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 |
|---|---|---|---|---|
| Fibrin degradj d-dimer CPT 85380 | $184.47 | $473.00 | $17.82 – $35.22 | 4 |
| Fibrinogen activity CPT 85384 | $116.22 | $298.00 | $14.88 – $33.63 | 4 |
| Fibrinogen test CPT 85370 | not published | not published | $19.90 – $43.01 | 4 |
| Fibrinolysins/coagulopathy screen interpretation/report CPT 85390 | $253.34 | $649.60 | $9.05 – $53.56 | 4 |
| Fibrinolytic antiplasmin CPT 85410 | not published | not published | $13.51 – $26.68 | 4 |
| Fibrinolytic plasmin CPT 85400 | not published | not published | $15.49 – $27.77 | 4 |
| Fibrinolytic plasminogen CPT 85415 | $138.06 | $354.00 | $30.12 – $59.48 | 4 |
| Fibrinolytic plasminogen CPT 85421 | not published | not published | $17.84 – $35.22 | 4 |
| Fibrinolytic plasminogen xcpt antgnc asa CPT 85420 | $194.22 | $498.00 | $11.46 – $22.59 | 4 |
| Fibula bone graft microvasc CPT 20955 | not published | not published | $2,323.00 – $11,889.00 | 3 |
| Filgrastim-aafi 300 mcg/0.5 ml subcutaneous syringe HCPCS Q5110 | not published | not published | $0.55 – $1.00 | 3 |
| Filgrastim in d5w IV syringe 20 mcg/ml (neo) - cnr HCPCS J1442 | not published | not published | $1.87 – $3.43 | 3 |
| Filgrastim-sndz 300 mcg/0.5 ml injection syringe HCPCS Q5101 | not published | not published | $0.69 – $1.11 | 3 |
| Filleted finger/toe flap CPT 14350 | not published | not published | $1,937.00 – $5,809.00 | 5 |
| Filter spider fx 3mmx320cm HCPCS C1884 | $6,878.20 | $17,636.40 | not published | 0 |
| Filter vena cava fem denali HCPCS C1880 | $4,981.07 | $12,771.98 | not published | 0 |
| Fimbrioplasty 58760 CPT 58760 | not published | not published | $6,760.00 – $8,448.00 | 2 |
| Finasteride, 5 mg HCPCS S0138 | not published | not published | $0.29 – $0.29 | 1 |
| Fine needle aspiration biopsy w/fluor gdn;1st lesion 10007 CPT 10007 | $1,834.56 | $4,704.00 | $1,985.95 – $4,066.00 | 4 |
| Fine needle aspiration biopsy w/fluor gdn; ea addtl 10008 CPT 10008 | $612.30 | $1,570.00 | $2,665.00 – $3,391.00 | 2 |
| Fine needle aspiration biopsy without img gdn; ea addtl 10004 CPT 10004 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Fine needle aspiration biopsy w/us gdn; ea addtl 10006 CPT 10006 | $612.30 | $1,570.00 | $2,665.00 – $3,391.00 | 2 |
| Fine needle asp without image guide 10021 CPT 10021 | $993.72 | $2,548.00 | $1,125.52 – $3,391.00 | 3 |
| Finger tendon transfer CPT 26497 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Finger tendon transfer CPT 26498 | not published | not published | $2,323.00 – $9,136.47 | 5 |
| Finger X-ray (both hands) CPT 73140 | $182.13 | $467.00 | $56.38 – $256.49 | 4 |
| Fistula repair & colostomy CPT 57307 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fistula repair transperine 57308 CPT 57308 | not published | not published | $5,063.00 – $6,179.00 | 2 |
| Fit aphakia spectcl monofocl CPT 92352 | not published | not published | $172.66 – $172.66 | 1 |
| Fit aphakia spectcl multifoc CPT 92353 | not published | not published | $172.66 – $172.66 | 1 |
| Fitg c-lens keratoconus 1st CPT 92072 | $124.80 | $320.00 | not published | 0 |
| Fitting of diaphragm/cap 57170 CPT 57170 | not published | not published | $562.46 – $5,063.00 | 3 |
| Fixation of ankle joint CPT 27860 | not published | not published | $1,308.00 – $9,136.47 | 5 |
| Fixation of knee joint CPT 27570 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Fixation of shoulder blade CPT 23400 | not published | not published | $3,721.00 – $20,193.44 | 5 |
| Fix g/colon tube w/device CPT 49460 | $1,719.90 | $4,410.00 | $2,558.69 – $5,272.00 | 4 |
| Fixtn pq skel dstl rad fx/epiphysl sep CPT 25606 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Flebogamma injection HCPCS J1572 | not published | not published | $102.61 – $167.95 | 3 |
| Flecainide (tambocor)-sendout CPT 80181 | not published | not published | $22.37 – $64.49 | 2 |
| Fl exam g/colon tube w contrast CPT 49465 | $2,416.05 | $6,195.00 | $691.66 – $3,391.00 | 3 |
| Flexible Sigmoidoscopy CPT 45330 | not published | not published | $2,572.00 – $4,066.00 | 4 |
| Flexor-plasty elbow CPT 24330 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Flexor-plasty elbw w/advmnt CPT 24331 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Floor of mouth biopsy 41108 CPT 41108 | $2,040.09 | $5,231.00 | $2,572.00 – $4,576.34 | 4 |
| Florbetaben f18 diagnostic HCPCS Q9983 | not published | not published | $6,610.01 – $6,610.01 | 1 |
| Flortaucipir inj 1 millicuri HCPCS A9601 | $590.46 | $1,514.00 | $680.44 – $11,103.50 | 2 |
| Flotufolastat f18 diag 1 mci HCPCS A9608 | $863.07 | $2,213.00 | $1,231.07 – $1,950.35 | 2 |
| Flow cytometry interp 16 or more CPT 88189 | not published | not published | $41.46 – $137.81 | 3 |
| Flow cytometry marker each additional CPT 88185 | $91.26 | $234.00 | $19.80 – $85.78 | 3 |
| Flow cytometry one marker technical component CPT 88184 | $120.51 | $309.00 | $19.80 – $1,014.60 | 4 |
| Floweramnioflo, 0.1 cc HCPCS Q4177 | not published | not published | $291.62 – $291.62 | 1 |
| Floweramniopatch, per sq cm HCPCS Q4178 | not published | not published | $166.17 – $166.17 | 1 |
| #flow interp 9 - 15 markers CPT 88188 | not published | not published | $41.46 – $113.67 | 3 |
| Floxuridine injection HCPCS J9200 | not published | not published | $7,604.25 – $12,878.26 | 2 |
| Flt3 gene CPT 81245 | $501.15 | $1,285.00 | $199.10 – $572.66 | 4 |
| Flt3 gene analysis CPT 81246 | $267.15 | $685.00 | $99.61 – $287.18 | 3 |
| Fluconazole 200 mg/100 ml in sod. chloride (iso) intravenous piggyback HCPCS J1450 | not published | not published | $4.56 – $4.56 | 1 |
| Fludarabine 50 mg intravenous solution HCPCS J9185 | not published | not published | $320.78 – $601.94 | 2 |
| Fluidotherapy charges pt CPT 97022 | $84.63 | $217.00 | not published | 0 |
| Fluid pressure muscle 20950 CPT 20950 | not published | not published | $1,985.95 – $4,066.00 | 4 |
| Flulaval vacc, 3 yrs & >, im HCPCS Q2036 | not published | not published | $16.33 – $16.33 | 1 |
| Fluocinol acet intravit imp HCPCS J7313 | not published | not published | $940.95 – $1,698.69 | 3 |
| Fluocinolone acetonide implt HCPCS J7311 | not published | not published | $635.14 – $1,034.71 | 3 |
| Fluorescein angrph mltiframe CPT 92235 | $194.22 | $498.00 | $885.97 – $885.97 | 1 |
| Fluorescein&icg angiography CPT 92242 | $882.18 | $2,262.00 | $885.97 – $885.97 | 1 |
| Fluorescent antibody titer dna CPT 86256 | $116.61 | $299.00 | $21.12 – $41.69 | 4 |
| Fluorodopa f-18 diag per mci HCPCS A9602 | not published | not published | $969.85 – $1,337.45 | 2 |
| Fluoroestradiol f 18 HCPCS A9591 | $996.06 | $2,554.00 | $1,495.35 – $1,794.26 | 2 |
| Fluoroguide for spine inject 77003-26 CPT 77003 | $507.00 | $1,300.00 | $233.21 – $300.84 | 2 |
| Fluoroguide needle placement CPT 77002 | $647.01 | $1,659.00 | $187.25 – $241.55 | 2 |
| Fluoro polarize fetal lung CPT 83663 | not published | not published | $33.14 – $65.43 | 4 |
| Fluoroscopy (Live X-ray Guidance, up to 1 hour) CPT 76000 | $489.84 | $1,256.00 | $89.06 – $691.66 | 4 |
| Fluorouracil 50 mg/ml intravenous solution (wrapper) HCPCS J9190 | not published | not published | $4.25 – $4.25 | 1 |
| Fluphenazine decanoate 25 mg/ml injection solution HCPCS J2680 | not published | not published | $17.94 – $17.94 | 1 |
| Flutamide 125 mg HCPCS S0175 | not published | not published | $58.23 – $58.23 | 1 |
| Flutemetamol f18 diagnostic HCPCS Q9982 | not published | not published | $6,221.18 – $6,221.18 | 1 |
| Fluvirin vacc, 3 yrs & >, im HCPCS Q2037 | not published | not published | $33.39 – $33.92 | 2 |
| Fluzone vacc, 3 yrs & >, im HCPCS Q2038 | not published | not published | $22.81 – $182.03 | 2 |
| Fmri brain by phys/psych CPT 70555 | $414.18 | $1,062.00 | $691.66 – $1,447.44 | 3 |
| Fmri brain by tech CPT 70554 | $1,703.91 | $4,369.00 | $691.66 – $930.92 | 3 |
| Fna bx w/ct gdn 1st les CPT 10009 | $1,834.56 | $4,704.00 | $1,985.95 – $4,066.00 | 4 |
| Fna bx w/ct gdn ea addl CPT 10010 | $612.30 | $1,570.00 | $2,665.00 – $3,391.00 | 2 |
| Fna bx w/mr gdn 1st les CPT 10011 | $1,834.56 | $4,704.00 | $1,985.95 – $4,066.00 | 4 |
| Fna bx w/mr gdn ea addl CPT 10012 | $612.30 | $1,570.00 | $2,665.00 – $3,391.00 | 2 |
| Foam drsg <=16 sq in without bdr HCPCS A6209 | $119.48 | $306.36 | not published | 0 |
| Foam stability fetal lung CPT 83662 | not published | not published | $33.14 – $65.43 | 4 |
| Folic acid CPT 82746 | $260.91 | $669.00 | $25.76 – $50.86 | 4 |
| Follow-up angiography CPT 75898 | $2,542.41 | $6,519.00 | $98.93 – $8,997.17 | 4 |
| Follow-up surgery of eye CPT 66250 | not published | not published | $1,694.00 – $6,595.97 | 5 |
| Fomepizole 1 gram/ml intravenous solution HCPCS J1451 | not published | not published | $14.95 – $24.57 | 3 |
| Fondaparinux sodium HCPCS J1652 | not published | not published | $1.28 – $1.28 | 1 |
| Fo nontorsion joint cf HCPCS L3935 | $213.69 | $547.93 | not published | 0 |
| Foot X-ray CPT 73630 | $261.30 | $670.00 | $37.26 – $256.49 | 4 |
| Foot X-ray (2 views, both feet) CPT 73620 | $185.64 | $476.00 | $32.09 – $256.49 | 4 |
| Forearm/arm cuffs ext/flex a HCPCS L3730 | $303.14 | $777.28 | not published | 0 |
| Forearm/arm cuffs free motio HCPCS L3720 | $268.18 | $687.65 | not published | 0 |
| Forearm X-ray (both sides) CPT 73090 | $238.68 | $612.00 | $40.05 – $256.49 | 4 |
| Forehead flap w/vasc pedicle 15731 CPT 15731 | not published | not published | $1,937.00 – $10,126.62 | 5 |
| Forensic autopsy (necropsy) CPT 88040 | not published | not published | $590.77 – $917.80 | 3 |
| Forensic cytopathology CPT 88125 | not published | not published | $12.45 – $152.95 | 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.