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 |
|---|---|---|---|---|
| Hbot, full body chamber, 30m HCPCS G0277 | $969.54 | $2,486.00 | not published | 0 |
| Hc ea ha check monaural CPT 92594 | $35.10 | $90.00 | not published | 0 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | $759.72 | $1,948.00 | $518.62 – $1,822.58 | 4 |
| Hcg free betachain test CPT 84704 | not published | not published | $26.38 – $52.90 | 4 |
| Hcg qualitative CPT 84703 | $173.16 | $444.00 | $13.16 – $26.02 | 4 |
| Hcg quantitative CPT 84702 | $182.52 | $468.00 | $26.38 – $52.07 | 4 |
| Hc hearing aid chck binaurl CPT 92593 | $55.77 | $143.00 | not published | 0 |
| Hc hearing aid chck monarl CPT 92592 | $35.10 | $90.00 | not published | 0 |
| Hc hearing aid exam both ears CPT 92591 | $98.67 | $253.00 | not published | 0 |
| Hc hearing aid exam one ear CPT 92590 | $48.36 | $124.00 | not published | 0 |
| Hc i-131 sodium iodide cap dx per mci HCPCS A9528 | $459.22 | $1,177.50 | $153.03 – $153.03 | 1 |
| Hc metata joint dislocation anes CPT 28635 | $8,713.38 | $22,342.00 | $1,308.00 – $5,272.00 | 5 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | $577.98 | $1,482.00 | $1,772.77 – $4,714.00 | 4 |
| Hc mohs micrographic h/n/h/f/g each addl stage CPT 17312 | $584.61 | $1,499.00 | $2,665.00 – $3,391.00 | 2 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | $730.08 | $1,872.00 | $1,772.77 – $4,714.00 | 4 |
| Hc mohs trunk/arm/leg ea addl block any stage CPT 17315 | $366.60 | $940.00 | $2,665.00 – $3,391.00 | 2 |
| Hc mohs trunk/arm/leg ea stage after 1st stage CPT 17314 | $617.76 | $1,584.00 | $2,665.00 – $3,391.00 | 2 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | $645.06 | $1,654.00 | $304.78 – $1,525.66 | 4 |
| Hc nm fusion spect CT unlisted CPT 78999 | $239.85 | $615.00 | $722.13 – $1,164.18 | 2 |
| Hc nm kidney imaging with flow CPT 78701 | $755.43 | $1,937.00 | $450.21 – $1,164.18 | 4 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $834.21 | $2,139.00 | $437.14 – $1,525.66 | 4 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | $2,460.12 | $6,308.00 | $802.10 – $4,008.07 | 4 |
| Hc transcatheter placement and sbsq removal cepd perq CPT 33370 | $6,654.57 | $17,063.00 | $2,665.00 – $3,391.00 | 2 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | $3,781.83 | $9,697.00 | $509.88 – $2,023.78 | 4 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | $4,046.25 | $10,375.00 | $929.04 – $2,023.78 | 4 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | $4,184.70 | $10,730.00 | $1,469.97 – $2,900.71 | 4 |
| Hdr rdncl skn surf brachytx CPT 77767 | $1,545.18 | $3,962.00 | $394.66 – $780.06 | 4 |
| Hdr rdncl skn surf brachytx CPT 77768 | $2,264.34 | $5,806.00 | $649.59 – $1,282.17 | 4 |
| Head CT scan (with and without contrast) CPT 70470 | $1,881.36 | $4,824.00 | $294.15 – $518.62 | 3 |
| Head CT scan (with contrast) CPT 70460 | $1,587.69 | $4,071.00 | $242.67 – $518.62 | 3 |
| Head CT scan (without contrast) CPT 70450 | $1,418.82 | $3,638.00 | $168.32 – $310.32 | 3 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $815.48 – $2,351.31 | 3 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $1,950.00 – $5,622.50 | 3 |
| Heart first pass add-on CPT 78496 | $176.28 | $452.00 | $77.28 – $99.69 | 2 |
| Heart first pass multiple CPT 78483 | not published | not published | $410.99 – $1,525.66 | 4 |
| Heart image spect CPT 78494 | $497.25 | $1,275.00 | $399.56 – $1,164.18 | 4 |
| Heart infarct image CPT 78466 | not published | not published | $384.86 – $1,164.18 | 4 |
| Heart infarct image (ef) CPT 78468 | $714.87 | $1,833.00 | $372.60 – $1,525.66 | 4 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Heavy metal qual any number CPT 83015 | $331.89 | $851.00 | $33.00 – $72.45 | 4 |
| Heel (Calcaneus) X-ray (both feet) CPT 73650 | $230.10 | $590.00 | $43.31 – $256.49 | 4 |
| Heinz bodies direct CPT 85441 | $107.64 | $276.00 | $7.37 – $14.53 | 4 |
| Heinz bodies induced CPT 85445 | not published | not published | $11.94 – $23.60 | 4 |
| Helicobacter pylori antibody igm CPT 86677 | $141.57 | $363.00 | $25.43 – $58.30 | 4 |
| Helicoll, per square cm HCPCS Q4164 | not published | not published | $2,527.36 – $2,527.36 | 1 |
| Hemagglutination inhibition CPT 86280 | not published | not published | $14.35 – $28.34 | 4 |
| Hematocrit CPT 85014 | $34.32 | $88.00 | $4.15 – $8.20 | 4 |
| Hematopoietic nuclear tx CPT 79403 | $928.98 | $2,382.00 | $191.22 – $702.23 | 4 |
| Hemicrt intrclry algrft prtl CPT 20933 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Hemiepiphyseal arrest CPT 24470 | not published | not published | $1,937.00 – $11,889.00 | 5 |
| Hemin 350 mg intravenous powder for solution HCPCS J1640 | not published | not published | $63.13 – $108.47 | 3 |
| Hemoglobin CPT 85018 | $34.71 | $89.00 | $4.15 – $8.20 | 4 |
| Hemoglobin copper sulfate CPT 83026 | not published | not published | $4.14 – $13.87 | 4 |
| Hemoglobin fetal qualitative CPT 83033 | not published | not published | $10.44 – $27.68 | 4 |
| Hemoglobin f (fetal) chemical CPT 83030 | not published | not published | $14.50 – $37.16 | 4 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $98.67 | $253.00 | $12.83 – $28.37 | 4 |
| Hemoglobin-oxygen affinity CPT 82820 | $32.37 | $83.00 | $17.51 – $46.16 | 4 |
| Hemoglobin plasma CPT 83051 | $77.22 | $198.00 | $12.80 – $25.29 | 4 |
| Hemoglobin thermolabile CPT 83065 | not published | not published | $12.07 – $31.14 | 4 |
| Hemoglobin urine CPT 83069 | $54.21 | $139.00 | $6.91 – $13.67 | 4 |
| Hemolysin acid CPT 85475 | $366.60 | $940.00 | $15.54 – $30.69 | 4 |
| Hemolysins/agglutinins auto CPT 86940 | $209.04 | $536.00 | $14.36 – $30.34 | 4 |
| Hemolysins and agglutinins incubated CPT 86941 | $387.66 | $994.00 | $21.22 – $41.90 | 4 |
| Hemophilus influenza antibdy CPT 86684 | $109.59 | $281.00 | $27.76 – $54.81 | 4 |
| Hemorrhoidectomy intern transanal deater 2+ 46948 CPT 46948 | not published | not published | $4,714.00 – $7,925.42 | 4 |
| Hemorrhoidectomy intrnl lig rbbr band ligations CPT 46221 | $530.79 | $1,361.00 | $2,572.00 – $4,066.00 | 4 |
| Hemorrhoidopexy stapling 46947 CPT 46947 | not published | not published | $1,937.00 – $9,000.00 | 5 |
| Hepagam b im injection HCPCS J1571 | not published | not published | $125.68 – $206.29 | 3 |
| Hepagam b intravenous, inj HCPCS J1573 | not published | not published | $173.01 – $205.48 | 3 |
| Heparin assay CPT 85520 | $220.74 | $566.00 | $22.93 – $45.29 | 4 |
| Heparin bolus from bag HCPCS J1644 | not published | not published | $0.38 – $0.38 | 1 |
| Heparin neutralization CPT 85525 | $71.37 | $183.00 | $20.76 – $40.97 | 4 |
| Heparin, porcine (pf) 10 unit/ml flush (wrapper) HCPCS J1642 | $0.16 | $0.41 | $0.04 – $0.04 | 1 |
| Heparin-protamine tolerance CPT 85530 | $24.96 | $64.00 | $24.84 – $45.29 | 4 |
| Hepatectomy removal of liver 47120 CPT 47120 | not published | not published | $2,323.00 – $6,859.00 | 3 |
| Hepatitis a antibody igm CPT 86709 | $127.14 | $326.00 | $19.73 – $38.96 | 4 |
| Hepatitis b core antibody igm CPT 86705 | $110.37 | $283.00 | $20.62 – $40.72 | 4 |
| Hepatitis b core antibody total CPT 86704 | $91.26 | $234.00 | $21.12 – $41.69 | 4 |
| Hepatitis b immune globulin greater than 1,560 units/5 ml im solution CPT 90371 | not published | not published | $321.39 – $477.10 | 3 |
| Hepatitis b surface antibody CPT 86706 | $81.12 | $208.00 | $18.82 – $37.16 | 4 |
| Hepatitis b vaccine 40 mcg/ml inj-adult CPT 90747 | not published | not published | $296.69 – $487.00 | 3 |
| Hepatitis c antibody CPT 86803 | $140.01 | $359.00 | $25.01 – $49.37 | 4 |
| Hepatitis c rna dir probe CPT 87520 | not published | not published | $35.12 – $108.02 | 4 |
| Hepatitis d quantification CPT 87523 | not published | not published | $148.23 – $148.23 | 1 |
| Hepatitis g dna amp probe CPT 87526 | not published | not published | $61.50 – $135.84 | 4 |
| Hepatitis g dna dir probe CPT 87525 | $40.17 | $103.00 | $35.12 – $103.11 | 4 |
| Hepatitis g dna quant CPT 87527 | not published | not published | $73.14 – $144.49 | 4 |
| Hep b vac 3ag 10mcg 3 dos im CPT 90759 | not published | not published | $138.22 – $255.42 | 3 |
| Hepb vacc 3 dose immunsup im CPT 90740 | not published | not published | $387.77 – $526.34 | 3 |
| Hereditary colon ca dsordrs CPT 81435 | not published | not published | $955.12 – $2,023.75 | 3 |
| Hereditary colon ca dsordrs CPT 81436 | not published | not published | $955.12 – $2,023.75 | 3 |
| Hered neuroend tum-rlt do 5+ CPT 81437 | not published | not published | $722.52 – $1,518.70 | 3 |
| Hered rta do gen seq 15 CPT 81434 | not published | not published | $722.52 – $2,068.77 | 3 |
| Heredtry nurondcrn tum dsrdr CPT 81438 | not published | not published | $722.52 – $1,518.70 | 3 |
| Hernia Repair (Inguinal) CPT 49505 | not published | not published | $2,323.00 – $9,765.44 | 5 |
| Herpes simplex 1 ag if CPT 87274 | $280.02 | $718.00 | $21.02 – $41.45 | 4 |
| Herpes simplex 2 ag if CPT 87273 | $280.02 | $718.00 | $21.02 – $41.45 | 4 |
| Herpes simplex type 1 antibody igg CPT 86695 | $96.33 | $247.00 | $23.10 – $45.64 | 4 |
| Herpes simplex type 2 antibody igg CPT 86696 | $96.33 | $247.00 | $33.91 – $66.95 | 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.