CMS Price Transparency Data

X-ray, foot

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $273
Cash Discount Price: $488
vs. Medicare Baseline: 3.07x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at Atrium Health Floyd Polk Medical Center is $273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $488. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.07x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.

Cash / Self-Pay

$488

Average discount available for prompt cash payment at this facility.

Insurance Median

$273

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $488 (549%)

Insurance Median: $273 (307%)

Cash: $488 (549% of Medicare)

Ins. Median: $273 (307% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 307% of the Medicare baseline (a markup of 207%). 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
Cigna	$97 - $586	109%
Blue Cross Blue Shield	$110 - $729	124%
Amerigroup	$133	150%
Caresource	$134 - $293	151%
Peach State Health Plan	$134	151%
Awc Networks	$190	214%
Oscar Health Plan	$190 - $342	214%
Aetna	$195 - $664	219%
Georgia Assurance	$195	219%
Humana	$195 - $634	219%
UnitedHealthcare	$195 - $732	219%
Wellcare	$195	219%
Alliant Health Plans	$244 - $390	274%
Clover	$254	286%
Ambetter / Centene	$293	330%
Multiplan	$683	768%
Private Health Care Systems	$830	934%
Beech Street	$878	988%

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 $488.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.