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 |
|---|---|---|---|---|
| Aquaporin-4 antibody cba each CPT 86052 | not published | not published | $14.46 – $41.69 | 2 |
| Aquaporin-4 antibody elisa CPT 86051 | not published | not published | $13.84 – $39.89 | 2 |
| Aqua therapy w/exercise/ea 15 min 97113 CPT 97113 | $76.44 | $196.00 | not published | 0 |
| Aquatic exercise - group charge CPT 97150 | $63.57 | $163.00 | not published | 0 |
| Aqueous shunt eye w/graft CPT 66180 | not published | not published | $2,664.00 – $11,889.00 | 5 |
| Aqueous shunt eye without graft CPT 66179 | not published | not published | $6,389.00 – $14,752.70 | 4 |
| Architect ecm px fx 1 sq cm HCPCS Q4147 | not published | not published | $92.56 – $92.56 | 1 |
| Arformoterol non-comp unit HCPCS J7605 | not published | not published | $1.54 – $1.54 | 1 |
| Argatroban dialysis (accord) HCPCS J0892 | not published | not published | $6.30 – $7.70 | 2 |
| Argatroban dialysis, auromed HCPCS J0899 | not published | not published | $4.45 – $7.59 | 2 |
| Argatroban esrd dialysis 1mg HCPCS J0884 | not published | not published | $1.52 – $3.76 | 3 |
| Argatroban nonesrd (accord) HCPCS J0891 | not published | not published | $6.30 – $7.70 | 2 |
| Argatroban nonesrd (auromed) HCPCS J0898 | not published | not published | $4.45 – $7.59 | 2 |
| Argatroban nonesrd use 1mg HCPCS J0883 | not published | not published | $3.39 – $6.12 | 3 |
| Ar gene charac alleles CPT 81204 | $225.42 | $578.00 | $164.40 – $474.02 | 3 |
| Ar gene full gene sequence CPT 81173 | $495.69 | $1,271.00 | $361.62 – $1,042.67 | 3 |
| Ar gene known famil variant CPT 81174 | $304.59 | $781.00 | $222.24 – $640.79 | 3 |
| Aripiprazole 441 mg/1.6 ml inj HCPCS J1944 | not published | not published | $6.16 – $10.76 | 3 |
| Aripiprazole injection HCPCS J0400 | not published | not published | $1.43 – $1.43 | 1 |
| Arm CT Scan (with contrast, both arms) CPT 73201 | $1,268.28 | $3,252.00 | $377.48 – $1,085.52 | 3 |
| Arm CT Scan (without contrast, both arms) CPT 73200 | $1,150.11 | $2,949.00 | $297.41 – $342.08 | 3 |
| Arm or Leg Ultrasound (limited, left side) CPT 76882 | $370.89 | $951.00 | $26.16 – $310.32 | 4 |
| Arsenic trioxide 2 mg/ml intravenous solution HCPCS J9017 | not published | not published | $8.92 – $54.60 | 3 |
| Artacent ac 1 sq cm HCPCS Q4190 | not published | not published | $449.23 – $449.23 | 1 |
| Artacent wound, per sq cm HCPCS Q4169 | not published | not published | $5,385.21 – $5,385.21 | 1 |
| Art byp aor celiac msn and renal 35631 CPT 35631 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp aortofemoral 35647 CPT 35647 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp aortoiliac 35637 CPT 35637 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art bypass aorsubcl/carot/innom 35626 CPT 35626 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art bypass aortobifemoral 35646 CPT 35646 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art bypass aortobi-iliac 35638 CPT 35638 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art bypass axillary-femoral 35621 CPT 35621 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art bypass axill-fem-femoral 35654 CPT 35654 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art bypass carotid-subclavian 35606 CPT 35606 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art bypass common ipsi carotid 35601 CPT 35601 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art bypass fem-ant-post tib/prl 35666 CPT 35666 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art bypass femoral-femoral 35661 CPT 35661 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art bypass femoral-popliteal 35656 CPT 35656 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art bypass iliofemoral 35665 CPT 35665 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art bypass subclav-subclavian 35612 CPT 35612 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp axillary-axillary 35650 CPT 35650 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft aor/carot/innom CPT 35526 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft aorcel/aormesen CPT 35531 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft aortbifemoral 35540 CPT 35540 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft aortobi-iliac 35538 CPT 35538 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft aortofemoral CPT 35539 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft aortoiliac CPT 35537 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft aortorenal CPT 35560 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft axillary-axilry CPT 35518 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft axill-brachial CPT 35522 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft axill/fem/fem CPT 35533 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft axill-femoral CPT 35521 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft brachial-brchl CPT 35525 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft brchl-ulnr-rdl CPT 35523 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft carotid-brchial CPT 35510 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft carotid-vertbrl CPT 35508 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft contral carotid CPT 35509 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft fem-femoral 35558 CPT 35558 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft fem-popliteal 35556 CPT 35556 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft hepatorenal CPT 35535 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft ilioiliac CPT 35563 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft ipsilat carotid CPT 35501 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft splenorenal CPT 35536 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft subclav-axilary CPT 35516 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft subclav-brchial CPT 35512 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft subclav-carotid CPT 35506 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft subclav-subclav CPT 35511 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp grft subclav-vertbrl CPT 35515 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp ilioiliac 35663 CPT 35663 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp pop-tibl-prl-other 35571 CPT 35571 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Art byp tibial-tib/peroneal CPT 35570 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Arterial blood draw/perc 36620 CPT 36620 | $449.67 | $1,153.00 | $1,308.00 – $3,391.00 | 3 |
| Artery by graft; iliofemoral 35565 CPT 35565 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Artery to vein shunt CPT 36835 | not published | not published | $2,323.00 – $8,997.17 | 5 |
| Artery transpose/endovas taa CPT 33889 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Artery-vein nonautograft CPT 36830 | $7,236.06 | $18,554.00 | $2,323.00 – $15,511.46 | 5 |
| Artery xray each vessel 7577426 CPT 75774 | $1,978.08 | $5,072.00 | $303.31 – $391.27 | 2 |
| Artery xray of abdomen 75726-26 CPT 75726 | $2,944.11 | $7,549.00 | $215.71 – $15,511.46 | 4 |
| Artery x-rays adrenal gland CPT 75731 | $2,464.41 | $6,319.00 | $263.11 – $8,997.17 | 4 |
| Artery x-rays adrenals CPT 75733 | $2,600.91 | $6,669.00 | $281.10 – $8,997.17 | 4 |
| Artery x-rays arm/leg 75710-26 CPT 75710 | $1,971.06 | $5,054.00 | $243.50 – $8,997.17 | 4 |
| Artery x-rays arms/legs 75716-26 CPT 75716 | $2,554.50 | $6,550.00 | $281.91 – $8,997.17 | 4 |
| Artery x-rays chest CPT 75756 | $2,137.59 | $5,481.00 | $259.84 – $8,997.17 | 4 |
| Artery x-rays lung CPT 75741 | $2,921.88 | $7,492.00 | $200.18 – $8,997.17 | 4 |
| Artery x-rays lung CPT 75746 | $2,138.37 | $5,483.00 | $223.06 – $8,997.17 | 4 |
| Artery x-rays lungs CPT 75743 | $3,392.61 | $8,699.00 | $202.63 – $8,997.17 | 4 |
| Artery xrays of pelvis 75736 26 CPT 75736 | $2,944.11 | $7,549.00 | $241.05 – $15,511.46 | 4 |
| Artery x-rays spine CPT 75705 | $2,944.11 | $7,549.00 | $303.95 – $15,511.46 | 4 |
| Art expos/graft artery perfusion 33987 CPT 33987 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Arthrd ant dfrm 2-3 vrt sgm CPT 22808 | not published | not published | $8,245.00 – $16,710.00 | 2 |
| Arthrd ant dfrm 4-7 vrt sgm CPT 22810 | not published | not published | $8,245.00 – $16,710.00 | 2 |
| Arthrd ant dfrm 8+ vrt sgm CPT 22812 | not published | not published | $8,245.00 – $16,710.00 | 2 |
| Arthrd ant ntrbd min dsc crv CPT 22554 | not published | not published | $2,323.00 – $37,149.33 | 4 |
| Arthrd ant ntrbd min dsc lum CPT 22558 | not published | not published | $8,245.00 – $16,710.00 | 2 |
| Arthrd ant ntrbd min dsc thc CPT 22556 | not published | not published | $8,245.00 – $16,710.00 | 2 |
| Arthrd ant ntrbdy cervical CPT 22551 | not published | not published | $8,245.00 – $37,149.33 | 3 |
| Arthrd ant toral/xoral c1-c2 CPT 22548 | not published | not published | $8,245.00 – $16,710.00 | 2 |
| Arthrd cmbn 1ntrspc lumbar CPT 22633 | not published | not published | $8,245.00 – $52,603.13 | 3 |
| Arthrd dst rad/ul jt sgm rsc CPT 25830 | not published | not published | $2,664.00 – $20,193.44 | 5 |
| Arthrd elbow jt autog graft CPT 24802 | not published | not published | $2,664.00 – $37,149.33 | 5 |
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.