CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $556
Cash Discount Price: $993
vs. Medicare Baseline: 5.21x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Atrium Health Floyd Polk Medical Center is $556. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $993. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.21x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.

Cash / Self-Pay

$993

Average discount available for prompt cash payment at this facility.

Insurance Median

$556

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: $993 (930%)

Insurance Median: $556 (521%)

Cash: $993 (930% of Medicare)

Ins. Median: $556 (521% 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 521% of the Medicare baseline (a markup of 421%). 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	$207 - $1,483	194%
Amerigroup	$270	253%
Caresource	$273 - $596	256%
Peach State Health Plan	$273	256%
Cigna	$299 - $1,191	280%
Awc Networks	$387	362%
Oscar Health Plan	$387 - $695	362%
Aetna	$397 - $1,350	372%
Georgia Assurance	$397	372%
Humana	$397 - $1,290	372%
UnitedHealthcare	$397 - $1,489	372%
Wellcare	$397	372%
Alliant Health Plans	$496 - $794	464%
Clover	$516	483%
Ambetter / Centene	$596	558%
Multiplan	$1,390	1301%
Private Health Care Systems	$1,687	1579%
Beech Street	$1,786	1672%

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 $993.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

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 76705.
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.