CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $497
  • Cash Discount Price: $887
  • vs. Medicare Baseline: 4.65x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Atrium Health Floyd Polk Medical Center is $497. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $887. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.65x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.
Cash / Self-Pay
$887

Average discount available for prompt cash payment at this facility.

Insurance Median
$497

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: $887 (830%)
Insurance Median: $497 (465%)
Cash: $887 (830% of Medicare)
Ins. Median: $497 (465% 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 465% of the Medicare baseline (a markup of 365%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $207 - $1,325 194%
Amerigroup $241 226%
Caresource $244 - $532 228%
Peach State Health Plan $244 228%
Awc Networks $346 324%
Oscar Health Plan $346 - $621 324%
Aetna $355 - $1,206 332%
Cigna $355 - $1,064 332%
Georgia Assurance $355 332%
Humana $355 - $1,153 332%
UnitedHealthcare $355 - $1,330 332%
Wellcare $355 332%
Alliant Health Plans $444 - $710 416%
Clover $461 432%
Ambetter / Centene $532 498%
Multiplan $1,242 1163%
Private Health Care Systems $1,508 1412%
Beech Street $1,597 1495%

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