CMS Price Transparency Data

Blood antibody screen

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $57
  • Cash Discount Price: $101
  • vs. Medicare Baseline: 1.07x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Atrium Health Floyd Polk Medical Center is $57. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $101. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.07x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.
Cash / Self-Pay
$101

Average discount available for prompt cash payment at this facility.

Insurance Median
$57

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$53.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $53.24 (100%)
Cash / Self-Pay: $101 (190%)
Insurance Median: $57 (107%)
Cash: $101 (190% of Medicare)
Ins. Median: $57 (107% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $53.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Peach State Health Plan $15 28%
Amerigroup $27 51%
Caresource $28 - $61 53%
Cigna $31 - $121 58%
Blue Cross Blue Shield $36 - $151 68%
Awc Networks $39 73%
Oscar Health Plan $39 - $71 73%
Aetna $40 - $137 75%
Georgia Assurance $40 75%
Humana $40 - $131 75%
UnitedHealthcare $40 - $152 75%
Wellcare $40 75%
Alliant Health Plans $50 - $81 94%
Clover $53 100%
Ambetter / Centene $61 115%
Multiplan $141 265%
Private Health Care Systems $172 323%
Beech Street $182 342%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2360 Rockmart Highway, Cedartown, GA 30125
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals