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 |
|---|---|---|---|---|
| Sickling rbc CPT 85660 | $65.91 | $169.00 | $9.67 – $19.06 | 4 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $1,308.00 – $4,066.00 | 5 |
| Sigmoidoscopy flex decompression 45337 CPT 45337 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Sigmoidoscopy for bleeding CPT 45334 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Sigmoidoscopy/submucosal injection 45335 CPT 45335 | not published | not published | $1,308.00 – $4,066.00 | 5 |
| Sigmoidoscopy w/ablation CPT 45346 | not published | not published | $3,330.93 – $5,272.00 | 4 |
| Sigmoidoscopy w/fb removal 45332 CPT 45332 | $1,374.75 | $3,525.00 | $1,308.00 – $5,272.00 | 5 |
| Sigmoidoscopy w/plcmt stent CPT 45347 | not published | not published | $3,391.00 – $16,086.99 | 4 |
| Sigmoidoscopy w/resection CPT 45349 | not published | not published | $3,391.00 – $7,925.42 | 4 |
| Sigmoidoscopy w/tumr remove CPT 45338 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Sigmoidoscopy w/ultrasound CPT 45341 | $1,740.57 | $4,463.00 | $1,308.00 – $5,272.00 | 5 |
| Sigmoidoscopy w/us guide bx CPT 45342 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Sigmoid/rmv tumor/polyp/hot bx for 45333 CPT 45333 | not published | not published | $1,308.00 – $4,066.00 | 5 |
| Signal avg ecg w or without ecg 93278 CPT 93278 | $813.93 | $2,087.00 | $172.66 – $172.66 | 1 |
| Sig w/tndsc balloon dilation CPT 45340 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.51 – $0.51 | 1 |
| Simple cystometrogram 51725 CPT 51725 | $396.63 | $1,017.00 | $697.61 – $3,391.00 | 5 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | $354.67 | $909.40 | $218.03 – $218.03 | 1 |
| Single energy x-ray study HCPCS G0130 | $97.89 | $251.00 | $109.04 – $310.32 | 2 |
| Single transfer toe-hand CPT 26553 | not published | not published | $1,694.00 – $11,889.00 | 3 |
| Sinus CT scan (with and without contrast) CPT 70488 | $1,610.70 | $4,130.00 | $323.56 – $559.47 | 3 |
| Sinus CT scan (with contrast) CPT 70487 | $1,473.03 | $3,777.00 | $254.93 – $518.62 | 3 |
| Sinus CT scan (without contrast) CPT 70486 | $1,319.37 | $3,383.00 | $221.42 – $369.17 | 3 |
| Sinus/juglr venogram s&i CPT 75860 | $1,971.06 | $5,054.00 | $201.82 – $8,997.17 | 4 |
| Sinusotomy maxillary sinus 31020 CPT 31020 | not published | not published | $1,694.00 – $9,087.85 | 5 |
| Sinusotomy sinus remove polyps 31032 CPT 31032 | not published | not published | $2,323.00 – $16,529.94 | 5 |
| Sinusotomy sphenoid w/wo bx 31050 CPT 31050 | not published | not published | $1,694.00 – $16,529.94 | 5 |
| Sinus X-ray (complete) CPT 70220 | $375.57 | $963.00 | $57.20 – $256.49 | 4 |
| Sinus X-ray (limited) CPT 70210 | $218.40 | $560.00 | $48.22 – $256.49 | 4 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $105,852.57 – $184,856.24 | 3 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $2.02 – $2.02 | 1 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $223.86 – $378.14 | 2 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $28.78 – $28.78 | 1 |
| Skel musc relaxant 3 or more CPT 80370 | not published | not published | $28.78 – $28.78 | 1 |
| Skin and muscle repair face CPT 15845 | not published | not published | $2,323.00 – $10,126.62 | 5 |
| Skin Biopsy CPT 11102 | $560.04 | $1,436.00 | $565.10 – $3,391.00 | 3 |
| Skin full graft 20sq cm less 15200 CPT 15200 | $2,190.24 | $5,616.00 | $1,937.00 – $6,179.00 | 5 |
| Skin full graft add-on 15241 CPT 15241 | not published | not published | $1,937.00 – $5,809.00 | 3 |
| Skin pedicle flap arms/legs CPT 15572 | not published | not published | $1,937.00 – $10,126.62 | 5 |
| Skin pedicle flap trunk CPT 15570 | not published | not published | $1,937.00 – $5,809.00 | 5 |
| Skin split graft addl 100sq cm 15101 CPT 15101 | not published | not published | $1,937.00 – $5,809.00 | 3 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $6.61 – $84.05 | 4 |
| Skull base/brainstem surgery CPT 61575 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Skull base/brainstem surgery CPT 61576 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Skull X-ray (1 to 3 views) CPT 70250 | $276.90 | $710.00 | $53.93 – $310.32 | 4 |
| Skull X-ray (complete) CPT 70260 | $412.23 | $1,057.00 | $64.55 – $310.32 | 4 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,966.25 – $1,966.25 | 1 |
| Slco1b1 gene com variants CPT 81328 | $674.70 | $1,730.00 | $209.77 – $604.84 | 4 |
| Sleep study attended CPT 95807 | $1,237.08 | $3,172.00 | not published | 0 |
| Sleep Study (Polysomnography) CPT 95810 | $3,068.13 | $7,867.00 | not published | 0 |
| Sleep study unattended CPT 95806 | $430.95 | $1,105.00 | $440.91 – $440.91 | 1 |
| Sleeve fing rolyan med HCPCS L3933 | $210.38 | $539.44 | not published | 0 |
| Sleeve pneumonectomy CPT 32442 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Sling suprapubic suburetheral HCPCS C1771 | $15,381.89 | $39,440.75 | not published | 0 |
| Slitting of prepuce CPT 54000 | not published | not published | $1,694.00 – $9,840.21 | 5 |
| Slitting of prepuce CPT 54001 | $4,451.07 | $11,413.00 | $1,694.00 – $6,179.00 | 5 |
| Slp eval for nonspeech dev ea addl 30 mins CPT 92618 | $142.35 | $365.00 | not published | 0 |
| Slp eval non-spch gen comm dev CPT 92605 | $285.09 | $731.00 | not published | 0 |
| Slp pure tone screening CPT 92551 | $70.20 | $180.00 | not published | 0 |
| Slp stdy unatnd w/anal CPT 95801 | not published | not published | $172.66 – $172.66 | 1 |
| Slp ther svc non-spch gen CPT 92606 | $106.08 | $272.00 | not published | 0 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $31,655.88 – $51,656.26 | 3 |
| Small animal inoculation CPT 87003 | not published | not published | $29.50 – $58.27 | 4 |
| Small Bowel Barium X-ray (Follow-Through) CPT 74250 | $557.70 | $1,430.00 | $183.84 – $518.62 | 4 |
| Small bowel endoscopy CPT 44360 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Small bowel endoscopy CPT 44364 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Small bowel endoscopy CPT 44366 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Small bowel endoscopy CPT 44369 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Small bowel endoscopy CPT 44376 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Small bowel endoscopy CPT 44378 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Small bowel endoscopy CPT 44382 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Small bowel endoscopy CPT 44384 | not published | not published | $4,714.00 – $5,371.00 | 4 |
| Small bowel endoscopy >2nd w/remove 44363 CPT 44363 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Small bowel endoscopy 44365 CPT 44365 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Small bowel endoscopy/biopsy CPT 44361 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Small bowel endoscopy/biopsy CPT 44377 | not published | not published | $1,694.00 – $5,371.00 | 5 |
| Small bowel endoscopy br/wa CPT 44380 | not published | not published | $1,308.00 – $5,272.00 | 5 |
| Small bowel endoscopy br/wa CPT 44381 | not published | not published | $3,391.00 – $5,371.00 | 4 |
| Small bowel endoscopy/stent 44370 CPT 44370 | not published | not published | $6,760.00 – $16,086.99 | 5 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.03 – $576.37 | 2 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $120.51 | $309.00 | $9.41 – $18.65 | 4 |
| Smear gram stain CPT 87205 | $80.34 | $206.00 | $7.48 – $14.77 | 4 |
| Smear nasal eosinophil CPT 89190 | $94.77 | $243.00 | $8.32 – $20.03 | 4 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $102.57 | $263.00 | $10.50 – $20.73 | 4 |
| Smear wet mount CPT 87210 | $70.59 | $181.00 | $7.48 – $20.14 | 4 |
| Smn1 gene full gene sequence CPT 81336 | $495.69 | $1,271.00 | $361.62 – $1,042.67 | 3 |
| Smn1 gen nown famil seq vrnt CPT 81337 | $304.59 | $781.00 | $222.24 – $640.79 | 3 |
| Smpd1 gene common variants CPT 81330 | not published | not published | $56.40 – $162.62 | 3 |
| Snrpn/ube3a gene CPT 81331 | $69.81 | $179.00 | $61.28 – $176.70 | 3 |
| Sodium 24 hour urine CPT 84300 | $74.49 | $191.00 | $8.52 – $17.51 | 4 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $4.77 – $4.77 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $2.38 – $2.38 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $8.07 | $20.70 | $1.20 – $1.20 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.29 – $0.29 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $3.79 – $3.79 | 1 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $139.20 – $139.20 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $67.86 | $174.00 | $8.42 – $16.64 | 4 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $1.56 – $1.56 | 1 |
| Somatosensory testing CPT 95927 | $1,316.25 | $3,375.00 | $885.97 – $885.97 | 1 |
| Somatropin injection HCPCS J2941 | not published | not published | $295.13 – $489.48 | 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.