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 |
|---|---|---|---|---|
| Ins/rplcmt prq eltrd ra pn 1 CPT 64596 | not published | not published | $4,714.00 – $38,450.25 | 3 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | not published | not published | $1,694.00 – $87,649.64 | 5 |
| Ins/rpl ldless pm right vent w img & eval CPT 33274 | $24,135.54 | $61,886.00 | $6,389.00 – $56,095.00 | 3 |
| Ins/rpl pm gen exist dual lead CPT 33213 | $5,400.72 | $13,848.00 | $1,937.00 – $30,141.04 | 5 |
| Ins/rpl pm gen exist sgl lead CPT 33212 | $4,343.82 | $11,138.00 | $1,937.00 – $23,980.35 | 5 |
| Ins/rpl pm w/tv ld atrl CPT 33206 | $5,706.09 | $14,631.00 | $2,323.00 – $30,141.04 | 4 |
| Ins/rpl prph sac/gstr npg/r CPT 64590 | not published | not published | $1,694.00 – $61,747.09 | 5 |
| Ins/rpl wireless pulm art sensor incl s&i CPT 33289 | $12,829.83 | $32,897.00 | $9,000.00 – $82,039.18 | 3 |
| Insrt/redo neurostim 1 array CPT 61885 | not published | not published | $1,694.00 – $61,747.09 | 5 |
| Ins sk-mnt crnl nstm pg/rcvr CPT 61889 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Ins subq extnsn pertneal cath CPT 49435 | not published | not published | $3,391.00 – $5,272.00 | 2 |
| Install spinal shunt CPT 63740 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Install spinal shunt 63741 CPT 63741 | not published | not published | $4,714.00 – $18,802.95 | 3 |
| Inst fibrinolysis agent ini day CPT 32561 | $1,483.95 | $3,805.00 | $1,773.21 – $4,066.00 | 4 |
| Inst fibrinolysis agent sbsq d CPT 32562 | $1,483.95 | $3,805.00 | $1,773.21 – $4,066.00 | 4 |
| Insti hexaminolevulinate hcl HCPCS A9589 | not published | not published | $2,627.82 – $2,627.82 | 1 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $721.50 | $1,850.00 | $139.75 – $2,665.00 | 4 |
| Instill, bupivac and meloxic HCPCS C9088 | not published | not published | $1.47 – $2.30 | 3 |
| Instill pharm renal pelvis HCPCS C9789 | not published | not published | $4,714.00 – $6,667.13 | 3 |
| Instll rx agnt into rnal tub CPT 50391 | $375.18 | $962.00 | $697.61 – $3,391.00 | 4 |
| Ins trurl ablt trnsdc thr Ultrasound CPT 51721 | not published | not published | $4,714.00 – $6,859.00 | 2 |
| Inst tauro 1.35mg/hep 100u HCPCS J0911 | not published | not published | $16.20 – $25.69 | 2 |
| Ins tun cvad 2 cath w/subq port(s) CPT 36566 | $12,200.37 | $31,283.00 | $1,937.00 – $15,511.46 | 5 |
| Ins tun cv cath wo subq prt/pm CPT 36557 | $504.27 | $1,293.00 | $1,694.00 – $15,511.46 | 5 |
| Ins tun cv cath wo subq prt/pm CPT 36558 | $8,119.02 | $20,818.00 | $1,694.00 – $8,997.17 | 5 |
| Ins tun intraperit dia cath CPT 49421 | $2,675.01 | $6,859.00 | $1,308.00 – $9,765.44 | 5 |
| Inst via cath agent pleurds CPT 32560 | $1,962.48 | $5,032.00 | $1,773.21 – $4,714.00 | 4 |
| Insulin for insulin pump use HCPCS J1817 | not published | not published | $4.54 – $4.54 | 1 |
| Insulin suppression panel CPT 80432 | not published | not published | $236.69 – $573.01 | 4 |
| Insulin tolerance panel CPT 80434 | not published | not published | $155.92 – $986.20 | 4 |
| Insulin tolerance panel CPT 80435 | not published | not published | $165.71 – $356.38 | 4 |
| Insulin total CPT 83525 | $162.63 | $417.00 | $20.03 – $39.55 | 4 |
| Ins vag brachytx device CPT 57156 | $680.55 | $1,745.00 | $905.52 – $4,714.00 | 4 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $12,803.17 | $32,828.65 | $3,050.76 – $3,050.76 | 1 |
| Integra meshed bil wound mat HCPCS C9363 | $2,331.63 | $5,978.54 | $124.27 – $124.27 | 1 |
| Intens cardiac rehab no exer HCPCS G0423 | $246.87 | $633.00 | not published | 0 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $258.96 | $664.00 | not published | 0 |
| Intercalary algrft compl CPT 20934 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Interdental fixation CPT 21110 | not published | not published | $2,572.00 – $5,272.00 | 4 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $1,694.00 – $5,272.00 | 5 |
| Interdiscal perq aspir dx CPT 62267 | $1,222.26 | $3,134.00 | $1,985.95 – $4,066.00 | 4 |
| Interferon alfa-2a inj HCPCS J9213 | not published | not published | $55.03 – $55.03 | 1 |
| Interferon alfa-2b inj HCPCS J9214 | not published | not published | $59.75 – $85.78 | 3 |
| Interferon alfacon-1 inj HCPCS J9212 | not published | not published | $12.48 – $12.48 | 1 |
| Interferon alfa-n3 inj HCPCS J9215 | not published | not published | $58.55 – $58.55 | 1 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | not published | not published | $106.01 – $185.77 | 3 |
| Interferon beta-1a inj HCPCS J1826 | not published | not published | $4,017.45 – $6,078.70 | 3 |
| Interferon beta-1b / .25 mg HCPCS J1830 | not published | not published | $938.95 – $1,381.41 | 2 |
| Interferon gamma 1-b inj HCPCS J9216 | not published | not published | $15,829.22 – $15,829.22 | 1 |
| Interfyl, 1 mg HCPCS Q4171 | not published | not published | $22.70 – $22.70 | 1 |
| Intermediate visual field xm CPT 92082 | $73.32 | $188.00 | $172.66 – $172.66 | 1 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $1,308.00 – $3,391.00 | 3 |
| Interrogate subq defib CPT 93261 | $44.46 | $114.00 | not published | 0 |
| Interrogation vad in person CPT 93750 | $324.87 | $833.00 | $273.23 – $2,665.00 | 2 |
| Interrog dev eval icpms ip CPT 93290 | $74.49 | $191.00 | not published | 0 |
| Interrog dev eval scrms ip CPT 93291 | $124.80 | $320.00 | $84.05 – $84.05 | 1 |
| Interrog device eval heart CPT 93289 | $107.25 | $275.00 | not published | 0 |
| Interrog evl pm/ldls pm ip CPT 93288 | $124.80 | $320.00 | not published | 0 |
| Interstitial brachy inter CPT 77799 | $1,866.93 | $4,787.00 | $247.91 – $338.47 | 2 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $5,063.00 – $15,026.00 | 2 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $4,714.00 – $7,925.42 | 3 |
| Int hrhc lig 2+hroid without img CPT 46946 | $2,234.70 | $5,730.00 | $1,308.00 – $7,925.42 | 5 |
| Intra-atrial pacing CPT 93610 | $2,873.13 | $7,367.00 | $5,272.00 – $21,080.09 | 2 |
| Intra-atrial recording CPT 93602 | $2,873.13 | $7,367.00 | $5,272.00 – $21,080.09 | 2 |
| Intracard echo interv w/s&i CPT 93662 | $6,504.03 | $16,677.00 | $2,665.00 – $2,665.00 | 1 |
| Intracran angioplsty w/stent CPT 61635 | $11,662.95 | $29,905.00 | $4,220.00 – $6,859.00 | 3 |
| Intracranial angioplasty CPT 61630 | $9,176.31 | $23,529.00 | $4,220.00 – $6,859.00 | 3 |
| Intracranial complete study CPT 93886 | $1,652.43 | $4,237.00 | $528.64 – $1,527.88 | 3 |
| Intracranial limited study CPT 93888 | $1,069.77 | $2,743.00 | $286.79 – $871.49 | 3 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $2,572.00 – $5,272.00 | 4 |
| Intranasal reconstruction CPT 30620 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $2,665.00 – $5,063.00 | 2 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | $992.94 | $2,546.00 | $2,665.00 – $2,665.00 | 1 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $2,665.00 – $2,665.00 | 1 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $1,308.00 – $3,391.00 | 5 |
| Intraoral periapical first HCPCS D0220 | not published | not published | $256.49 – $256.49 | 1 |
| Intrapul surf admin endo tube CPT 94610 | $358.80 | $920.00 | $602.04 – $602.04 | 1 |
| Intrauterine transfusion ftl CPT 36460 | $2,574.39 | $6,601.00 | $1,225.32 – $3,391.00 | 4 |
| Intraventricular pacing CPT 93612 | $2,873.13 | $7,367.00 | $5,272.00 – $21,080.09 | 2 |
| Intrinsic factor antibody CPT 86340 | $177.84 | $456.00 | $26.41 – $52.18 | 4 |
| Intrm oph exam est patient CPT 92012 | $161.46 | $414.00 | not published | 0 |
| Intro cath dialysis circuit CPT 36901 | $1,833.39 | $4,701.00 | $3,391.00 – $5,272.00 | 3 |
| Intro cath dialysis circuit w/pta CPT 36902 | $7,326.15 | $18,785.00 | $9,000.00 – $16,133.35 | 3 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | $9,207.12 | $23,608.00 | $9,000.00 – $31,052.45 | 3 |
| Intro catheter aorta CPT 36200 | $1,463.28 | $3,752.00 | $1,308.00 – $4,714.00 | 3 |
| Intro cath svc/ivc CPT 36010 | $1,323.27 | $3,393.00 | $2,665.00 – $3,391.00 | 2 |
| Intro long gi tube CPT 44500 | $458.64 | $1,176.00 | $2,558.69 – $5,272.00 | 4 |
| Intro long gi tube w/mult fluo CPT 74340 | $564.33 | $1,447.00 | $281.89 – $363.64 | 2 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | $1,788.54 | $4,586.00 | $2,665.00 – $3,391.00 | 2 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | $1,510.47 | $3,873.00 | $2,665.00 – $3,391.00 | 2 |
| Intubation endotracheal emergency procedure CPT 31500 | $634.14 | $1,626.00 | $689.46 – $3,391.00 | 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.