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 |
|---|---|---|---|---|
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $5.66 – $10.14 | 3 |
| Dark field exam spec collj CPT 87164 | not published | not published | $18.82 – $37.16 | 4 |
| Dark field exam without collj CPT 87166 | $143.52 | $368.00 | $19.79 – $39.10 | 4 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $473.47 – $801.89 | 3 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $44.83 – $123.42 | 3 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $109.90 – $109.90 | 1 |
| Dbrdmt prmlg les w/pdt CPT 96574 | $241.80 | $620.00 | $565.10 – $3,391.00 | 3 |
| D&c after delivery 59160 CPT 59160 | not published | not published | $1,937.00 – $8,824.63 | 5 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | $3,774.81 | $9,679.00 | $1,694.00 – $8,824.63 | 5 |
| Dch glucoscan CPT 82948 | $41.34 | $106.00 | $5.56 – $17.44 | 4 |
| Dch pulmonary stress test CPT 94621 | $807.30 | $2,070.00 | $885.97 – $885.97 | 1 |
| Dch validity tests CPT 81002 | $59.67 | $153.00 | $4.45 – $12.04 | 4 |
| Dcm pq ndl dsk sgl/mlt lv lmbr w/guide CPT 62287 | $4,021.68 | $10,312.00 | $5,449.92 – $9,032.00 | 5 |
| Dcmprn orbit only transcrnl CPT 61330 | not published | not published | $5,063.00 – $11,889.00 | 3 |
| Dcmprn plantar digital nerve CPT 64726 | not published | not published | $1,308.00 – $6,179.00 | 5 |
| D&c of cervical stump CPT 57558 | not published | not published | $1,937.00 – $8,824.63 | 5 |
| Deamidated gliadin antibody iga CPT 86258 | $26.91 | $69.00 | $13.84 – $41.69 | 2 |
| Debr g/per/abd wall 11006 CPT 11006 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $852.93 | $2,187.00 | $1,308.00 – $3,391.00 | 4 |
| Debridement (>20 cm) charge pt CPT 97598 | $1,035.06 | $2,654.00 | $2,665.00 – $3,391.00 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $3,620.76 | $9,284.00 | $1,694.00 – $4,714.00 | 5 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $926.25 | $2,375.00 | $2,665.00 – $3,391.00 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $2,474.55 | $6,345.00 | $2,665.00 – $3,391.00 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $1,533.48 | $3,932.00 | $1,125.52 – $4,714.00 | 5 |
| Debride nail1-5 11720 CPT 11720 | $420.81 | $1,079.00 | $172.66 – $3,391.00 | 3 |
| Debride nail6 or more 11721 CPT 11721 | $471.12 | $1,208.00 | $172.66 – $3,391.00 | 3 |
| Debride/rmv fb/open fx/skin/sq/musc11011 CPT 11011 | $823.68 | $2,112.00 | $1,694.00 – $4,714.00 | 5 |
| Debride skin bone at fx site CPT 11012 | $3,278.34 | $8,406.00 | $1,694.00 – $8,020.55 | 5 |
| Debride skn/sq/musc/abd wall 11004 CPT 11004 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Debride skn/sq t/m/f necro infctj abdl wall 11005 CPT 11005 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $827.97 | $2,123.00 | $2,665.00 – $3,391.00 | 2 |
| Debrid mastoidectomy cavity simple 69220 CPT 69220 | $116.22 | $298.00 | $565.10 – $5,063.00 | 3 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $823.68 | $2,112.00 | $1,694.00 – $4,714.00 | 5 |
| Debr inf skin add-on 11001 CPT 11001 | $106.86 | $274.00 | $1,694.00 – $3,391.00 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $1,533.48 | $3,932.00 | $1,694.00 – $4,714.00 | 5 |
| Decalcification CPT 88311 | $83.85 | $215.00 | $10.67 – $21.26 | 3 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $4.44 – $7.18 | 2 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $1,297.53 | $3,327.00 | $955.94 – $3,391.00 | 3 |
| Decomp fasct leg ant+/lat+pst cmprt 27602 CPT 27602 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Decomp forearm 1 space 25020 CPT 25020 | not published | not published | $1,937.00 – $8,448.00 | 5 |
| Decomp forearm 2 spaces w/debrid 25025 CPT 25025 | not published | not published | $1,937.00 – $6,179.00 | 5 |
| Decompress fasciotomyhand 26037 CPT 26037 | not published | not published | $2,323.00 – $9,136.47 | 5 |
| Decompress fingers/hand CPT 26035 | not published | not published | $2,323.00 – $9,136.47 | 5 |
| Decompress forearm 1 space CPT 25023 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Decompress forearm 2 spaces CPT 25024 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Decompression fasct forearm CPT 24495 | not published | not published | $1,694.00 – $20,193.44 | 5 |
| Decompression of leg CPT 27892 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Decompression of leg CPT 27893 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Decompression of leg CPT 27894 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Decompression of lower leg CPT 27600 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Decompression of lower leg CPT 27601 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Decompression of thigh/knee CPT 27496 | not published | not published | $2,664.00 – $9,136.47 | 5 |
| Decompression of thigh/knee CPT 27497 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Decompression of thigh/knee CPT 27498 | not published | not published | $1,937.00 – $8,448.00 | 5 |
| Decompression of thigh/knee CPT 27499 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Decompression of tibia nerve CPT 28035 | not published | not published | $2,323.00 – $6,389.00 | 5 |
| Decompression unspecified nerve 64722 CPT 64722 | not published | not published | $1,308.00 – $6,179.00 | 5 |
| Decompressive craniotomy CPT 61322 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Decompress optic nerve CPT 67570 | not published | not published | $2,323.00 – $10,913.47 | 5 |
| Decompres spinal cord;thoracic 63055 CPT 63055 | not published | not published | $6,760.00 – $20,193.44 | 4 |
| Decompress small bowel CPT 44021 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Decompress spinal cord lmbr CPT 63056 | not published | not published | $8,245.00 – $20,193.44 | 4 |
| Decompress spinal cord thrc CPT 63064 | not published | not published | $5,063.00 – $20,193.44 | 4 |
| Decompress spine cord add-on CPT 63066 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Decomp spinal cord/transped/ad seg 63057 CPT 63057 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Deep muscle biopsy 20205 CPT 20205 | not published | not published | $1,937.00 – $8,020.55 | 5 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $17.04 – $17.04 | 1 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $8.16 – $14.50 | 3 |
| Delayed breast prosthesis 19342 CPT 19342 | not published | not published | $1,937.00 – $26,608.13 | 5 |
| Delay flap arms/legs CPT 15610 | not published | not published | $1,937.00 – $6,179.00 | 5 |
| Delay flap eye/nos/ear/lip CPT 15630 | $2,190.24 | $5,616.00 | $1,937.00 – $5,809.00 | 5 |
| Delay flap fccnaxghf 15620 CPT 15620 | not published | not published | $2,323.00 – $6,389.00 | 5 |
| Delay flap trunk 15600 CPT 15600 | not published | not published | $1,937.00 – $10,126.62 | 5 |
| Delivery of placenta 59414 CPT 59414 | $6,783.66 | $17,394.00 | $5,063.00 – $8,824.63 | 3 |
| Delivery only failed vbac 59620 CPT 59620 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Delivery only/pp care/failed vbac 59622 CPT 59622 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Delivery transcath fxtn dvc to endogrft w/s&i CPT 34712 | not published | not published | $5,809.00 – $6,859.00 | 2 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $229.32 | $588.00 | $602.04 – $602.04 | 1 |
| Denervation of hip joint CPT 27035 | not published | not published | $2,323.00 – $9,136.47 | 5 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $140.89 – $140.89 | 1 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $52.72 – $87.19 | 3 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $794.82 | $2,038.00 | $360.57 – $3,391.00 | 5 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $73.67 – $73.67 | 1 |
| Dermabrasion other than face CPT 15782 | not published | not published | $2,572.00 – $8,020.55 | 4 |
| Dermabrasion segmental face 15781 CPT 15781 | not published | not published | $1,985.95 – $5,063.00 | 4 |
| Dermabrasion suprfl any site CPT 15783 | $2,454.27 | $6,293.00 | $1,125.52 – $5,063.00 | 4 |
| Dermabrasion total face CPT 15780 | not published | not published | $5,063.00 – $8,020.55 | 3 |
| Derma-fat-fascia graft 15770 CPT 15770 | not published | not published | $1,937.00 – $10,126.62 | 5 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $572.14 – $572.14 | 1 |
| Dermagraft HCPCS Q4106 | not published | not published | $85.66 – $85.66 | 1 |
| Dermal filler injection(s) HCPCS G0429 | not published | not published | $5,063.00 – $5,147.45 | 2 |
| Dermapure 1 square cm HCPCS Q4152 | $4,137.81 | $10,609.78 | $99.21 – $99.21 | 1 |
| Derm autograft face/nck/hf/g CPT 15135 | not published | not published | $1,694.00 – $10,126.62 | 5 |
| Derm autograft trnk/arm/leg CPT 15130 | not published | not published | $1,694.00 – $6,179.00 | 5 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $443.55 – $443.55 | 1 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $2,969.53 – $2,969.53 | 1 |
| Descend thora aorta rpr/lt sub art 33880 CPT 33880 | $3,695.64 | $9,476.00 | $5,063.00 – $6,859.00 | 2 |
| Description not available HCPCS S0013 | not published | not published | $26.82 – $26.82 | 1 |
| Design custom breast implant CPT 19396 | not published | not published | $5,809.00 – $10,759.21 | 3 |
| Design mlc device for imrt CPT 77338 | $4,659.72 | $11,948.00 | $662.68 – $1,320.24 | 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.