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 |
|---|---|---|---|---|
| Incision of thigh tendons CPT 27307 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Incision of thigh tendons CPT 27391 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Incision of thigh tendons CPT 27392 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Incision of tibia CPT 27705 | not published | not published | $1,694.00 – $20,193.44 | 5 |
| Incision of tibia & fibula CPT 27709 | not published | not published | $1,694.00 – $37,149.33 | 5 |
| Incision of toe tendons 28011 CPT 28011 | not published | not published | $1,937.00 – $6,179.00 | 5 |
| Incision of tongue fold CPT 41010 | $4,048.98 | $10,382.00 | $1,308.00 – $5,272.00 | 5 |
| Incision of tongue nerve CPT 64740 | not published | not published | $1,694.00 – $6,179.00 | 5 |
| Incision of urethra CPT 53000 | not published | not published | $1,308.00 – $6,179.00 | 5 |
| Incision of urethra CPT 53010 | not published | not published | $1,308.00 – $14,605.40 | 5 |
| Incision of urethra CPT 53020 | $3,996.72 | $10,248.00 | $1,308.00 – $6,179.00 | 5 |
| Incision of urethra CPT 53025 | not published | not published | $3,391.00 – $6,179.00 | 3 |
| Incision of vagus nerve CPT 64760 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Incision of windpipe CPT 31601 | not published | not published | $5,063.00 – $16,529.94 | 3 |
| Incision of windpipe CPT 31610 | not published | not published | $5,063.00 – $16,529.94 | 3 |
| Incision of wrist capsule CPT 25085 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Incision secondary cataract CPT 66820 | not published | not published | $2,572.00 – $6,577.81 | 4 |
| Incision tendon sheath CPT 26055 | not published | not published | $1,694.00 – $5,272.00 | 5 |
| Incisn of toe tndn CPT 28010 | $1,959.75 | $5,025.00 | $4,536.58 – $6,179.00 | 3 |
| Incisn windpipe CPT 31600 | $6,156.93 | $15,787.00 | $1,694.00 – $9,087.85 | 5 |
| Incis spine 3 column adl seg CPT 22208 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Incis spine 3 column lumbar CPT 22207 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Incis spine 3 column thorac CPT 22206 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $10.12 – $17.96 | 3 |
| Inc&subq plmt crnl bone grf CPT 61316 | not published | not published | $3,391.00 – $6,859.00 | 2 |
| Induced ab 1+vag supp d&c CPT 59856 | not published | not published | $4,714.00 – $5,272.00 | 2 |
| Induced ab 1+vag supp hyst CPT 59857 | not published | not published | $4,714.00 – $6,859.00 | 2 |
| Induced ab 1+ vag sup w/dlv fetus CPT 59855 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Induced abortion 1+njx d&c CPT 59851 | not published | not published | $3,437.00 – $6,859.00 | 3 |
| Induced abortion 1+njx hyst CPT 59852 | not published | not published | $4,714.00 – $6,859.00 | 2 |
| Induced abortion d&c CPT 59840 | not published | not published | $2,664.00 – $8,824.63 | 5 |
| Induced abortion dilat&evac CPT 59841 | not published | not published | $2,664.00 – $8,824.63 | 5 |
| Induction of vomiting CPT 99175 | $170.43 | $437.00 | not published | 0 |
| Infec agen detec ampli probe HCPCS U0005 | not published | not published | $30.00 – $30.00 | 1 |
| Infect ag drug suscept pheno predict CPT 87900 | $436.41 | $1,119.00 | $228.37 – $451.01 | 4 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $21.02 – $51.90 | 4 |
| Infect ag eia influenza a or b ea CPT 87400 | $106.47 | $273.00 | $21.02 – $48.89 | 4 |
| Infect ag genotype na cytomegalovirus CPT 87910 | not published | not published | $424.66 – $890.78 | 4 |
| Infect ag genotype na dna hepatitis b CPT 87912 | $533.91 | $1,369.00 | $424.66 – $890.78 | 4 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $521.43 | $1,337.00 | $217.37 – $445.41 | 4 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $793.65 | $2,035.00 | $451.06 – $890.78 | 4 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $95.55 | $245.00 | $39.32 – $113.38 | 4 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | $109.20 | $280.00 | $21.02 – $122.10 | 4 |
| Infect ag ia optc obs influenza CPT 87804 | $72.93 | $187.00 | $21.02 – $57.26 | 4 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $21.02 – $41.45 | 4 |
| Infect ag if hep delta agent CPT 87380 | $125.97 | $323.00 | $28.78 – $63.53 | 4 |
| Infect ag if influenza a CPT 87276 | $62.79 | $161.00 | $21.02 – $55.60 | 4 |
| Infect ag if influenza b CPT 87275 | $62.79 | $161.00 | $21.02 – $42.38 | 4 |
| Infect ag if legionella pneumophila CPT 87278 | $129.09 | $331.00 | $21.02 – $53.98 | 4 |
| Infect ag if nos ea CPT 87299 | $78.00 | $200.00 | $21.02 – $55.71 | 4 |
| Infect ag if pneumocystis carinii CPT 87281 | $50.03 | $128.28 | $21.02 – $41.45 | 4 |
| Infect ag if varicella zoster CPT 87290 | $274.56 | $704.00 | $21.02 – $46.43 | 4 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $61.25 – $185.01 | 4 |
| Infect ag na hep b amp CPT 87516 | $222.30 | $570.00 | $61.50 – $121.41 | 4 |
| Infect ag na herpes simplex quant CPT 87530 | $263.25 | $675.00 | $75.05 – $148.23 | 4 |
| Infect ag na hpv high-risk types CPT 87624 | $187.98 | $482.00 | $34.44 – $121.41 | 4 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $283.53 | $727.00 | $143.70 – $331.47 | 4 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $86.66 – $177.53 | 4 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $399.75 | $1,025.00 | not published | 0 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $1,081.47 | $2,773.00 | $663.77 – $1,442.06 | 4 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $714.67 | $1,832.48 | $856.12 – $1,690.76 | 4 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $47.07 | $120.68 | $45.67 – $90.20 | 4 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $171.99 | $441.00 | $49.78 – $143.17 | 2 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $139.23 | $357.00 | $21.02 – $41.45 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | $242.58 | $622.00 | $21.02 – $46.43 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $188.76 | $484.00 | $21.02 – $47.82 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $342.81 | $879.00 | $21.02 – $41.45 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $427.05 | $1,095.00 | $25.20 – $49.75 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $75.27 | $193.00 | $18.10 – $35.74 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | not published | not published | $18.10 – $35.74 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $113.10 | $290.00 | $40.94 – $83.32 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $132.60 | $340.00 | $21.02 – $41.45 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $138.84 | $356.00 | $21.02 – $41.45 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $166.92 | $428.00 | $21.02 – $41.45 | 4 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $399.75 | $1,025.00 | $61.50 – $121.41 | 4 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $137.67 | $353.00 | $61.50 – $121.41 | 4 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $230.88 | $592.00 | $60.32 – $128.95 | 4 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $349.83 | $897.00 | $312.03 – $1,442.06 | 4 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $400.14 | $1,026.00 | $61.50 – $121.41 | 4 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $173.16 | $444.00 | $61.50 – $121.41 | 4 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $417.69 | $1,071.00 | $61.50 – $144.21 | 4 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $137.67 | $353.00 | $61.50 – $121.41 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $109.69 | $281.25 | $61.57 – $177.53 | 2 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $171.99 | $441.00 | $171.12 – $493.50 | 2 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $171.99 | $441.00 | $171.12 – $493.50 | 2 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $243.75 | $625.00 | $61.50 – $121.41 | 4 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $236.73 | $607.00 | $34.53 – $121.41 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $621.77 | $1,594.27 | $309.55 – $1,442.06 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | not published | not published | $118.41 – $443.88 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | not published | not published | $173.01 – $909.95 | 4 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $527.67 | $1,353.00 | $75.05 – $148.23 | 4 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $349.83 | $897.00 | $75.05 – $148.23 | 4 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $631.02 | $1,618.00 | $75.05 – $148.23 | 4 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $512.85 | $1,315.00 | $149.09 – $294.45 | 4 |
| Infectious agent nucleic acid respiratory virus multiplex amplified probe 3-5 targets CPT 87631 | $266.37 | $683.00 | $211.61 – $493.50 | 4 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | not published | not published | $58.19 – $111.27 | 3 |
| Infliximab-axxq 100 mg intravenous solution HCPCS Q5121 | not published | not published | $37.80 – $114.72 | 3 |
| Infliximab-dyyb 100 mg intravenous solution HCPCS Q5103 | not published | not published | $22.01 – $102.50 | 3 |
| Influenza dna amp prob addl CPT 87503 | $225.81 | $579.00 | $35.06 – $101.10 | 4 |
| Influenza virus vaccine, inact hemagglutinin tiv pf inj CPT 90673 | not published | not published | $156.60 – $156.60 | 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.