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 |
|---|---|---|---|---|
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $6.65 – $6.65 | 1 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $6.90 – $14.95 | 3 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | $1,055,251.95 | $2,705,774.23 | $0.03 – $1,141,359.08 | 2 |
| Tis cgen car anomal 1st shnt CPT 33745 | $23,272.08 | $59,672.00 | $6,859.00 – $6,859.00 | 1 |
| Tis cgen car anomal ea addl CPT 33746 | $5,818.02 | $14,918.00 | $6,859.00 – $6,859.00 | 1 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $1,308.00 – $3,391.00 | 3 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $1,308.00 – $3,391.00 | 3 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $1,308.00 – $3,391.00 | 3 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $1,308.00 – $3,391.00 | 3 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $346.64 – $582.35 | 3 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $10.75 – $22.89 | 3 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $48.60 – $48.60 | 1 |
| Tissue culture placenta CPT 88235 | $537.03 | $1,377.00 | $258.00 – $520.04 | 4 |
| Tissue culture skin/biopsy CPT 88233 | $558.87 | $1,433.00 | $246.58 – $486.93 | 4 |
| Tissue culture tumor CPT 88239 | $529.23 | $1,357.00 | $258.47 – $510.42 | 4 |
| Tissue exam koh skin/hair/nails CPT 87220 | $81.12 | $208.00 | $7.48 – $14.77 | 4 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $196.03 – $196.03 | 1 |
| Tissue transglutaminase iga CPT 86364 | $26.91 | $69.00 | $13.84 – $39.89 | 2 |
| Tixagev and cilgav inj HCPCS M0220 | $553.02 | $1,418.00 | not published | 0 |
| Tl-201 thallium diag per mci HCPCS A9505 | $77.22 | $198.00 | $63.49 – $63.49 | 1 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $8,245.00 – $29,055.57 | 4 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $8,245.00 – $29,055.57 | 4 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $8,245.00 – $29,055.57 | 4 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $8,245.00 – $29,055.57 | 4 |
| Tlso trnk sj-t9 pre cst HCPCS L0454 | $523.94 | $1,343.43 | not published | 0 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $1,937.00 – $9,136.47 | 5 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $93.81 – $93.81 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $3.75 – $3.75 | 1 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $30.50 – $30.50 | 1 |
| Tobramycin peak therapeutic drug level CPT 80200 | $143.91 | $369.00 | $28.24 – $55.81 | 4 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $11.38 – $21.18 | 3 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $12.90 – $22.73 | 3 |
| Toe joint transfer CPT 26556 | not published | not published | $6,389.00 – $15,026.00 | 2 |
| Toe X-ray (both feet) CPT 73660 | $109.98 | $282.00 | $49.03 – $256.49 | 4 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $65.91 | $169.00 | $58.01 – $116.72 | 3 |
| Tomosynthesis breast screen bilateral CPT 77063 | $62.79 | $161.00 | $58.01 – $116.72 | 3 |
| Tone decay hearing test CPT 92563 | $152.49 | $391.00 | not published | 0 |
| Tongue and neck surgery CPT 41135 | not published | not published | $5,063.00 – $6,179.00 | 2 |
| Tongue base vol reduction CPT 41530 | not published | not published | $3,391.00 – $9,087.85 | 4 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $1,694.00 – $9,087.85 | 5 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Tongue suspension CPT 41512 | not published | not published | $4,220.00 – $16,529.94 | 4 |
| Tongue to lip surgery CPT 41510 | not published | not published | $1,308.00 – $9,087.85 | 5 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $2,323.00 – $9,087.85 | 5 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $2,323.00 – $16,529.94 | 5 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $3.39 – $3.39 | 1 |
| Topotecan oral HCPCS J8705 | not published | not published | $238.12 – $392.68 | 2 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $74.94 – $74.94 | 1 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $6,859.00 – $9,000.00 | 2 |
| Total hip arthroplasty CPT 27132 | not published | not published | $8,245.00 – $16,710.00 | 2 |
| Total Hip Replacement CPT 27130 | not published | not published | $8,245.00 – $37,149.33 | 3 |
| Total hysterectomy CPT 58150 | not published | not published | $8,448.00 – $9,000.00 | 2 |
| Total Knee Replacement CPT 27447 | not published | not published | $8,245.00 – $37,149.33 | 3 |
| Total lung lavage CPT 32997 | not published | not published | $5,063.00 – $5,272.00 | 2 |
| Total ob care failed vbac 59618 CPT 59618 | not published | not published | $5,063.00 – $5,063.00 | 1 |
| Tot disc arthrp 1ntrspc crv CPT 22856 | not published | not published | $8,245.00 – $52,603.13 | 3 |
| Tot disc arthrp 1ntrspc lmbr CPT 22857 | not published | not published | $8,245.00 – $16,710.00 | 2 |
| Tot disc arthrp 2ntrspc lmbr CPT 22860 | not published | not published | $3,391.00 – $6,859.00 | 2 |
| Tot disc arthrp ant appr disc 2nd level cervi 22858 CPT 22858 | not published | not published | $2,665.00 – $3,391.00 | 2 |
| Tot esophagectomy without thoracotomy 43107 CPT 43107 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Tot estradiol response panel CPT 80415 | not published | not published | $73.05 – $193.38 | 4 |
| Toxoplasma antibody igg CPT 86777 | $108.03 | $277.00 | $25.22 – $49.79 | 4 |
| Toxoplasma antibody igm CPT 86778 | $123.24 | $316.00 | $25.24 – $49.86 | 4 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $770.22 – $2,220.80 | 2 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $369.60 – $1,065.68 | 2 |
| Tp53 gene trgt sequence alys CPT 81352 | $1,335.36 | $3,424.00 | $395.41 – $1,140.10 | 2 |
| Tpmt gene com vrnts CPT 81335 | $312.00 | $800.00 | $209.77 – $604.84 | 4 |
| Tprnl balo cntnc dev adjmt CPT 53454 | not published | not published | $697.61 – $3,391.00 | 3 |
| Tprnl balo cntnc dev bi CPT 53451 | not published | not published | $6,389.00 – $36,233.94 | 3 |
| Tprnl balo cntnc dev rmvl ea CPT 53453 | not published | not published | $4,714.00 – $9,840.21 | 3 |
| Tprnl balo cntnc dev uni CPT 53452 | not published | not published | $5,809.00 – $26,003.15 | 3 |
| Tprnl plmt biodegrdabl matrl CPT 55874 | $11,804.91 | $30,269.00 | $3,391.00 – $15,026.00 | 4 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $691.40 – $1,170.86 | 3 |
| Trabeculoplasty laser surg CPT 65855 | $773.37 | $1,983.00 | $1,640.73 – $4,714.00 | 5 |
| Trachelectomy (cervicectomy) 57530 CPT 57530 | not published | not published | $1,937.00 – $14,039.62 | 5 |
| Tracheobrnchsc thru est trachs incisn CPT 31615 | $1,097.85 | $2,815.00 | $1,308.00 – $3,391.00 | 5 |
| Tracheo-esophagoplasty cong CPT 43314 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Tracheoplasty intrathoracic CPT 31760 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Tracheostoma revision; simple, without flap rotation CPT 31613 | $6,581.64 | $16,876.00 | $1,694.00 – $9,087.85 | 5 |
| Training self management diabetes individual outpatient department per 30 minutes HCPCS G0108 | $83.07 | $213.00 | not published | 0 |
| Transabdom amnioinfus w/us CPT 59070 | not published | not published | $905.52 – $3,391.00 | 4 |
| Transab esoph hiat hern repair 43332 CPT 43332 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Transab esoph hiat hern rpr CPT 43333 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Transcath biopsy CPT 37200 | $3,110.64 | $7,976.00 | $2,572.00 – $15,511.46 | 4 |
| Transcath closure of asd CPT 93580 | $13,110.63 | $33,617.00 | $9,842.00 – $49,495.55 | 3 |
| Transcath closure of vsd CPT 93581 | $13,110.63 | $33,617.00 | $9,842.00 – $49,495.55 | 3 |
| Transcatheter bx s&i CPT 75970 | $1,973.01 | $5,059.00 | $1,437.24 – $1,854.04 | 2 |
| Transcath mv repair addl prosthesis CPT 33419 | $5,818.02 | $14,918.00 | $2,665.00 – $5,063.00 | 2 |
| Transcath mv repair init prosthesis CPT 33418 | $23,272.08 | $59,672.00 | $5,063.00 – $6,859.00 | 2 |
| Transcath occlusion cns CPT 61624 | $14,022.84 | $35,956.00 | $9,000.00 – $16,710.00 | 2 |
| Transcath occlusion non-cns CPT 61626 | $9,749.61 | $24,999.00 | $8,245.00 – $31,052.45 | 3 |
| Trans cath replace aortic valve 33366 CPT 33366 | $13,308.36 | $34,124.00 | $5,063.00 – $6,859.00 | 2 |
| Transcath rmvl perm ldss pmkr rv CPT 33275 | $4,775.16 | $12,244.00 | $6,389.00 – $9,032.00 | 4 |
| Transcochlear approach/skull CPT 61596 | not published | not published | $5,063.00 – $6,859.00 | 2 |
| Transcondylar approach/skull CPT 61597 | not published | not published | $5,063.00 – $6,859.00 | 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.