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 |
|---|---|---|---|---|
| Assay duodenal fluid trypsin CPT 84485 | not published | not published | $13.15 – $24.91 | 4 |
| Assay free hydroxyproline CPT 83500 | not published | not published | $39.68 – $78.37 | 4 |
| Assay malate dehydrogenase CPT 83775 | not published | not published | $12.92 – $25.50 | 4 |
| Assay myeloperoxidase CPT 83876 | $74.39 | $190.75 | $22.69 – $175.98 | 4 |
| Assay of adp & amp CPT 82030 | $412.62 | $1,058.00 | $45.20 – $89.27 | 4 |
| Assay of androsterone CPT 82160 | not published | not published | $43.81 – $88.40 | 4 |
| Assay of blood lipoprotein CPT 83719 | $123.63 | $317.00 | $20.39 – $44.12 | 4 |
| Assay of bradykinin CPT 82286 | not published | not published | $12.07 – $21.24 | 4 |
| Assay of breath ethanol CPT 82075 | $83.07 | $213.00 | $21.12 – $103.80 | 4 |
| Assay of cathepsin-d CPT 82387 | not published | not published | $36.46 – $65.37 | 4 |
| Assay of chloramphenicol CPT 82415 | $78.00 | $200.00 | $22.20 – $43.84 | 4 |
| Assay of corticosterone CPT 82528 | not published | not published | $39.43 – $77.92 | 4 |
| Assay of digoxin free CPT 80163 | not published | not published | $21.68 – $45.95 | 4 |
| Assay of endocrine hormone CPT 84235 | $314.73 | $807.00 | $91.69 – $246.46 | 4 |
| Assay of estrogen CPT 84233 | not published | not published | $112.85 – $304.06 | 4 |
| Assay of etiocholanolone CPT 82696 | not published | not published | $41.32 – $90.79 | 4 |
| Assay of feces for trypsin CPT 84490 | not published | not published | $13.33 – $34.36 | 4 |
| Assay of feces porphyrins CPT 84126 | $272.22 | $698.00 | $44.63 – $135.32 | 4 |
| Assay of feces/urobilinogen CPT 84577 | $20.67 | $53.00 | $21.86 – $58.13 | 4 |
| Assay of fluoride CPT 82735 | not published | not published | $32.50 – $64.15 | 4 |
| Assay of galactose CPT 82760 | $577.20 | $1,480.00 | $19.62 – $38.75 | 4 |
| Assay of gdh enzyme CPT 82965 | not published | not published | $13.55 – $45.50 | 4 |
| Assay of glucosidase CPT 82963 | not published | not published | $37.64 – $74.32 | 4 |
| Assay of glutathione CPT 82978 | $24.18 | $62.00 | $24.97 – $53.46 | 4 |
| Assay of haptoglobins CPT 83012 | not published | not published | $30.12 – $93.04 | 4 |
| Assay of idh enzyme CPT 83570 | not published | not published | $15.49 – $30.62 | 4 |
| Assay of interleukin-6 (il-6) CPT 83529 | $47.19 | $121.00 | $20.72 – $59.75 | 2 |
| Assay of intrinsic factor CPT 83528 | not published | not published | $27.86 – $68.58 | 4 |
| Assay of lap enzyme CPT 83670 | $111.15 | $285.00 | $16.06 – $33.94 | 4 |
| Assay of leflunomide CPT 80193 | $107.64 | $276.00 | $46.28 – $133.45 | 2 |
| Assay of lrh hormone CPT 83727 | not published | not published | $30.12 – $59.48 | 4 |
| Assay of methemalbumin CPT 83857 | not published | not published | $18.82 – $37.16 | 4 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $11.34 – $22.39 | 4 |
| Assay of osteocalcin CPT 83937 | $93.60 | $240.00 | $52.31 – $103.28 | 4 |
| Assay of phenylketones CPT 84035 | not published | not published | $6.41 – $13.77 | 4 |
| Assay of pregnanediol CPT 84135 | not published | not published | $33.53 – $73.59 | 4 |
| Assay of pregnanetriol CPT 84138 | $55.77 | $143.00 | $33.18 – $72.83 | 4 |
| Assay of procainamide CPT 80190 | $36.66 | $94.00 | $29.35 – $207.60 | 4 |
| Assay of procainamide w/metab CPT 80192 | $196.17 | $503.00 | $29.35 – $57.96 | 4 |
| Assay of progesterone CPT 84234 | $532.35 | $1,365.00 | $113.66 – $224.48 | 4 |
| Assay of prostaglandin CPT 84150 | not published | not published | $43.74 – $144.52 | 4 |
| Assay of PSA complexed CPT 84152 | $298.74 | $766.00 | $32.22 – $63.63 | 4 |
| Assay of quinine CPT 84228 | $78.00 | $200.00 | $20.39 – $40.24 | 4 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $11.81 – $32.66 | 4 |
| Assay of salicylate CPT 80179 | $30.81 | $79.00 | $22.37 – $64.49 | 2 |
| Assay of semen fructose CPT 82757 | not published | not published | $30.38 – $60.00 | 4 |
| Assay of sialic acid CPT 84275 | $49.92 | $128.00 | $23.53 – $46.50 | 4 |
| Assay of silica CPT 84285 | not published | not published | $41.26 – $87.23 | 4 |
| Assay of somatostatin CPT 84307 | $336.57 | $863.00 | $32.04 – $63.25 | 4 |
| Assay of thiocyanate CPT 84430 | $140.01 | $359.00 | $20.39 – $40.24 | 4 |
| Assay of troponin qual CPT 84512 | not published | not published | $13.49 – $34.91 | 4 |
| Assay of tyrosine CPT 84510 | $313.56 | $804.00 | $18.22 – $36.78 | 4 |
| Assay of urine sulfate CPT 84392 | $34.87 | $89.40 | $8.32 – $19.00 | 4 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $12.43 – $33.04 | 4 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $8.81 – $20.93 | 4 |
| Assay phosphatidylglycerol CPT 84081 | $308.49 | $791.00 | $28.94 – $57.16 | 4 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $18.08 – $37.13 | 4 |
| Assay rbc glutathione CPT 82979 | not published | not published | $12.07 – $32.66 | 4 |
| Assay toxin or antitoxin CPT 87230 | $262.86 | $674.00 | $34.60 – $68.30 | 4 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $195.00 | $500.00 | not published | 0 |
| Assess care plan pt w/cog impair 99483 CPT 99483 | $99.06 | $254.00 | not published | 0 |
| Assess cyst contrast inject CPT 49424 | $447.33 | $1,147.00 | $2,665.00 – $3,391.00 | 2 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | $87.36 | $224.00 | $7.48 – $14.77 | 4 |
| Asses tinnit/pitch/loud/match/mask 92625 CPT 92625 | $181.74 | $466.00 | $440.91 – $440.91 | 1 |
| Assist-bilat spinal disk surgery add-on 63035 CPT 63035 | not published | not published | $2,665.00 – $6,760.00 | 2 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $65.18 – $2,427.15 | 3 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $65.18 – $482.12 | 3 |
| Ast/sgot CPT 84450 | $62.01 | $159.00 | $9.06 – $17.92 | 4 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $848.42 – $2,340.69 | 4 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $358.37 – $836.97 | 4 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $168.15 – $294.13 | 3 |
| Athrectomy fem/pop/unilateral 37225 CPT 37225 | $12,656.28 | $32,452.00 | $6,389.00 – $49,495.55 | 3 |
| Athrectomy tib/pero/unilat/ini ves 37229 CPT 37229 | $12,322.44 | $31,596.00 | $6,389.00 – $49,495.55 | 3 |
| Atn1 gene detc abnor alleles CPT 81177 | $225.42 | $578.00 | $164.40 – $474.02 | 3 |
| Atomic absorption CPT 82190 | not published | not published | $26.12 – $55.01 | 4 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.21 – $0.21 | 1 |
| Attach bladder/urethra comp 51841 CPT 51841 | not published | not published | $6,179.00 – $9,000.00 | 2 |
| Attach bladder/urethra simple 51840 CPT 51840 | not published | not published | $1,694.00 – $9,000.00 | 3 |
| Attach ocular implant CPT 65140 | not published | not published | $1,937.00 – $10,913.47 | 5 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $913.77 | $2,343.00 | not published | 0 |
| Atxn10 gene detc abnor allel CPT 81183 | $225.42 | $578.00 | $164.40 – $474.02 | 3 |
| Atxn1 gene detc abnor allele CPT 81178 | $225.42 | $578.00 | $164.40 – $474.02 | 3 |
| Atxn2 gene detc abnor allele CPT 81179 | $225.42 | $578.00 | $164.40 – $474.02 | 3 |
| Atxn3 gene detc abnor allele CPT 81180 | $225.42 | $578.00 | $164.40 – $474.02 | 3 |
| Atxn7 gene detc abnor allele CPT 81181 | $225.42 | $578.00 | $164.40 – $474.02 | 3 |
| Atxn8os gen detc abnor allel CPT 81182 | $225.42 | $578.00 | $164.40 – $474.02 | 3 |
| Aud brainstem implt programg CPT 92640 | not published | not published | $440.91 – $440.91 | 1 |
| Audiometry air + bone CPT 92553 | $134.16 | $344.00 | $440.91 – $440.91 | 1 |
| Auditory function 60 min CPT 92620 | not published | not published | $440.91 – $440.91 | 1 |
| Augmentation cheek bone CPT 21270 | not published | not published | $2,664.00 – $16,529.94 | 5 |
| Augmentation lower jaw bone CPT 21125 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Augmentation lower jaw bone CPT 21127 | not published | not published | $7,487.00 – $16,529.94 | 5 |
| Augmentation of facial bones CPT 21208 | not published | not published | $3,721.00 – $16,529.94 | 5 |
| Augment injectable kit 3.0cc HCPCS C1734 | $6,260.21 | $16,051.82 | not published | 0 |
| Augumentation percutaneous vertebral inc cavity creation ea addl thoracic/lumbar vertebral body CPT 22515 | $1,789.71 | $4,589.00 | $2,665.00 – $3,391.00 | 2 |
| Augumentation percutaneous vertebral including cavity creation 1 vertebral body thoracic CPT 22513 | $10,578.36 | $27,124.00 | $6,760.00 – $20,193.44 | 3 |
| Autgrft implnt knee w/scope CPT 29866 | not published | not published | $5,809.00 – $20,193.44 | 3 |
| Autochondrocyte implant knee CPT 27412 | not published | not published | $5,809.00 – $20,193.44 | 3 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $708.73 – $2,908.65 | 3 |
| Autologous blood op salvage CPT 86891 | $1,558.05 | $3,995.00 | $17.39 – $2,427.15 | 4 |
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.