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 |
|---|---|---|---|---|
| Muscle transfers CPT 23397 | not published | not published | $3,721.00 – $20,193.44 | 5 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $2,664.00 – $20,193.44 | 5 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | $4,331.73 | $11,107.00 | $5,809.00 – $10,126.62 | 4 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $2,323.00 – $20,193.44 | 5 |
| Mycobacteria dna amp probe CPT 87551 | $67.86 | $174.00 | $61.50 – $166.91 | 4 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $35.12 – $69.37 | 4 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $75.05 – $148.23 | 4 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | not published | not published | $0.29 – $0.29 | 1 |
| Mycophenolic acid HCPCS J7518 | not published | not published | $0.91 – $0.91 | 1 |
| Mycoplasma antibody igm CPT 86738 | $87.36 | $224.00 | $23.21 – $45.81 | 4 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $289.77 | $743.00 | $210.48 – $606.88 | 3 |
| Myelogphy 2/> spine regions CPT 72270 | $883.35 | $2,265.00 | $138.09 – $2,260.04 | 4 |
| Myelography l-s spine CPT 72265 | $1,103.70 | $2,830.00 | $116.85 – $2,260.04 | 4 |
| Myelography neck spine CPT 72240 | $1,103.70 | $2,830.00 | $121.75 – $2,260.04 | 4 |
| Myelography thoracic spine CPT 72255 | $1,103.70 | $2,830.00 | $119.30 – $2,260.04 | 4 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $3,997.89 | $10,251.00 | $2,260.04 – $4,923.00 | 4 |
| Myelography via inj w/s&i cervical CPT 62302 | $3,112.59 | $7,981.00 | $2,260.04 – $4,923.00 | 4 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $3,112.59 | $7,981.00 | $2,260.04 – $4,923.00 | 4 |
| Myelography via inj w/s&i thoracic CPT 62303 | $3,112.59 | $7,981.00 | $2,260.04 – $4,923.00 | 4 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $175.50 | $450.00 | $20.22 – $39.89 | 4 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Myocrd img pet 1std rst/strs CPT 78491 | $2,383.68 | $6,112.00 | $871.60 – $4,415.92 | 4 |
| Myocrd img pet 1 std w/ct CPT 78429 | $2,135.64 | $5,476.00 | not published | 0 |
| Myocrd img pet 2rtracer CT CPT 78433 | $2,543.19 | $6,521.00 | not published | 0 |
| Myocrd img pet mlt rst&strs CPT 78492 | $2,712.06 | $6,954.00 | $1,094.82 – $4,415.92 | 4 |
| Myomectomy abdom complex CPT 58146 | not published | not published | $5,063.00 – $8,448.00 | 2 |
| Myomectomy abdom method CPT 58140 | not published | not published | $2,664.00 – $9,000.00 | 3 |
| Myomectomy vag method CPT 58145 | not published | not published | $2,664.00 – $8,824.63 | 5 |
| Myown harv prep proc sq cm HCPCS Q4226 | not published | not published | $2,332.94 – $2,332.94 | 1 |
| Myringoplasty CPT 69620 | not published | not published | $1,694.00 – $9,087.85 | 5 |
| Nabilone oral HCPCS J8650 | not published | not published | $76.20 – $76.20 | 1 |
| Nafcillin 2 gram solution for injection HCPCS J2290 | not published | not published | $0.42 – $0.42 | 1 |
| Nalbuphine 10 mg/ml injection solution HCPCS J2300 | not published | not published | $6.54 – $6.54 | 1 |
| Naltrexone, depot form HCPCS J2315 | not published | not published | $7.85 – $13.70 | 3 |
| Nandrolone decanoate 50 mg HCPCS J2320 | not published | not published | $7.15 – $7.15 | 1 |
| Narcosynthesis CPT 90865 | not published | not published | $450.03 – $450.03 | 1 |
| Nasal endoscopy dx uni/bi separate proc CPT 31231 | $228.15 | $585.00 | $559.11 – $4,714.00 | 4 |
| Nasal endoscopy with removal of nasal foreign body CPT 30999 | not published | not published | $689.46 – $3,391.00 | 3 |
| Nasal function studies CPT 92512 | not published | not published | $885.97 – $885.97 | 1 |
| Nasal/sinus endoscopy surg CPT 31287 | not published | not published | $1,937.00 – $19,319.08 | 5 |
| Nasal/sinus endoscopy surg CPT 31290 | not published | not published | $5,809.00 – $6,859.00 | 2 |
| Nasal/sinus endoscopy surg CPT 31291 | not published | not published | $5,809.00 – $6,859.00 | 2 |
| Nasal/sinus endoscopy surg w/bx 31237 CPT 31237 | $2,340.78 | $6,002.00 | $1,694.00 – $5,272.00 | 5 |
| Nasal/sinus endo spendt remove tiss 31288 CPT 31288 | not published | not published | $1,937.00 – $19,319.08 | 5 |
| Nasal/sinus endo surg w/concha bullosa resct 31240 CPT 31240 | not published | not published | $1,694.00 – $6,179.00 | 5 |
| Nasal/sinus endo w/ethmoidectomy part 31254 CPT 31254 | not published | not published | $1,937.00 – $19,319.08 | 5 |
| Nasal/sinus endo w/ethmoidectomy tot 31255 CPT 31255 | not published | not published | $2,664.00 – $19,319.08 | 5 |
| Nasal/sinus endo w/front sinus expl 31276 CPT 31276 | not published | not published | $1,937.00 – $19,319.08 | 5 |
| Nasal/sinus maxillary endoscopy dx 31233 CPT 31233 | not published | not published | $1,152.56 – $4,714.00 | 5 |
| Nasal/sinus sphenoid endoscopy dx 31235 CPT 31235 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Nasal sinus therapy CPT 30210 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Nasopharyngoscopy w/endoscope CPT 92511 | $595.14 | $1,526.00 | $559.11 – $3,391.00 | 2 |
| Natalizumab 300 mg/15 ml intravenous solution HCPCS J2323 | not published | not published | $45.52 – $84.60 | 3 |
| Natriuretic peptide CPT 83880 | $207.48 | $532.00 | $59.47 – $135.84 | 4 |
| Natural killer cells total count CPT 86357 | $111.54 | $286.00 | $66.10 – $130.55 | 4 |
| Navigational bronchoscopy 31627 CPT 31627 | $283.53 | $727.00 | $2,665.00 – $3,391.00 | 2 |
| N block inj common digit CPT 64632 | $660.66 | $1,694.00 | $836.02 – $3,391.00 | 3 |
| N block inj hypogas plxs CPT 64517 | $2,420.73 | $6,207.00 | $1,694.00 – $4,714.00 | 5 |
| Nctrnl pen tmscn&/rgdity tst CPT 54250 | not published | not published | $697.61 – $3,391.00 | 3 |
| Ndl emg musc 1 xtr/non-limb CPT 95870 | $163.41 | $419.00 | $360.57 – $360.57 | 1 |
| Ndl insj without njx 1 or 2 musc CPT 20560 | $60.84 | $156.00 | $84.05 – $3,391.00 | 3 |
| Ndl insj without njx 3+ musc CPT 20561 | $87.36 | $224.00 | $84.05 – $3,391.00 | 3 |
| Ndl oculoelectromyography 1+ CPT 92265 | not published | not published | $172.66 – $172.66 | 1 |
| Ndl round specialty proguide HCPCS C1715 | $89.21 | $228.74 | not published | 0 |
| Ndsc dcmprn 1 ntrspc lumbar CPT 62380 | not published | not published | $6,760.00 – $20,193.44 | 3 |
| Ndsc hrv uxtr art 1 sgm cab CPT 33509 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Nebulizer Breathing Treatment CPT 94640 | $379.08 | $972.00 | $602.04 – $602.04 | 1 |
| Neck Airway (Soft Tissue) X-ray CPT 70360 | $202.02 | $518.00 | $44.95 – $256.49 | 4 |
| Neck (Cervical Spine) CT scan (with and without contrast) CPT 72127 | $1,728.48 | $4,432.00 | $474.71 – $538.81 | 3 |
| Neck (Cervical Spine) CT scan (with contrast) CPT 72126 | $1,685.58 | $4,322.00 | $384.83 – $1,085.52 | 3 |
| Neck (Cervical Spine) CT scan (without contrast) CPT 72125 | $1,598.22 | $4,098.00 | $301.49 – $348.51 | 3 |
| Neck (Cervical Spine) MRI (with and without contrast) CPT 72156 | $2,382.51 | $6,109.00 | $609.52 – $1,085.52 | 3 |
| Neck (Cervical Spine) MRI (with contrast) CPT 72142 | $1,833.39 | $4,701.00 | $541.72 – $1,085.52 | 3 |
| Neck (Cervical Spine) MRI (without contrast) CPT 72141 | $1,760.46 | $4,514.00 | $344.80 – $729.64 | 3 |
| Neck (Cervical Spine) X-ray (2 to 3 views) CPT 72040 | $326.04 | $836.00 | $49.85 – $256.49 | 4 |
| Neck (Cervical Spine) X-ray (4 to 5 views) CPT 72050 | $439.14 | $1,126.00 | $67.82 – $310.32 | 4 |
| Neck (Cervical Spine) X-ray (6 or more views) CPT 72052 | $491.79 | $1,261.00 | $86.62 – $310.32 | 4 |
| Neck MRA (blood vessel MRI, with and without contrast) CPT 70549 | $1,900.47 | $4,873.00 | $1,085.52 – $1,459.33 | 3 |
| Neck MRA (blood vessel MRI, with contrast) CPT 70548 | $1,739.40 | $4,460.00 | $812.14 – $1,085.52 | 3 |
| Neck MRA (blood vessel MRI, without contrast) CPT 70547 | $1,374.75 | $3,525.00 | $691.66 – $963.80 | 3 |
| Neck Soft Tissue CT Scan (with and without contrast) CPT 70492 | $1,959.75 | $5,025.00 | $471.43 – $533.81 | 3 |
| Neck Soft Tissue CT Scan (with contrast) CPT 70491 | $1,677.39 | $4,301.00 | $381.56 – $518.62 | 3 |
| Neck Soft Tissue CT Scan (without contrast) CPT 70490 | $1,453.14 | $3,726.00 | $295.77 – $342.79 | 3 |
| Neck spine disk surgery CPT 63020 | not published | not published | $5,809.00 – $20,193.44 | 3 |
| Neck spine disk surgery 63075 CPT 63075 | not published | not published | $2,664.00 – $20,193.44 | 4 |
| Neck spine disk surgery 63076 CPT 63076 | not published | not published | $2,665.00 – $6,389.00 | 2 |
| Needle emg guid w/chemodenervation add-on CPT 95874 | $116.61 | $299.00 | not published | 0 |
| Neg press ventilation cnp CPT 94662 | not published | not published | $1,768.85 – $1,768.85 | 1 |
| Neisseria meningitidis CPT 86741 | $124.41 | $319.00 | $23.10 – $45.64 | 4 |
| Nelarabine injection HCPCS J9261 | not published | not published | $142.49 – $383.99 | 3 |
| Neopatch or therion, 1 sq cm HCPCS Q4176 | not published | not published | $307.82 – $307.82 | 1 |
| Neostigmine methylsulfate 1 mg/ml injection (wrapper) HCPCS J2710 | not published | not published | $1.56 – $1.56 | 1 |
| Neox 100 or clarix 100 HCPCS Q4156 | not published | not published | $122.08 – $122.08 | 1 |
| Nephrectomy open 50220 CPT 50220 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Nephrectomy partial CPT 50240 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Nephrotomy w/exploration CPT 50045 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Nerobehav stas exam by psy/md f2f 1st hr CPT 96116 | $556.14 | $1,426.00 | $885.97 – $885.97 | 1 |
| Nerobehav stas exam phys/qhp f2f ea l hr CPT 96121 | $239.46 | $614.00 | not published | 0 |
| Nerve conduction 7-8 studies CPT 95910 | $3,510.78 | $9,002.00 | $885.97 – $885.97 | 1 |
| Nerve conduction studies 11-12 CPT 95912 | $3,110.64 | $7,976.00 | not published | 0 |
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.