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 |
|---|---|---|---|---|
| Ethylene glycol -sendout CPT 82693 | $196.56 | $504.00 | $26.10 – $51.55 | 4 |
| Etonogestrel implant system HCPCS J7307 | not published | not published | $2,361.40 – $2,361.40 | 1 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | not published | not published | $1.87 – $1.87 | 1 |
| Etoposide 50 mg cap HCPCS J8560 | not published | not published | $145.85 – $265.07 | 3 |
| Euflexxa inj per dose HCPCS J7323 | not published | not published | $230.02 – $440.46 | 3 |
| Euglobulin lysis CPT 85360 | not published | not published | $14.71 – $29.10 | 4 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $2,664.00 – $8,824.63 | 5 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $440.91 – $440.91 | 1 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $245.31 | $629.00 | not published | 0 |
| Evaluation cervical mucus CPT 89330 | not published | not published | $17.34 – $35.91 | 4 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $249.21 | $639.00 | $108.77 – $339.46 | 4 |
| Evaluation heart device CPT 93640 | $6,372.21 | $16,339.00 | $2,665.00 – $9,000.00 | 2 |
| Evaluation of speech fluency 92521 CPT 92521 | $244.14 | $626.00 | not published | 0 |
| Evaluation psychiatric diagnostic CPT 90791 | $536.25 | $1,375.00 | $450.03 – $450.03 | 1 |
| Evasc prlng admn rx agnt 1st CPT 61650 | $31,035.03 | $79,577.00 | $5,063.00 – $6,859.00 | 2 |
| Evasc prlng admn rx agnt add CPT 61651 | $19,183.71 | $49,189.00 | $5,063.00 – $6,859.00 | 2 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | $2,492.88 | $6,392.00 | $6,859.00 – $8,245.00 | 2 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $6,859.00 – $8,245.00 | 2 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $6,859.00 – $8,245.00 | 2 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | $2,511.99 | $6,441.00 | $6,859.00 – $8,245.00 | 2 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $6,859.00 – $8,245.00 | 2 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $6,859.00 – $9,842.00 | 2 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $6,859.00 – $9,842.00 | 2 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | $11,524.11 | $29,549.00 | $5,063.00 – $6,859.00 | 2 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | $11,524.11 | $29,549.00 | $5,063.00 – $6,859.00 | 2 |
| Event monitor CPT 93270 | $63.18 | $162.00 | not published | 0 |
| Evoked auditory tst complete CPT 92588 | $514.80 | $1,320.00 | $885.97 – $885.97 | 1 |
| Evoked oa emissions ltd CPT 92587 | $340.47 | $873.00 | $885.97 – $885.97 | 1 |
| Evoked potentials auditory screening automated analysis CPT 92650 | $234.00 | $600.00 | not published | 0 |
| Evoked potentials upper limbs CPT 95925 | $2,475.72 | $6,348.00 | $885.97 – $885.97 | 1 |
| Evoked potential visual not glaucoma CPT 95930 | $1,584.57 | $4,063.00 | $885.97 – $885.97 | 1 |
| Evok oa screening qual CPT 92558 | $484.77 | $1,243.00 | not published | 0 |
| Ewhfo w/joint(s) cf HCPCS L3766 | $735.05 | $1,884.74 | not published | 0 |
| Ewho w/joint(s) cf HCPCS L3764 | $830.31 | $2,129.00 | not published | 0 |
| Exam of vagina w/scope 57420 CPT 57420 | $370.89 | $951.00 | $905.52 – $3,391.00 | 4 |
| Exam pelvic add-on CPT 99459 | $27.69 | $71.00 | not published | 0 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $1,694.00 – $8,824.63 | 5 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $1,694.00 – $8,020.55 | 5 |
| Ex arm/elbow tum deep 5 cm/> CPT 24073 | not published | not published | $5,809.00 – $9,032.00 | 4 |
| Exc 1st&/crv rib w/sympth CPT 21616 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Exc abd les sc 3 cm/> CPT 22903 | not published | not published | $5,809.00 – $9,032.00 | 4 |
| Exc abdl tum deep < 5 cm CPT 22900 | not published | not published | $2,323.00 – $8,020.55 | 5 |
| Exc abdl tum deep 5 cm/> CPT 22901 | not published | not published | $5,809.00 – $9,032.00 | 4 |
| Exc abd tum 5 cm or less 49203 CPT 49203 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Exc abd tum over 10 cm 49205 CPT 49205 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Exc arm/elbo les sc >=3cm 24071 CPT 24071 | $2,634.84 | $6,756.00 | $5,809.00 – $9,032.00 | 4 |
| Exc arm/elbo les sc <3cm 24075 CPT 24075 | $1,473.42 | $3,778.00 | $1,694.00 – $5,272.00 | 5 |
| Exc aurl glomus tum extended CPT 69554 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Exc aurl glomus tum trnscanl CPT 69550 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Exc aurl glomus tum trnsmstd CPT 69552 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Exc back les sbq <3 cm 21930 CPT 21930 | not published | not published | $1,694.00 – $5,272.00 | 5 |
| Exc back tum deep 5 cm/> CPT 21933 | $336.18 | $862.00 | $5,809.00 – $9,032.00 | 4 |
| Exc bartholins gland/cyst CPT 56740 | not published | not published | $1,937.00 – $8,824.63 | 5 |
| Exc benign feenlm 3.1-4.0cm 11444 CPT 11444 | $202.80 | $520.00 | $1,308.00 – $4,576.34 | 5 |
| Exc benign feenlm >4.0cm 11446 CPT 11446 | $2,683.98 | $6,882.00 | $1,694.00 – $8,020.55 | 5 |
| Exc benign snhfg 3.1-4.0cm 11424 CPT 11424 | $2,244.06 | $5,754.00 | $1,694.00 – $5,272.00 | 5 |
| Exc benign tal 0.5 < cm 11400 CPT 11400 | $624.78 | $1,602.00 | $1,308.00 – $4,066.00 | 5 |
| Exc ben+marg excep skin tag feenlm <0.5cm 11440 CPT 11440 | $577.59 | $1,481.00 | $1,308.00 – $4,714.00 | 5 |
| Exc ben+marg excep skin tag feenlm 1.1-2cm 11442 CPT 11442 | $925.47 | $2,373.00 | $1,308.00 – $4,066.00 | 5 |
| Exc ben+marg excep skin tag feenlm 2.1-3cm 11443 CPT 11443 | $99.84 | $256.00 | $1,308.00 – $4,576.34 | 5 |
| Exc ben+marg excep skin tag snhfg 0.6-1cm 11421 CPT 11421 | $4,006.47 | $10,273.00 | $1,308.00 – $4,714.00 | 5 |
| Exc ben+marg excep skin tag snhfg 2.1-3cm 11423 CPT 11423 | $5,688.15 | $14,585.00 | $1,308.00 – $5,272.00 | 5 |
| Exc ben+marg excep skin tag snhfg >4cm 11426 CPT 11426 | $3,335.67 | $8,553.00 | $1,694.00 – $8,020.55 | 5 |
| Exc ben+marg excep skin tag tal 0.6-1cm 11401 CPT 11401 | $1,955.46 | $5,014.00 | $1,125.52 – $3,391.00 | 5 |
| Exc ben+marg excep skin tag tal 2.1-3/>cm 11403 CPT 11403 | $1,228.50 | $3,150.00 | $1,308.00 – $4,066.00 | 5 |
| Exc breast duct fistula 19112 CPT 19112 | not published | not published | $1,937.00 – $10,759.21 | 5 |
| Exc carotid body tumor without exc art 60600 CPT 60600 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Exc cervix repair bowel 57556 CPT 57556 | not published | not published | $2,664.00 – $14,039.62 | 5 |
| Exc cervix/repair pelvis 57545 CPT 57545 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Exc cervix/repair vagina 57555 CPT 57555 | not published | not published | $5,063.00 – $14,039.62 | 3 |
| Exc chest wall tumor w/ribs 21601 CPT 21601 | not published | not published | $6,179.00 – $8,020.55 | 3 |
| Exc ch wal tum without lymphadec CPT 21602 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Exc ch wal tum w/lymphadec CPT 21603 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Exc coa rpr l subcl art/prst CPT 33851 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Exc coa w/direct anastomosis CPT 33840 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Exc coccygl pr ulc flap clsr CPT 15922 | not published | not published | $2,323.00 – $10,126.62 | 5 |
| Exc coccygl pr ulc prim sutr CPT 15920 | not published | not published | $1,937.00 – $8,020.55 | 5 |
| Exc constrict ring finger w/mlt z-plasties 26596 CPT 26596 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Exc/crtg b1 cst/b9 tum rds CPT 24120 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Exc/crtg b1 cst/tum hum agrf CPT 24115 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Exc/crtg b1 cst/tum hum algr CPT 24116 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Exc/crtg b1 cst/tum rds agrf CPT 24125 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Exc/crtg b1 cst/tum rds algr CPT 24126 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Exc/curetg cst/tum tarsal/metar w/iliac/agrf 28106 CPT 28106 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Exc/curtg b1 cst/b9 tum hum CPT 24110 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Exc/destruct open intra-abd tumors cysts or endometriomas CPT 49204 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Exc excessive skin buttock CPT 15835 | not published | not published | $1,937.00 – $8,020.55 | 5 |
| Exc excessive skin hip CPT 15834 | not published | not published | $1,937.00 – $8,020.55 | 5 |
| Exc excessive skin leg CPT 15833 | not published | not published | $1,937.00 – $8,020.55 | 5 |
| Exc excessive skin thigh CPT 15832 | not published | not published | $1,937.00 – $8,020.55 | 5 |
| Exc excsv skin forearm/hand CPT 15837 | not published | not published | $4,714.00 – $8,020.55 | 3 |
| Exc excsv submental fat pad CPT 15838 | not published | not published | $4,714.00 – $8,020.55 | 3 |
| Exc ext ear/partial/simple repair 69110 CPT 69110 | not published | not published | $1,308.00 – $8,020.55 | 5 |
| Exc face tum deep < 2 cm CPT 21013 | $1,586.13 | $4,067.00 | $3,391.00 – $4,576.34 | 4 |
| Exc face tum deep 2cm/> 21014 CPT 21014 | $495.69 | $1,271.00 | $3,391.00 – $8,020.55 | 4 |
| Exc feenl mal+mrg 0.6-1 11641 CPT 11641 | not published | not published | $1,308.00 – $4,714.00 | 5 |
| Exc feenl mal+mrg 2.1-3 11643 CPT 11643 | $1,064.70 | $2,730.00 | $1,308.00 – $4,714.00 | 5 |
| Exc foot/toe tum dep 1.5cm/> CPT 28041 | not published | not published | $3,437.00 – $8,020.55 | 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.