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 |
|---|---|---|---|---|
| Costotransversectomy CPT 21610 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | not published | not published | $63.72 – $63.72 | 1 |
| Co-treatment - group 15 mins, st CPT 92508 | $108.81 | $279.00 | not published | 0 |
| Counseling smoke cess interm >10mins CPT 99407 | $43.68 | $112.00 | not published | 0 |
| Cov-19 amp prb hgh thruput HCPCS U0003 | not published | not published | $120.00 – $120.00 | 1 |
| Coveredge 32 lead kit 40cm 48 HCPCS C1897 | $9,802.24 | $25,133.94 | not published | 0 |
| Cover eye w/membrane CPT 65778 | $612.69 | $1,571.00 | $2,857.75 – $5,272.00 | 4 |
| Cover eye w/membrane suture CPT 65779 | not published | not published | $3,391.00 – $10,913.47 | 4 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $59.05 | $151.42 | not published | 0 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $553.80 | $1,420.00 | not published | 0 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $553.80 | $1,420.00 | not published | 0 |
| Covid-19 lab test non-cdc HCPCS U0002 | $147.03 | $377.00 | $61.57 – $177.53 | 2 |
| #covid19rsv-rsv CPT 87634 | $129.48 | $332.00 | $103.99 – $242.89 | 4 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $170.82 | $438.00 | $22.84 – $45.08 | 4 |
| CPAP or BiPAP Setup (first day) CPT 94660 | $1,653.60 | $4,240.00 | $602.04 – $602.04 | 1 |
| C-peptide CPT 84681 | $241.02 | $618.00 | $36.46 – $72.00 | 4 |
| CPR (Cardiopulmonary Resuscitation) CPT 92950 | $904.80 | $2,320.00 | $885.97 – $2,665.00 | 2 |
| Cptr-asst dir ms px CPT 20985 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Cptrized corneal topography CPT 92025 | $111.93 | $287.00 | $172.66 – $172.66 | 1 |
| Cptr ophth dx img post segmt CPT 92134 | $79.56 | $204.00 | $172.66 – $172.66 | 1 |
| Cr-51 sodium chromate HCPCS A9553 | not published | not published | $676.61 – $676.61 | 1 |
| Craniect/craniot w/wo duraplasty w/lobectomy 61323 CPT 61323 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Craniectomy/craniotomy expl 61304 CPT 61304 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Craniectomy/craniotomy tx penet wound brain 61571 CPT 61571 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Craniectomy exc brain tumor fossa 61518 CPT 61518 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Craniectomy exc brain tumor meningioma 61519 CPT 61519 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Craniectomy f/osteomyelitis CPT 61501 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Craniectomy or craniotomy for drng abscess 61320 CPT 61320 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Craniectomy or craniotomy for drng inf 61315 CPT 61315 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Craniectomy or craniotomy for drng supr 61313 CPT 61313 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Craniectomy subocc w/cerv lam (press relief) 61343 CPT 61343 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Craniofacial approach skull CPT 61580 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Craniofacial approach skull CPT 61581 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Craniofacial approach skull CPT 61582 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Craniofacial approach skull CPT 61583 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Crbrospnl fld flw imag cistern CPT 78630 | $450.84 | $1,156.00 | $731.29 – $1,525.66 | 4 |
| C-reactive protein CPT 86140 | $138.45 | $355.00 | $9.07 – $17.92 | 4 |
| C-reactive protein high sensitivity CPT 86141 | $91.65 | $235.00 | $22.69 – $44.81 | 4 |
| C-reactive protein, quantitative CPT 86406 | $93.99 | $241.00 | $18.64 – $36.81 | 4 |
| Creat artery-vein fistula autograft 36825 CPT 36825 | not published | not published | $2,323.00 – $15,511.46 | 5 |
| Create eardrum opening CPT 69436 | not published | not published | $1,937.00 – $5,809.00 | 5 |
| Create passage to kidney CPT 52334 | not published | not published | $1,937.00 – $9,840.21 | 5 |
| Create tear duct drain CPT 68745 | not published | not published | $2,323.00 – $10,913.47 | 5 |
| Create tear duct drain CPT 68750 | not published | not published | $2,323.00 – $10,913.47 | 5 |
| Create tear sac drain CPT 68720 | not published | not published | $2,323.00 – $10,913.47 | 5 |
| Creatine isoforms CPT 82554 | not published | not published | $20.80 – $41.07 | 4 |
| Creatine kinase CPT 82550 | $118.56 | $304.00 | $11.41 – $22.52 | 4 |
| Creatine kinase isoenzymes CPT 82552 | $184.47 | $473.00 | $23.47 – $46.33 | 4 |
| Creatine kinase mb CPT 82553 | $196.17 | $503.00 | $20.23 – $39.96 | 4 |
| Creatine - sendout CPT 82540 | $35.10 | $90.00 | $8.11 – $16.05 | 4 |
| Creatinine CPT 82565 | $39.39 | $101.00 | $8.98 – $17.72 | 4 |
| Creatinine 24 hour urine CPT 82570 | $79.95 | $205.00 | $9.07 – $17.92 | 4 |
| Creatinine clearance urine CPT 82575 | $175.50 | $450.00 | $16.55 – $32.73 | 4 |
| #creutz-prot.,western blot CPT 84182 | $429.78 | $1,102.00 | $31.54 – $101.07 | 4 |
| Crh stimulation panel CPT 80412 | not published | not published | $439.25 – $2,773.61 | 4 |
| Cricopharyngeal myotomy 43030 CPT 43030 | not published | not published | $5,063.00 – $16,529.94 | 3 |
| Cricotracheal resection CPT 31592 | not published | not published | $6,389.00 – $16,529.94 | 3 |
| Crisis psychotherapy 90839 CPT 90839 | $536.25 | $1,375.00 | $450.03 – $450.03 | 1 |
| Crisis psychotherapy additional 30 mins 90840 CPT 90840 | $194.61 | $499.00 | not published | 0 |
| Critical care each additional 30 minutes CPT 99292 | $1,155.18 | $2,962.00 | not published | 0 |
| Critical Care (first 30 to 74 minutes) CPT 99291 | $5,251.74 | $13,466.00 | $2,504.74 – $2,504.74 | 1 |
| Crizanlizumab-tmca 10 mg/ml intravenous solution HCPCS J0791 | not published | not published | $245.26 – $439.77 | 3 |
| Crnec/crnot drg icr abs ittl CPT 61321 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Crnec/crnot expl infratntorl CPT 61305 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Crnec/crnot ittl xdrl/sdrl CPT 61314 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Crnec exc tum/bone les skull CPT 61500 | not published | not published | $9,842.00 – $15,026.00 | 2 |
| Crnec sopl sctj 1+crnl nrv CPT 61460 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Crnec sopl xpl/dcmpr crl nrv CPT 61458 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Crnec stpl sctj cmprn/dcmprn CPT 61450 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Crnec treph exc brn abs sttl CPT 61514 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Crnec treph exc cyst sttl CPT 61516 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Crnop skull defect>5 cm diam CPT 62141 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Crnop w/autograft<5 cm diam CPT 62146 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Crnop w/autograft>5 cm diam CPT 62147 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cromolyn sodium noncomp unit HCPCS J7631 | not published | not published | $0.40 – $0.40 | 1 |
| Cross-over vein graft CPT 34520 | not published | not published | $5,063.00 – $15,511.46 | 3 |
| Crotalidae poly immune fab HCPCS J0840 | not published | not published | $3,391.99 – $6,950.13 | 3 |
| Crtj pericardial window/prtl resecj w/drg/bx CPT 33025 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Cryoablate prostate CPT 55873 | not published | not published | $7,487.00 – $26,003.15 | 5 |
| Cryocautery of cervix 57511 CPT 57511 | not published | not published | $905.52 – $3,391.00 | 4 |
| Cryo fib comp path redu each HCPCS P9026 | $108.42 | $278.00 | not published | 0 |
| Cryofibrinogen qualitative - sendout CPT 82585 | $20.69 | $53.05 | $15.02 – $48.92 | 4 |
| Cryoprecipitate each unit HCPCS P9012 | $377.13 | $967.00 | not published | 0 |
| Cryopreservation embryo(s) CPT 89258 | not published | not published | $65.18 – $2,427.15 | 3 |
| Cryopreservation oocyte(s) CPT 89337 | not published | not published | $220.34 – $482.12 | 3 |
| Cryopreservation sperm CPT 89259 | not published | not published | $65.18 – $482.12 | 3 |
| Cryopreserve stem cells CPT 38207 | $1,009.71 | $2,589.00 | $1,225.32 – $5,063.00 | 4 |
| Cryopreserve testicular tiss CPT 89335 | not published | not published | $65.18 – $152.95 | 3 |
| Cryosurg ablate fa each CPT 19105 | not published | not published | $6,389.00 – $10,759.21 | 4 |
| Cryosurgery penis lesion(s) 54056 CPT 54056 | $138.84 | $356.00 | $565.10 – $5,063.00 | 3 |
| Cryotherapy of acne 17340 CPT 17340 | $101.79 | $261.00 | $172.66 – $5,063.00 | 3 |
| Cryptococcus abs qn - sendout CPT 86641 | $89.70 | $230.00 | $25.26 – $49.86 | 4 |
| Cryptosporidium antigen CPT 87272 | $101.79 | $261.00 | $21.02 – $41.45 | 4 |
| Crystal identification light microscopy CPT 89060 | $106.08 | $272.00 | $12.53 – $25.36 | 4 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $6,760.00 – $6,760.00 | 1 |
| Csf leakage imaging CPT 78650 | $238.68 | $612.00 | $722.30 – $4,008.07 | 4 |
| Csf shunt reprogram 62252 CPT 62252 | $2,331.42 | $5,978.00 | $843.10 – $5,063.00 | 4 |
| Csf ventriculography CPT 78635 | $714.87 | $1,833.00 | $745.17 – $1,525.66 | 4 |
| Cstb gene detc abnor allele CPT 81188 | $225.42 | $578.00 | $164.40 – $474.02 | 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.