CMS Price Transparency Data

Culture, bacterial

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 87070
Insurance Median: $71
Cash Discount Price: $128
vs. Medicare Baseline: 8.24x Medicare

The contracted insurance negotiated median rate for a Culture, bacterial at Atrium Health Floyd Polk Medical Center is $71. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $8.62, this hospital’s rate is 8.24x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.

Cash / Self-Pay

$128

Average discount available for prompt cash payment at this facility.

Insurance Median

$71

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$8.62

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.62 (100%)

Cash / Self-Pay: $128 (1485%)

Insurance Median: $71 (824%)

Cash: $128 (1485% of Medicare)

Ins. Median: $71 (824% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.62 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 824% of the Medicare baseline (a markup of 724%). 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
Peach State Health Plan	$11	128%
Blue Cross Blue Shield	$12 - $190	139%
Cigna	$22 - $153	255%
Amerigroup	$35	406%
Caresource	$35 - $76	406%
Awc Networks	$50	580%
Oscar Health Plan	$50 - $89	580%
Aetna	$51 - $173	592%
Georgia Assurance	$51	592%
Humana	$51 - $166	592%
UnitedHealthcare	$51 - $191	592%
Wellcare	$51	592%
Alliant Health Plans	$64 - $102	742%
Clover	$66	766%
Ambetter / Centene	$76	882%
Multiplan	$178	2065%
Private Health Care Systems	$217	2517%
Beech Street	$230	2668%

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 $128.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 87070.

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 87070.
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.