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 |
|---|---|---|---|---|
| Exc foot/toe tum subq < 1.5 cm 28043 CPT 28043 | not published | not published | $1,694.00 – $5,272.00 | 5 |
| Exc forearm les sc 3 cm/> CPT 25071 | $1,586.13 | $4,067.00 | $4,576.34 – $9,032.00 | 4 |
| Exc forearm tum deep < 3 cm CPT 25076 | not published | not published | $1,937.00 – $5,809.00 | 5 |
| Exc forearm tum deep 3 cm/> CPT 25073 | not published | not published | $5,809.00 – $9,032.00 | 4 |
| Exc hand les sc < 1.5 cm CPT 26115 | not published | not published | $1,694.00 – $5,272.00 | 5 |
| Exc hand tum deep 1.5 cm/> CPT 26113 | not published | not published | $4,576.34 – $9,032.00 | 4 |
| Exc hand tum deep < 1.5 cm 26116 CPT 26116 | not published | not published | $1,694.00 – $5,272.00 | 5 |
| Exchange biliary drg cath CPT 47536 | $2,916.42 | $7,478.00 | $4,714.00 – $9,765.44 | 4 |
| Exchange blood transfusion newborn 36450 CPT 36450 | not published | not published | $1,225.32 – $3,391.00 | 4 |
| Exchange drainage catheter CPT 49423 | $1,325.61 | $3,399.00 | $3,391.00 – $5,371.00 | 3 |
| Exchange lens prosthesis CPT 66986 | not published | not published | $3,099.00 – $8,245.00 | 5 |
| Exchange nephrostomy cath CPT 50435 | $4,387.11 | $11,249.00 | $3,391.00 – $5,749.22 | 4 |
| Exc hidradenitis ing simpl 11462 CPT 11462 | not published | not published | $1,694.00 – $8,020.55 | 5 |
| Exc hidradenitis peri/umb comp 11471 CPT 11471 | not published | not published | $1,694.00 – $8,020.55 | 5 |
| Exc hidradenitis peri/umb int 11470 CPT 11470 | $3,399.24 | $8,716.00 | $1,694.00 – $8,020.55 | 5 |
| Exc hip/pelv tum deep < 5 cm CPT 27048 | not published | not published | $1,937.00 – $8,020.55 | 5 |
| Exc hip/pelv tum deep 5 cm/> CPT 27045 | not published | not published | $5,809.00 – $9,032.00 | 4 |
| Excimer lsr psriasis 250-500 CPT 96921 | not published | not published | $565.10 – $3,391.00 | 2 |
| Excimer lsr psriasis<250sqcm CPT 96920 | not published | not published | $565.10 – $3,391.00 | 2 |
| Excimer lsr psriasis>500sqcm CPT 96922 | not published | not published | $1,125.52 – $3,391.00 | 2 |
| Exc im tumor/back/flank/ < 5 cm 21932 CPT 21932 | not published | not published | $4,714.00 – $8,020.55 | 4 |
| Exc im tumor/foot/toe < 1.5 cm 28045 CPT 28045 | not published | not published | $1,937.00 – $8,020.55 | 5 |
| Exc im tumor/shoulder area 5cm/> 23073 CPT 23073 | not published | not published | $5,809.00 – $9,032.00 | 4 |
| Exc intracard tumor/resect/bypass 33120 CPT 33120 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Exc ischial pr ulcer w/ostc musc/myoq flap/skin 15946 CPT 15946 | not published | not published | $2,323.00 – $6,389.00 | 5 |
| Exc ischial pr ulc prim sutr CPT 15940 | not published | not published | $1,937.00 – $8,020.55 | 5 |
| Exc isch pr ulc prm sut ostc CPT 15941 | not published | not published | $1,937.00 – $8,020.55 | 5 |
| Exc isch pr ulc skn flp clsr CPT 15944 | not published | not published | $1,937.00 – $10,126.62 | 5 |
| Exc isch pr ulc skn flp ostc CPT 15945 | not published | not published | $2,323.00 – $6,389.00 | 5 |
| Excise anal ext tag/papilla CPT 46220 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Excise epiphyseal bar CPT 20150 | not published | not published | $5,063.00 – $11,889.00 | 3 |
| Excise foot tendon sheath CPT 28086 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Excise foot tendon sheath CPT 28088 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Excise ileoanal reservior CPT 45136 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excise inferior turbinate CPT 30130 | not published | not published | $1,937.00 – $9,087.85 | 5 |
| Excise intestine lesion(s) 44110 CPT 44110 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excise intraspinl lesion crv CPT 63265 | not published | not published | $6,760.00 – $20,193.44 | 3 |
| Excise intrspinl lesion crvl CPT 63270 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excise intrspinl lesion lmbr CPT 63267 | not published | not published | $6,179.00 – $20,193.44 | 3 |
| Excise intrspinl lesion lmbr CPT 63272 | not published | not published | $5,063.00 – $16,710.00 | 2 |
| Excise intrspinl lesion scrl CPT 63268 | not published | not published | $6,760.00 – $20,193.44 | 3 |
| Excise intrspinl lesion scrl CPT 63273 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excise intrspinl lesion thrc CPT 63271 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excise lesion testis CPT 54512 | $1,368.12 | $3,508.00 | $1,694.00 – $9,840.21 | 5 |
| Excise lip or cheek fold CPT 40819 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Excise lwr jaw cyst w/repair CPT 21047 | not published | not published | $1,694.00 – $16,529.94 | 5 |
| Excise mandible lesion CPT 21040 | not published | not published | $1,694.00 – $9,087.85 | 5 |
| Excise max/zygoma b9 tumor CPT 21030 | not published | not published | $4,714.00 – $16,529.94 | 3 |
| Excise max/zygoma mal tumor CPT 21034 | not published | not published | $1,937.00 – $16,529.94 | 5 |
| Excise oral mucosa for graft 40818 CPT 40818 | not published | not published | $1,308.00 – $3,391.00 | 5 |
| Excise parotid gland/lesion CPT 42410 | not published | not published | $1,937.00 – $16,529.94 | 5 |
| Excise parotid gland/lesion CPT 42415 | not published | not published | $1,937.00 – $16,529.94 | 5 |
| Excise parotid gland/lesion CPT 42420 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Excise parotid gland/lesion CPT 42425 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Excise parotid gland/lesion CPT 42426 | not published | not published | $5,063.00 – $6,179.00 | 2 |
| Excise pharynx lesion CPT 42808 | not published | not published | $1,694.00 – $9,087.85 | 5 |
| Excise/repair mouth lesion CPT 40812 | not published | not published | $1,308.00 – $5,272.00 | 4 |
| Excise sacral spine tumor CPT 49215 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excise sublingual gland CPT 42450 | not published | not published | $1,694.00 – $16,529.94 | 5 |
| Excise submaxillary gland CPT 42440 | not published | not published | $1,937.00 – $16,529.94 | 5 |
| Excise subq tumor/abd wall <3 cm 22902 CPT 22902 | $1,957.80 | $5,020.00 | $4,576.34 – $7,349.00 | 4 |
| Excise tendon forearm/wrist CPT 25109 | not published | not published | $4,220.00 – $9,136.47 | 4 |
| Excise wrist tendon sheath CPT 25118 | not published | not published | $1,694.00 – $6,179.00 | 5 |
| Excision addl breast lesion 19126 CPT 19126 | not published | not published | $1,937.00 – $5,809.00 | 3 |
| Excision aural polyp CPT 69540 | not published | not published | $4,304.67 – $5,272.00 | 3 |
| Excision benign lesion face/ears/eyelids/nose/lips/muc memb 0.6 - 1.0 cm CPT 11441 | $565.50 | $1,450.00 | $1,308.00 – $4,714.00 | 5 |
| Excision benign lesion scalp/neck/hands/feet/genitalia 1.1 - 2.0 cm CPT 11422 | $4,962.75 | $12,725.00 | $1,308.00 – $4,576.34 | 5 |
| Excision benign lesion trunk/arms/legs 1.1 - 2.0 cm CPT 11402 | $1,440.66 | $3,694.00 | $1,308.00 – $4,066.00 | 5 |
| Excision benign lesion trunk/arms/legs > 4.0 cm CPT 11406 | $3,381.30 | $8,670.00 | $1,694.00 – $5,272.00 | 5 |
| Excision breast lesion CPT 19125 | not published | not published | $1,937.00 – $10,759.21 | 5 |
| Excision coa w/graft CPT 33845 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excision floor mouth lesion 41116 CPT 41116 | not published | not published | $1,308.00 – $9,087.85 | 5 |
| Excision graft abdomen CPT 35907 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excision graft extremity CPT 35903 | not published | not published | $5,063.00 – $8,997.17 | 3 |
| Excision graft neck CPT 35901 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excision graft thorax 35905 CPT 35905 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excision gum each quadrant CPT 41820 | not published | not published | $2,572.00 – $9,087.85 | 4 |
| Excision hand/finger tendon CPT 26415 | not published | not published | $2,323.00 – $9,136.47 | 5 |
| Excision lesion mouth roof CPT 42106 | not published | not published | $1,694.00 – $9,087.85 | 5 |
| Excision lesion mouth roof CPT 42107 | not published | not published | $1,694.00 – $16,529.94 | 5 |
| Excision nasal polyp(s) simple 30110 CPT 30110 | not published | not published | $1,308.00 – $5,272.00 | 4 |
| Excision of anal lesion(s) CPT 46922 | not published | not published | $1,308.00 – $7,925.42 | 5 |
| Excision of bile duct cyst CPT 47715 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excision of bile duct tumor CPT 47711 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excision of bile duct tumor CPT 47712 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excision of bowel lesion(s) CPT 44111 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excision of brain tumor CPT 61545 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excision of esophagus lesion CPT 43100 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excision of esophagus lesion CPT 43101 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excision of gum flap CPT 41821 | not published | not published | $2,572.00 – $5,272.00 | 4 |
| Excision of gum lesion CPT 41822 | not published | not published | $3,391.00 – $5,272.00 | 3 |
| Excision of gum lesion CPT 41823 | not published | not published | $4,714.00 – $16,529.94 | 3 |
| Excision of gum lesion CPT 41826 | not published | not published | $1,694.00 – $9,087.85 | 4 |
| Excision of gum lesion CPT 41827 | not published | not published | $1,694.00 – $16,529.94 | 5 |
| Excision of gum lesion CPT 41828 | not published | not published | $3,391.00 – $5,272.00 | 3 |
| Excision of gum lesion 41825 CPT 41825 | not published | not published | $1,308.00 – $9,087.85 | 4 |
| Excision of lesion of mesentery 44820 CPT 44820 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excision of lingual tonsil CPT 42870 | not published | not published | $1,937.00 – $16,529.94 | 5 |
| Excision of meckels diverticulum 44800 CPT 44800 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Excision of mouth lesion complex 40816 CPT 40816 | not published | not published | $1,694.00 – $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.