WellStar Health System · Jackson, GA
32
In-network payers
373
Disclosed rate categories
25
Beds
Sylvan Grove Hospital is a 25-bed government - hospital district or authority hospital in Jackson, GA, affiliated with WellStar Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 373 disclosed rate categories.
CCN (Medicare provider number)
111319
NPI
1619997079
Type
Critical Access Hospital
Ownership
Government - Hospital District Or Authority
Beds
25
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Sylvan Grove Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$416 - $4,549
from 4 insurers · median $911
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$2,900 - $5,272
from 4 insurers · median $4,088
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$3,437 - $5,272
from 4 insurers · median $4,466
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$3,437 - $5,272
from 4 insurers · median $4,374
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$647 - $2,106
from 4 insurers · median $1,614
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$7,132 - $21,218
from 4 insurers · median $11,880
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$2,924 - $5,272
from 4 insurers · median $3,816
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$6,179 - $8,057
from 4 insurers · median $6,846
Typical for a hospital with this service line
Gynecology
CPT 58571
$8,654 - $32,934
from 4 insurers · median $12,029
Typical for a hospital with this service line
Mammography
CPT 77067
$101 - $310
from 4 insurers · median $178
Typical for a hospital with this service line
CT imaging
CPT 70450
$187 - $352
from 3 insurers · median $236
Typical for a hospital with this service line
CT imaging
CPT 74176
$277 - $3,696
from 4 insurers · median $537
Typical for a hospital with this service line
MRI imaging
CPT 70553
$631 - $3,976
from 4 insurers · median $1,096
Typical for a hospital with this service line
CT imaging
CPT 71275
$588 - $2,239
from 4 insurers · median $600
Typical for a hospital with this service line
Orthopedics and pain
CPT 20610
$948 - $4,460
from 4 insurers · median $2,619
Typical for a hospital with this service line
Gynecology
CPT 58661
$5,699 - $18,460
from 4 insurers · median $10,631
Typical for a hospital with this service line
Ear, nose and throat
CPT 69436
$4,220 - $5,735
from 4 insurers · median $5,076
Typical for a hospital with this service line
Urology
CPT 50590
$9,032 - $19,125
from 4 insurers · median $12,588
Typical for a hospital with this service line
Gynecology
CPT 58558
$4,220 - $10,002
from 4 insurers · median $5,859
Typical for a hospital with this service line
Gynecology
CPT 58662
$5,699 - $18,460
from 4 insurers · median $11,079
Typical for a hospital with this service line
Lung function and sleep
CPT 95810
$2,259 - $9,316
from 4 insurers · median $4,010
Typical for a hospital with this service line
Medicine & Surgery
CPT 42820
$4,220 - $18,736
from 4 insurers · median $5,957
Typical for a hospital with this service line
Medicine & Surgery
CPT 55866
$7,132 - $32,934
from 4 insurers · median $16,149
Typical for a hospital with this service line
MRI imaging
CPT 70551
$378 - $3,033
from 4 insurers · median $776
Typical for a hospital with this service line
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 417% | 9 | 1 |
| Insurer B* | 24 | 315% | 21 | 0 |
| Insurer C* | 24 | 243% | 10 | 5 |
| Insurer D* | 24 | 212% | 5 | 4 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Sylvan Grove Hospital.
1050 Mcdonough Road, Jackson, GA 30233
(770) 775-7861
The nearest hospitals of similar type and size. Their rates are compared with Sylvan Grove Hospital for the same insurers and services above.
Jasper Memorial Hospital
▼ Rates typically 82% lower than Sylvan Grove Hospital (16 services)
Monroe County Hospital
▼ Rates typically 68% lower than Sylvan Grove Hospital (20 services)
Morgan Memorial Hospital
▼ Rates typically 49% lower than Sylvan Grove Hospital (24 services)
Putnam General Hospital
▼ Rates typically 54% lower than Sylvan Grove Hospital (17 services)
St Marys Good Samaritan
▼ Rates typically 31% lower than Sylvan Grove Hospital (23 services)
Medical Center Of Peach County
▼ Rates typically 33% lower than Sylvan Grove Hospital (24 services)
Mitchell County Hospital
About Sylvan Grove Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sylvan Grove Hospital range from $631 to $3,976 across 4 insurers. Aetna's rate is $962. The median at nearby comparable hospitals is $849. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sylvan Grove Hospital range from $416 to $4,549 across 4 insurers. Aetna's rate is $416. The median at nearby comparable hospitals is $1,632. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Sylvan Grove Hospital range from $3,437 to $5,272 across 4 insurers. Blue Cross Blue Shield's rate is $3,776. The median at nearby comparable hospitals is $892. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sylvan Grove Hospital range from $101 to $310 across 4 insurers. Cigna's rate is $229. The median at nearby comparable hospitals is $206. What a patient pays depends on their plan's deductible, coinsurance and network status.
Sylvan Grove Hospital has 25 beds. Facility type: Critical Access Hospital.
Sylvan Grove Hospital is located at 1050 Mcdonough Road, Jackson, GA 30233. Its main phone number is (770) 775-7861.
Sylvan Grove Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 111319.
The National Provider Identifier (NPI) on file for Sylvan Grove Hospital is 1619997079.
Sylvan Grove Hospital is affiliated with WellStar Health System.
Sylvan Grove Hospital lists 32 in-network payers, including Aetna, Alliant Health Plans, Ambetter, Ameri Health, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
373 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers