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 |
|---|---|---|---|---|
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | not published | not published | $2,177.43 – $7,007.74 | 3 |
| Calcitonin stimul panel CPT 80410 | not published | not published | $140.76 – $283.51 | 4 |
| Calcium 24 hour urine CPT 82340 | $223.08 | $572.00 | $10.57 – $20.86 | 4 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.04 – $0.04 | 1 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | not published | not published | $0.08 – $0.17 | 2 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | not published | not published | $0.21 – $0.31 | 2 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $17.06 – $17.06 | 1 |
| Calcium infusion test CPT 82331 | not published | not published | $9.07 – $46.16 | 4 |
| Calcium ionized CPT 82330 | $208.26 | $534.00 | $23.94 – $47.33 | 4 |
| Calcium total CPT 82310 | $62.01 | $159.00 | $9.04 – $17.85 | 4 |
| Calculi urinary-sendout CPT 82360 | $361.14 | $926.00 | $22.56 – $44.53 | 4 |
| Calculus analysis qual CPT 82355 | $149.37 | $383.00 | $20.27 – $40.07 | 4 |
| Caloric vstblr test w/rec CPT 92538 | not published | not published | $440.91 – $440.91 | 1 |
| Calprotectin fecal CPT 83993 | $505.44 | $1,296.00 | $34.39 – $67.92 | 4 |
| Cam cervix uteri drg colp CPT 57465 | not published | not published | $2,665.00 – $2,665.00 | 1 |
| Campylobacter antibody CPT 86625 | not published | not published | $22.99 – $45.40 | 4 |
| Canakinumab injection HCPCS J0638 | not published | not published | $258.99 – $430.18 | 3 |
| Candida dna CPT 87480 | $94.77 | $243.00 | $35.12 – $69.37 | 4 |
| Candida dna quant CPT 87482 | not published | not published | $73.14 – $192.86 | 4 |
| Candida skin test CPT 86485 | not published | not published | $6.61 – $84.05 | 4 |
| Cannabinoids synthetic 1-3 CPT 80350 | not published | not published | $29.32 – $29.32 | 1 |
| Cannabinoids synthetic 4-6 CPT 80351 | not published | not published | $19.87 – $19.87 | 1 |
| Cannabinoid synthetic 7/more CPT 80352 | not published | not published | $19.44 – $19.44 | 1 |
| Cannula declotting 36861 CPT 36861 | not published | not published | $1,937.00 – $15,511.46 | 5 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $64,091.55 | $164,337.30 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $1,356.60 – $1,356.60 | 1 |
| Canthotomy 67715 CPT 67715 | $3,629.73 | $9,307.00 | $1,308.00 – $6,595.97 | 5 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.08 – $0.08 | 1 |
| Cap nerve 2x15mm HCPCS C1763 | $25,972.19 | $66,595.35 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $6.35 – $11.31 | 3 |
| Capsular contracture release CPT 23020 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Capsulectomy/capsulotomy hip CPT 27036 | not published | not published | $6,389.00 – $11,889.00 | 2 |
| Capsulotomy; interphalangeal joint, each joint (separate proc) CPT 28272 | not published | not published | $4,536.58 – $6,179.00 | 3 |
| Capsulotomy mpj ea joint (sep proc) CPT 28270 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Cap trach decann 15mm HCPCS C1750 | $5,077.51 | $13,019.26 | not published | 0 |
| Carbamazepine free CPT 80157 | not published | not published | $23.23 – $45.84 | 4 |
| Carbamazepine free -sendout CPT 80161 | not published | not published | $22.37 – $64.49 | 2 |
| Carbamazepine total therapeutic drug level CPT 80156 | $122.85 | $315.00 | $25.51 – $50.41 | 4 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $449.72 – $788.05 | 3 |
| Carbohydrate deficient transf - sendout CPT 82373 | not published | not published | $31.64 – $62.49 | 4 |
| Carbohydrate urine - sendout CPT 84377 | $75.66 | $194.00 | $9.65 – $19.03 | 4 |
| Carbon dioxide CPT 82374 | $62.01 | $159.00 | $8.57 – $16.88 | 4 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $6.92 – $6.92 | 1 |
| Carboxyhemoglobin quantitative CPT 82375 | $202.02 | $518.00 | $21.60 – $42.63 | 4 |
| Car-car bp grft/endovas taa CPT 33891 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Carcinoembryonic ag (cea) CPT 82378 | $306.93 | $787.00 | $33.24 – $65.60 | 4 |
| Cardiac MRI w/stress img CPT 75559 | $1,474.98 | $3,782.00 | $676.50 – $1,557.18 | 3 |
| Cardiac perf planar mult/ef/wm CPT 78454 | $3,563.04 | $9,136.00 | $887.36 – $4,008.07 | 4 |
| Cardiac perf planar sgl/ef/wm CPT 78453 | not published | not published | $609.55 – $4,008.07 | 4 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $3,132.09 | $8,031.00 | $654.49 – $4,008.07 | 4 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $686.40 | $1,760.00 | not published | 0 |
| Cardiac rehabilitation op phase 2 without continous ecg monitoring CPT 93797 | $138.45 | $355.00 | not published | 0 |
| Cardiac shunt imaging CPT 78428 | $696.15 | $1,785.00 | $344.83 – $1,164.18 | 4 |
| Cardioassist external CPT 92971 | not published | not published | $6,859.00 – $6,859.00 | 1 |
| Cardioassist internal CPT 92970 | not published | not published | $6,859.00 – $6,859.00 | 1 |
| Cardiolipin antibody iga CPT 86147 | $196.56 | $504.00 | $44.57 – $88.06 | 4 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $3,408.90 – $11,210.40 | 3 |
| Cardioversion/elective/internal 92961 CPT 92961 | $1,501.11 | $3,849.00 | $1,837.05 – $4,066.00 | 2 |
| Cardioversion (Scheduled Heart Rhythm Shock) CPT 92960 | $2,476.89 | $6,351.00 | $1,837.05 – $4,066.00 | 2 |
| Card MRI veloc flow mapping CPT 75565 | $414.18 | $1,062.00 | $98.04 – $122.63 | 2 |
| Caregiver training strategies&tq 1st 30 minutes CPT 97550 | $70.98 | $182.00 | not published | 0 |
| Caregiver training strategies&tq ea addl 15 min CPT 97551 | $32.76 | $84.00 | not published | 0 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $99.05 – $162.93 | 3 |
| Carinal reconstruction CPT 31766 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Car ion chnnlpath inc 10 gns CPT 81413 | $1,038.57 | $2,663.00 | $962.80 – $2,023.75 | 4 |
| Car ion chnnlpath inc 2 gns CPT 81414 | $1,168.44 | $2,996.00 | $962.80 – $2,023.75 | 4 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $486.64 – $2,122.92 | 3 |
| Carotene CPT 82380 | $139.62 | $358.00 | $16.16 – $31.90 | 4 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,387.23 | $3,557.00 | $375.04 – $986.85 | 3 |
| Carotid intima atheroma eval CPT 93895 | $692.64 | $1,776.00 | not published | 0 |
| Car outp meas drg cath chd CPT 93598 | not published | not published | $2,665.00 – $2,665.00 | 1 |
| Carpal Tunnel Release Surgery CPT 64721 | not published | not published | $1,694.00 – $6,179.00 | 5 |
| Car seat/bed test 60 minutes CPT 94780 | $232.05 | $595.00 | not published | 0 |
| Car seat/bed test additional 30 minutes CPT 94781 | $83.46 | $214.00 | not published | 0 |
| Car-t admn autologous CPT 38228 | not published | not published | $2,665.00 – $2,665.00 | 1 |
| Car-t therapy hrvg bld-drv t lymphcyt pr day CPT 38225 | not published | not published | $6,859.00 – $6,859.00 | 1 |
| Car-t therapy prepj bld-drv t lymphcyt f/trns CPT 38226 | not published | not published | $6,859.00 – $6,859.00 | 1 |
| Car-t therapy receipt & prepj car-t cells f/admn CPT 38227 | not published | not published | $6,859.00 – $6,859.00 | 1 |
| Ca screen;flexi sigmoidscope HCPCS G0104 | not published | not published | $2,579.78 – $4,066.00 | 3 |
| Casiri and imdev repeat HCPCS M0240 | $553.80 | $1,420.00 | not published | 0 |
| Casirivimab and imdevimab HCPCS Q0243 | not published | not published | $0.02 – $0.03 | 3 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $9.64 – $9.64 | 1 |
| Cataract Surgery CPT 66984 | not published | not published | $3,680.00 – $8,057.00 | 5 |
| Cataract surg w/iol 1 stage CPT 66983 | not published | not published | $3,680.00 – $8,057.00 | 5 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $30.12 – $94.46 | 4 |
| Cath 2lum 14.5frx43cm maxid kt mahurkar HCPCS C1752 | $3,317.20 | $8,505.63 | not published | 0 |
| Cath ablat bi-d d-d 8fr 115cm HCPCS C2630 | $6,545.59 | $16,783.56 | not published | 0 |
| Cath ablt clsfast 7fx100cmx HCPCS C1888 | $1,939.94 | $4,974.21 | not published | 0 |
| Cath ablt rx lasr 2.0mm turbo HCPCS C1885 | $5,586.11 | $14,323.36 | not published | 0 |
| Cath access del ds spyscop 2.0 HCPCS C1748 | $6,534.29 | $16,754.58 | not published | 0 |
| Cath acuity innr ic130 6f 63cm HCPCS C1887 | $49,796.69 | $127,683.81 | not published | 0 |
| Cath acunav ge 10frx90cm HCPCS C1759 | $5,619.62 | $14,409.27 | not published | 0 |
| Cath adherent clot 10mm 6f 10 HCPCS C1757 | $32,045.77 | $82,168.65 | not published | 0 |
| Cath baloon occl urnry 34f 7x2x65 HCPCS C2628 | $5,253.91 | $13,471.56 | not published | 0 |
| Cath bi-dir df smarttouch HCPCS C1732 | $16,765.60 | $42,988.72 | not published | 0 |
| Cath blazer dx/20 2-10-2 space HCPCS C1731 | $2,812.13 | $7,210.59 | not published | 0 |
| Cath combo lt&rt heart w/inj/s CPT 93453 | $8,832.72 | $22,648.00 | $3,871.03 – $11,889.00 | 3 |
| Cath cv dl inj 7fx16cm HCPCS C1751 | $8,081.88 | $20,722.77 | not published | 0 |
| Cath del ampltz 12f 45d 80cm HCPCS C1893 | $5,227.27 | $13,403.25 | not published | 0 |
| Cath epdrl brevi-stf 12in .043 HCPCS C1755 | $1,841.26 | $4,721.19 | not published | 0 |
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.