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 |
|---|---|---|---|---|
| Pet fdg brain metoblic eval sb CPT 78608 | $3,234.27 | $8,293.00 | $1,223.19 – $4,415.92 | 4 |
| Pet image full body CPT 78813 | not published | not published | $1,667.16 – $4,415.92 | 3 |
| Pet image ltd area CPT 78811 | not published | not published | $1,313.13 – $4,008.07 | 3 |
| Pet image skull-thigh CPT 78812 | not published | not published | $1,600.93 – $4,415.92 | 3 |
| Pet image w/ct lmtd CPT 78814 | $3,295.89 | $8,451.00 | $1,852.76 – $4,415.92 | 3 |
| Pet not otherwise specified HCPCS G0235 | $5,540.34 | $14,206.00 | $1,164.18 – $3,741.00 | 2 |
| Pet scan brain perf study CPT 78609 | $36.66 | $94.00 | $3,741.00 – $3,741.00 | 1 |
| Pfc sigma fem post aug sz3 8mm HCPCS C1776 | $29,561.31 | $75,798.23 | not published | 0 |
| Phalangectomy ea toe 28150 CPT 28150 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Ph body fluid CPT 83986 | $103.35 | $265.00 | $6.23 – $12.39 | 4 |
| Phencyclidine (pcp) CPT 83992 | $35.10 | $90.00 | $25.75 – $45.75 | 3 |
| Phenobarbital in ns IV syringe 10 mg/ml (neonate) - cnr HCPCS J2560 | not published | not published | $58.63 – $110.58 | 2 |
| Phenobarbital therapeutic drug level CPT 80184 | $114.66 | $294.00 | $20.06 – $52.94 | 4 |
| Phentolaine mesylate inj HCPCS J2760 | not published | not published | $752.16 – $1,545.93 | 3 |
| Phenylephrine 10 mg/ml injection solution HCPCS J2371 | not published | not published | $0.02 – $0.02 | 1 |
| Phenylep ketorolac opth soln HCPCS J1097 | not published | not published | $229.41 – $229.41 | 1 |
| Phenytoin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1165 | not published | not published | $0.90 – $0.90 | 1 |
| Phenytoin total therapeutic drug level CPT 80185 | $125.58 | $322.00 | $23.23 – $45.84 | 4 |
| Phlebotomy therapeutic CPT 99195 | $695.37 | $1,783.00 | $360.57 – $360.57 | 1 |
| Phleb veins 1 extrm 10-20 stab CPT 37765 | $5,229.51 | $13,409.00 | $4,220.00 – $8,997.17 | 4 |
| Phleb veins 1 extrm >20 stab CPT 37766 | $4,022.46 | $10,314.00 | $4,220.00 – $8,997.17 | 4 |
| Phosphorus CPT 84100 | $55.77 | $143.00 | $8.32 – $16.40 | 4 |
| Phosphorus 24 hour urine CPT 84105 | $76.44 | $196.00 | $9.07 – $20.00 | 4 |
| Photchmtx tar&uvb/ptrltm&uvb CPT 96910 | $58.11 | $149.00 | $172.66 – $172.66 | 1 |
| Photochemotherapy puva CPT 96912 | $56.94 | $146.00 | $172.66 – $172.66 | 1 |
| Photochemotherapy uv-a or b CPT 96913 | $495.30 | $1,270.00 | $1,125.52 – $1,125.52 | 1 |
| Photodynamic tx addl 15 min CPT 96571 | not published | not published | $2,665.00 – $2,665.00 | 1 |
| Photodynmc tx 30 min add-on CPT 96570 | not published | not published | $2,665.00 – $2,665.00 | 1 |
| Photo patch test CPT 95052 | not published | not published | $172.66 – $172.66 | 1 |
| Photopheresis CPT 36522 | $5,279.82 | $13,538.00 | $1,694.00 – $13,062.71 | 4 |
| Photosensitivity tests CPT 95056 | not published | not published | $360.57 – $360.57 | 1 |
| Phys blood bank serv authrj CPT 86079 | not published | not published | $19.80 – $152.95 | 4 |
| Phys blood bank serv reactj CPT 86078 | $338.91 | $869.00 | $41.46 – $482.12 | 4 |
| Phys blood bank serv xmatch CPT 86077 | not published | not published | $19.80 – $84.05 | 4 |
| Physical Therapy Evaluation (high complexity) CPT 97163 | $146.25 | $375.00 | not published | 0 |
| Physical Therapy Evaluation (low complexity) CPT 97161 | $126.75 | $325.00 | not published | 0 |
| Physical Therapy Evaluation (moderate complexity) CPT 97162 | $136.50 | $350.00 | not published | 0 |
| Physical Therapy Re-Evaluation CPT 97164 | $107.25 | $275.00 | not published | 0 |
| Phytonadione (vitamin k1) 10 mg/ml injection solution HCPCS J3430 | not published | not published | $4.21 – $4.21 | 1 |
| Pierce earlobes 69090 CPT 69090 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Piflu f-18, dia 1 millicurie HCPCS A9595 | $8,491.47 | $21,773.00 | $1,128.18 – $1,840.95 | 3 |
| Pik3ca gene trgt seq alys CPT 81309 | $453.18 | $1,162.00 | $329.80 – $950.91 | 2 |
| Pild/placebo control clin tr HCPCS G0276 | not published | not published | $5,063.00 – $20,193.44 | 3 |
| Pin caspar distraction 12mm HCPCS C1821 | $11,617.45 | $29,788.34 | not published | 0 |
| Pinch graft 1/mlt c> sm ulcer tip/oth area 2cm 15050 CPT 15050 | not published | not published | $1,694.00 – $4,714.00 | 5 |
| Pin finger dislocation CPT 26776 | $12,733.89 | $32,651.00 | $1,694.00 – $9,136.47 | 5 |
| Pin finger fracture each CPT 26756 | $12,733.89 | $32,651.00 | $1,694.00 – $9,136.47 | 5 |
| Pin hand dislocation CPT 26676 | $12,733.89 | $32,651.00 | $1,694.00 – $9,136.47 | 5 |
| Pin knuckle dislocation CPT 26706 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Pinworm exam CPT 87172 | $67.47 | $173.00 | $7.48 – $14.77 | 4 |
| Pinworm examinations HCPCS Q0113 | not published | not published | $9.48 – $17.15 | 3 |
| Piperacillin-tazobactam 3.375 gram intravenous solution HCPCS J2543 | not published | not published | $2.17 – $2.17 | 1 |
| Pituitary evaluation panel CPT 80418 | not published | not published | $975.60 – $2,005.00 | 4 |
| Place breast cath for rad CPT 19297 | not published | not published | $7,487.00 – $15,026.00 | 3 |
| Place breast rad tube/caths CPT 19298 | not published | not published | $1,308.00 – $18,406.78 | 5 |
| Place cath intracranial art CPT 36228 | $13,670.28 | $35,052.00 | $2,665.00 – $3,391.00 | 2 |
| Place cath xtrnl carotid CPT 36227 | $13,850.85 | $35,515.00 | $2,665.00 – $3,391.00 | 2 |
| Place cecostomy tube perc CPT 49442 | not published | not published | $3,330.93 – $5,699.00 | 4 |
| Place device/marker, non pro HCPCS C9728 | $2,374.71 | $6,089.00 | $3,911.13 – $5,063.00 | 2 |
| Place duod/jej tube perc CPT 49441 | $11,520.21 | $29,539.00 | $2,572.00 – $5,371.00 | 4 |
| Place endorectal app HCPCS C9725 | $1,215.24 | $3,116.00 | $2,579.78 – $5,063.00 | 3 |
| Place gastrostomy tube open 43832 CPT 43832 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Place gastrostomy tube perc CPT 49440 | $11,520.21 | $29,539.00 | $2,572.00 – $5,371.00 | 4 |
| Placement bile duct support CPT 47801 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Placement localization device(s) breast percutaneous mammographic guidance 1st lesion (both sides) CPT 19281 | $1,074.06 | $2,754.00 | $2,572.00 – $5,272.00 | 4 |
| Placement localization device(s) breast percutaneous mammographic guide ea addl lesion left CPT 19282 | $618.54 | $1,586.00 | $2,665.00 – $3,391.00 | 2 |
| Placement localization device(s) breast percutaneous ultrasound guidance 1st lesion (both sides) CPT 19285 | $1,651.65 | $4,235.00 | $1,985.95 – $4,714.00 | 4 |
| Placement nephrostomy catheter (both sides) CPT 50432 | $5,397.21 | $13,839.00 | $4,714.00 – $7,349.00 | 4 |
| Placement occlusive device venous/arterial access site post procedure HCPCS G0269 | $1,733.94 | $4,446.00 | $2,665.00 – $5,063.00 | 2 |
| Placement of drain pancreas CPT 48001 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Placement of seton CPT 46020 | not published | not published | $1,937.00 – $7,925.42 | 5 |
| Placement stent(s) intravascular transcatheter artery initial CPT 37236 | $7,773.09 | $19,931.00 | $5,809.00 – $31,052.45 | 3 |
| Place ndl musc/tis for right CPT 20555 | not published | not published | $3,391.00 – $9,136.47 | 4 |
| Place needles h&n for right CPT 41019 | $10,413.39 | $26,701.00 | $3,391.00 – $16,529.94 | 4 |
| Place needles pelvic for right CPT 55920 | $8,486.01 | $21,759.00 | $3,391.00 – $14,039.62 | 4 |
| Place non-slctv cath thoracic arta CPT 36221 | $7,678.71 | $19,689.00 | $4,714.00 – $8,997.17 | 3 |
| Placental lactogen CPT 83632 | $187.20 | $480.00 | $35.41 – $69.96 | 4 |
| Place po breast cath for rad CPT 19296 | not published | not published | $7,487.00 – $26,608.13 | 5 |
| Place right device/marker pros CPT 55876 | $1,304.16 | $3,344.00 | $2,572.00 – $5,272.00 | 4 |
| Place slctv cath carotd art uni CPT 36224 | $9,723.87 | $24,933.00 | $5,809.00 – $15,511.46 | 3 |
| Place slctv cath carotid/inom art excrn uni CPT 36222 | $7,488.00 | $19,200.00 | $4,714.00 – $8,997.17 | 3 |
| Place slctv cath carotid/inom art intcrn uni CPT 36223 | $11,092.77 | $28,443.00 | $4,714.00 – $15,511.46 | 3 |
| Place slctv cath subclavian art CPT 36225 | $9,948.51 | $25,509.00 | $4,714.00 – $8,997.17 | 3 |
| Place slctv cath vertebral art uni CPT 36226 | $8,740.68 | $22,412.00 | $5,809.00 – $15,511.46 | 3 |
| Plasma cryoprecipitate reduced each unit HCPCS P9044 | $426.66 | $1,094.00 | not published | 0 |
| Plasmaprotein fract,5%,250ml HCPCS P9048 | $491.40 | $1,260.00 | $102.83 – $305.39 | 2 |
| Plasma protein fract,5%,50ml HCPCS P9043 | not published | not published | $23.79 – $43.78 | 2 |
| Plasma volume multiple CPT 78111 | $1,877.46 | $4,814.00 | $201.84 – $4,008.07 | 4 |
| Plasma volume single CPT 78110 | $1,877.46 | $4,814.00 | $215.73 – $4,008.07 | 4 |
| Plastic surgery neck CPT 15819 | not published | not published | $2,572.00 – $5,147.45 | 3 |
| Platelet aggregation each agent teg CPT 85576 | $148.98 | $382.00 | $37.64 – $86.19 | 4 |
| Platelet automated CPT 85049 | $50.70 | $130.00 | $7.84 – $15.50 | 4 |
| Platelet deplete of harvest CPT 38213 | $853.32 | $2,188.00 | $1,225.32 – $5,063.00 | 4 |
| Platelet pheresis each unit HCPCS P9034 | $1,845.87 | $4,733.00 | not published | 0 |
| Platelets each unit HCPCS P9019 | $158.73 | $407.00 | not published | 0 |
| Platelets hla matched leukocytes reduced apheresis/pheresis each unit HCPCS P9052 | $2,733.51 | $7,009.00 | not published | 0 |
| Platelets irradiated ea unit HCPCS P9032 | $489.45 | $1,255.00 | not published | 0 |
| Platelets leukocytes reduced irradiated each unit HCPCS P9033 | $526.50 | $1,350.00 | not published | 0 |
| Platelets leukoreduced cmv negative apheresis/phresis each unit HCPCS P9055 | $3,267.81 | $8,379.00 | not published | 0 |
| Platelets pheresis leukocytes reduced cmv negative irradiated each unit HCPCS P9053 | $3,162.12 | $8,108.00 | 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.