CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $174
  • Cash Discount Price: $232
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Atrium Health Floyd Polk Medical Center is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $232. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.38x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.
Cash / Self-Pay
$232

Average discount available for prompt cash payment at this facility.

Insurance Median
$174

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $232 (184%)
Insurance Median: $174 (138%)
Cash: $232 (184% of Medicare)
Ins. Median: $174 (138% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Amerigroup $63 50%
Caresource $64 - $139 51%
Peach State Health Plan $64 51%
Oscar Health Plan $90 - $162 71%
Awc Networks $91 72%
Aetna $93 - $316 74%
Blue Cross Blue Shield $93 - $347 74%
Cigna $93 - $278 74%
Georgia Assurance $93 74%
Humana $93 - $302 74%
UnitedHealthcare $93 - $348 74%
Wellcare $93 74%
Alliant Health Plans $116 - $186 92%
Clover $121 96%
Ambetter / Centene $139 110%
Multiplan $325 257%
Private Health Care Systems $394 312%
Beech Street $418 331%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2360 Rockmart Highway, Cedartown, GA 30125
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals