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 |
|---|---|---|---|---|
| Rechanneling of artery 35305 CPT 35305 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Rechanneling of artery 35341 CPT 35341 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Rechanneling w/graft tibioperoneal trunk artery 35304 CPT 35304 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Rechanneling w/wo patch graft abd aorta 35331 CPT 35331 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Rechanneling w/wo patch graft deep profunda fem art 35372 CPT 35372 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Rechanneling w/wo patch grf axillary-brachial 35321 CPT 35303 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Recipient nephrectomy CPT 50340 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Reconst lwr jaw w/fixation CPT 21196 | not published | not published | $6,389.00 – $16,529.94 | 3 |
| Reconst lwr jaw w/graft CPT 21194 | not published | not published | $6,389.00 – $16,529.94 | 3 |
| Reconst lwr jaw without fixation CPT 21195 | not published | not published | $6,760.00 – $16,529.94 | 3 |
| Reconst lwr jaw without graft CPT 21193 | not published | not published | $6,760.00 – $16,529.94 | 3 |
| Reconst major injured chest 32820 CPT 32820 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Reconst pectus excavatum/carinatum opn 21740 CPT 21740 | not published | not published | $6,389.00 – $15,026.00 | 2 |
| Reconstr lwr jaw segment CPT 21198 | not published | not published | $5,809.00 – $16,529.94 | 3 |
| Reconstr lwr jaw w/advance CPT 21199 | not published | not published | $6,760.00 – $16,529.94 | 3 |
| Reconstruct ankle joint CPT 27702 | not published | not published | $8,245.00 – $52,603.13 | 3 |
| Reconstruct bronchus CPT 31775 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Reconstruct cleft foot CPT 28360 | not published | not published | $5,063.00 – $20,193.44 | 3 |
| Reconstruct cleft palate CPT 42200 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Reconstruct cleft palate CPT 42205 | not published | not published | $2,664.00 – $11,889.00 | 5 |
| Reconstruct cleft palate CPT 42210 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Reconstruct cleft palate CPT 42215 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Reconstruct cleft palate CPT 42220 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Reconstruct cleft palate CPT 42225 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Reconstruct cranial bone CPT 21182 | not published | not published | $6,389.00 – $11,889.00 | 2 |
| Reconstruct cranial bone CPT 21183 | not published | not published | $6,389.00 – $11,889.00 | 2 |
| Reconstruct cranial bone CPT 21184 | not published | not published | $6,389.00 – $11,889.00 | 2 |
| Reconstruct elbow joint CPT 24360 | not published | not published | $2,664.00 – $20,193.44 | 5 |
| Reconstruct elbow joint CPT 24361 | not published | not published | $2,664.00 – $52,603.13 | 4 |
| Reconstruct elbow joint CPT 24362 | not published | not published | $2,664.00 – $37,149.33 | 5 |
| Reconstruct elbow lat ligmnt CPT 24344 | not published | not published | $4,220.00 – $20,193.44 | 4 |
| Reconstruct elbow med ligmnt CPT 24346 | not published | not published | $4,220.00 – $37,149.33 | 4 |
| Reconstruct extra finger CPT 26587 | $1,772.94 | $4,546.00 | $2,664.00 – $9,136.47 | 5 |
| Reconstruct finger joint CPT 26545 | not published | not published | $2,323.00 – $9,136.47 | 5 |
| Reconstruct finger joint CPT 26548 | not published | not published | $2,323.00 – $9,136.47 | 5 |
| Reconstruct head of radius CPT 24365 | not published | not published | $2,664.00 – $37,149.33 | 5 |
| Reconstruct head of radius CPT 24366 | not published | not published | $2,664.00 – $37,149.33 | 4 |
| Reconstruction ankle joint CPT 27703 | not published | not published | $8,245.00 – $15,026.00 | 2 |
| Reconstruction knee CPT 27427 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Reconstruction knee CPT 27428 | not published | not published | $2,323.00 – $37,149.33 | 5 |
| Reconstruction knee CPT 27429 | not published | not published | $2,323.00 – $37,149.33 | 5 |
| Reconstruction of anus CPT 46753 | not published | not published | $1,937.00 – $7,925.42 | 5 |
| Reconstruction of bile ducts 47800 CPT 47800 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Reconstruction of eyelid CPT 67971 | not published | not published | $1,937.00 – $6,595.97 | 5 |
| Reconstruction of eyelid CPT 67973 | $2,786.55 | $7,145.00 | $1,937.00 – $6,595.97 | 5 |
| Reconstruction of eyelid CPT 67974 | not published | not published | $1,937.00 – $10,913.47 | 5 |
| Reconstruction of eyelid CPT 67975 | $2,388.75 | $6,125.00 | $1,937.00 – $6,595.97 | 5 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Reconstruction of jaw CPT 21245 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Reconstruction of jaw CPT 21246 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Reconstruction of jaw CPT 21248 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Reconstruction of jaw CPT 21249 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $2,323.00 – $16,529.94 | 5 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $2,664.00 – $52,603.13 | 5 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Reconstruction of midface CPT 21188 | not published | not published | $6,389.00 – $11,889.00 | 2 |
| Reconstruction of mouth CPT 40840 | not published | not published | $1,694.00 – $16,529.94 | 5 |
| Reconstruction of mouth CPT 40842 | not published | not published | $1,937.00 – $16,529.94 | 5 |
| Reconstruction of mouth CPT 40843 | not published | not published | $1,937.00 – $16,529.94 | 5 |
| Reconstruction of mouth CPT 40844 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Reconstruction of mouth CPT 40845 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $1,694.00 – $5,272.00 | 4 |
| Reconstruction of nose CPT 30410 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Reconstruction of nose CPT 30420 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Reconstruction of orbit CPT 21256 | not published | not published | $5,063.00 – $16,529.94 | 3 |
| Reconstruction of throat CPT 42950 | not published | not published | $1,694.00 – $16,529.94 | 5 |
| Reconstruction of urethra CPT 53410 | not published | not published | $1,694.00 – $14,605.40 | 5 |
| Reconstruction of urethra CPT 53415 | not published | not published | $5,063.00 – $11,889.00 | 2 |
| Reconstruction of urethra CPT 53430 | not published | not published | $1,694.00 – $14,605.40 | 5 |
| Reconstruction of urethra CPT 54308 | not published | not published | $1,937.00 – $14,605.40 | 5 |
| Reconstruction of urethra CPT 54312 | not published | not published | $1,937.00 – $9,840.21 | 5 |
| Reconstruction of urethra CPT 54316 | not published | not published | $1,937.00 – $26,003.15 | 5 |
| Reconstruction of urethra CPT 54318 | not published | not published | $1,937.00 – $9,840.21 | 5 |
| Reconstruction of urethra CPT 54322 | not published | not published | $1,937.00 – $9,840.21 | 5 |
| Reconstruction of urethra CPT 54324 | not published | not published | $1,937.00 – $11,889.00 | 5 |
| Reconstruction of urethra CPT 54326 | not published | not published | $1,937.00 – $9,840.21 | 5 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $1,694.00 – $11,889.00 | 5 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $1,694.00 – $16,529.94 | 5 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $1,694.00 – $9,087.85 | 5 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $6,389.00 – $16,529.94 | 3 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $6,389.00 – $11,889.00 | 2 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $6,760.00 – $16,529.94 | 3 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $6,760.00 – $37,149.33 | 3 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $6,760.00 – $52,603.13 | 3 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $2,664.00 – $20,193.44 | 5 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $1,694.00 – $14,605.40 | 5 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $1,937.00 – $14,605.40 | 5 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $1,694.00 – $14,605.40 | 5 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Reconstruct windpipe CPT 31780 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Reconstruct windpipe CPT 31781 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Rectal sensation test CPT 91120 | $322.53 | $827.00 | $885.97 – $2,665.00 | 2 |
| Red blood cells each unit HCPCS P9021 | $639.21 | $1,639.00 | not published | 0 |
| Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit HCPCS P9057 | $1,808.43 | $4,637.00 | not published | 0 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $1,245.66 | $3,194.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $1,045.59 | $2,681.00 | $541.17 – $541.17 | 1 |
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.