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 |
|---|---|---|---|---|
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $1,046.37 | $2,683.00 | not published | 0 |
| Red blood cells washed each unit HCPCS P9022 | $1,334.19 | $3,421.00 | not published | 0 |
| Red cell mass multiple CPT 78121 | $657.93 | $1,687.00 | $211.64 – $1,525.66 | 4 |
| Red cell mass single CPT 78120 | $545.61 | $1,399.00 | $196.94 – $1,164.18 | 4 |
| Red cell sequestration CPT 78140 | $1,057.68 | $2,712.00 | $259.03 – $1,164.18 | 4 |
| Red cell survival kinetics CPT 78135 | not published | not published | $767.23 – $1,541.74 | 2 |
| Red cell survival study CPT 78130 | $545.61 | $1,399.00 | $329.31 – $1,164.18 | 4 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Redo endovas vena cava filtr CPT 37192 | $6,772.74 | $17,366.00 | $5,809.00 – $8,997.17 | 3 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $6,859.00 – $8,245.00 | 2 |
| Reduce testis torsion CPT 54600 | not published | not published | $2,323.00 – $9,840.21 | 5 |
| Reduction of facial bones CPT 21209 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $1,308.00 – $4,066.00 | 5 |
| Reduction of skull defect CPT 62115 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Reduction of skull defect CPT 62117 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Re-explore parathyroids CPT 60502 | not published | not published | $9,000.00 – $16,529.94 | 4 |
| Refill maint impl spine pump CPT 95991 | $366.60 | $940.00 | $836.02 – $2,665.00 | 2 |
| Refill/maint pump/resvr syst CPT 96522 | $460.98 | $1,182.00 | $311.37 – $605.00 | 2 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $378.22 | $969.80 | $7.26 – $7.26 | 1 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Reinforce clavicle CPT 23490 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Reinforce eye wall CPT 67250 | not published | not published | $1,937.00 – $6,595.97 | 5 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $1,937.00 – $11,476.46 | 5 |
| Reinforce hip bones CPT 27187 | not published | not published | $6,389.00 – $15,026.00 | 2 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $1,937.00 – $37,149.33 | 5 |
| Reinforce thigh CPT 27495 | not published | not published | $6,760.00 – $15,026.00 | 2 |
| Reinforce tibia CPT 27745 | not published | not published | $1,937.00 – $20,193.44 | 5 |
| Reinnervate larynx CPT 31590 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $8,245.00 – $16,710.00 | 2 |
| Reinsert ocular implant CPT 65155 | not published | not published | $1,937.00 – $10,913.47 | 5 |
| Release encircling material CPT 67115 | not published | not published | $1,694.00 – $11,476.46 | 5 |
| Release eye tissue CPT 67343 | not published | not published | $3,721.00 – $9,000.00 | 5 |
| Release facial nerve CPT 69720 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Release facial nerve CPT 69725 | not published | not published | $2,664.00 – $16,529.94 | 4 |
| Release facial nerve CPT 69955 | not published | not published | $6,389.00 – $16,529.94 | 3 |
| Release finger contracture CPT 26525 | not published | not published | $1,937.00 – $5,809.00 | 5 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Release inner ear canal CPT 69960 | not published | not published | $5,063.00 – $16,529.94 | 3 |
| Release knuckle contracture CPT 26520 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Release middle ear bone CPT 69650 | not published | not published | $3,721.00 – $9,087.85 | 5 |
| Release muscles of hand CPT 26593 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Release of eye fluid CPT 67015 | $2,977.26 | $7,634.00 | $1,308.00 – $6,577.81 | 5 |
| Release of foot tendon CPT 28220 | not published | not published | $1,308.00 – $6,179.00 | 4 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $1,308.00 – $9,136.47 | 5 |
| Release of foot tendons CPT 28222 | not published | not published | $1,308.00 – $9,136.47 | 5 |
| Release of foot tendons CPT 28226 | not published | not published | $1,308.00 – $9,136.47 | 5 |
| Release of lower leg tendon CPT 27680 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Release of lower leg tendons CPT 27681 | not published | not published | $1,694.00 – $9,136.47 | 5 |
| Release of lung 32220 CPT 32220 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Release of midfoot joint CPT 28260 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Release of midfoot joint CPT 28264 | not published | not published | $1,308.00 – $11,889.00 | 5 |
| Release of shoulder ligament CPT 23415 | not published | not published | $2,664.00 – $20,193.44 | 5 |
| Release of skull seams CPT 61550 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Release of skull seams CPT 61552 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Release of ureter CPT 50715 | not published | not published | $2,664.00 – $6,859.00 | 3 |
| Release of ureter CPT 50722 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Release of ureter CPT 50940 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Release palm contracture CPT 26040 | not published | not published | $2,323.00 – $6,389.00 | 5 |
| Release palm contracture CPT 26121 | not published | not published | $2,323.00 – $9,136.47 | 5 |
| Release palm contracture CPT 26123 | not published | not published | $2,323.00 – $9,136.47 | 5 |
| Release palm contracture CPT 26125 | not published | not published | $2,323.00 – $6,389.00 | 3 |
| Release palm contracture 26045 CPT 26045 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Release palm & finger tendon CPT 26442 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Release palm/finger tendon CPT 26440 | not published | not published | $1,937.00 – $5,809.00 | 5 |
| Release/revise ureter CPT 50725 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Release spinal cord lumbar CPT 63200 | not published | not published | $5,063.00 – $16,710.00 | 2 |
| Release thumb contracture CPT 26508 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Release wrist/forearm tendon CPT 25295 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Relieve bladder contracture CPT 52640 | not published | not published | $1,694.00 – $9,840.21 | 5 |
| Relieve cranial pressure 61345 CPT 61345 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Relocation of testis(es) CPT 54680 | not published | not published | $1,937.00 – $9,840.21 | 5 |
| Relocation skin pocket aicd CPT 33223 | $3,153.93 | $8,087.00 | $1,694.00 – $5,272.00 | 5 |
| Relocation skin pocket pm CPT 33222 | $2,520.96 | $6,464.00 | $1,694.00 – $5,272.00 | 5 |
| Rem/biv cast full arm/leg CPT 29705 | $549.12 | $1,408.00 | $758.05 – $5,063.00 | 3 |
| Rem/biv cast shldr/hip spica CPT 29710 | not published | not published | $758.05 – $5,063.00 | 3 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | not published | not published | $12.10 – $20.97 | 3 |
| Rem endovas vena cava filter CPT 37193 | $4,412.07 | $11,313.00 | $5,809.00 – $8,997.17 | 3 |
| Rem interrog dev eval icpms CPT 93297 | $45.63 | $117.00 | not published | 0 |
| Rem interrog dev eval scrms CPT 93298 | $45.63 | $117.00 | not published | 0 |
| Rem interrog evl pm/ids CPT 93296 | $74.49 | $191.00 | not published | 0 |
| Rem mntr physiol 1st dev supply ea 30 days CPT 99454 | $50.70 | $130.00 | not published | 0 |
| Rem mntr physiol 1st set up pt educaj eqp CPT 99453 | $153.27 | $393.00 | not published | 0 |
| Remote 30 day ecg tech supp CPT 93229 | $390.00 | $1,000.00 | $885.97 – $885.97 | 1 |
| Removal abdomen lymph nodes 38564 CPT 38564 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Removal allograft pancreas CPT 48556 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Removal anal seton other marker 46030 CPT 46030 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Removal biliary drg cath CPT 47537 | $1,300.65 | $3,335.00 | $2,558.69 – $5,272.00 | 4 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $3,761.94 | $9,646.00 | $1,308.00 – $4,066.00 | 5 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $3,381.30 | $8,670.00 | $1,308.00 – $5,272.00 | 5 |
| Removal cerclage w/anes CPT 59871 | not published | not published | $2,664.00 – $8,824.63 | 5 |
| Removal cerclage without anes CPT 59899 | not published | not published | $562.46 – $4,714.00 | 3 |
| Removal cerumen impacted (both sides) CPT 69210 | $368.55 | $945.00 | $172.66 – $3,391.00 | 3 |
| Removal clot in graft oth/thn 35875 CPT 35875 | not published | not published | $7,487.00 – $15,511.46 | 5 |
| Removal clot in graft xcp 35876 CPT 35876 | not published | not published | $7,487.00 – $15,511.46 | 5 |
| Removal deep drug delivery device CPT 20701 | not published | not published | $2,665.00 – $3,391.00 | 2 |
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.