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 |
|---|---|---|---|---|
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $3,682.03 – $6,529.40 | 3 |
| Bupropion hcl sr 60 tablets HCPCS S0106 | not published | not published | $29.54 – $29.54 | 1 |
| Bur hol/trph drg brn abs/cst CPT 61150 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Burr hol aspir hmtm/cst icer CPT 61156 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Burr hole for vent puncture 61120 CPT 61120 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Burr hole implant ventricular cath/other device CPT 61210 | $6,515.73 | $16,707.00 | $5,063.00 – $6,859.00 | 2 |
| Burr hole skull for biopsy 61140 CPT 61140 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Burr hole skull & remove clot 61154 CPT 61154 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Burr hole treph ittl uni/bi CPT 61253 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Burr hole/treph sbsq tapping CPT 61151 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Burr hole/treph sttl expl CPT 61250 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Bur rotalink 2.15mm HCPCS C1724 | $6,525.81 | $16,732.84 | not published | 0 |
| Busulfan injection HCPCS J0594 | not published | not published | $2.71 – $5.06 | 3 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $10.83 – $10.83 | 1 |
| Butorphanol tartrate, nasal HCPCS S0012 | not published | not published | $109.65 – $109.65 | 1 |
| Buttock fasciotomy CPT 27027 | not published | not published | $4,714.00 – $20,193.44 | 4 |
| Buttock fasciotomy w/dbrdmt CPT 27057 | not published | not published | $4,536.58 – $9,032.00 | 4 |
| Bx arm/elbow soft tissue supf 24065 CPT 24065 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Bx bone trocar/ndl deep CPT 20225 | $4,098.51 | $10,509.00 | $1,694.00 – $5,272.00 | 5 |
| Bx breast 1st lesion mr imag CPT 19085 | $5,174.91 | $13,269.00 | $4,220.00 – $5,809.00 | 4 |
| Bx breast 1st lesion strtctc CPT 19081 | $3,735.03 | $9,577.00 | $4,220.00 – $5,272.00 | 4 |
| Bx breast add lesion mr imag CPT 19086 | $842.40 | $2,160.00 | $2,665.00 – $3,391.00 | 2 |
| Bx breast add lesion strtctc CPT 19082 | $500.37 | $1,283.00 | $2,665.00 – $3,391.00 | 2 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $842.40 | $2,160.00 | $2,665.00 – $3,391.00 | 2 |
| Bx breast perq without image 19100 CPT 19100 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Bx breast pq tomo guide CPT 19499 | $6,989.58 | $17,922.00 | $3,391.00 – $10,759.21 | 3 |
| Bx/curett of cervix w/scope 57454 CPT 57454 | $163.02 | $418.00 | $905.52 – $4,714.00 | 5 |
| Bx/exc idrl imed lesn cervl CPT 63285 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Bx/exc idrl imed lesn thrc CPT 63286 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Bx/exc idrl imed lesn thrlmb CPT 63287 | not published | not published | $5,063.00 – $16,710.00 | 2 |
| Bx/exc idrl spine lesn crvl CPT 63280 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Bx/exc idrl spine lesn scrl CPT 63283 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Bx/exc lymph node/open/deep cervic 38510 CPT 38510 | not published | not published | $1,694.00 – $10,759.21 | 5 |
| Bx/exc lymph node/open/superfic 38500 CPT 38500 | $163.02 | $418.00 | $1,694.00 – $10,759.21 | 5 |
| Bx/exc xdrl/idrl lsn any lvl CPT 63290 | not published | not published | $5,063.00 – $16,710.00 | 2 |
| Bx/exc xdrl spine lesn crvl CPT 63275 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Bx/exc xdrl spine lesn lmbr CPT 63277 | not published | not published | $5,063.00 – $16,710.00 | 2 |
| Bx/exc xdrl spine lesn scrl CPT 63278 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Bx/exc xdrl spine lesn thrc CPT 63276 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Bx leg/ankle soft tissue deep 27614 CPT 27614 | not published | not published | $1,694.00 – $8,020.55 | 5 |
| Bx liver with other CPT 47001 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Bx muscle CPT 20200 | $1,327.56 | $3,404.00 | $1,694.00 – $5,272.00 | 5 |
| Bx nasopharynx/unknown pri lesion 42806 CPT 42806 | not published | not published | $1,694.00 – $9,087.85 | 5 |
| Bx of breast open 19101 CPT 19101 | $6,920.94 | $17,746.00 | $1,694.00 – $10,759.21 | 5 |
| Bx of cervix w/scope leep 57460 CPT 57460 | $612.30 | $1,570.00 | $1,694.00 – $8,824.63 | 4 |
| Bx pancreas pq ndl CPT 48102 | $2,113.80 | $5,420.00 | $1,308.00 – $5,272.00 | 5 |
| Bx perianal mass CPT 46999 | not published | not published | $2,579.78 – $4,066.00 | 3 |
| Bx pleura pq ndl CPT 32400 | $3,580.98 | $9,182.00 | $1,308.00 – $5,272.00 | 5 |
| Bx prst8 ndl sat sampling CPT 55706 | not published | not published | $4,220.00 – $9,840.21 | 4 |
| Bx shoulder tissues deep 23066 CPT 23066 | not published | not published | $1,694.00 – $8,020.55 | 5 |
| Bx shoulder tissues supf 23065 CPT 23065 | not published | not published | $1,308.00 – $4,576.34 | 5 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $332.67 | $853.00 | $2,665.00 – $3,391.00 | 2 |
| Bx skin punch ea sep/ addl les CPT 11105 | $188.76 | $484.00 | $2,665.00 – $3,391.00 | 2 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $200.46 | $514.00 | $2,665.00 – $3,391.00 | 2 |
| Bx/soft tis/forearm/wrist/superfic 25065 CPT 25065 | not published | not published | $1,308.00 – $4,576.34 | 5 |
| Bx soft tiss pelvis+hip area supf 27040 CPT 27040 | $5,093.79 | $13,061.00 | $1,308.00 – $4,576.34 | 5 |
| Bx soft tiss pelvis/hip deep 27041 CPT 27041 | not published | not published | $1,694.00 – $4,714.00 | 5 |
| Bx soft tissue back/flank deep 21925 CPT 21925 | not published | not published | $1,694.00 – $6,179.00 | 5 |
| Bx soft tissue back/flank supf 21920 CPT 21920 | $986.31 | $2,529.00 | $1,308.00 – $4,576.34 | 5 |
| Bx spinal cord pq ndl CPT 62269 | $3,729.57 | $9,563.00 | $1,308.00 – $5,272.00 | 5 |
| Bx thigh/knee soft tiss supf 27323 CPT 27323 | not published | not published | $1,308.00 – $4,576.34 | 5 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $1,646.97 | $4,223.00 | $1,308.00 – $4,066.00 | 5 |
| Bx vag mucos smpl (sep proc) CPT 57100 | $273.00 | $700.00 | $1,308.00 – $4,066.00 | 5 |
| Bx vulva or perineum/1 lesion 56605 CPT 56605 | $2,368.08 | $6,072.00 | $1,308.00 – $4,066.00 | 5 |
| Bx vulva or perineum/ea add lesion 56606 CPT 56606 | $2,159.04 | $5,536.00 | $2,665.00 – $3,391.00 | 2 |
| Bypass graft/av fist patency CPT 35686 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Bypass graft patency/patch CPT 35685 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Bypass temp external fem-fem CPT 37799 | $852.54 | $2,186.00 | $1,773.21 – $4,714.00 | 3 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $138.11 – $222.69 | 3 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $122.12 – $216.46 | 3 |
| C1 esterase inhibitor func - sendout CPT 86161 | $103.35 | $265.00 | $21.04 – $41.52 | 4 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $427.12 – $728.16 | 3 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $4.36 – $4.36 | 1 |
| Cabg 2 arterial grafts 33534 CPT 33534 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg 3 arterial grafts 33535 CPT 33535 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg arterial four or more 33536 CPT 33536 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabgsingle artery graft 33533 CPT 33533 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabgsingle coronary venous graft 33510 CPT 33510 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg/valve reop >1 mo p org proced 33530 CPT 33530 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg vein five CPT 33514 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg/vein only/2 cor venous gfts 33511 CPT 33511 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg/vein only/3 cor venous gfts 33512 CPT 33512 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg/vein only/4 cor venous gfts 33513 CPT 33513 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg vein six or more CPT 33516 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg venous & art 1 vein graft 33517 CPT 33517 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg venous & art 2 vein graft 33518 CPT 33518 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg venous & art 3 vein graft 33519 CPT 33519 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg venous & art 4 vein graft 33521 CPT 33521 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg venous & art 5 vein graft 33522 CPT 33522 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cabg venous & art 6 vein graft 33523 CPT 33523 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cable cath 22-pin diag HCPCS C1730 | $6,534.29 | $16,754.58 | not published | 0 |
| Cable centrimag pressure HCPCS Q0508 | $9,015.12 | $23,115.69 | not published | 0 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $44.16 – $78.20 | 3 |
| Cacna1a gen detc abnor allel CPT 81184 | $225.42 | $578.00 | $164.40 – $474.02 | 3 |
| Cacna1a gene full gene seq CPT 81185 | $1,391.52 | $3,568.00 | $1,015.52 – $2,928.09 | 3 |
| Cacna1a gen known famil vrnt CPT 81186 | $304.59 | $781.00 | $222.24 – $640.79 | 3 |
| Cad breast MRI w/r&i HCPCS C8937 | $56.16 | $144.00 | not published | 0 |
| Cadd pump refill CPT 96521 | $712.14 | $1,826.00 | $383.87 – $605.00 | 2 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $2.90 – $2.90 | 1 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $145.87 – $145.87 | 1 |
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.