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Wellstar Sylvan Grove Hospital prices. From its own published file.

Wellstar Sylvan Grove Hospital in Jackson, GA publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

13,871prices published
Apr 2026file last updated
$205cash price for ct abdomen and pelvis with contrast (list $7,020)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$644$1,650$805–$1,020
Emergency visit, high (level 4)
99284
$875$2,244$1,250–$1,584
Emergency visit, highest (level 5)
99285
$1,205$7,984$1,813–$2,297
Comprehensive metabolic panel
80053
$7.80$270$18.53–$38.76
Basic metabolic panel
80048
$5.85$210$14.83–$31.05
Complete blood count (CBC)
85025
$13.26$167$12.37–$28.52
Blood draw (venipuncture)
36415
$7.66$32.00$3.60–$32.41
Urinalysis
81001
$3.90$90.90$5.56–$11.63
Troponin (heart test)
84484
$35.10$488$17.24–$45.76
EKG tracing
93005
$306$784$173–$219
Chest X-ray, 2 views
71046
$25.35$754$44.96–$325
CT head without contrast
70450
$107$3,638$168–$393
CT abdomen and pelvis with contrast
74177
$205$7,020$506–$1,375
MRI lower back without contrast
72148
$203$4,553$342–$876
Ultrasound, abdomen
76700
$97.50$1,877$158–$393
IV push, single drug
96374
$266$786$605–$767
IV fluids, first hour
96360
$290$1,095$605–$767
Ketorolac injection, 15 mg
J1885
——$1.43–$1.43
Ondansetron injection
J2405
——$1.54–$1.54
Colonoscopy, diagnostic
45378
——$1,694–$5,272
Upper GI endoscopy with biopsy
43239
$1,406$3,604$1,694–$5,272
Knee arthroscopy
29881
——$2,323–$11,575
Vaginal delivery, routine care
59400
——$5,063–$5,063
Cesarean delivery, routine care
59510
——$5,063–$5,063

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Wellstar Sylvan Grove Hospital price transparency page.

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