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 |
|---|---|---|---|---|
| Constj trachesophgl fstl CPT 31611 | not published | not published | $1,937.00 – $9,087.85 | 5 |
| Construct bladder opening CPT 51980 | not published | not published | $5,063.00 – $6,179.00 | 2 |
| Construct bowel bladder CPT 50820 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Construct bowel bladder CPT 50825 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Construction of absent anus CPT 46730 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Construction of absent anus CPT 46735 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Construction of absent anus CPT 46740 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Construction of vagina CPT 57291 | not published | not published | $2,664.00 – $14,039.62 | 5 |
| Construct thumb replacement CPT 26550 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Construct vagina with graft CPT 57292 | not published | not published | $6,389.00 – $14,039.62 | 3 |
| Consultation pathology during surgery CPT 88329 | $296.40 | $760.00 | $19.80 – $172.66 | 4 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $447.33 | $1,147.00 | $19.80 – $2,427.15 | 4 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $159.12 | $408.00 | $17.35 – $47.40 | 3 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $223.86 | $574.00 | $41.46 – $482.12 | 4 |
| Consultation/report referred material w/preparation of slides CPT 88323 | $120.90 | $310.00 | $41.46 – $152.95 | 4 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $125.37 | $321.45 | $19.80 – $130.52 | 4 |
| Consult comp w/report rfrd material CPT 88325 | $931.71 | $2,389.00 | $65.18 – $482.12 | 4 |
| Contact lens fitg aphakia ou CPT 92312 | not published | not published | $360.57 – $360.57 | 1 |
| Contact lens fitting for tx CPT 92071 | $224.25 | $575.00 | not published | 0 |
| Cont intraop neuro monitor HCPCS G0453 | not published | not published | $2,665.00 – $2,665.00 | 1 |
| Contour cranial bone lesion CPT 21181 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Contour of face bone lesion CPT 21029 | not published | not published | $1,694.00 – $9,087.85 | 5 |
| Contrast exam abdominl aorta 75625-26 CPT 75625 | $2,496.00 | $6,400.00 | $187.11 – $8,997.17 | 4 |
| Contrast exam thoracic aorta CPT 75600 | $2,142.66 | $5,494.00 | $399.53 – $8,997.17 | 4 |
| Contrast exam thoracic aorta 75605-26 CPT 75605 | $2,944.11 | $7,549.00 | $188.75 – $15,511.46 | 4 |
| Contrast x-ray gallbladder CPT 74290 | $350.22 | $898.00 | $124.20 – $518.62 | 4 |
| Contrast x-ray of ankle CPT 73615 | $263.25 | $675.00 | $176.49 – $1,085.52 | 4 |
| Contrast x-ray of brain CPT 70010 | $735.93 | $1,887.00 | $115.29 – $1,085.52 | 4 |
| Contrast x-ray of brain CPT 70015 | $390.78 | $1,002.00 | $213.25 – $2,260.04 | 4 |
| Contrast x-ray of elbow CPT 73085 | $359.97 | $923.00 | $153.62 – $1,085.52 | 4 |
| Contrast x-ray of hip CPT 73525 | $578.76 | $1,484.00 | $167.50 – $1,085.52 | 4 |
| Contrast x-ray of knee joint CPT 73580 | $276.90 | $710.00 | $196.91 – $1,085.52 | 4 |
| Contrast x-ray of wrist CPT 73115 | $242.97 | $623.00 | $178.94 – $1,085.52 | 4 |
| Controler lvad heartmate 3 includes ebb HCPCS Q0481 | $10,823.87 | $27,753.52 | not published | 0 |
| Controller infinity pt dbs HCPCS C1787 | $55,451.69 | $142,183.81 | not published | 0 |
| Control nosebleed pack+caut 30905 CPT 30905 | $1,249.95 | $3,205.00 | $360.57 – $3,391.00 | 5 |
| Control nose/throat bleeding comp req hospital 42971 CPT 42971 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Control nose/throat bleeding with surg ivntj 42972 CPT 42972 | not published | not published | $1,937.00 – $9,087.85 | 5 |
| Control nose/throat bleeding w/pst nsl packs 42970 CPT 42970 | $1,870.44 | $4,796.00 | $689.46 – $3,391.00 | 3 |
| Control of nosebleed ant comp 30903 CPT 30903 | $1,117.74 | $2,866.00 | $360.57 – $3,391.00 | 5 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $1,117.74 | $2,866.00 | $360.57 – $3,391.00 | 4 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $579.93 | $1,487.00 | $1,308.00 – $3,391.00 | 5 |
| Control throat bleeding CPT 42961 | not published | not published | $5,063.00 – $6,179.00 | 2 |
| Control throat bleeding CPT 42962 | not published | not published | $1,694.00 – $9,087.85 | 5 |
| Contrst x-ray uppr gi tract CPT 74249 | not published | not published | $317.02 – $703.08 | 2 |
| Conversion ext bil drg cath CPT 47535 | $3,304.86 | $8,474.00 | $4,714.00 – $9,765.44 | 4 |
| Convert nephrostomy catheter CPT 50434 | $6,119.49 | $15,691.00 | $3,391.00 – $5,749.22 | 4 |
| Conv gtube to jtube CPT 44373 | $1,496.04 | $3,836.00 | $1,694.00 – $5,371.00 | 5 |
| Coombs direct CPT 86880 | $175.89 | $451.00 | $9.41 – $172.66 | 4 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | $149.76 | $384.00 | $10.02 – $482.12 | 4 |
| Coombs indirect titer reference CPT 86886 | $278.46 | $714.00 | $9.07 – $482.12 | 4 |
| Copper cu 64 dotatate diag HCPCS A9592 | $6,213.64 | $15,932.40 | $1,871.22 – $2,433.65 | 2 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $2,213.06 – $2,213.06 | 1 |
| Cor artery disease mrna CPT 81493 | not published | not published | $1,250.82 – $3,633.00 | 3 |
| Core ndl bx lng/med perq CPT 32408 | $3,535.35 | $9,065.00 | $3,391.00 – $5,272.00 | 3 |
| Cor hlx vlgs double osteot CPT 28299 | not published | not published | $2,664.00 – $20,193.44 | 5 |
| Cor hlx vlgs dstl mtar osteo CPT 28296 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Cor hlx vlgs prx phlx osteot CPT 28298 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Corneal hysteresis deter CPT 92145 | not published | not published | $172.66 – $172.66 | 1 |
| Corneal smear CPT 65430 | not published | not published | $1,124.66 – $5,063.00 | 3 |
| Corneal transplant CPT 65710 | not published | not published | $3,721.00 – $14,752.70 | 5 |
| Corneal transplant CPT 65730 | not published | not published | $3,721.00 – $11,889.00 | 5 |
| Corneal transplant CPT 65750 | not published | not published | $3,721.00 – $14,752.70 | 5 |
| Corneal transplant CPT 65755 | not published | not published | $3,721.00 – $11,889.00 | 5 |
| Corneal trnspl endothelial CPT 65756 | not published | not published | $9,000.00 – $11,889.00 | 4 |
| Cornea pre-cut midwest eye cornea pre-cut midwest eye HCPCS V2785 | $5,896.80 | $15,120.00 | not published | 0 |
| Coronary angio/cath placement bypass graft/lv gram/lt heart CPT 93459 | $10,540.92 | $27,028.00 | $3,995.78 – $11,889.00 | 3 |
| Coronary angio/lv gram/lt heart CPT 93458 | $9,933.30 | $25,470.00 | $3,646.55 – $11,889.00 | 3 |
| Coronary angio/lv gram/rt< heart CPT 93460 | $11,036.61 | $28,299.00 | $4,212.50 – $11,889.00 | 3 |
| Coronary artery correction CPT 33502 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Coronary artery graft CPT 33503 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Coronary artery graft CPT 33504 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Coronary art/grft angio s&i CPT 93455 | $6,590.61 | $16,899.00 | $3,574.80 – $11,889.00 | 3 |
| Coronary catheterization w/angiography supervision & interpretation CPT 93454 | $5,981.82 | $15,338.00 | $3,068.17 – $11,889.00 | 3 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $1,409.07 | $3,613.00 | $955.94 – $2,665.00 | 2 |
| Coroners autopsy (necropsy) CPT 88045 | not published | not published | $59.29 – $91.78 | 3 |
| Correct bunion/keller/mcbride/mayo 28292 CPT 28292 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Correct cock-up 5th toe/plast clos 28286 CPT 28286 | not published | not published | $2,323.00 – $9,136.47 | 5 |
| Correct finger deformity CPT 26567 | not published | not published | $2,664.00 – $9,136.47 | 5 |
| Correct inverted nipple(s) CPT 19355 | not published | not published | $2,323.00 – $10,759.21 | 5 |
| Correction claw finger other CPT 26499 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Correction eyelid w/implant CPT 67912 | not published | not published | $1,937.00 – $6,595.97 | 5 |
| Correction hallux valgus sesamoidectomy;prox meta osteotomy CPT 28295 | not published | not published | $4,220.00 – $9,136.47 | 4 |
| Correction of astigmatism CPT 65772 | not published | not published | $2,323.00 – $6,389.00 | 5 |
| Correction of astigmatism CPT 65775 | not published | not published | $2,323.00 – $6,595.97 | 5 |
| Correction of bladder defect CPT 51940 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Correction of everted punctum 68705 CPT 68705 | not published | not published | $822.27 – $3,391.00 | 4 |
| Correction trichiasis epilation forcep 67820 CPT 67820 | $80.73 | $207.00 | $360.57 – $5,063.00 | 3 |
| Correction trichiasis inccision lid margin 67830 CPT 67830 | $957.84 | $2,456.00 | $1,694.00 – $5,272.00 | 5 |
| Correct malrotation of bowel 44055 CPT 44055 | not published | not published | $6,859.00 – $9,000.00 | 2 |
| Correct metacarpal flaw CPT 26565 | not published | not published | $2,664.00 – $9,136.47 | 5 |
| Correct rectal prolapse CPT 45541 | not published | not published | $4,714.00 – $8,448.00 | 3 |
| Correct rectal prolapse; abdominal approach 45540 CPT 45540 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Correct skin color 6.0 cm/< CPT 11920 | not published | not published | $1,772.77 – $3,391.00 | 3 |
| Correct skin color ea 20.0cm CPT 11922 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Corrj halux rigdus w/implt CPT 28291 | not published | not published | $5,809.00 – $20,193.44 | 3 |
| Corrj halux rigdus without implt CPT 28289 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Corticorelin ovine triflutal HCPCS J0795 | not published | not published | $17.74 – $25.63 | 2 |
| Cortisol acth stimulation test - sendout CPT 80400 | not published | not published | $57.14 – $183.83 | 4 |
| Cortisol total am CPT 82533 | $278.07 | $713.00 | $28.57 – $56.40 | 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.