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 |
|---|---|---|---|---|
| Ghs community re-entry 15 minutes CPT 97537 | $59.28 | $152.00 | not published | 0 |
| Ghs conjunctiva foreign body-embed bil CPT 65210 | $365.43 | $937.00 | $1,124.66 – $5,063.00 | 3 |
| Ghs conjunctiva foreign body-superf bil CPT 65205 | $317.85 | $815.00 | $360.57 – $5,063.00 | 4 |
| Ghs corneal fb without slit lamp bilat CPT 65220 | $365.43 | $937.00 | $1,124.66 – $5,063.00 | 3 |
| Ghs corneal fb with slit lamp bilat CPT 65222 | $365.43 | $937.00 | $360.57 – $5,063.00 | 3 |
| Ghs cricothyroidotomy CPT 31605 | $1,969.50 | $5,050.00 | $689.46 – $3,391.00 | 4 |
| Ghs cutdown placement age 1 and over CPT 36425 | not published | not published | $1,124.66 – $3,391.00 | 3 |
| Ghs cutdown placement under 1 yr CPT 36420 | not published | not published | $360.57 – $3,391.00 | 3 |
| Ghs diphtheria toxoid ab igg CPT 86648 | $211.38 | $542.00 | $26.65 – $52.63 | 4 |
| Ghs dislocation elbow closed treatment CPT 24600 | $900.51 | $2,309.00 | $665.65 – $3,391.00 | 5 |
| Ghs ed peritoneal lavage w guidance if performed CPT 49084 | not published | not published | $2,558.69 – $5,272.00 | 4 |
| Ghs ed rmvl or bivalving cast CPT 29700 | $549.12 | $1,408.00 | $758.05 – $5,063.00 | 3 |
| Ghs ed therapeutic lp, drain csf w fluoro CPT 62329 | $1,994.07 | $5,113.00 | $1,952.00 – $4,066.00 | 4 |
| Ghs eeg cont rec w/video by tec min 8 chnls CPT 95700 | $441.09 | $1,131.00 | $440.91 – $440.91 | 1 |
| Ghs electrostagmgraphy CPT 92537 | not published | not published | $440.91 – $440.91 | 1 |
| Ghs elect torsion swing CPT 92546 | not published | not published | $440.91 – $440.91 | 1 |
| Ghs epidermal shaving diameter >2.0 cm CPT 11303 | $487.50 | $1,250.00 | $1,125.52 – $5,063.00 | 4 |
| Ghs excision ingrown nail CPT 11765 | $471.12 | $1,208.00 | $1,125.52 – $3,391.00 | 4 |
| Ghs eye exam CPT 92002 | $162.24 | $416.00 | not published | 0 |
| Ghs eyelid foreign body-embedded - bil CPT 67938 | $729.69 | $1,871.00 | $822.27 – $3,391.00 | 3 |
| Ghs fat & muscle CPT 89160 | not published | not published | $6.46 – $16.78 | 4 |
| Ghs fb removal foot - deep - left CPT 28192 | $7,957.56 | $20,404.00 | $1,694.00 – $5,272.00 | 5 |
| Ghs fb removal from muscle - complicated CPT 20525 | $12,222.99 | $31,341.00 | $1,937.00 – $8,020.55 | 5 |
| Ghs fb removal - incisional CPT 10121 | $7,957.56 | $20,404.00 | $1,694.00 – $5,272.00 | 5 |
| Ghs fb removal - non-incisional CPT 20520 | $2,510.43 | $6,437.00 | $1,308.00 – $4,714.00 | 5 |
| Ghs febrile agglutinns(mayo) CPT 86000 | $39.39 | $101.00 | $12.23 – $24.15 | 4 |
| Ghs fish cytogen CPT 88271 | $296.79 | $761.00 | $37.52 – $74.11 | 4 |
| Ghs fish hybrid in situ 100-300 CPT 88275 | $319.80 | $820.00 | $70.37 – $177.12 | 4 |
| Ghs flow volume loop CPT 94375 | $467.61 | $1,199.00 | $885.97 – $885.97 | 1 |
| Ghs gastric intub aspiration lavage CPT 43753 | $762.06 | $1,954.00 | $885.97 – $3,391.00 | 4 |
| Ghs hcv amplificaiton CPT 87521 | $679.38 | $1,742.00 | $61.50 – $121.41 | 4 |
| Ghs heavy metals bld (ars,lead,merc) CPT 82715 | not published | not published | $30.16 – $79.48 | 4 |
| Ghs hepatitis c virus (hcv riba) CPT 86804 | not published | not published | $27.13 – $53.60 | 4 |
| Ghs hgb stability-thal CPT 83068 | $159.12 | $408.00 | $14.84 – $32.77 | 4 |
| Ghs histoplasma antigen CPT 87385 | $371.28 | $952.00 | $21.02 – $45.84 | 4 |
| Ghs HIV antibody CPT 86703 | $265.59 | $681.00 | $24.02 – $47.44 | 4 |
| Ghs hla-dr/dq, multiple antigens CPT 86817 | $711.75 | $1,825.00 | $112.80 – $367.24 | 4 |
| Ghs i and d abscess/hematoma scrotum CPT 54700 | $2,523.30 | $6,470.00 | $1,694.00 – $6,179.00 | 5 |
| Ghs i and d perirectal abscess 46040 CPT 46040 | $11,606.79 | $29,761.00 | $1,937.00 – $5,809.00 | 5 |
| Ghs i and d pilonidal cyst complex CPT 10081 | $6,307.08 | $16,172.00 | $1,694.00 – $4,066.00 | 4 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $794.82 | $2,038.00 | $1,308.00 – $4,066.00 | 4 |
| Ghs immun0electrophoresis CPT 86320 | $119.34 | $306.00 | $39.26 – $103.52 | 4 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $1,053.39 | $2,701.00 | $697.61 – $3,391.00 | 5 |
| Ghs indirect laryngoscopy/w fb removal CPT 31511 | $226.98 | $582.00 | $559.11 – $4,714.00 | 5 |
| Ghs inf midline insertion CPT 36140 | $803.40 | $2,060.00 | $2,665.00 – $3,391.00 | 2 |
| Ghs inhibitor screen CPT 85335 | $138.06 | $354.00 | $22.56 – $44.53 | 4 |
| Ghs init tx 1st degree burn CPT 16000 | $471.12 | $1,208.00 | $565.10 – $5,063.00 | 3 |
| Ghs inj neurolytic intercostal nerve CPT 64620 | $1,100.58 | $2,822.00 | $1,308.00 – $4,066.00 | 5 |
| Ghs inj neurolytic other perph nerve CPT 64640 | $2,374.32 | $6,088.00 | $2,572.00 – $4,066.00 | 4 |
| Ghs inj tendon origin/insertion CPT 20551 | $888.81 | $2,279.00 | $836.02 – $3,391.00 | 4 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $807.30 | $2,070.00 | $1,308.00 – $3,391.00 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $2,420.73 | $6,207.00 | $1,308.00 – $4,066.00 | 5 |
| Ghs insertion of needle - bone CPT 36680 | $806.52 | $2,068.00 | $1,124.66 – $3,391.00 | 3 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $966.81 | $2,479.00 | $1,125.52 – $4,714.00 | 5 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $1,578.72 | $4,048.00 | $1,694.00 – $4,714.00 | 5 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $1,727.70 | $4,430.00 | $1,694.00 – $5,272.00 | 5 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $659.88 | $1,692.00 | $697.61 – $3,391.00 | 5 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | $78.78 | $202.00 | $134.08 – $3,391.00 | 2 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $553.80 | $1,420.00 | not published | 0 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $685.62 | $1,758.00 | not published | 0 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $553.80 | $1,420.00 | not published | 0 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $663.00 | $1,700.00 | $955.94 – $5,063.00 | 4 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $625.95 | $1,605.00 | $1,124.66 – $4,714.00 | 5 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $741.00 | $1,900.00 | $1,125.52 – $3,391.00 | 3 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $741.00 | $1,900.00 | $1,125.52 – $3,391.00 | 4 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $741.00 | $1,900.00 | $1,125.52 – $3,391.00 | 3 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $741.00 | $1,900.00 | $1,125.52 – $3,391.00 | 3 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $741.00 | $1,900.00 | $1,125.52 – $3,391.00 | 3 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $741.00 | $1,900.00 | $1,125.52 – $3,391.00 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $898.95 | $2,305.00 | $1,125.52 – $4,714.00 | 5 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $741.00 | $1,900.00 | $1,694.00 – $4,714.00 | 5 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $741.00 | $1,900.00 | $1,125.52 – $4,714.00 | 5 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $1,727.70 | $4,430.00 | $1,694.00 – $4,714.00 | 5 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $741.00 | $1,900.00 | $1,125.52 – $4,714.00 | 5 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | $1,727.70 | $4,430.00 | $1,694.00 – $4,714.00 | 5 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | $1,727.70 | $4,430.00 | $1,125.52 – $4,714.00 | 5 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | $1,930.50 | $4,950.00 | $1,694.00 – $5,272.00 | 5 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | $1,930.50 | $4,950.00 | $1,125.52 – $4,714.00 | 5 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | not published | not published | $15.07 – $29.76 | 4 |
| Ghs low level laser therapy CPT 97039 | $182.13 | $467.00 | not published | 0 |
| Ghs mbp CPT 83873 | $212.16 | $544.00 | $30.14 – $59.51 | 4 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $566.67 | $1,453.00 | not published | 0 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $495.69 | $1,271.00 | not published | 0 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $566.67 | $1,453.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $251.94 | $646.00 | not published | 0 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $251.94 | $646.00 | not published | 0 |
| Ghs musc test done w/n test comp CPT 95886 | $478.53 | $1,227.00 | not published | 0 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | $377.91 | $969.00 | not published | 0 |
| Ghs musc tst done w/n tst non ext CPT 95887 | $377.91 | $969.00 | not published | 0 |
| Ghs myocardial strain img spckl track CPT 93356 | $444.60 | $1,140.00 | not published | 0 |
| Ghs nailbed repair/nail removal CPT 11760 | $1,727.70 | $4,430.00 | $1,772.77 – $3,391.00 | 3 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $3,539.25 | $9,075.00 | $1,308.00 – $4,066.00 | 5 |
| Ghs nerve blk intercostal, single level CPT 64420 | $2,258.10 | $5,790.00 | $1,308.00 – $4,066.00 | 5 |
| Ghs nerve block axillary nerve CPT 64417 | $3,301.74 | $8,466.00 | $1,308.00 – $4,066.00 | 5 |
| Ghs nerve block brachial plexus CPT 64415 | $2,224.17 | $5,703.00 | $1,308.00 – $4,066.00 | 5 |
| Ghs nerve block celiac plexus CPT 64530 | $2,520.18 | $6,462.00 | $1,308.00 – $4,066.00 | 5 |
| Ghs nerve block interscaline CPT 64510 | $2,223.78 | $5,702.00 | $1,308.00 – $4,066.00 | 5 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $2,420.73 | $6,207.00 | $1,308.00 – $4,066.00 | 5 |
| Ghs nerve block sciatic nerve CPT 64445 | $2,869.23 | $7,357.00 | $1,952.00 – $4,066.00 | 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.