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 |
|---|---|---|---|---|
| Catheter declot mechanical CPT 36596 | $4,656.60 | $11,940.00 | $2,572.00 – $4,520.58 | 4 |
| Catheter insert artery CPT 36625 | $1,113.45 | $2,855.00 | $2,665.00 – $5,063.00 | 2 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $97.50 | $250.00 | $3.60 – $3,391.00 | 4 |
| Catheter stripping venous CPT 36595 | $5,728.71 | $14,689.00 | $2,572.00 – $8,997.17 | 4 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $4,219.76 | $10,819.89 | not published | 0 |
| Cath hawkone s directional HCPCS C1714 | $5,923.97 | $15,189.66 | not published | 0 |
| Cath imag ivus pv 8.5fx90 .035 HCPCS C1753 | $5,846.47 | $14,990.94 | not published | 0 |
| Cath intrdsc spnecth 8 pin HCPCS C1754 | $8,272.80 | $21,212.32 | not published | 0 |
| Cathj rmvl dev ischmc rmdlg CPT 53866 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $359.97 | $923.00 | $2,665.00 – $5,063.00 | 2 |
| Cath left heart/lv gram CPT 93452 | $7,729.41 | $19,819.00 | $2,976.16 – $11,889.00 | 3 |
| Cath left heart transseptal punc CPT 93462 | $5,037.24 | $12,916.00 | $2,665.00 – $3,391.00 | 2 |
| Cath lt/rt pulm art CPT 36014 | $1,281.93 | $3,287.00 | $2,665.00 – $3,391.00 | 2 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $5,710.84 | $14,643.18 | not published | 0 |
| Cath occl flo-rester 2.25x12mm cor internal vessel occluder HCPCS C1817 | $36,569.88 | $93,768.93 | not published | 0 |
| Cath place 1st order venous 36011 CPT 36011 | $1,143.09 | $2,931.00 | $2,665.00 – $3,391.00 | 2 |
| Cath place cardio brachytx CPT 92974 | $1,578.72 | $4,048.00 | $2,665.00 – $2,665.00 | 1 |
| Cath plc art ang/grft lt/rt hr CPT 93461 | $11,645.40 | $29,860.00 | $4,901.57 – $11,889.00 | 3 |
| Cath plc art/angio/rt hrt cath CPT 93456 | $8,563.62 | $21,958.00 | $3,813.37 – $11,889.00 | 3 |
| Cath plc art/grft/angio right hrt CPT 93457 | $9,172.02 | $23,518.00 | $4,315.40 – $11,889.00 | 3 |
| Cath right heart w/o2 sat & card CPT 93451 | $4,786.86 | $12,274.00 | $3,079.10 – $11,889.00 | 3 |
| Cath right hrt mnpul art CPT 36013 | $1,030.77 | $2,643.00 | $2,665.00 – $3,391.00 | 2 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $826.41 | $2,119.00 | $2,665.00 – $3,391.00 | 2 |
| Cath segmntl pulm art CPT 36015 | $1,500.33 | $3,847.00 | $2,665.00 – $3,391.00 | 2 |
| Cath steerable flex adv 12f HCPCS C1766 | $3,186.95 | $8,171.67 | not published | 0 |
| Cath stripping venous s&i CPT 75901 | $5,451.03 | $13,977.00 | $551.08 – $710.89 | 2 |
| Cath temp pace flo bipol 5fr electrd HCPCS C1779 | $1,525.80 | $3,912.30 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $180.84 | $463.68 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $852.93 | $2,187.00 | $565.10 – $3,391.00 | 3 |
| Cauterization of cervix 57510 CPT 57510 | not published | not published | $4,714.00 – $8,824.63 | 3 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $13.62 – $26.88 | 3 |
| CBC without platelet HCPCS G0307 | not published | not published | $11.34 – $22.39 | 3 |
| #cbg+cort-cbg CPT 84449 | $144.30 | $370.00 | $31.54 – $62.28 | 4 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $60.88 – $112.00 | 3 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | not published | not published | $64.25 – $118.23 | 3 |
| Ccnd1/igh translocation alys CPT 81168 | $512.46 | $1,314.00 | $248.77 – $717.29 | 2 |
| Cdna analysis for variants CPT 81403 | $1,848.99 | $4,741.00 | $222.24 – $640.79 | 3 |
| Cdp-sot 6 cond w/i&r CPT 92548 | not published | not published | $360.57 – $360.57 | 1 |
| Cdp-sot 6 cond w/i&r mct&adt CPT 92549 | not published | not published | $360.57 – $360.57 | 1 |
| Cebpa gene full sequence CPT 81218 | $545.22 | $1,398.00 | $395.41 – $836.97 | 4 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | not published | not published | $1.54 – $1.54 | 1 |
| Cefepime 1 gram solution for injection HCPCS J0692 | not published | not published | $2.36 – $2.36 | 1 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $19.06 – $19.06 | 1 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $23.54 – $23.54 | 1 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $8.48 – $8.48 | 1 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $7.53 – $13.29 | 3 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $3.14 – $3.14 | 1 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $191.99 – $330.26 | 3 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $9.99 – $9.99 | 1 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | not published | not published | $0.86 – $0.86 | 1 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $3.60 – $3.60 | 1 |
| #celiac hla-dq2 CPT 81377 | $251.16 | $644.00 | $150.30 – $327.80 | 4 |
| #celiac hla-dq8 CPT 81383 | $251.16 | $644.00 | $178.66 – $377.59 | 4 |
| Cell count body fluid CPT 89050 | $116.22 | $298.00 | $8.28 – $16.33 | 4 |
| Cell count w differential body fluid CPT 89051 | $121.68 | $312.00 | $9.65 – $19.38 | 4 |
| Cell cryopreserve/storage CPT 88240 | $17.94 | $46.00 | $17.70 – $45.22 | 4 |
| Cell enumeration & id CPT 86152 | not published | not published | $15.25 – $867.70 | 3 |
| Cell enumeration phys interp CPT 86153 | not published | not published | $15.25 – $28.70 | 2 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $1,189.99 – $1,189.99 | 1 |
| Cell function assay w/stim CPT 86352 | $191.10 | $490.00 | $116.76 – $470.08 | 4 |
| Cell marker study CPT 88182 | $346.71 | $889.00 | $41.46 – $187.96 | 4 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $53.77 – $95.01 | 3 |
| Centralization wrist on ulna CPT 25335 | not published | not published | $1,937.00 – $11,889.00 | 5 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $10,199.04 – $14,378.41 | 3 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $7.33 – $17.13 | 2 |
| Cerclage cervix pregnancy abdominal 59325 CPT 59325 | not published | not published | $1,694.00 – $6,859.00 | 3 |
| Cerclage of uterine cervix nonob 57700 CPT 57700 | not published | not published | $1,308.00 – $8,824.63 | 5 |
| Cerebrospinal fld flw imag CPT 78645 | $333.84 | $856.00 | $710.86 – $1,525.66 | 4 |
| Cerebrospinal fluid scan CPT 78647 | not published | not published | $740.27 – $1,533.93 | 2 |
| Cer post col occ/man sup adj HCPCS L0180 | $626.46 | $1,606.32 | not published | 0 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $7.43 – $16.68 | 3 |
| Cerv collar supp adj cerv ba HCPCS L0190 | $903.04 | $2,315.50 | not published | 0 |
| Cervical laminoplsty 2/> seg CPT 63050 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cervical lymphadenectomy 38720 CPT 38720 | not published | not published | $6,179.00 – $18,406.78 | 3 |
| Cesarean section delivery only 59514 CPT 59514 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $146.95 – $255.07 | 3 |
| #cf-97variants CPT 81220 | $639.44 | $1,639.60 | $443.98 – $1,925.84 | 3 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $238.09 – $1,505.34 | 3 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $189.44 – $583.88 | 3 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $116.66 – $336.38 | 3 |
| Change cystostomy tube; complex 51710 CPT 51710 | $4,060.68 | $10,412.00 | $1,308.00 – $4,066.00 | 5 |
| Change cystostomy tube simple CPT 51705 | $1,053.39 | $2,701.00 | $697.61 – $3,391.00 | 4 |
| Change gastric port open CPT 43888 | not published | not published | $3,437.00 – $10,126.62 | 4 |
| Change g-tube to g-j perc CPT 49446 | $11,247.99 | $28,841.00 | $2,572.00 – $5,371.00 | 4 |
| Change nephroureteral cath CPT 50387 | $9,363.90 | $24,010.00 | $3,391.00 – $5,749.22 | 4 |
| Change of ureter tube/stent CPT 50688 | $1,272.57 | $3,263.00 | $1,308.00 – $5,749.22 | 5 |
| Change of windpipe airway 31502 CPT 31502 | $624.39 | $1,601.00 | $689.46 – $3,391.00 | 4 |
| Change stent via transureth CPT 50385 | $1,110.33 | $2,847.00 | $3,391.00 – $6,179.00 | 4 |
| Change ureter stent percut CPT 50382 | $17,297.28 | $44,352.00 | $3,391.00 – $6,179.00 | 4 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $12.07 – $482.12 | 4 |
| Chemical exfoliation acne 17360 CPT 17360 | not published | not published | $565.10 – $5,063.00 | 3 |
| Chemical peel face epiderm 15788 CPT 15788 | not published | not published | $1,125.52 – $5,063.00 | 3 |
| Chemical peel nonfacial 15793 CPT 15793 | not published | not published | $1,125.52 – $5,063.00 | 3 |
| Chemical peel nonfacial; epidermal CPT 15792 | not published | not published | $1,772.77 – $5,063.00 | 3 |
| Chemo adm cns w/lmbr punct CPT 96450 | $437.19 | $1,121.00 | $211.84 – $955.94 | 2 |
| Chemodener muscle larynx emg CPT 64617 | $382.20 | $980.00 | $1,952.00 – $4,066.00 | 3 |
| Chemodenerv 1 extrem 1-4 ea 64643 CPT 64643 | $631.80 | $1,620.00 | $2,665.00 – $3,391.00 | 2 |
| Chemodenerv 1 extrem 5/> ea 64645 CPT 64645 | $631.80 | $1,620.00 | $2,665.00 – $3,391.00 | 2 |
| Chemodenerv 1 extrem 5/> mus 64644 CPT 64644 | $1,895.01 | $4,859.00 | $1,952.00 – $4,066.00 | 3 |
| Chemodenerv 1 extremity 1-4 64642 CPT 64642 | $1,895.01 | $4,859.00 | $1,952.00 – $4,066.00 | 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.