CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $223
Cash Discount Price: $399
vs. Medicare Baseline: 2.51x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Atrium Health Floyd Polk Medical Center is $223. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $399. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.51x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.

Cash / Self-Pay

$399

Average discount available for prompt cash payment at this facility.

Insurance Median

$223

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: $399 (449%)

Insurance Median: $223 (251%)

Cash: $399 (449% of Medicare)

Ins. Median: $223 (251% 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 251% of the Medicare baseline (a markup of 151%). 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	$104 - $479	117%
Amerigroup	$109	123%
Blue Cross Blue Shield	$110 - $596	124%
Caresource	$110 - $239	124%
Peach State Health Plan	$110	124%
Awc Networks	$156	175%
Oscar Health Plan	$156 - $279	175%
Aetna	$160 - $543	180%
Georgia Assurance	$160	180%
Humana	$160 - $519	180%
UnitedHealthcare	$160 - $598	180%
Wellcare	$160	180%
Alliant Health Plans	$200 - $319	225%
Clover	$207	233%
Ambetter / Centene	$239	269%
Multiplan	$559	629%
Private Health Care Systems	$678	763%
Beech Street	$718	808%

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 $399.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

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 72040.
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.