Atrium Health Floyd Polk Medical Center

2360 Rockmart Highway, Cedartown, GA 30125 · (770) 748-2500

Critical Access HospitalsVoluntary non-profit - PrivateCedartown, GA metro

Price file

Prices published

File dated 2025-11-19

1,222 price rows for 34 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $293

$293

cash

$11 to $527

36 negotiated rates

$585

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $4,875

$4,875

cash

$250 to $8,775

36 negotiated rates

$9,750

list

CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $2,179

$2,179

cash

$207 to $3,921

37 negotiated rates

$4,357

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines · metro median $1,644

$1,644

cash

$250 to $2,959

36 negotiated rates

$3,288

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$3,001 to $3,600

2 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $129

$129

cash

$25 to $231

36 negotiated rates

$257

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$2,500 to $2,500

1 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$2,500 to $2,500

1 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$2,500 to $2,500

1 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $244

$244

cash

$10 to $439

36 negotiated rates

$488

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $439

$439

cash

$13 to $789

36 negotiated rates

$877

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $279

$279

cash

$76 to $501

36 negotiated rates

$557

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $126

$126

cash

$21 to $226

36 negotiated rates

$251

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $276

$276

cash

$16 to $496

36 negotiated rates

$551

list

Liver function panel

CPT 80076 · lowest of 2 lines · metro median $274

$274

cash

$10 to $493

36 negotiated rates

$548

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $3,011

$3,011

cash

$782 to $5,419

36 negotiated rates

$6,021

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $1,508

$1,508

cash

$410 to $2,714

36 negotiated rates

$3,016

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,783

$1,783

cash

$414 to $3,209

36 negotiated rates

$3,565

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,148

$1,148

cash

$312 to $2,066

36 negotiated rates

$2,296

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$6,490 to $7,417

4 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 2 lines · metro median $230

$230

cash

$23 to $414

36 negotiated rates

$460

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $70

$70

cash

$8 to $126

36 negotiated rates

$140

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 4 lines · metro median $48

$48

cash

$13 to $250

72 negotiated rates

$95

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 2 lines · metro median $798

$798

cash

$207 to $1,436

36 negotiated rates

$1,595

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $55

$55

cash

$5 to $99

36 negotiated rates

$110

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $232

$232

cash

$63 to $418

36 negotiated rates

$464

list

Sleep study (overnight, attended)

CPT 95810

—

cash

$1,741 to $2,001

2 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323

—

cash

$930 to $930

2 negotiated rates

—

list

TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $201

$201

cash

$21 to $361

36 negotiated rates

$401

list

Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $773

$773

cash

$207 to $1,391

36 negotiated rates

$1,546

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $887

$887

cash

$207 to $1,597

36 negotiated rates

$1,774

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $138

$138

cash

$4 to $248

36 negotiated rates

$275

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$3,115 to $3,200

2 negotiated rates

—

list

X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $721

$721

cash

$157 to $1,297

36 negotiated rates

$1,441

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://sthpiprd.blob.core.windows.net/machine-readable-files/11222/453957368_polk-medical-center-inc_standardcharges.csv
Atrium Health Floyd Polk Medical Center · failed · tall v3.0.0 · file dated 2025-11-19 · 1451.4 MB · 1222 price rows read · read Nov 2026