CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70553
Insurance Median: $1,355
Cash Discount Price: $3,011
vs. Medicare Baseline: 3.80x Medicare

The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Atrium Health Floyd Polk Medical Center is $1,355. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,011. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 3.80x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.

Cash / Self-Pay

$3,011

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,355

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: $3,011 (845%)

Insurance Median: $1,355 (380%)

Cash: $3,011 (845% of Medicare)

Ins. Median: $1,355 (380% 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 380% of the Medicare baseline (a markup of 280%). 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	$782 - $4,497	219%
Amerigroup	$819	230%
Caresource	$827 - $1,806	232%
Peach State Health Plan	$827	232%
UnitedHealthcare	$900 - $1,204	253%
Cigna	$950 - $3,613	267%
Alliant Health Plans	$1,120 - $1,505	314%
Oscar Health Plan	$1,174 - $2,107	329%
Awc Networks	$1,175	330%
Aetna	$1,204 - $4,094	338%
Georgia Assurance	$1,204	338%
Humana	$1,204 - $2,709	338%
Wellcare	$1,204	338%
Clover	$1,565	439%
Ambetter / Centene	$1,806	507%
Multiplan	$4,215	1183%
Private Health Care Systems	$5,118	1436%
Beech Street	$5,419	1520%

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 $3,011.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70553.

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 70553.
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.