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 |
|---|---|---|---|---|
| Autologous blood process CPT 86890 | $1,121.25 | $2,875.00 | $58.16 – $482.12 | 4 |
| Automated diff wbc count CPT 85004 | not published | not published | $11.34 – $22.39 | 4 |
| Autonomic nrv adrenrg inervj CPT 95922 | not published | not published | $360.57 – $360.57 | 1 |
| Autonomic nrv parasym inervj CPT 95921 | $485.55 | $1,245.00 | $440.91 – $440.91 | 1 |
| Autonomic nrv syst funj test CPT 95923 | $365.04 | $936.00 | $360.57 – $360.57 | 1 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $366.14 – $569.25 | 3 |
| Autopsy (necropsy) complete CPT 88025 | $2,551.38 | $6,542.00 | $401.64 – $550.67 | 3 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $437.12 – $587.29 | 3 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $212.51 – $330.51 | 3 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $212.51 – $330.51 | 3 |
| Autopsy (necropsy) gross CPT 88000 | $1,506.57 | $3,863.00 | $236.30 – $330.51 | 3 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $271.80 – $385.69 | 3 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $295.60 – $403.71 | 3 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $212.51 – $330.51 | 3 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $212.51 – $302.93 | 3 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $271.80 – $422.30 | 3 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $184.79 – $319.60 | 3 |
| Av fistula revision CPT 36833 | $4,477.20 | $11,480.00 | $2,323.00 – $15,511.46 | 5 |
| Av fuse uppr arm basilic CPT 36819 | not published | not published | $1,937.00 – $15,511.46 | 5 |
| Av fuse uppr arm cephalic CPT 36818 | not published | not published | $1,937.00 – $15,511.46 | 5 |
| Av fusion direct any site CPT 36821 | $4,044.69 | $10,371.00 | $1,937.00 – $8,997.17 | 5 |
| Av fusion/forearm vein 36820 CPT 36820 | not published | not published | $1,937.00 – $15,511.46 | 5 |
| Avul nail plate addl CPT 11732 | $420.81 | $1,079.00 | $2,665.00 – $3,391.00 | 2 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $807.69 | $2,071.00 | $565.10 – $3,391.00 | 4 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | $1,055,251.95 | $2,705,774.23 | $0.03 – $1,120,267.47 | 2 |
| Axillary lymphadenect/superficial 38740 CPT 38740 | not published | not published | $1,694.00 – $16,286.66 | 5 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.55 – $1.91 | 2 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $2.27 – $2.27 | 1 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $486.03 – $705.34 | 3 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | not published | not published | $4.06 – $4.06 | 1 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $48.01 – $48.01 | 1 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | not published | not published | $3.95 – $8.79 | 2 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $331.34 – $615.19 | 3 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $77.63 – $77.63 | 1 |
| Baclofen eval charges CPT 97750 | $49.92 | $128.00 | not published | 0 |
| Bacterial meningitis antigen CPT 86403 | $66.30 | $170.00 | $17.86 – $39.93 | 4 |
| Bacterial vaginosis pcr CPT 87801 | $449.67 | $1,153.00 | $111.79 – $242.89 | 4 |
| Bactericidal level serum CPT 87197 | not published | not published | $26.32 – $51.97 | 4 |
| #bac vag cand-c. albicans naa CPT 87481 | $166.53 | $427.00 | $61.50 – $121.41 | 4 |
| Balance and Coordination Retraining (each 15 minutes) CPT 97112 | $88.14 | $226.00 | not published | 0 |
| Balloon dilate urtrl strix CPT 50706 | $708.63 | $1,817.00 | $2,665.00 – $3,391.00 | 2 |
| Banding pulmonary artery CPT 33690 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $6,534.29 | $16,754.58 | not published | 0 |
| Barium Enema (Colon X-ray, barium and air) CPT 74280 | $903.24 | $2,316.00 | $375.84 – $818.48 | 4 |
| Barium Enema (Colon X-ray, barium only) CPT 74270 | $770.25 | $1,975.00 | $264.73 – $589.26 | 4 |
| Barium Swallow (Esophagus X-ray) CPT 74220 | $456.30 | $1,170.00 | $149.53 – $518.62 | 4 |
| Bartholin gland cyst/marsupializat 56440 CPT 56440 | not published | not published | $1,694.00 – $8,824.63 | 5 |
| Bartonella dna pcr-sendout CPT 87471 | $292.50 | $750.00 | $61.50 – $121.41 | 4 |
| Bartonella dna quant CPT 87472 | not published | not published | $75.05 – $148.23 | 4 |
| Basic vestibular evaluation CPT 92540 | $187.20 | $480.00 | $440.91 – $440.91 | 1 |
| Basiliximab HCPCS J0480 | not published | not published | $8,877.35 – $15,487.89 | 3 |
| Battery elec/combo vad, rep HCPCS Q0496 | $196.66 | $504.25 | not published | 0 |
| Bausch health Ultrasound surg HCPCS V2788 | $391.84 | $1,004.73 | not published | 0 |
| B cells total count CPT 86355 | $74.49 | $191.00 | $66.10 – $130.55 | 4 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $5.72 – $5.72 | 1 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $362.65 – $362.65 | 1 |
| Bcg vaccine percut CPT 90585 | not published | not published | $362.65 – $362.65 | 1 |
| Bckdhb gene CPT 81205 | not published | not published | $79.83 – $328.67 | 3 |
| Bebtelovimab injection HCPCS M0222 | $622.44 | $1,596.00 | not published | 0 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $88.11 – $88.11 | 1 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $7.49 – $13.39 | 3 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $104.66 – $179.92 | 3 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $3.43 – $51.33 | 3 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $32.65 – $57.29 | 3 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $25.64 – $51.07 | 3 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $54.61 – $115.74 | 2 |
| Benign lesion paring 2-4 CPT 11056 | $531.96 | $1,364.00 | $565.10 – $3,391.00 | 3 |
| Benign lesion paring 4+ CPT 11057 | $553.80 | $1,420.00 | $565.10 – $3,391.00 | 3 |
| #_benzodiazconfur CPT 80346 | not published | not published | $32.33 – $32.33 | 1 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $32.19 – $32.19 | 1 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $99.45 | $255.00 | $44.57 – $88.06 | 4 |
| Beta-2 microglobulin CPT 82232 | $207.48 | $532.00 | $28.34 – $55.98 | 4 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | not published | not published | $14.31 – $14.31 | 1 |
| Bethanechol chloride inject HCPCS J0520 | not published | not published | $8.56 – $8.56 | 1 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $139.50 – $256.28 | 3 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $54.76 – $95.74 | 3 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $43.84 – $121.53 | 3 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $3.87 – $5.44 | 3 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $129.87 | $333.00 | not published | 0 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $92.82 | $238.00 | not published | 0 |
| B-hexosaminidase ea assay CPT 83080 | not published | not published | $29.56 – $58.37 | 4 |
| Bilateral laminotomy addl lumbar 63044 CPT 63044 | not published | not published | $3,391.00 – $8,448.00 | 2 |
| Bilateral n blobk inj pudendal 64430 CPT 64430 | $2,420.73 | $6,207.00 | $1,308.00 – $4,066.00 | 5 |
| Bilateral n block inj occipital 64405 CPT 64405 | $783.90 | $2,010.00 | $836.02 – $3,391.00 | 4 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $1,248.00 | $3,200.00 | $836.02 – $3,391.00 | 4 |
| Bile acids cholylglycine CPT 82240 | $203.97 | $523.00 | $46.57 – $91.97 | 4 |
| Bile duct endoscopy add-on 47550 CPT 47550 | $996.45 | $2,555.00 | $2,665.00 – $5,063.00 | 2 |
| Bile duct revision CPT 47701 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Biliary endo perq dx w/speci CPT 47552 | $4,215.51 | $10,809.00 | $1,694.00 – $21,354.98 | 5 |
| Biliary endoscopy thru skin CPT 47553 | $4,292.73 | $11,007.00 | $1,937.00 – $21,354.98 | 5 |
| Biliary endoscopy thru skin CPT 47554 | $12,787.32 | $32,788.00 | $1,937.00 – $29,055.57 | 5 |
| Biliary endoscopy thru skin CPT 47555 | $3,376.62 | $8,658.00 | $1,937.00 – $9,765.44 | 5 |
| Biliary endoscopy thru skin CPT 47556 | $3,579.81 | $9,179.00 | $5,809.00 – $29,055.57 | 5 |
| Bilicheck CPT 88720 | $29.64 | $76.00 | $8.80 – $17.37 | 4 |
| Bilirubin direct CPT 82248 | $55.77 | $143.00 | $8.80 – $17.37 | 4 |
| Bilirubin total CPT 82247 | $70.59 | $181.00 | $8.80 – $17.37 | 4 |
| Bilobectomy 32482 CPT 32482 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Binder abdominal lg 12 x 62-74 HCPCS L0625 | $44.40 | $113.85 | not published | 0 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $4,860.30 – $4,860.30 | 1 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $178.34 – $178.34 | 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.