CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $2,194
Cash Discount Price: $4,875
vs. Medicare Baseline: 6.16x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Atrium Health Floyd Polk Medical Center is $2,194. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,875. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 6.16x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.

Cash / Self-Pay

$4,875

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,194

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $4,875 (1368%)

Insurance Median: $2,194 (616%)

Cash: $4,875 (1368% of Medicare)

Ins. Median: $2,194 (616% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 616% of the Medicare baseline (a markup of 516%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Cigna	$250 - $5,850	70%
Blue Cross Blue Shield	$486 - $7,282	136%
UnitedHealthcare	$700 - $1,950	196%
Alliant Health Plans	$873 - $2,438	245%
Amerigroup	$1,326	372%
Caresource	$1,339 - $2,925	376%
Peach State Health Plan	$1,339	376%
Oscar Health Plan	$1,901 - $3,412	533%
Awc Networks	$1,902	534%
Aetna	$1,950 - $6,630	547%
Georgia Assurance	$1,950	547%
Humana	$1,950 - $4,388	547%
Wellcare	$1,950	547%
Clover	$2,535	711%
Ambetter / Centene	$2,925	821%
Multiplan	$6,825	1915%
Private Health Care Systems	$8,288	2325%
Beech Street	$8,775	2462%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $4,875.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atrium Health Floyd Polk Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.