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 |
|---|---|---|---|---|
| Herpes simplex virus isolation CPT 87255 | $313.56 | $804.00 | $59.33 – $117.16 | 4 |
| Heterophile antibodies screening CPT 86308 | $79.56 | $204.00 | $9.07 – $17.92 | 4 |
| Heterophile antibodies titer CPT 86309 | not published | not published | $11.34 – $22.39 | 4 |
| Heterophile antibody absrbj CPT 86310 | not published | not published | $12.92 – $25.50 | 4 |
| Hexa gene CPT 81255 | not published | not published | $61.74 – $178.02 | 3 |
| Hgb methemoglobin qual CPT 83045 | $75.66 | $194.00 | $8.69 – $22.46 | 4 |
| Hhv-6 dna dir probe CPT 87531 | not published | not published | $35.12 – $200.68 | 4 |
| Hhv-6 dna quant CPT 87533 | $319.80 | $820.00 | $73.14 – $144.49 | 4 |
| Hib-hepb vaccine im CPT 90748 | not published | not published | $89.79 – $89.79 | 1 |
| Hib-mency vacc 6wk-18m0 im CPT 90644 | not published | not published | $52.76 – $52.76 | 1 |
| Hi enrgy eswt plantar fascia CPT 28890 | not published | not published | $4,536.58 – $8,448.00 | 3 |
| Hip and Pelvis X-ray (2 views, both hips) CPT 73521 | $271.05 | $695.00 | $64.55 – $310.32 | 4 |
| Hip and Pelvis X-ray (3 to 4 views, both hips) CPT 73522 | $304.98 | $782.00 | $77.63 – $310.32 | 4 |
| Hip and Pelvis X-ray (single view, left side) CPT 73501 | $168.09 | $431.00 | $46.58 – $256.49 | 4 |
| Hip arthr0 w/debridement CPT 29862 | not published | not published | $6,389.00 – $20,193.44 | 5 |
| Hip arthr0 w/synovectomy CPT 29863 | not published | not published | $2,323.00 – $15,026.00 | 5 |
| Hip arthro acetabuloplasty CPT 29915 | not published | not published | $6,389.00 – $20,193.44 | 4 |
| Hip arthroscopy dx CPT 29860 | not published | not published | $2,323.00 – $20,193.44 | 5 |
| Hip arthro w/fb removal CPT 29861 | not published | not published | $2,323.00 – $20,193.44 | 5 |
| Hip arthro w/femoroplasty CPT 29914 | not published | not published | $6,389.00 – $20,193.44 | 4 |
| Hip arthro w/labral repair CPT 29916 | not published | not published | $6,389.00 – $20,193.44 | 4 |
| Hip X-ray CPT 73502 | $189.15 | $485.00 | $69.46 – $256.49 | 4 |
| Histamine CPT 83088 | $219.18 | $562.00 | $51.74 – $102.17 | 4 |
| Histochemical stains add-on CPT 88314 | $232.83 | $597.00 | $19.80 – $127.47 | 3 |
| Histoplasmosis skin test CPT 86510 | not published | not published | $6.61 – $113.20 | 4 |
| Hiv-1 ag ia CPT 87390 | $223.08 | $572.00 | $30.91 – $83.25 | 4 |
| Hiv-1 dna dir probe CPT 87534 | not published | not published | $35.12 – $75.84 | 4 |
| Hiv-2 ag ia CPT 87391 | not published | not published | $30.91 – $75.77 | 4 |
| HIV 2 pcr qual - sendout CPT 87537 | not published | not published | $35.12 – $75.84 | 4 |
| Hiv-2 quant&revrse trnscripj CPT 87539 | not published | not published | $75.05 – $202.83 | 4 |
| HIV prep, ftc/taf 200/25mg HCPCS J0751 | not published | not published | $135.88 – $135.88 | 1 |
| HIV prep, ftc/tdf 200/300mg HCPCS J0750 | not published | not published | $3.47 – $3.47 | 1 |
| HIV prep, inj, cabotegravir HCPCS J0739 | not published | not published | $13.13 – $13.13 | 1 |
| Hizentra injection HCPCS J1559 | not published | not published | $26.00 – $44.81 | 3 |
| Hla class i high defin qual CPT 86832 | $574.86 | $1,474.00 | $209.28 – $1,120.18 | 4 |
| Hla class ii high defin qual CPT 86833 | $578.37 | $1,483.00 | $190.26 – $1,127.27 | 4 |
| Hla class i&ii antibody qual CPT 86828 | $496.86 | $1,274.00 | $65.28 – $222.10 | 4 |
| Hla class i/ii antibody qual CPT 86829 | not published | not published | $48.96 – $222.10 | 4 |
| Hla class ii phenotype qual CPT 86831 | $341.64 | $876.00 | $114.16 – $283.30 | 4 |
| Hla class ii semiquant panel CPT 86835 | not published | not published | $532.72 – $1,117.44 | 4 |
| Hla class i phenotype qual CPT 86830 | $341.64 | $876.00 | $133.19 – $330.50 | 4 |
| Hla class i semiquant panel CPT 86834 | not published | not published | $589.79 – $1,237.16 | 4 |
| Hla i & ii type verify lr CPT 81371 | not published | not published | $394.03 – $1,399.64 | 4 |
| Hla i & ii typing hr CPT 81378 | $1,128.66 | $2,894.00 | $565.73 – $1,195.67 | 4 |
| Hla i & ii typing lr CPT 81370 | $1,407.51 | $3,609.00 | $658.32 – $1,391.34 | 4 |
| Hla ii typing 1 loc hr CPT 81382 | $290.94 | $746.00 | $202.48 – $427.93 | 4 |
| Hla ii typing ag equiv lr CPT 81375 | $372.06 | $954.00 | $361.38 – $763.76 | 4 |
| Hla i low res one antigen equiv ea CPT 81374 | $145.94 | $374.21 | $119.10 – $257.18 | 4 |
| Hla i typing 1 locus hr CPT 81380 | not published | not published | $290.17 – $613.28 | 4 |
| Hla i typing complete hr CPT 81379 | not published | not published | $549.05 – $1,160.41 | 4 |
| Hla i typing complete lr CPT 81372 | $631.80 | $1,620.00 | $361.63 – $1,396.42 | 4 |
| Hla i typing high res 1 allele grp ea CPT 81381 | $392.34 | $1,006.00 | $154.84 – $587.85 | 4 |
| Hla i typing low res one locus ea CPT 81373 | $400.92 | $1,028.00 | $182.32 – $440.91 | 4 |
| Hla typing a b or c CPT 86813 | $503.88 | $1,292.00 | $101.59 – $200.68 | 4 |
| Hla typing dr/dq CPT 86816 | not published | not published | $48.80 – $104.39 | 4 |
| Hla x-match noncytotoxc addl CPT 86826 | $97.11 | $249.00 | $46.02 – $126.39 | 4 |
| Hla x-math non-cytotoxic CPT 86825 | $263.25 | $675.00 | $138.05 – $378.84 | 4 |
| Hlth bhv assmt/reassessment CPT 96156 | $350.22 | $898.00 | not published | 0 |
| Hlth bhv ivntj fam 1st 30 CPT 96167 | $350.22 | $898.00 | not published | 0 |
| Hlth bhv ivntj grp 1st 30 CPT 96164 | $350.22 | $898.00 | not published | 0 |
| Hlth bhv ivntj indiv 1st 30 CPT 96158 | $350.22 | $898.00 | $450.03 – $450.03 | 1 |
| Hocm 200-249mg/ml iodine,1ml HCPCS Q9960 | not published | not published | $0.53 – $0.53 | 1 |
| Hocm 250-299mg/ml iodine,1ml HCPCS Q9961 | $9.52 | $24.40 | $0.55 – $0.55 | 1 |
| Hocm 350-399mg/ml iodine,1ml HCPCS Q9963 | $102.96 | $264.00 | $0.42 – $0.42 | 1 |
| Home sleep test/type 2 porta HCPCS G0398 | $846.69 | $2,171.00 | $440.91 – $440.91 | 1 |
| Home sleep test/type 3 porta HCPCS G0399 | $973.83 | $2,497.00 | $440.91 – $440.91 | 1 |
| Home sleep test/type 4 porta HCPCS G0400 | $846.69 | $2,171.00 | $885.97 – $885.97 | 1 |
| Homocysteine CPT 83090 | $384.54 | $986.00 | $29.56 – $62.00 | 4 |
| Homogenization tissue CPT 87176 | $81.51 | $209.00 | $10.31 – $20.34 | 4 |
| Homovanillic acid (hva) CPT 83150 | $38.51 | $98.75 | $33.90 – $77.54 | 4 |
| Hopd covid-19 spec collect HCPCS C9803 | not published | not published | $27.59 – $27.59 | 1 |
| Ho post-op hip abduction HCPCS L1686 | $1,264.31 | $3,241.83 | not published | 0 |
| Hpa-15 genotyping CPT 81112 | not published | not published | $181.07 – $422.88 | 4 |
| Hpa-1 genotyping CPT 81105 | not published | not published | $181.07 – $422.88 | 4 |
| Hpa-2 genotyping CPT 81106 | not published | not published | $181.07 – $422.88 | 4 |
| Hpa-3 genotyping CPT 81107 | not published | not published | $181.07 – $422.88 | 4 |
| Hpa-4 genotyping CPT 81108 | not published | not published | $181.07 – $422.88 | 4 |
| Hpa-5 genotyping CPT 81109 | $248.43 | $637.00 | $181.07 – $422.88 | 4 |
| Hpa-6 genotyping CPT 81110 | not published | not published | $181.07 – $422.88 | 4 |
| Hpa-9 genotyping CPT 81111 | not published | not published | $181.07 – $422.88 | 4 |
| Hpv combo assay ca screen HCPCS G0476 | not published | not published | $57.77 – $121.41 | 3 |
| Hpv low-risk types CPT 87623 | $148.98 | $382.00 | $34.44 – $121.41 | 4 |
| Hpv types 16 & 18 only CPT 87625 | $140.01 | $359.00 | $34.44 – $140.30 | 4 |
| H pylori ag ia CPT 87339 | $95.94 | $246.00 | $21.02 – $55.36 | 4 |
| H pylori (c-13) blood CPT 83009 | not published | not published | $118.02 – $233.07 | 4 |
| H pylori (c-13) breath CPT 83013 | $306.15 | $785.00 | $118.02 – $233.07 | 4 |
| H pylori drug admin CPT 83014 | $11.31 | $29.00 | $13.78 – $27.20 | 4 |
| Hrdtry brst ca-rlatd do 5+ CPT 81432 | not published | not published | $1,117.78 – $2,349.51 | 3 |
| Hrdtry brst ca-rlatd dsordrs CPT 81433 | not published | not published | $722.52 – $1,518.70 | 3 |
| Hrdtry cardmypy gene panel CPT 81439 | $1,234.74 | $3,166.00 | $962.80 – $2,023.75 | 4 |
| Hrdtry perph neurphy panel CPT 81448 | not published | not published | $866.52 – $2,023.75 | 4 |
| Hrv skn cll ssp agrft 1st 25 CPT 15011 | not published | not published | $4,714.00 – $5,272.00 | 2 |
| Hsv dna dir probe CPT 87528 | not published | not published | $35.12 – $69.37 | 4 |
| Htt gene charac alleles CPT 81274 | $452.40 | $1,160.00 | $329.80 – $950.91 | 3 |
| Htt gene detc abnor alleles CPT 81271 | $225.42 | $578.00 | $164.40 – $474.02 | 3 |
| Human epididymis protein 4 (he4) CPT 86305 | $235.17 | $603.00 | $35.77 – $72.00 | 4 |
| Human ig IV CPT 90283 | not published | not published | $113.01 – $113.01 | 1 |
| Human ig sc CPT 90284 | not published | not published | $31.16 – $31.16 | 1 |
| Human prothrombin complex concentrate (pcc)-lans 500 unit (400-640 unit) IV solution HCPCS J7165 | not published | not published | $5.97 – $6.12 | 2 |
| Hyaluronidase 150 unit/ml injection solution HCPCS J3470 | not published | not published | $108.49 – $108.49 | 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.