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 |
|---|---|---|---|---|
| Margetuximab-cmkb 25 mg/ml intravenous solution HCPCS J9353 | not published | not published | $94.16 – $162.79 | 3 |
| Marker biop eviva buckle ss HCPCS A4648 | $508.60 | $1,304.10 | not published | 0 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Mastectomy partial CPT 19301 | not published | not published | $1,937.00 – $10,759.21 | 5 |
| Mast mod rad CPT 19307 | not published | not published | $6,760.00 – $18,406.78 | 4 |
| Mastoidectomy CPT 69501 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Mastoids complete CPT 70130 | $299.52 | $768.00 | $85.80 – $310.32 | 4 |
| Mastoid surgery revision CPT 69603 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Mastopexy CPT 19316 | not published | not published | $2,323.00 – $18,406.78 | 5 |
| Mast radical CPT 19305 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Mast rad urban type CPT 19306 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Mast simple complete CPT 19303 | not published | not published | $2,323.00 – $18,406.78 | 5 |
| Matrion 1 sq cm HCPCS Q4201 | not published | not published | $162.07 – $162.07 | 1 |
| Matrix bone cryomatrix 2.0ml HCPCS Q4162 | not published | not published | $3,564.22 – $3,564.22 | 1 |
| Matrix tissue 15x10cm gentrix extra-gynecological clgn strl-cost per sq cm HCPCS Q4166 | $2,045.29 | $5,244.34 | $39.19 – $39.19 | 1 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $61.50 – $121.41 | 4 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $35.12 – $94.42 | 4 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $75.05 – $148.23 | 4 |
| Maxillofacial fixation CPT 21100 | not published | not published | $1,694.00 – $16,529.94 | 5 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $263.64 | $676.00 | $25.33 – $50.03 | 4 |
| Mayo aathr protein s free CPT 85306 | $218.01 | $559.00 | $26.84 – $53.01 | 4 |
| Mayo activated protein c resistance assay CPT 85307 | $175.50 | $450.00 | $26.84 – $53.01 | 4 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $121.56 | $311.70 | $46.28 – $133.45 | 2 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | not published | not published | $17.64 – $17.64 | 1 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | not published | not published | $28.22 – $28.22 | 1 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $93.60 | $240.00 | $25.91 – $51.14 | 4 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | not published | not published | $49.02 – $49.02 | 1 |
| Mayo alpha 1 antitrypsin CPT 82103 | $196.56 | $504.00 | $23.53 – $46.50 | 4 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $139.62 | $358.00 | $26.41 – $52.18 | 4 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $25.38 – $25.38 | 1 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | not published | not published | $25.44 – $25.44 | 1 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $547.95 | $1,405.00 | $198.82 – $420.84 | 4 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $427.44 | $1,096.00 | $150.07 – $317.14 | 4 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $225.42 | $578.00 | $164.40 – $474.02 | 3 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,909.44 | $4,896.00 | $1,102.67 – $4,013.60 | 3 |
| Mayo androstenedione CPT 82157 | $239.07 | $613.00 | $51.29 – $101.31 | 4 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $190.32 | $488.00 | $25.57 – $50.52 | 4 |
| Mayo antithrombin iii antigen CPT 85301 | $235.95 | $605.00 | $18.95 – $37.40 | 4 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $179.01 | $459.00 | $26.38 – $52.07 | 4 |
| Mayo avwpr vw factor activity CPT 85397 | $265.59 | $681.00 | $40.21 – $106.78 | 4 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $121.41 – $121.41 | 1 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | not published | not published | $18.70 – $18.70 | 1 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $126.75 | $325.00 | $17.82 – $35.22 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $1,255.02 | $3,218.00 | $237.11 – $501.15 | 4 |
| Mayo bcrfx analysis translocation bcr/abl1 other breakpoint qualitative/quantitative CPT 81208 | $454.35 | $1,165.00 | $263.32 – $742.59 | 4 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $64.74 | $166.00 | $22.61 – $44.63 | 4 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | not published | not published | $28.03 – $28.03 | 1 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $85.80 | $220.00 | $23.10 – $45.64 | 4 |
| Mayo brcmg brucella antibody igm CPT 86622 | $109.20 | $280.00 | $15.66 – $30.90 | 4 |
| Mayo c1 esterase inhibitor CPT 83883 | $195.39 | $501.00 | $23.82 – $47.06 | 4 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | not published | not published | $29.32 – $29.32 | 1 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $409.50 | $1,050.00 | $29.56 – $58.37 | 4 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $60.84 | $156.00 | $46.91 – $92.66 | 4 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $390.39 | $1,001.00 | $200.09 – $422.88 | 4 |
| Mayo ceruloplasmin CPT 82390 | $98.67 | $253.00 | $18.82 – $37.16 | 4 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $171.21 | $439.00 | $24.76 – $48.86 | 4 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $151.71 | $389.00 | $22.57 – $44.56 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $104.91 | $269.00 | $20.72 – $40.90 | 4 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $103.35 | $265.00 | $22.24 – $43.87 | 4 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $601.38 | $1,542.00 | $204.12 – $403.06 | 4 |
| Mayo chromium CPT 82495 | $131.82 | $338.00 | $35.53 – $70.17 | 4 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | not published | not published | $24.74 – $24.74 | 1 |
| Mayo coccidioides antibody CPT 86635 | $40.95 | $105.00 | $20.10 – $39.69 | 4 |
| Mayo cocou cortisone urine CPT 82542 | $544.44 | $1,396.00 | $31.64 – $83.35 | 4 |
| Mayo cortisol free CPT 82530 | $175.50 | $450.00 | $29.29 – $57.82 | 4 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $186.42 | $478.00 | $50.56 – $145.77 | 2 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $135.33 | $347.00 | $21.24 – $41.94 | 4 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | not published | not published | $32.33 – $32.33 | 1 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | not published | not published | $19.01 – $19.01 | 1 |
| Mayo cyanide CPT 82600 | $184.47 | $473.00 | $34.00 – $67.12 | 4 |
| Mayo cytopathology in situ hybridization urinary tract 3-5 probes each specimen manual CPT 88120 | $1,352.52 | $3,468.00 | $67.70 – $1,321.15 | 4 |
| Mayo deoxyribonuclease antibody titer CPT 86215 | $116.61 | $299.00 | $23.22 – $45.84 | 4 |
| Mayo dhea (dehydroepiandrosterone) CPT 82626 | $279.24 | $716.00 | $44.28 – $87.43 | 4 |
| Mayo dihydrotestosterone CPT 82642 | $79.56 | $204.00 | $39.04 – $101.31 | 3 |
| Mayo dipstick analyte single step qualitative/semiqualitative synovial fluid CPT 83518 | not published | not published | $14.86 – $33.35 | 4 |
| Mayo efpo chloride stool CPT 82438 | $52.26 | $134.00 | $8.57 – $17.30 | 4 |
| Mayo estriol CPT 82677 | $188.76 | $484.00 | $42.37 – $83.66 | 4 |
| Mayo estrone CPT 82679 | $221.91 | $569.00 | $43.74 – $86.33 | 4 |
| Mayo ethosuximide therapeutic drug level CPT 80168 | $102.57 | $263.00 | $28.63 – $56.54 | 4 |
| Mayo everolimus therapeutic drug level CPT 80169 | $154.83 | $397.00 | $22.48 – $47.51 | 4 |
| Mayo factor ii CPT 85210 | $99.06 | $254.00 | $22.75 – $44.91 | 4 |
| Mayo factor v CPT 85220 | $280.80 | $720.00 | $30.92 – $61.07 | 4 |
| Mayo factor vii CPT 85230 | $216.45 | $555.00 | $31.37 – $61.93 | 4 |
| Mayo factor viii vw factor antigen CPT 85246 | $271.83 | $697.00 | $40.21 – $79.37 | 4 |
| Mayo factor viii vw factor multimetric analysis CPT 85247 | $254.28 | $652.00 | $40.21 – $79.37 | 4 |
| Mayo factor viii vw factor ristocetin cofactor CPT 85245 | $283.53 | $727.00 | $40.21 – $79.37 | 4 |
| Mayo factor x CPT 85260 | $216.45 | $555.00 | $31.37 – $61.93 | 4 |
| Mayo factor xi CPT 85270 | $216.45 | $555.00 | $31.37 – $61.93 | 4 |
| Mayo fat/lipids feces quantitative CPT 82710 | $352.17 | $903.00 | $29.44 – $58.13 | 4 |
| Mayo fbl culture fungi blood CPT 87103 | $269.49 | $691.00 | $15.80 – $70.79 | 4 |
| Mayo fdp/fsp paracoagulation CPT 85366 | $101.40 | $260.00 | $15.08 – $278.39 | 4 |
| Mayo ffspg allergen clam igg CPT 86001 | $37.05 | $95.00 | $9.14 – $27.06 | 4 |
| Mayo fibrinogen antigen CPT 85385 | $150.15 | $385.00 | $14.88 – $50.03 | 4 |
| Mayo gabapentin bld/srm/plasma therapeutic drug level CPT 80171 | $155.61 | $399.00 | $21.71 – $74.98 | 4 |
| Mayo gamma-globin full gene sequencing CPT 81479 | $1,814.28 | $4,652.00 | $248.41 – $248.41 | 1 |
| Mayo hemosiderin qualitative urine CPT 83070 | $125.58 | $322.00 | $8.32 – $16.43 | 4 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-1 rna qualitative CPT 87535 | $327.99 | $841.00 | $61.50 – $121.41 | 4 |
| Mayo hip12 infectious agent nucleic acid amplified probe hiv-2 CPT 87538 | $273.78 | $702.00 | $61.50 – $121.41 | 4 |
| Mayo hiser histoplasma antibodies immunodiffusion CPT 86698 | $104.91 | $269.00 | $21.90 – $47.71 | 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.