CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72148
Insurance Median: $938
Cash Discount Price: $1,783
vs. Medicare Baseline: 3.85x Medicare

The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Atrium Health Floyd Polk Medical Center is $938. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,783. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 3.85x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.

Cash / Self-Pay

$1,783

Average discount available for prompt cash payment at this facility.

Insurance Median

$938

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $1,783 (731%)

Insurance Median: $938 (385%)

Cash: $1,783 (731% of Medicare)

Ins. Median: $938 (385% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 385% of the Medicare baseline (a markup of 285%). 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	$414 - $2,663	170%
Amerigroup	$485	199%
Caresource	$489 - $1,070	201%
Peach State Health Plan	$489	201%
Oscar Health Plan	$695 - $1,248	285%
Awc Networks	$696	286%
Aetna	$713 - $2,424	292%
Cigna	$713 - $2,139	292%
Georgia Assurance	$713	292%
Humana	$713 - $1,604	292%
UnitedHealthcare	$713 - $900	292%
Wellcare	$713	292%
Alliant Health Plans	$891 - $1,120	366%
Clover	$927	380%
Ambetter / Centene	$1,070	439%
Multiplan	$2,496	1024%
Private Health Care Systems	$3,030	1243%
Beech Street	$3,208	1316%

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 $1,783.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72148.

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 72148.
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.