Bronch thermoplsty 1 lobe CPT 31660 | not published | not published | $5,809.00 – $19,319.08 | 4 |
| Bronch thermoplsty 2/> lobes CPT 31661 | not published | not published | $5,809.00 – $19,319.08 | 4 |
| Bronch w/balloon occlusion CPT 31634 | not published | not published | $4,220.00 – $19,319.08 | 4 |
| Bronch w/debrdmt subgltc & uppr trach CPT 31899 | $239.07 | $613.00 | $559.11 – $3,391.00 | 3 |
| Br punct aspir ea add, l CPT 19001 | $540.93 | $1,387.00 | $2,665.00 – $3,391.00 | 2 |
| Brst rcnstj 1pdcl tram anast CPT 19368 | not published | not published | $5,063.00 – $11,889.00 | 2 |
| Brst rcnstj 2 pdcl tram flap CPT 19369 | not published | not published | $5,063.00 – $11,889.00 | 2 |
| Brst rcnstj free flap CPT 19364 | not published | not published | $2,664.00 – $11,889.00 | 3 |
| Bso omentectomy w/tah 58956 CPT 58956 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Btk gene common variants CPT 81233 | $289.77 | $743.00 | $210.48 – $606.88 | 3 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $0.59 – $0.59 | 1 |
| Budesonide non-comp con HCPCS J7633 | not published | not published | $9.19 – $9.19 | 1 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $2.69 – $2.69 | 1 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | not published | not published | $1.11 – $1.11 | 1 |
| Bundled special stain group 1 microorganisms CPT 88312 | $161.46 | $414.00 | $19.80 – $162.60 | 4 |
| Bundled special stain group 2 CPT 88313 | $199.29 | $511.00 | $19.80 – $172.66 | 4 |
| Bundle his recording CPT 93600 | $2,873.13 | $7,367.00 | $5,272.00 – $21,080.09 | 3 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | not published | not published | $0.02 – $0.03 | 2 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $1.62 – $1.62 | 1 |
| Buprenorphine and metabolite - sendout CPT 80348 | not published | not published | $19.44 – $19.44 | 1 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $8.20 – $8.20 | 1 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $1.32 – $1.32 | 1 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $3,682.03 – $6,529.40 | 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.