Atrium Health Floyd Polk Medical Center
2360 Rockmart Highway, Cedartown, GA 30125 · 84 Priced Procedures
Typical commercial prices here are +40% above the fair benchmark (1.40×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Consolidated System Premium Pricer
Operating in a concentrated regional market (CBSA HHI 10,000), Atrium Health Floyd Polk Medical Center commands a 1.40× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.26× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 57% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (69/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (20.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.40× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 1.33× Fair BaseRate (2.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 1.57×) jump +18% above the median procedure ratio (Q50 1.33×)
- Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Atrium Health Floyd Polk Medical Center
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 84 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,500 | 2.5× |
| Colonoscopy with biopsy CPT Code: 45380 | $2,500 | 2.0× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,183 | 3.7× |
| Trauma team activation HCPCS Code: G0390 | $2,002 | 1.4× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $1,871 | 1.8× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $900 | 1.8× |
| MRI, brain (no contrast) CPT Code: 70551 | $900 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $900 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $900 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $548 | 2.1× |
| CT scan, head (with contrast) CPT Code: 70460 | $486 | 2.0× |
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $486 | 1.1× |
| X-ray, chest (two views) CPT Code: 71046 | $443 | 4.8× |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $429 | 1.6× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $414 | 1.4× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $380 | 5.9× |
| CT scan, sinuses CPT Code: 70486 | $357 | 2.2× |
| X-ray, chest (single view) CPT Code: 71045 | $277 | 3.0× |
| Diagnostic mammogram (both breasts) CPT Code: 77066 | $279 | 1.9× |
| CT scan, head (no contrast) CPT Code: 70450 | $300 | 1.9× |
| Screening mammogram (both breasts) CPT Code: 77067 | $232 | 1.9× |
| CT scan, pelvis CPT Code: 72192 | $250 | 1.5× |
| CT scan, chest (no contrast) CPT Code: 71250 | $250 | 1.5× |
| CT scan, lower back (lumbar spine) CPT Code: 72131 | $250 | 1.5× |
| CT scan, neck (cervical spine) CPT Code: 72125 | $250 | 1.5× |
Audit a Bill or Quote at Atrium Health Floyd Polk Medical Center (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $1,200
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (20.0% of gross = $1,200).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Atrium Health Floyd Polk Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $981 Fair BaseRate ($950 Medicare)
Your bill ($6,000) is $5,019 above the denoised Fair BaseRate ($981) and 6.3× the $950 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (20.0% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Atrium Health Floyd Polk Medical Center.
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.