CMS Price Transparency Data

CT scan, pelvis

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $963
Cash Discount Price: $2,106
vs. Medicare Baseline: 9.02x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Atrium Health Floyd Polk Medical Center is $963. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,106. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 9.02x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.

Cash / Self-Pay

$2,106

Average discount available for prompt cash payment at this facility.

Insurance Median

$963

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,106 (1972%)

Insurance Median: $963 (902%)

Cash: $2,106 (1972% of Medicare)

Ins. Median: $963 (902% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 902% of the Medicare baseline (a markup of 802%). 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
Blue Cross Blue Shield	$207 - $3,145	194%
Cigna	$250 - $2,527	234%
Amerigroup	$573	536%
Caresource	$578 - $1,263	541%
Peach State Health Plan	$578	541%
UnitedHealthcare	$700 - $842	655%
Oscar Health Plan	$821 - $1,474	769%
Awc Networks	$822	770%
Aetna	$842 - $2,863	788%
Georgia Assurance	$842	788%
Humana	$842 - $1,895	788%
Wellcare	$842	788%
Alliant Health Plans	$873 - $1,053	817%
Clover	$1,095	1025%
Ambetter / Centene	$1,263	1182%
Multiplan	$2,948	2760%
Private Health Care Systems	$3,579	3351%
Beech Street	$3,790	3548%

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 $2,106.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

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 72192.
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.