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 |
|---|---|---|---|---|
| Ecmo/ecls repos perph cnula 6yrs&older perq 33958 CPT 33958 | $4,083.69 | $10,471.00 | $5,063.00 – $6,859.00 | 2 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $21.02 – $43.80 | 4 |
| Ecp ciliary body destruction CPT 66711 | not published | not published | $1,694.00 – $6,577.81 | 5 |
| Eculizumab injection HCPCS J1300 | not published | not published | $427.25 – $780.89 | 3 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $11,596.29 – $18,215.48 | 3 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $2.42 – $2.42 | 1 |
| Edu/train/pt/nonmd/in person/30 min98960 CPT 98960 | $154.83 | $397.00 | not published | 0 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $934.05 | $2,395.00 | $885.97 – $885.97 | 1 |
| Eeg/cerebral death evaluation only 95824 -26 CPT 95824 | $1,203.15 | $3,085.00 | not published | 0 |
| Eeg during surgery CPT 95955 | $260.91 | $669.00 | not published | 0 |
| Eeg monitoring/function test CPT 95958 | $1,600.95 | $4,105.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $861.12 | $2,208.00 | $885.97 – $885.97 | 1 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,279.20 | $3,280.00 | $885.97 – $885.97 | 1 |
| Eeg/record in coma or sleep only 95822 CPT 95822 | $1,215.63 | $3,117.00 | $885.97 – $885.97 | 1 |
| Eeg recording awake and asleep CPT 95819 | $937.95 | $2,405.00 | $885.97 – $885.97 | 1 |
| Eeg without vid 2-12hr cont mntr CPT 95707 | $1,233.96 | $3,164.00 | $885.97 – $885.97 | 1 |
| Eeg without vid 2-12 hr unmntr CPT 95705 | $441.09 | $1,131.00 | $885.97 – $885.97 | 1 |
| Eeg without vid ea 12-26hr cont CPT 95710 | $3,530.67 | $9,053.00 | not published | 0 |
| Eeg without vid ea 12-26hr intmt CPT 95709 | $3,530.67 | $9,053.00 | not published | 0 |
| Eeg wo vid 2-12hr intmt mntr CPT 95706 | $1,233.96 | $3,164.00 | $885.97 – $885.97 | 1 |
| Eeg wo vid ea 12-26hr unmntr CPT 95708 | $3,530.67 | $9,053.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | $131.43 | $337.00 | $23.10 – $45.64 | 4 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $61.85 – $111.00 | 2 |
| Egd balloon dil esoph30 mm/> CPT 43233 | not published | not published | $4,714.00 – $5,699.00 | 4 |
| Egd control bleeding any CPT 43255 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Egd dilate stricture CPT 43245 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Egd endo mucosal resection CPT 43254 | not published | not published | $4,220.00 – $5,809.00 | 4 |
| Egd endoscopic stent place CPT 43266 | not published | not published | $5,809.00 – $16,086.99 | 4 |
| Egd esophagogastrc fndoplsty CPT 43210 | not published | not published | $5,809.00 – $29,055.57 | 4 |
| Egd flx trnsorl dplmnt balo CPT 43290 | not published | not published | $5,272.00 – $5,809.00 | 3 |
| Egd flx trnsorl rmvl balo CPT 43291 | not published | not published | $2,558.69 – $5,272.00 | 3 |
| Egd guide wire insertion CPT 43248 | not published | not published | $1,694.00 – $5,272.00 | 5 |
| Egd injection varices CPT 43243 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Egd/insert intraluminal tube/cath 43241 CPT 43241 | $2,105.22 | $5,398.00 | $1,694.00 – $5,371.00 | 5 |
| Egd lesion ablation CPT 43270 | not published | not published | $5,272.00 – $5,809.00 | 4 |
| Egd optical endomicroscopy CPT 43252 | not published | not published | $4,714.00 – $5,699.00 | 4 |
| Egd remove foreign body CPT 43247 | not published | not published | $1,694.00 – $5,272.00 | 5 |
| Egd remove lesion snare CPT 43251 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Egd/remov tum/polyp/hot bx forcep 43250 CPT 43250 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Egd Ultrasound exam duodenum/jejunum CPT 43259 | not published | not published | $1,937.00 – $5,809.00 | 5 |
| Egd Ultrasound fine needle bx/aspir CPT 43238 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Egd Ultrasound fine needle bx/aspir CPT 43242 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Egd Ultrasound transmural injxn/mark CPT 43253 | not published | not published | $5,272.00 – $5,809.00 | 4 |
| Egd varices ligation CPT 43244 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Egd w/thrml txmnt gerd CPT 43257 | not published | not published | $1,937.00 – $10,810.08 | 5 |
| Egd w/transmural drain cyst CPT 43240 | not published | not published | $1,694.00 – $16,086.99 | 5 |
| Egfr gene com variants CPT 81235 | $3,061.89 | $7,851.00 | $396.01 – $1,123.05 | 4 |
| Ehrlicha chaffeensis amp prb CPT 87484 | not published | not published | $121.41 – $121.41 | 1 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $23.16 – $67.71 | 3 |
| EKG tracing for initial prev HCPCS G0404 | not published | not published | $84.05 – $84.05 | 1 |
| EKG (Tracing Only) CPT 93005 | $305.76 | $784.00 | $172.66 – $172.66 | 1 |
| Elbow arthroscopy CPT 29830 | not published | not published | $1,937.00 – $15,026.00 | 5 |
| Elbow arthroscopy/surgery CPT 29834 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Elbow arthroscopy/surgery CPT 29835 | not published | not published | $1,937.00 – $15,026.00 | 5 |
| Elbow arthroscopy/surgery CPT 29836 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Elbow arthroscopy/surgery CPT 29837 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Elbow arthroscopy/surgery CPT 29838 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Elbow X-ray (2 views, both sides) CPT 73070 | $193.05 | $495.00 | $44.14 – $256.49 | 4 |
| Elbow X-ray (3 or more views, both sides) CPT 73080 | $261.30 | $670.00 | $51.48 – $256.49 | 4 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $504.27 | $1,293.00 | $843.10 – $4,714.00 | 5 |
| Elec stim unattend for press HCPCS G0281 | $140.01 | $359.00 | not published | 0 |
| Elect analysis of infusion pump 62367 CPT 62367 | not published | not published | $843.10 – $4,714.00 | 5 |
| Elect anlys sp inf pmp w/reprg&fill 62369 CPT 62369 | $576.81 | $1,479.00 | $843.10 – $5,063.00 | 3 |
| Electrd sq emblem s-icd HCPCS C1896 | $10,160.27 | $26,051.98 | not published | 0 |
| Electrical bone stim 20974 CPT 20974 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Electrical Stimulation Therapy (each 15 minutes) CPT 97032 | $92.43 | $237.00 | not published | 0 |
| Electroacous eval hear aid/biaural 92595 CPT 92595 | $55.77 | $143.00 | not published | 0 |
| Electrocochleography CPT 92584 | $427.44 | $1,096.00 | $440.91 – $440.91 | 1 |
| Electroconvulsive therapy 90870 CPT 90870 | $4,517.37 | $11,583.00 | $1,308.00 – $1,512.89 | 2 |
| Electrocorticography durng sx CPT 95829 | $431.73 | $1,107.00 | not published | 0 |
| Electrode stimulation brain CPT 95961 | $2,265.90 | $5,810.00 | not published | 0 |
| Electroejaculation CPT 55870 | not published | not published | $2,269.16 – $4,066.00 | 4 |
| Electrogastrography CPT 91132 | not published | not published | $885.97 – $2,665.00 | 2 |
| Electrogastrography w/test CPT 91133 | not published | not published | $360.57 – $2,665.00 | 2 |
| Electrolyte panel CPT 80051 | $140.40 | $360.00 | $12.29 – $24.25 | 4 |
| Electronic analysis with brain program ea add 15 min 95984 CPT 95984 | $55.38 | $142.00 | not published | 0 |
| Electronic analysis with brain program first 15 min 95983 CPT 95983 | $73.71 | $189.00 | not published | 0 |
| Electron microscopy diagnostic CPT 88348 | $1,561.95 | $4,005.00 | $191.39 – $2,427.15 | 4 |
| Electro-oculography w/i&r CPT 92270 | not published | not published | $360.57 – $360.57 | 1 |
| Electrophysiologic study CPT 93624 | $3,384.81 | $8,679.00 | $15,026.00 – $21,080.09 | 2 |
| Electrophysiology evaluation CPT 93619 | $4,675.71 | $11,989.00 | $9,000.00 – $21,080.09 | 3 |
| Electrophysiology evaluation CPT 93620 | $7,683.78 | $19,702.00 | $9,000.00 – $21,080.09 | 3 |
| Electrophysiology evaluation CPT 93621 | $2,187.12 | $5,608.00 | $2,665.00 – $9,000.00 | 2 |
| Electrophysiology evaluation CPT 93622 | $2,742.09 | $7,031.00 | $2,665.00 – $9,000.00 | 2 |
| Electrophysiology evaluation CPT 93641 | $3,431.61 | $8,799.00 | $2,665.00 – $9,000.00 | 2 |
| Electrophysiology evaluation CPT 93642 | $3,911.70 | $10,030.00 | $3,359.34 – $9,000.00 | 3 |
| Electrophysiology evaluation CPT 93644 | $3,431.61 | $8,799.00 | $2,665.00 – $2,665.00 | 1 |
| Electrophys map 3d add-on CPT 93613 | $2,755.74 | $7,066.00 | $2,665.00 – $2,665.00 | 1 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $23.16 – $63.28 | 3 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $19.82 – $19.82 | 1 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $560.21 – $971.95 | 3 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $14.71 – $25.53 | 3 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $338.60 – $338.60 | 1 |
| Embedded ip cath exit-site 49436 CPT 49436 | not published | not published | $3,391.00 – $5,371.00 | 4 |
| Embolization s&i CPT 75894 | $4,517.76 | $11,584.00 | $3,073.25 – $3,964.49 | 2 |
| Embo or occlude vascular arterial s&i CPT 37242 | $16,031.73 | $41,107.00 | $5,809.00 – $49,495.55 | 3 |
| Embo or occlude vascular hemorrhage s&i CPT 37244 | $15,266.94 | $39,146.00 | $5,809.00 – $31,052.45 | 3 |
| Embo or occlude vascular tumor/organ/infarct s&i CPT 37243 | $28,608.45 | $73,355.00 | $5,809.00 – $31,052.45 | 3 |
| Embo or occlude vascular venous s&i CPT 37241 | $15,266.94 | $39,146.00 | $5,809.00 – $31,052.45 | 3 |
| Embryo hatching CPT 89253 | not published | not published | $65.18 – $482.12 | 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.