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 |
|---|---|---|---|---|
| Mayo hla typing a/b/c single antigen CPT 86812 | $114.27 | $293.00 | $45.22 – $89.30 | 4 |
| Mayo hvdip HIV 1 antibody CPT 86701 | $166.92 | $428.00 | $15.55 – $30.76 | 4 |
| Mayo hvdip HIV 2 antibody CPT 86702 | $166.92 | $428.00 | $23.69 – $46.78 | 4 |
| Mayo hydroxyprogesterone 17-d CPT 83498 | $324.87 | $833.00 | $47.59 – $94.01 | 4 |
| Mayo immunoassay c1 esterase inhibitor antibody quantitative CPT 83520 | $190.71 | $489.00 | $22.69 – $59.75 | 4 |
| Mayo immunoassay infectious agent antibody quantitative diptheria igg CPT 86317 | $106.08 | $272.00 | $26.27 – $51.87 | 4 |
| Mayo immunoassay tumor antigen quantitative ca 27.29 CPT 86300 | $140.01 | $359.00 | $36.46 – $72.00 | 4 |
| Mayo immunoassay tumor antigen quantitative chromogranin a CPT 86316 | $179.01 | $459.00 | $36.46 – $72.00 | 4 |
| Mayo infectious agent antigen immunoassay direct optical observation cryptococcus CPT 87899 | $100.62 | $258.00 | $21.02 – $55.60 | 4 |
| Mayo infectious agent antigen immunoassay ql/sq multi step aspergillus bal CPT 87305 | $166.53 | $427.00 | $21.02 – $41.45 | 4 |
| Mayo infectious agent nucleic acid amplified probe enterovirus CPT 87498 | $251.16 | $644.00 | $61.50 – $121.41 | 4 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma genitalium urine CPT 87563 | $57.33 | $147.00 | $42.11 – $121.41 | 2 |
| Mayo infectious agent nucleic acid amplified probe mycoplasma pneumoniae CPT 87581 | $117.78 | $302.00 | $61.50 – $121.41 | 4 |
| Mayo infectious agent nucleic acid quantification cytomegalovirus CPT 87497 | $398.19 | $1,021.00 | $75.05 – $148.23 | 4 |
| Mayo infectious disease hepatitis c chronic six biochemical assays CPT 81596 | $128.31 | $329.00 | $86.63 – $249.78 | 3 |
| Mayo infliximab therapeutic drug level CPT 80230 | $117.00 | $300.00 | $46.28 – $133.45 | 2 |
| Mayo inhab inhibin a CPT 86336 | $171.21 | $439.00 | $27.30 – $53.94 | 4 |
| Mayo insft insulin free CPT 83527 | $111.15 | $285.00 | $22.69 – $44.81 | 4 |
| Mayo insulin antibodies CPT 86337 | $126.75 | $325.00 | $37.52 – $74.08 | 4 |
| Mayo iodine CPT 83789 | $268.32 | $688.00 | $31.64 – $83.42 | 4 |
| Mayo itraconazole therapeutic drug level CPT 80189 | $38.22 | $98.00 | $32.53 – $93.80 | 2 |
| Mayo lacosamide therapeutic drug level CPT 80235 | $44.46 | $114.00 | $32.53 – $93.80 | 2 |
| Mayo lamotrigine therapeutic drug level CPT 80175 | $155.61 | $399.00 | $21.71 – $45.84 | 4 |
| Mayo ld_i lactate dehydrogenase isoenzymes CPT 83625 | $166.53 | $427.00 | $22.43 – $44.25 | 4 |
| Mayo legionella antibody CPT 86713 | $140.79 | $361.00 | $26.82 – $52.94 | 4 |
| Mayo leptospira antibody igm CPT 86720 | $104.52 | $268.00 | $23.10 – $56.05 | 4 |
| Mayo lipoprotein electrophoresis CPT 83700 | $129.48 | $332.00 | $19.73 – $38.96 | 4 |
| Mayo lywb borrelia burgdorferi (lyme disease) antibody igg confirmatory CPT 86617 | $95.16 | $244.00 | $27.13 – $53.60 | 4 |
| Mayo manganese CPT 83785 | $315.12 | $808.00 | $43.08 – $92.21 | 4 |
| Mayo metanephrines plasma CPT 83835 | $223.86 | $574.00 | $29.69 – $58.61 | 4 |
| Mayo methadone definitive assay confirmation urine CPT 80358 | not published | not published | $26.66 – $26.66 | 1 |
| Mayo mgle voltage-gated calcium channel antibody each CPT 86596 | $25.74 | $66.00 | $22.08 – $41.69 | 2 |
| Mayo mgrm acetylcholine receptor binding antibody CPT 86041 | $60.84 | $156.00 | $63.66 – $63.66 | 1 |
| Mayo microsomal antibody liver-kidney CPT 86376 | $177.84 | $456.00 | $25.50 – $50.34 | 4 |
| Mayo mitotane (lysodren) therapeutic drug level CPT 80299 | $152.49 | $391.00 | $23.99 – $64.49 | 4 |
| Mayo molecular pathology procedure level 2 apoe genotype CPT 81401 | $492.96 | $1,264.00 | $164.40 – $474.02 | 3 |
| Mayo mpl sequence analysis exon 10 CPT 81339 | $639.21 | $1,639.00 | $222.24 – $640.79 | 2 |
| Mayo muramidase CPT 85549 | $144.69 | $371.00 | $32.87 – $64.88 | 4 |
| Mayo muscle-specific kinase (musk) antibody CPT 86366 | $224.64 | $576.00 | $63.66 – $63.66 | 1 |
| Mayo mycophenolic acid therapeutic drug level CPT 80180 | $147.42 | $378.00 | $10.47 – $62.45 | 4 |
| Mayo myoglobin CPT 83874 | $208.26 | $534.00 | $22.63 – $44.70 | 4 |
| Mayo nickel CPT 83885 | $136.50 | $350.00 | $42.92 – $84.80 | 4 |
| Mayo opatu opiates definitive assay >=1 CPT 80361 | not published | not published | $41.98 – $41.98 | 1 |
| Mayo opatu opioid/analogs definitive assay 1 or 2 CPT 80362 | not published | not published | $35.78 – $35.78 | 1 |
| Mayo opatu oxycodone definitive assay CPT 80365 | not published | not published | $31.91 – $31.91 | 1 |
| Mayo organic acid methylmalonic single quantitative CPT 83921 | $510.90 | $1,310.00 | $28.85 – $73.39 | 4 |
| Mayo organic acids qualitative each specimen CPT 83919 | $108.42 | $278.00 | $28.85 – $56.92 | 4 |
| Mayo oxalate 24 hour urine CPT 83945 | $144.30 | $370.00 | $22.56 – $50.00 | 4 |
| Mayo pancreatic elastase fecal qualitative or semi quantitative CPT 82656 | $644.67 | $1,653.00 | $20.22 – $39.89 | 4 |
| Mayo parvs parvovirus b19 antibody igg CPT 86747 | $123.24 | $316.00 | $26.34 – $52.00 | 4 |
| Mayo paval fluorescent antibody screen agna type 1 CPT 86255 | $130.65 | $335.00 | $21.12 – $41.69 | 4 |
| Mayo pborb infectious agent nucleic acid amplified probe borrelia burgdorferi (lyme) CPT 87476 | $414.57 | $1,063.00 | $61.50 – $121.41 | 4 |
| Mayo phospholipid neutralization hexagonal lupus anticoagulant CPT 85598 | $188.76 | $484.00 | $30.36 – $62.21 | 4 |
| Mayo pntft phenytoin free therapeutic drug level CPT 80186 | $91.65 | $235.00 | $24.12 – $47.61 | 4 |
| Mayo pqnu porphobilinogen urine quantitative 24 hour urine CPT 84110 | $104.91 | $269.00 | $14.81 – $29.20 | 4 |
| Mayo pregnenolone CPT 84140 | $166.53 | $427.00 | $36.23 – $71.52 | 4 |
| Mayo prmb primidone therapeutic drug level CPT 80188 | $112.71 | $289.00 | $29.08 – $57.40 | 4 |
| Mayo proinsulin CPT 84206 | $203.97 | $523.00 | $31.21 – $92.35 | 4 |
| Mayo psaft prostate specific antigen free CPT 84154 | $195.39 | $501.00 | $32.22 – $63.63 | 4 |
| Mayo radioimmunoassay procollagen i intact n-terminal antibody quantitative CPT 83519 | $347.88 | $892.00 | $23.68 – $63.66 | 4 |
| Mayo rbcme osmotic fragility rbc incubated CPT 85557 | $288.21 | $739.00 | $23.40 – $46.23 | 4 |
| Mayo receptor assay transferrin soluble CPT 84238 | $57.33 | $147.00 | $64.07 – $126.53 | 4 |
| Mayo renin CPT 84244 | $244.92 | $628.00 | $38.54 – $76.09 | 4 |
| Mayo repu protein electrophoresis urine CPT 84166 | $111.15 | $285.00 | $31.25 – $61.69 | 4 |
| Mayo selenium CPT 84255 | $171.21 | $439.00 | $44.72 – $88.33 | 4 |
| Mayo semb semen analysis volume/count/motility/differential strict morphologic criteria CPT 89322 | $143.91 | $369.00 | $27.16 – $53.63 | 4 |
| Mayo serotonin CPT 84260 | $353.73 | $907.00 | $54.28 – $107.19 | 4 |
| Mayo sfgp rickettsia rickettsii antibody igg CPT 86757 | $122.07 | $313.00 | $33.91 – $66.95 | 4 |
| Mayo sirolimus therapeutic drug level CPT 80195 | $114.66 | $294.00 | $24.05 – $47.51 | 4 |
| Mayo syphilis test non-treponemal antibody qualitative vdrl CPT 86592 | $37.05 | $95.00 | $7.48 – $14.77 | 4 |
| Mayo tcgr analysis gene rearrangement trb@ abnormal clonal population(s) amplification CPT 81340 | $672.75 | $1,725.00 | $342.02 – $722.86 | 4 |
| Mayo tgrp testosterone free CPT 84402 | $279.24 | $716.00 | $44.62 – $88.13 | 4 |
| Mayo tgrp testosterone total CPT 84403 | $244.92 | $628.00 | $45.24 – $89.30 | 4 |
| Mayo thiopurine s-methyltransferase CPT 84433 | $504.27 | $1,293.00 | $76.71 – $76.71 | 1 |
| Mayo thyroglobulin CPT 84432 | $202.80 | $520.00 | $28.14 – $55.57 | 4 |
| Mayo ticks anaplasma phagocytophilum antibody igg CPT 86666 | $122.07 | $313.00 | $17.82 – $35.22 | 4 |
| Mayo ticks babesia microti antibody igg CPT 86753 | $186.03 | $477.00 | $21.71 – $42.87 | 4 |
| Mayo tramadol definitive assay w metabolite quantitative urine CPT 80373 | not published | not published | $25.87 – $25.87 | 1 |
| Mayo ttfb testosterone bioavailable direct CPT 84410 | $305.37 | $783.00 | $87.06 – $177.43 | 4 |
| Mayo tulab francisella tularensis antibody igg CPT 86668 | not published | not published | $18.22 – $48.99 | 4 |
| Mayo valpg valproic acid free therapeutic drug level CPT 80165 | $104.91 | $269.00 | $19.93 – $46.85 | 4 |
| Mayo vasoactive intestinal peptide CPT 84586 | $405.60 | $1,040.00 | $61.91 – $122.24 | 4 |
| Mayo vitamin b-2 (riboflavin) CPT 84252 | $208.26 | $534.00 | $35.46 – $70.03 | 4 |
| Mayo vitamin b3 (niacin) CPT 84591 | $158.73 | $407.00 | $20.32 – $59.03 | 4 |
| Mayo vitamin k CPT 84597 | $202.80 | $520.00 | $24.01 – $47.47 | 4 |
| Mayo zonisamide therapeutic drug level CPT 80203 | $137.67 | $353.00 | $21.71 – $45.84 | 4 |
| Maze/extensive/w/card/pulm bypass 33259 CPT 33259 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Mcoln1 gene CPT 81290 | not published | not published | $47.17 – $136.01 | 3 |
| Mcp joint arthroscopy dx CPT 29900 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Mcp joint arthroscopy surg CPT 29901 | not published | not published | $1,937.00 – $15,026.00 | 5 |
| Mcp joint arthroscopysurg 29902 CPT 29902 | not published | not published | $1,937.00 – $8,448.00 | 5 |
| Mdfc flap w/prsrv vasc pedcl CPT 15730 | not published | not published | $5,809.00 – $10,126.62 | 4 |
| Measure kidney pressure CPT 50396 | not published | not published | $1,308.00 – $4,066.00 | 5 |
| Measurement post void urine by ultrasound CPT 51798 | $368.55 | $945.00 | $172.66 – $5,063.00 | 3 |
| Measure ureter pressure CPT 50686 | not published | not published | $440.91 – $5,063.00 | 3 |
| Mecasermin injection HCPCS J2170 | not published | not published | $285.88 – $285.88 | 1 |
| Mechlorethamine hcl inj HCPCS J9230 | not published | not published | $31.11 – $613.20 | 2 |
| #mec-opiates CPT 80356 | not published | not published | $31.91 – $31.91 | 1 |
| Mecp2 gene dup/delet variant CPT 81304 | not published | not published | $180.00 – $519.00 | 3 |
| Mecp2 gene full seq CPT 81302 | not published | not published | $497.21 – $1,826.43 | 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.