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 |
|---|---|---|---|---|
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $31.33 – $31.33 | 1 |
| Epstein barr early antigen antibody CPT 86663 | $94.77 | $243.00 | $22.99 – $45.40 | 4 |
| Epstein barr nuclear antigen antibody CPT 86664 | $94.77 | $243.00 | $26.81 – $52.90 | 4 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $129.48 | $332.00 | $31.78 – $62.76 | 4 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $7.13 – $20.66 | 3 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $36.82 – $62.49 | 3 |
| Ercp biliary & pancreas CPT 74330 | $1,469.13 | $3,767.00 | $430.08 – $554.80 | 2 |
| Ercp bil/panc duct; each stent plcmt 43274 CPT 43274 | not published | not published | $5,809.00 – $16,086.99 | 4 |
| Ercp ea duct/ampulla dilate CPT 43277 | not published | not published | $5,809.00 – $10,810.08 | 4 |
| Ercp lesion ablate w/dilate 43278 CPT 43278 | not published | not published | $5,809.00 – $10,810.08 | 4 |
| Ercp lithotripsy calculi CPT 43265 | not published | not published | $1,694.00 – $16,086.99 | 5 |
| Ercp remove duct calculi 43264 CPT 43264 | not published | not published | $1,694.00 – $10,810.08 | 5 |
| Ercp remove forgn body duct 43275 CPT 43275 | not published | not published | $5,272.00 – $9,032.00 | 4 |
| Ercp sphincter pressure meas CPT 43263 | not published | not published | $1,694.00 – $6,179.00 | 5 |
| Ercp stent exchange w/dilate CPT 43276 | not published | not published | $5,809.00 – $16,086.99 | 4 |
| Ercp w/specimen collection CPT 43260 | $4,440.54 | $11,386.00 | $1,694.00 – $10,810.08 | 5 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $9.28 – $9.28 | 1 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $254.11 – $463.71 | 3 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $20.99 – $20.99 | 1 |
| ER Visit (level 1, minor) CPT 99281 | $224.25 | $575.00 | $250.60 – $250.60 | 1 |
| ER Visit (level 2) CPT 99282 | $341.25 | $875.00 | $461.65 – $461.65 | 1 |
| ER Visit (level 3) CPT 99283 | $643.50 | $1,650.00 | $805.36 – $805.36 | 1 |
| ER Visit (level 4) CPT 99284 | $875.16 | $2,244.00 | $1,250.18 – $1,250.18 | 1 |
| ER Visit (level 5, high severity) CPT 99285 | $4,258.80 | $10,920.00 | $1,813.03 – $1,813.03 | 1 |
| Erwinaze injection HCPCS J9019 | not published | not published | $783.65 – $1,478.35 | 3 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $118.44 – $279.50 | 2 |
| Escharotomy ea addl incision CPT 16036 | not published | not published | $5,063.00 – $5,272.00 | 2 |
| Esd endoscopy or colonoscopy HCPCS C9779 | not published | not published | $5,809.00 – $10,810.08 | 3 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.69 – $1.56 | 2 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.40 – $0.90 | 2 |
| Esophageal dilat s&i CPT 74360 | $457.86 | $1,174.00 | $316.86 – $408.75 | 2 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Esophageal motility CPT 78258 | $517.92 | $1,328.00 | $451.85 – $1,164.18 | 4 |
| Esophageal recording CPT 93615 | not published | not published | $3,359.34 – $5,272.00 | 2 |
| Esophageal recording CPT 93616 | not published | not published | $3,359.34 – $5,272.00 | 2 |
| Esophag muc integ w/eso egd HCPCS C9777 | not published | not published | $3,391.00 – $10,810.08 | 3 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Esophagoplasty congenital CPT 43313 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $4,714.00 – $5,699.00 | 4 |
| Esophagosc flex trnsn biopsy CPT 43198 | $1,654.38 | $4,242.00 | $2,558.69 – $5,272.00 | 4 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $4,220.00 – $5,371.00 | 4 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $4,714.00 – $16,086.99 | 4 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Esophagoscopy balloon <30mm CPT 43220 | $1,447.68 | $3,712.00 | $1,308.00 – $5,371.00 | 5 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $1,308.00 – $5,371.00 | 5 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | $89.70 | $230.00 | $1,308.00 – $5,272.00 | 5 |
| Esophagoscopy flex dx brush CPT 43197 | $1,654.38 | $4,242.00 | $2,558.69 – $5,272.00 | 4 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $1,308.00 – $5,371.00 | 5 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $4,714.00 – $10,810.08 | 4 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $1,308.00 – $6,179.00 | 5 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $4,714.00 – $5,699.00 | 4 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $4,714.00 – $10,810.08 | 4 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $3,391.00 – $5,371.00 | 4 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $4,714.00 – $16,529.94 | 4 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $1,308.00 – $5,371.00 | 5 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $4,714.00 – $5,699.00 | 4 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $3,391.00 – $5,699.00 | 4 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $3,391.00 – $5,699.00 | 4 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $3,391.00 – $5,699.00 | 4 |
| Esophagotomy thrc rmvl fb CPT 43045 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $1,308.00 – $5,371.00 | 5 |
| Esophagus motility study CPT 91010 | $2,431.26 | $6,234.00 | $1,512.89 – $3,391.00 | 3 |
| Esoph balloon distension tst CPT 91040 | $613.86 | $1,574.00 | $1,512.89 – $2,665.00 | 2 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Esoph endoscopy dilation CPT 43226 | $2,221.83 | $5,697.00 | $1,308.00 – $5,371.00 | 5 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Esophgl motil w/stim/perfus CPT 91013 | not published | not published | $2,665.00 – $2,665.00 | 1 |
| Esoph imped function test CPT 91037 | $733.20 | $1,880.00 | $885.97 – $2,665.00 | 2 |
| Esoph imped funct test > 1hr CPT 91038 | $603.72 | $1,548.00 | $1,512.89 – $2,665.00 | 2 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $3,391.00 – $5,699.00 | 4 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $1,308.00 – $5,371.00 | 5 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $1,308.00 – $5,371.00 | 5 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Esphg thrsc moblj CPT 43288 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Esphg tot w/laps moblj CPT 43286 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Esphg tot w/thrcm CPT 43112 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Essure 58565 CPT 58565 | not published | not published | $2,323.00 – $14,039.62 | 5 |
| Establish access to aorta CPT 36160 | $4,731.09 | $12,131.00 | $2,665.00 – $4,714.00 | 2 |
| Establish access to artery CPT 36100 | $3,175.77 | $8,143.00 | $1,308.00 – $3,391.00 | 3 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Establish brain cavity shunt CPT 62180 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Establish brain cavity shunt CPT 62190 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Establish brain cavity shunt CPT 62192 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Establish brain cavity shunt CPT 62200 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Establish brain cavity shunt CPT 62220 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Established Patient Office Visit (level 2) CPT 99212 | $127.53 | $327.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $168.09 | $431.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $193.83 | $497.00 | not published | 0 |
| Estim aid bone healg invasiv CPT 20975 | not published | not published | $1,694.00 – $4,714.00 | 3 |
| Estradiol total CPT 82670 | $277.29 | $711.00 | $48.96 – $96.67 | 4 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $15.13 – $15.13 | 1 |
| Estrogens total-sendout CPT 82672 | $176.67 | $453.00 | $37.99 – $75.08 | 4 |
| Etanercept injection HCPCS J1438 | not published | not published | $1,852.73 – $2,366.69 | 3 |
| Ethanolamine oleate 100 mg HCPCS J1430 | not published | not published | $937.08 – $1,639.80 | 3 |
| Eth estr and eton monthly HCPCS J7295 | not published | not published | $238.57 – $238.57 | 1 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $1,937.00 – $9,087.85 | 5 |
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.