CMS Price Transparency Data

X-ray, shoulder

Facility: Atrium Health Floyd Polk Medical Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $265
Cash Discount Price: $474
vs. Medicare Baseline: 2.98x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Atrium Health Floyd Polk Medical Center is $265. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $474. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.98x the Medicare baseline. Located in 2360 Rockmart Highway, Cedartown, GA.

Cash / Self-Pay

$474

Average discount available for prompt cash payment at this facility.

Insurance Median

$265

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: $474 (533%)

Insurance Median: $265 (298%)

Cash: $474 (533% of Medicare)

Ins. Median: $265 (298% 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 298% of the Medicare baseline (a markup of 198%). 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	$92 - $569	103%
Blue Cross Blue Shield	$110 - $708	124%
Amerigroup	$129	145%
Caresource	$130 - $284	146%
Peach State Health Plan	$130	146%
Awc Networks	$185	208%
Oscar Health Plan	$185 - $332	208%
Aetna	$190 - $645	214%
Georgia Assurance	$190	214%
Humana	$190 - $616	214%
UnitedHealthcare	$190 - $711	214%
Wellcare	$190	214%
Alliant Health Plans	$237 - $379	267%
Clover	$246	277%
Ambetter / Centene	$284	319%
Multiplan	$664	747%
Private Health Care Systems	$806	907%
Beech Street	$853	959%

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 $474.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

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 73030.
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.