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 |
|---|---|---|---|---|
| Embryo transfer intrauterine CPT 58974 | $998.79 | $2,561.00 | $1,308.00 – $4,066.00 | 5 |
| Emb/throm/fempop/aor/ilia/leg inc 34201 CPT 34201 | $5,488.47 | $14,073.00 | $5,063.00 – $15,511.46 | 3 |
| Emb/throm/pop-tib-pero art/leg inc 34203 CPT 34203 | $4,938.96 | $12,664.00 | $5,063.00 – $15,511.46 | 3 |
| Emb w/colposcopy 58110 CPT 58110 | $149.37 | $383.00 | $2,665.00 – $3,391.00 | 2 |
| Emb without cervical dilation 58100 CPT 58100 | $426.66 | $1,094.00 | $562.46 – $3,391.00 | 4 |
| Emg 2 ext w-w/o paraspinal area 95861 CPT 95861 | $622.83 | $1,597.00 | $360.57 – $360.57 | 1 |
| Emg 3 ext w-w/o paraspinal area 95863 CPT 95863 | $888.81 | $2,279.00 | $440.91 – $440.91 | 1 |
| Emg cranial nerve bilateral CPT 95868 | $565.89 | $1,451.00 | $885.97 – $885.97 | 1 |
| Emg needle test 1-extremity CPT 95860 | $436.02 | $1,118.00 | $360.57 – $360.57 | 1 |
| Emg needle test 4-extremities CPT 95864 | $1,228.89 | $3,151.00 | $440.91 – $440.91 | 1 |
| Emg thor paraspinal without t1/t2 CPT 95869 | $184.86 | $474.00 | $885.97 – $885.97 | 1 |
| Encephalitis, california igg/igm CPT 86651 | $131.43 | $337.00 | $23.10 – $45.64 | 4 |
| Encephalitis, st louis igg/igm CPT 86653 | $131.43 | $337.00 | $23.10 – $45.64 | 4 |
| Encephalitis, western equine igg/igm CPT 86654 | $131.43 | $337.00 | $23.10 – $45.64 | 4 |
| Endo abl/incom vein/ext/laser/#1 36478 CPT 36478 | not published | not published | $1,308.00 – $9,032.00 | 5 |
| Endo abl/incom vein/ext/rad fre/#1 36475 CPT 36475 | $7,813.26 | $20,034.00 | $1,308.00 – $9,032.00 | 5 |
| Endo assay seven anal CPT 81506 | not published | not published | $97.24 – $238.46 | 2 |
| Endo cath bile duct s&i CPT 74328 | $389.22 | $998.00 | $289.14 – $372.99 | 2 |
| Endo cath panc duct s&i CPT 74329 | $367.77 | $943.00 | $232.47 – $299.89 | 2 |
| Endocerv curettage w/scope 57456 CPT 57456 | $114.66 | $294.00 | $905.52 – $3,391.00 | 4 |
| Endocervical curettage 57505 CPT 57505 | $121.68 | $312.00 | $2,269.16 – $4,066.00 | 4 |
| Endo cholangiopancreatograph CPT 43261 | $6,006.00 | $15,400.00 | $1,694.00 – $10,810.08 | 5 |
| Endo cholangiopancreatograph CPT 43262 | not published | not published | $1,694.00 – $10,810.08 | 5 |
| Endo defect closure gi tract HCPCS C9901 | not published | not published | $5,809.00 – $29,055.57 | 3 |
| Endoluminal bx biliary tree CPT 47543 | $914.55 | $2,345.00 | $2,665.00 – $3,391.00 | 2 |
| Endoluminal bx urtr rnl plvs CPT 50606 | $708.63 | $1,817.00 | $2,665.00 – $3,391.00 | 2 |
| Endoluminl ivus oct c 1st CPT 92978 | $2,717.91 | $6,969.00 | $2,665.00 – $2,665.00 | 1 |
| Endoluminl ivus oct c ea CPT 92979 | $1,166.10 | $2,990.00 | $2,665.00 – $2,665.00 | 1 |
| Endome abla/them without hystero guide 58353 CPT 58353 | not published | not published | $2,323.00 – $14,039.62 | 5 |
| Endometrial cryoablation w/us 58356 CPT 58356 | not published | not published | $6,760.00 – $14,039.62 | 3 |
| Endo outlet restrict w/tube HCPCS C9785 | not published | not published | $5,809.00 – $29,055.57 | 3 |
| Endoscopic injection/implant CPT 51715 | not published | not published | $1,937.00 – $9,840.21 | 5 |
| Endoscopic pancreatoscopy CPT 43273 | not published | not published | $2,665.00 – $9,032.00 | 3 |
| Endoscopic Ultrasound exam esoph CPT 43237 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Endoscopic vein harvest 33508 CPT 33508 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Endoscopy bowel pouch/biop CPT 44386 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Endoscopy ligate perf veins 37500 CPT 37500 | not published | not published | $1,937.00 – $15,511.46 | 5 |
| Endoscopy maxillary sinus CPT 31267 | not published | not published | $1,937.00 – $19,319.08 | 5 |
| Endoscopy of bowel pouch 44385 CPT 44385 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Endoscopy of ureter CPT 50951 | not published | not published | $1,308.00 – $9,840.21 | 5 |
| Endoscopy of ureter CPT 50953 | not published | not published | $1,308.00 – $9,840.21 | 5 |
| Endoscopy swallow (fees) vid CPT 92612 | $330.33 | $847.00 | not published | 0 |
| Endoscpy nsl/sns w/cntrl nsl hmrrgh CPT 31238 | $2,756.52 | $7,068.00 | $1,308.00 – $5,272.00 | 5 |
| Endo sleeve gastro w/tube HCPCS C9784 | not published | not published | $5,809.00 – $29,055.57 | 3 |
| Endovasc prosth delayed 33886 CPT 33886 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Endovasc rpr a-biiliac endogft 34705 CPT 34705 | $3,695.64 | $9,476.00 | $6,859.00 – $8,245.00 | 2 |
| Endovasc tempory vessel occl CPT 61623 | $6,705.66 | $17,194.00 | $8,245.00 – $31,052.45 | 3 |
| Endovasc visc aorta 1 graft CPT 34841 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Endovasc visc aorta 2 graft CPT 34842 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Endovasc visc aorta 3 graft CPT 34843 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Endovasc visc aorta 4 graft CPT 34844 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Endovas iliac a device addon CPT 34808 | $1,764.36 | $4,524.00 | $5,063.00 – $6,859.00 | 2 |
| Endovenous laser vein addon 36479 CPT 36479 | $89.70 | $230.00 | $1,937.00 – $3,391.00 | 3 |
| Endovenous mchnchem 1st vein CPT 36473 | $5,134.35 | $13,165.00 | $5,809.00 – $8,997.17 | 3 |
| Endovenous mchnchem add-on CPT 36474 | $3,851.25 | $9,875.00 | $2,665.00 – $3,391.00 | 2 |
| Endovenous rf abl vein addl CPT 36476 | $3,734.64 | $9,576.00 | $1,937.00 – $3,391.00 | 3 |
| Endoven ther chem adhes 1st 36482 CPT 36482 | $6,459.57 | $16,563.00 | $5,809.00 – $15,511.46 | 3 |
| Endoven ther chem adhes sbsq 36483 CPT 36483 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $69.85 – $121.20 | 3 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $1.30 – $1.30 | 1 |
| Enlarge breast CPT 19324 | not published | not published | $2,323.00 – $5,063.00 | 3 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | not published | not published | $1.07 – $1.07 | 1 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | $73.71 | $189.00 | $21.02 – $41.45 | 4 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $21.02 – $55.36 | 4 |
| Enterectomy cong add-on CPT 44128 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Enterectomy small intestine addl 44121 CPT 44121 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Enterectomy small intestine single 44120 CPT 44120 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Enterectomy without taper cong CPT 44126 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Enterectomy w/taper cong CPT 44127 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Enteroenterostomy fusion 44130 CPT 44130 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Enterorrhaphy 1perforation 44602 CPT 44602 | not published | not published | $5,063.00 – $6,179.00 | 2 |
| Enterorrhaphy multiple perforations 44603 CPT 44603 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Enterostomy/cecostomy tube open 44300 CPT 44300 | not published | not published | $4,714.00 – $5,272.00 | 2 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $21.02 – $46.43 | 4 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $31.64 – $152.34 | 4 |
| Enzyme histochemistry CPT 88319 | $455.91 | $1,169.00 | $65.18 – $2,427.15 | 4 |
| Ep & ablate supravent arrhyt CPT 93653 | $20,039.37 | $51,383.00 | $9,000.00 – $67,039.17 | 3 |
| Ep & ablate ventric tachy CPT 93654 | $20,039.37 | $51,383.00 | $9,000.00 – $67,039.17 | 3 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $105.19 – $186.15 | 2 |
| Epidrm a-grft face/nck/hf/g 15115 CPT 15115 | not published | not published | $1,694.00 – $5,272.00 | 5 |
| Epidrm a-grft f/n/hf/g addl CPT 15116 | $2,281.11 | $5,849.00 | $1,308.00 – $3,391.00 | 3 |
| Epidrm agrft t/a/l 1st 100 CPT 15110 | not published | not published | $1,694.00 – $5,272.00 | 5 |
| Epidrm autogrft t/a/l add-on CPT 15111 | not published | not published | $1,308.00 – $3,391.00 | 3 |
| Epidural/lumbar/sacral/ea add level64484 CPT 64484 | $2,026.05 | $5,195.00 | $1,308.00 – $3,391.00 | 3 |
| Epidural lysis mult sessions CPT 62263 | not published | not published | $1,308.00 – $4,066.00 | 5 |
| Epidural lysis on single day 62264 CPT 62264 | $2,420.73 | $6,207.00 | $1,308.00 – $4,066.00 | 5 |
| Epidurography CPT 72275 | not published | not published | $385.00 – $385.00 | 1 |
| Epiglottidectomy CPT 31420 | not published | not published | $1,694.00 – $16,529.94 | 5 |
| Epikeratoplasty CPT 65767 | not published | not published | $6,179.00 – $9,000.00 | 2 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $2,938.27 – $8,472.02 | 2 |
| Ep induct arrhy by elect pacing CPT 93618 | $2,753.40 | $7,060.00 | $3,359.34 – $9,000.00 | 3 |
| Epiphysl arrst dstl rds&ulna CPT 25455 | not published | not published | $1,937.00 – $11,889.00 | 5 |
| Epiphysl arrst dstl rds/ulna CPT 25450 | not published | not published | $1,937.00 – $11,889.00 | 5 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $3.11 – $3.11 | 1 |
| Episiotomy/vag rpr oth/thn attending phys 59300 CPT 59300 | $3,588.78 | $9,202.00 | $4,714.00 – $8,824.63 | 3 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $1.24 – $1.24 | 1 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | not published | not published | $14.24 – $27.06 | 3 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $12.31 – $30.76 | 3 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $2.33 – $5.61 | 2 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $2.31 – $5.61 | 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.