CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Wellstar Sylvan Grove Medical Center

Billing Code: 71250 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$421
about 3.9× the $107 Medicare rate · typically $154–$817
modeled estimate · not a bill or quote
Medicare pays $107 Fair price $421 Cash price $107 Hospital's list price $275

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
Blue Cross Blue Shieldmajor $310 - $393 290%
Aetnamajor $344 322%
Cignamajor $297 278%

Self-Pay How to get the cash price

Insurance Before you use insurance

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A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

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Facility Profile & Credentials

  • Address: 1050 McDonough Road, Jackson, GA 30233
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals