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 |
|---|---|---|---|---|
| Inj, fulvestrant (fresenius) HCPCS J9394 | not published | not published | $23.37 – $183.38 | 2 |
| Inj, fulvestrant (teva) HCPCS J9393 | not published | not published | $38.88 – $63.45 | 2 |
| Inj, gadopiclenol, 1 ml HCPCS A9573 | $79.56 | $204.00 | $6.82 – $6.82 | 1 |
| Inj, ganciclovir (exela) HCPCS J1574 | not published | not published | $97.21 – $97.21 | 1 |
| Inj ganirelix acetat 250 mcg HCPCS S0132 | not published | not published | $365.21 – $365.21 | 1 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | not published | not published | $17.80 – $30.38 | 2 |
| Inj givosiran 0.5 mg HCPCS J0223 | not published | not published | $220.09 – $387.80 | 3 |
| Inj glofitamab gxbm, 2.5 mg HCPCS J9286 | not published | not published | $5,281.35 – $9,369.44 | 2 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | not published | not published | $3.85 – $3.85 | 1 |
| Inj glycopyrrolate, glyrx-pf HCPCS J1597 | not published | not published | $3.11 – $3.11 | 1 |
| Inj golodirsen 10 mg HCPCS J1429 | not published | not published | $311.06 – $497.48 | 3 |
| Inj, granisetron, xr, 0.1 mg HCPCS J1627 | not published | not published | $10.50 – $19.62 | 3 |
| Inj., guselkumab, 1 mg HCPCS J1628 | not published | not published | $140.13 – $222.88 | 3 |
| Inj., haegarda 10 units HCPCS J0599 | not published | not published | $22.62 – $22.62 | 1 |
| Inj, hemgenix, per tx dose HCPCS J1411 | not published | not published | $0.03 – $0.03 | 1 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | not published | not published | $6.71 – $15.85 | 2 |
| Inj. herceptin hylecta, 10mg HCPCS J9356 | not published | not published | $120.19 – $228.43 | 3 |
| Inj, hercessi, 10 mg HCPCS Q5146 | not published | not published | $171.46 – $171.46 | 1 |
| Inj herzuma 10 mg HCPCS Q5113 | not published | not published | $137.19 – $139.47 | 3 |
| Inj hrt cath w/s&i nonsel p-art angrp CPT 93568 | $1,646.97 | $4,223.00 | $2,665.00 – $2,665.00 | 1 |
| Inj hrt cath w/s&i sel hrt ang CPT 93563 | $2,920.32 | $7,488.00 | $2,665.00 – $2,665.00 | 1 |
| Inj hrt cath w/s&i sel hrt art CPT 93564 | $2,311.53 | $5,927.00 | $2,665.00 – $2,665.00 | 1 |
| Inj hrt cath w/s&i sel left vent CPT 93565 | $1,250.34 | $3,206.00 | $2,665.00 – $2,665.00 | 1 |
| Inj hrt cath w/s&i sel right vent CPT 93566 | $1,377.87 | $3,533.00 | $2,665.00 – $2,665.00 | 1 |
| Inj human fibrinogen con nos HCPCS J7178 | not published | not published | $2.82 – $4.77 | 3 |
| Inj hydroxocobalamin IV 25mg HCPCS J3424 | not published | not published | $9.70 – $15.06 | 2 |
| Inj hydroxyprogst capoat nos HCPCS J1729 | not published | not published | $26.51 – $57.08 | 3 |
| Inj., ibalizumab-uiyk, 10 mg HCPCS J1746 | not published | not published | $147.01 – $258.19 | 3 |
| Inj, idacio, 1 mg HCPCS Q5144 | not published | not published | $43.69 – $43.69 | 1 |
| Inj imip 4 cilas 4 releb 2mg HCPCS J0742 | not published | not published | $4.77 – $8.51 | 3 |
| Inj, imm glob bivigam, 500mg HCPCS J1556 | not published | not published | $146.06 – $252.44 | 3 |
| Inj, immphentiv, 20 mcg HCPCS J2373 | not published | not published | $0.27 – $0.27 | 1 |
| Inj. inebilizumab-cdon, 1 mg HCPCS J1823 | not published | not published | $923.27 – $1,638.34 | 3 |
| Inj/inf neurolyt sbst spinal canal lesion 62282 CPT 62282 | $2,028.39 | $5,201.00 | $1,308.00 – $4,066.00 | 5 |
| Inj. infugem, 100 mg HCPCS J9198 | not published | not published | $67.81 – $120.55 | 3 |
| Inj. insulin (fiasp) HCPCS J1812 | not published | not published | $2.82 – $2.82 | 1 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $136.89 | $351.00 | $565.10 – $3,391.00 | 3 |
| Inj intralesional > 7 lsns CPT 11901 | $129.48 | $332.00 | $565.10 – $3,391.00 | 3 |
| Inj, invega hafyera/trinza HCPCS J2427 | not published | not published | $24.05 – $42.25 | 2 |
| Inj ivig privigen 500 mg HCPCS J1459 | not published | not published | $93.93 – $167.08 | 3 |
| Inj, ixinity, 1 i.u HCPCS J7213 | not published | not published | $4.19 – $6.30 | 2 |
| Inj. jivi 1 iu HCPCS J7208 | not published | not published | $4.67 – $8.10 | 3 |
| Inj, kovaltry, 1 i.u HCPCS J7211 | not published | not published | $2.82 – $4.95 | 3 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | not published | not published | $2.63 – $8.86 | 2 |
| Inj., lanadelumab-flyo, 1 mg HCPCS J0593 | not published | not published | $165.80 – $165.80 | 1 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | not published | not published | $58.48 – $168.78 | 2 |
| Inj, lecanemab-irmb, 1 mg HCPCS J0174 | not published | not published | $2.53 – $4.67 | 2 |
| Inj lefamulin 1 mg HCPCS J0691 | not published | not published | $1.33 – $2.17 | 3 |
| Inj, lenacapavir, 1 mg HCPCS J1961 | not published | not published | $41.89 – $75.88 | 2 |
| Inj levocarnitine per 1 gm HCPCS J1955 | not published | not published | $48.72 – $48.72 | 1 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | not published | not published | $0.08 – $0.24 | 2 |
| Inj, levothyroxine, freskabi HCPCS J0651 | not published | not published | $7.28 – $11.21 | 2 |
| Inj, levothyroxine, hikma HCPCS J0652 | not published | not published | $9.80 – $15.37 | 2 |
| Inj, lidocaine w epinephrine HCPCS J2004 | not published | not published | $0.02 – $0.02 | 1 |
| Inj, linezolid (hospira) HCPCS J2021 | not published | not published | $15.76 – $69.41 | 2 |
| Inj. lumasiran, 0.5 mg HCPCS J0224 | not published | not published | $606.13 – $1,105.68 | 3 |
| Inj., lumoxiti, 0.01 mg HCPCS J9313 | not published | not published | $42.90 – $70.01 | 3 |
| Inj luxturna 1 billion vec g HCPCS J3398 | not published | not published | $7,820.42 – $9,231.35 | 2 |
| Inj lwr xtr fscl pln blk uni w/wo image CPT 64473 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Inj. meloxicam 1 mg HCPCS J1738 | not published | not published | $6.10 – $7.90 | 2 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | not published | not published | $254.81 – $512.15 | 3 |
| Inj, melphalan flufenami 1mg HCPCS J9247 | not published | not published | $923.46 – $1,742.11 | 3 |
| Inj melphalan (hepzato) 1 mg HCPCS J9248 | not published | not published | $1,474.86 – $2,315.87 | 2 |
| Inj menotropins 75 iu HCPCS S0122 | not published | not published | $471.94 – $471.94 | 1 |
| Inj mepivacaine hcl/10 ml HCPCS J0670 | not published | not published | $6.77 – $6.77 | 1 |
| Inj, meropenem (b. braun) HCPCS J2184 | not published | not published | $3.95 – $7.30 | 2 |
| Inj., meropenem, vaborbactam HCPCS J2186 | not published | not published | $4.19 – $6.27 | 3 |
| Inj meropenem (wg crit care) HCPCS J2183 | not published | not published | $3.14 – $3.14 | 1 |
| Inj metaraminol bitartrate HCPCS J0380 | not published | not published | $2.17 – $2.17 | 1 |
| Inj, micafungin (par pharm) HCPCS J2247 | not published | not published | $0.59 – $1.18 | 2 |
| Inj, mirikizumab-mrkz, 1 mg HCPCS J2267 | not published | not published | $86.51 – $86.51 | 1 |
| Inj mogamulizumab-kpkc, 1 mg HCPCS J9204 | not published | not published | $463.77 – $810.23 | 3 |
| Inj, motixafortide, 0.25 mg HCPCS J2277 | not published | not published | $48.07 – $48.07 | 1 |
| Inj, moxifloxacin 100 mg HCPCS J2280 | not published | not published | $16.49 – $16.49 | 1 |
| Inj moxifloxacin (fres kabi) HCPCS J2281 | not published | not published | $11.76 – $20.10 | 2 |
| Inj multihance HCPCS A9577 | $51.48 | $132.00 | $3.47 – $3.47 | 1 |
| Inj multihance multipack HCPCS A9578 | not published | not published | $3.41 – $3.41 | 1 |
| Inj. mycophenolate mofetil HCPCS J7519 | not published | not published | $0.78 – $2.53 | 2 |
| Inj naloxone hydrochloride HCPCS J2310 | not published | not published | $16.58 – $16.58 | 1 |
| Inj. naxitamab-gqgk, 1 mg HCPCS J9348 | not published | not published | $1,224.20 – $2,109.80 | 3 |
| Inj nephrosto/ureterogram w/img exstng access CPT 50431 | $1,522.56 | $3,904.00 | $1,928.18 – $4,220.00 | 4 |
| Inj, nithiodote, 3mg / 125mg HCPCS J0211 | not published | not published | $3.81 – $6.48 | 2 |
| Inj, nogapendekin pmln, 1mcg HCPCS J9028 | not published | not published | $180.82 – $180.82 | 1 |
| Inj non-compmd foam sclrsnt mlt trncl veins same leg CPT 36466 | $1,343.55 | $3,445.00 | $4,714.00 – $9,032.00 | 4 |
| Inj non-compmd foam sclrsnt sgl trncl vein CPT 36465 | $1,165.71 | $2,989.00 | $4,714.00 – $9,032.00 | 4 |
| Inj, ocriplasmin, 0.125 mg HCPCS J7316 | not published | not published | $1,995.45 – $2,774.36 | 2 |
| Inj octafluoropropane mic,ml HCPCS Q9956 | $756.76 | $1,940.40 | $79.31 – $79.31 | 1 |
| Inj ogivri 10 mg HCPCS Q5114 | not published | not published | $98.81 – $153.73 | 3 |
| Inj, olaratumab, 10 mg HCPCS J9285 | not published | not published | $99.25 – $137.99 | 2 |
| Inj, oliceridine 0.1 mg HCPCS C9101 | not published | not published | $2.52 – $3.69 | 2 |
| Inj olipudase alfa-rpcp 1mg HCPCS J0218 | not published | not published | $727.29 – $1,304.32 | 2 |
| Inj, omacetaxine mep, 0.01mg HCPCS J9262 | not published | not published | $7.40 – $12.06 | 3 |
| Inj., omadacycline, 1 mg HCPCS J0121 | not published | not published | $7.60 – $12.66 | 3 |
| Inj onase abepar-xioi treat HCPCS J3399 | not published | not published | $0.03 – $6,757,500.00 | 2 |
| Inj ontruzant 10 mg HCPCS Q5112 | not published | not published | $50.26 – $203.76 | 3 |
| Inj, pafolacianine, 0.1 mg HCPCS A9603 | not published | not published | $258.21 – $258.21 | 1 |
| Inj, palonosetron (posfrea) HCPCS J2468 | not published | not published | $112.76 – $112.76 | 1 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | not published | not published | $12.64 – $12.64 | 1 |
| Inj, panzyga, 500 mg HCPCS J1576 | not published | not published | $131.70 – $229.88 | 2 |
| Inj, pasireotide long acting HCPCS J2502 | not published | not published | $964.97 – $1,436.10 | 3 |
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.