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 |
|---|---|---|---|---|
| Foreskn manip w/lss preputial ads+stretching 54450 CPT 54450 | $696.15 | $1,785.00 | $697.61 – $3,391.00 | 5 |
| Formoterol comp unit HCPCS J7640 | not published | not published | $3.30 – $3.30 | 1 |
| Formoterol fumarate, inh HCPCS J7606 | not published | not published | $3.60 – $3.60 | 1 |
| Fosaprepitant 150 mg intravenous powder for solution HCPCS J1453 | not published | not published | $0.23 – $0.23 | 1 |
| Foscarnet sodium injection HCPCS J1455 | not published | not published | $127.26 – $192.58 | 3 |
| Fosphenytoin 50 mg pe/ml injection (wrapper) HCPCS Q2009 | not published | not published | $6.96 – $9.58 | 2 |
| Fractionation ketosteroids CPT 83593 | not published | not published | $46.08 – $98.61 | 4 |
| Fracture assessment via dxa CPT 77086 | $104.13 | $267.00 | $61.29 – $256.49 | 4 |
| _fragile x methylation-sendout CPT 81244 | $74.49 | $191.00 | $53.87 – $155.32 | 3 |
| Fragmenting of kidney stone CPT 50590 | $22,809.54 | $58,486.00 | $3,680.00 – $15,026.00 | 5 |
| Free fascial flap microvasc CPT 15758 | not published | not published | $1,937.00 – $6,179.00 | 3 |
| Freeing of bowel adhesion 44005 CPT 44005 | not published | not published | $6,859.00 – $9,000.00 | 2 |
| Free jejunum flap microvasc CPT 43496 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Free myo/skin flap microvasc CPT 15756 | not published | not published | $1,937.00 – $6,179.00 | 3 |
| Free omental flap microvasc CPT 49906 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Free/remove chest lining 32320 CPT 32320 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Free skin flap microvasc CPT 15757 | not published | not published | $1,937.00 – $6,179.00 | 3 |
| Frenectomy 41115 CPT 41115 | $1,939.47 | $4,973.00 | $1,308.00 – $5,272.00 | 5 |
| Frenotomy 40806 CPT 40806 | not published | not published | $1,308.00 – $3,391.00 | 4 |
| Frenulotomy of penis CPT 54164 | $4,451.07 | $11,413.00 | $1,694.00 – $6,179.00 | 5 |
| Fresh frozen plasma 8-24 hours collection each unit HCPCS P9059 | $426.66 | $1,094.00 | not published | 0 |
| Fresh frozen plasma frozen within 8 hours of collection each unit HCPCS P9017 | $306.15 | $785.00 | not published | 0 |
| Fresh frozen plasma thawing ea un CPT 86927 | $165.36 | $424.00 | $17.39 – $482.12 | 4 |
| Frozen blood freeze/thaw CPT 86932 | $179.01 | $459.00 | $58.16 – $223.05 | 4 |
| Frozen blood prep CPT 86930 | $512.07 | $1,313.00 | $58.16 – $482.12 | 4 |
| Frozen blood thaw CPT 86931 | $253.50 | $650.00 | $58.16 – $482.12 | 4 |
| Frozen cell preparation CPT 88241 | not published | not published | $17.70 – $41.83 | 4 |
| Fructosamine glycated protein CPT 82985 | $188.76 | $484.00 | $26.41 – $57.99 | 4 |
| Fth/gft fr n/e/e/l each addl CPT 15261 | not published | not published | $1,694.00 – $4,714.00 | 3 |
| Fth/gft fr trnk each addl CPT 15201 | not published | not published | $1,694.00 – $4,714.00 | 3 |
| Ftl cgen abnor 3 proteins CPT 81509 | not published | not published | $97.89 – $5,146.30 | 3 |
| Ftl cgen abnor five anal CPT 81512 | $726.18 | $1,862.00 | $83.42 – $240.54 | 3 |
| Ftl cgen abnor four anal CPT 81511 | $267.15 | $685.00 | $104.69 – $531.11 | 3 |
| Ftl cgen abnor three anal CPT 81510 | $267.15 | $685.00 | $66.65 – $192.17 | 3 |
| Ftl cgen abnor two proteins CPT 81508 | not published | not published | $65.16 – $187.88 | 3 |
| Full field erg w/i&r CPT 92273 | $393.12 | $1,008.00 | $885.97 – $885.97 | 1 |
| Full mouth x-ray of teeth CPT 70320 | not published | not published | $93.97 – $691.66 | 4 |
| Full Spine X-ray (Scoliosis Survey) CPT 72082 | $341.25 | $875.00 | $106.23 – $310.32 | 4 |
| Full thick gft/nose/ear/lid/lip/20sqcm or< 15260 CPT 15260 | $2,063.49 | $5,291.00 | $1,694.00 – $5,272.00 | 5 |
| Full thick gft/scalp/arm/leg/20sqcm or< 15220 CPT 15220 | not published | not published | $1,694.00 – $5,272.00 | 5 |
| Full thick gft/scalp/arm/leg/add 20sqcm 15221 CPT 15221 | not published | not published | $1,694.00 – $4,714.00 | 3 |
| Full thick gft w/close donor fccmnaghf <=20sqcm 15240 CPT 15240 | $2,315.04 | $5,936.00 | $1,937.00 – $5,809.00 | 5 |
| Functional brain mapping CPT 96020 | $261.69 | $671.00 | not published | 0 |
| Fundus photography with i&r 92250 CPT 92250 | $214.50 | $550.00 | $360.57 – $360.57 | 1 |
| Furosemide in ns IV syringe 2 mg/ml (neo/ped) - cnr HCPCS J1940 | not published | not published | $0.74 – $0.74 | 1 |
| Fuse bile ducts and bowel 47785 CPT 47785 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fuse esophagus & intestine CPT 43340 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fuse esophagus & intestine CPT 43341 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fuse esophagus & stomach CPT 43320 | not published | not published | $3,099.00 – $6,859.00 | 3 |
| Fuse gallbladder & bowel CPT 47740 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fuse gallbladder & bowel CPT 47741 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fuse/graft added joint CPT 26863 | not published | not published | $1,937.00 – $5,809.00 | 3 |
| Fuse liver duct & intestine CPT 47802 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Fuse liver ducts & bowel CPT 47765 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fuse pancreas and bowel CPT 48548 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fuse pancreas cyst and bowel CPT 48540 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fuse pancreas cyst and bowel 48520 CPT 48520 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fuse upper gi structures CPT 47721 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fusion/graft of finger joint CPT 26862 | not published | not published | $2,323.00 – $9,136.47 | 5 |
| Fusion/graft of hand joint CPT 26844 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Fusion of ankle joint open CPT 27870 | not published | not published | $2,323.00 – $37,149.33 | 5 |
| Fusion of big toe joint CPT 28750 | not published | not published | $2,323.00 – $20,193.44 | 5 |
| Fusion of big toe joint CPT 28755 | not published | not published | $2,323.00 – $20,193.44 | 5 |
| Fusion of facial/other nerve CPT 64866 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fusion of finger jnt add-on CPT 26861 | not published | not published | $1,694.00 – $4,714.00 | 3 |
| Fusion of finger joint CPT 26860 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Fusion of finger tendons CPT 26471 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Fusion of finger tendons CPT 26474 | not published | not published | $1,694.00 – $5,272.00 | 5 |
| Fusion of foot bones CPT 28730 | not published | not published | $2,323.00 – $37,149.33 | 5 |
| Fusion of foot bones CPT 28735 | not published | not published | $2,323.00 – $37,149.33 | 5 |
| Fusion of foot bones CPT 28740 | not published | not published | $2,323.00 – $20,193.44 | 5 |
| Fusion of hand joint CPT 26843 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Fusion of knee CPT 27580 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Fusion of knuckle CPT 26850 | not published | not published | $2,323.00 – $20,193.44 | 5 |
| Fusion of knuckle joint CPT 26516 | not published | not published | $1,308.00 – $9,136.47 | 5 |
| Fusion of knuckle joints CPT 26517 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Fusion of knuckle joints CPT 26518 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Fusion of knuckle with graft CPT 26852 | not published | not published | $2,323.00 – $20,193.44 | 5 |
| Fusion of skull arteries CPT 61711 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fusion of spermatic ducts CPT 54900 | not published | not published | $2,323.00 – $6,389.00 | 5 |
| Fusion of spermatic ducts CPT 54901 | not published | not published | $2,323.00 – $9,840.21 | 5 |
| Fusion of tendons at wrist CPT 25300 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Fusion of tendons at wrist CPT 25301 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Fusion of thumb CPT 26841 | not published | not published | $2,323.00 – $20,193.44 | 5 |
| Fusion of tibiofibular joint CPT 27871 | not published | not published | $2,323.00 – $37,149.33 | 5 |
| Fusion of toes CPT 28280 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Fusion of ureter & bowel CPT 50810 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fusion of ureter & kidney CPT 50740 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fusion of ureter & kidney CPT 50750 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Fxn gene charac alleles CPT 81285 | $452.40 | $1,160.00 | $329.80 – $950.91 | 3 |
| Fxn gene detc abnor alleles CPT 81284 | $225.42 | $578.00 | $164.40 – $474.02 | 3 |
| Fxn gene full gene sequence CPT 81286 | $452.40 | $1,160.00 | $329.80 – $950.91 | 3 |
| Fxn gene known famil variant CPT 81289 | $304.59 | $781.00 | $222.24 – $640.79 | 3 |
| G6pc gene CPT 81250 | not published | not published | $70.19 – $202.38 | 3 |
| G6pd full gene sequence CPT 81249 | not published | not published | $720.00 – $2,076.00 | 4 |
| G6pd gene alys cmn variant CPT 81247 | $1,665.30 | $4,270.00 | $209.77 – $604.84 | 4 |
| G6pd known familial variant CPT 81248 | not published | not published | $450.30 – $1,298.36 | 4 |
| Ga-67 gallium 0.1 mci HCPCS A9556 | $118.56 | $304.00 | $262.49 – $262.49 | 1 |
| Ga-68 gallium 68 dotatate HCPCS A9587 | $5,166.87 | $13,248.38 | $108.01 – $108.01 | 1 |
| Gabapentin non-blood CPT 80355 | not published | not published | $21.56 – $21.56 | 1 |
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.