Procedures & surgery prices at Atrium Health Floyd Polk Medical Center

Cedartown, GA · every code in this section with a posted price and a Medicare benchmark.

242 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $130.50 $261 0.9×
Application cast elbow finger short arm (29075) $97 $194 0.4×
Application cast shoulder hand long arm (29065) $97.50 $195 0.4×
Application Finger Splint Dynamic (29131) $130.50 $261 2.5×
Application finger splint static (29130) $85.50 $171 0.7×
Application long arm splint shoulder hand (29105) $85.50 $171 0.6×
Application long leg splint thigh ankle/toes (29505) $85.50 $171 0.6×
Application Of Rigid Total Contact Leg Cast (29445) $166 $332 0.7×
Application Short Arm Splint Dynamic (29126) $121 $242 1.0×
Application short arm splint forearm-hand static (29125) $172 $344 1.5×
Application short leg splint calf foot (29515) $85.50 $171 0.6×
Apply short leg cast (29405) $142.50 $285 0.6×
Apply short leg cast (29425) $156 $312 0.6×
Arterial puncture (36600) $81 $162 0.7×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $443.50 $887 1.6×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $982 $1,964 1.6×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $343.50 $687 1.3×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $389 $778 1.4×
Aspirat/Injection Ganglion Cyst(S) (20612) $97 $194 0.4×
Avulsion nail plate partial/complete simple 1 (11730) $170.25 $340.50 1.0×
Bladder Instillation Anticarcinogenic Agent (51720) $150.50 $301 0.2×
Bladder Irrigation Simple (51700) $191 $382 0.9×
Bladder Scan (51798) $219 $438 4.2×
Blood transfusion service (36430) $275 $550 0.7×
Canthotomy Separate Procedure (67715) $1,299 $2,598 0.6×
Catheter Aspiration Nasotracheal Spx (31720) $208.50 $417 1.1×
Change Cystostomy Tube Simple (51705) $468 $936 2.1×
Chemical Cautery Tissue (17250) $237.50 $475 1.4×
Chest tube placement (32551) $512.50 $1,025 0.4×
Chg Collect Blood From Catheter Venous Nos (36592) $72.50 $145 0.6×
Close Rx Fingr Articular Fx,Manip (26742) $311.50 $623 0.2×
Closed Rx Gr Tuberosity Hum Fx (23620) $467.50 $935 2.2×
Closed Rx Humer Epicondylr Fx,Manip (24565) $1,924.50 $3,849 1.4×
Closed Rx Humeral Supracondylar Fx (24530) $623 $1,246 2.9×
Closed Rx Med Malleolus Fx (27760) $467 $934 2.2×
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $933.50 $1,867 0.7×
Closed Rx Tibia Shaft Fx (27750) $623 $1,246 2.9×
Closed Rx Tibial Plateau Fx (27530) $622.50 $1,245 2.9×
Closed Treat Vert Body Fract (22310) $667 $1,334 3.1×
Closed treat wrist dislocation (25660) $933.50 $1,867 4.3×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $764 $1,528 3.5×
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $312.50 $625 1.4×
Closed treatment of talus fracture; without manipulation (28430) $381.50 $763 1.8×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $590 $1,180 2.7×
Closed tx ankle dislocation w/o anesthesia (27840) $687.50 $1,375 3.2×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $933.50 $1,867 0.7×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $469 $938 2.2×
Closed tx calcaneal fracture w/o manipulation (28400) $1,212.50 $2,425 5.6×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $468 $936 1.0×
Closed tx metatarsal fracture w/o manipulation (28470) $468 $936 2.2×
Closed tx patellar dislocation w/o anesthesia (27560) $715 $1,430 3.3×
Closed tx radial head/neck fx w/manipulation (24655) $311.50 $623 0.2×
Closed tx radial head/neck fx w/o manipulation (24650) $311.50 $623 1.4×
Closed tx radial shaft fracture w/manipulation (25505) $1,025.50 $2,051 0.7×
Closed tx scapular fracture w/o manipulation (23570) $468 $936 2.2×
Closed tx talotarsal joint dislc w/o anes (28570) $245.50 $491 1.1×
Closed Tx Talus Fracture W/Manipulation (28435) $1,230 $2,460 0.9×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $77 $154 0.4×
Closed tx ulnar fracture prox end w/o manipulate (24670) $569 $1,138 2.6×
Closed tx ulnar shaft fracture w/o manipulation (25530) $469 $938 2.2×
Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) $764 $1,528 1.6×
Clsd tx clavicular fracture w/o manipulation (23500) $468 $936 2.2×
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,583 $3,166 3.3×
Clsd tx pelvic ring fx w/o manipulation (27197) $562 $1,124 2.6×
Clsd tx shoulder dislc w/manipulation req anes (23655) $623 $1,246 0.4×
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $512.50 $1,025 2.4×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $404.50 $809 0.3×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $495 $990 2.3×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $547.50 $1,095 2.5×
Cltx dstl fibular fx lat malls w/manj (27788) $607 $1,214 2.8×
Cltx dstl fibular fx lat malls w/o manj (27786) $527 $1,054 2.4×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $468 $936 2.2×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $417.50 $835 1.9×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $584 $1,168 2.7×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $512.50 $1,025 0.4×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,700 $3,400 1.2×
Cltx fx grt toe phlx/phlg w/manj (28495) $413 $826 1.9×
Cltx fx grt toe phlx/phlg w/o manj (28490) $311.50 $623 1.4×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $343.50 $687 1.6×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $311.50 $623 1.4×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,355 $2,710 6.3×
Cltx greater trochanteric fx w/o manj (27246) $492.50 $985 2.3×
Cltx grter humeral tuberosity fx w/manipulation (23625) $881.50 $1,763 0.6×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $2,028.50 $4,057 1.4×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $381.50 $763 1.8×
Cltx iphal jt dislc w/manj w/o anes (26770) $343.50 $687 1.6×
Cltx metacarpal fx w/manipulation each bone (26605) $468 $936 2.2×
Cltx metacarpal fx w/o manipulation each bone (26600) $311.50 $623 1.4×
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $468 $936 2.2×
Cltx metatarsophlngl jt dislc w/o anes (28630) $311.50 $623 1.4×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $311.50 $623 1.4×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $311.50 $623 1.4×
Cltx post hip arthrp dislc w/o anes (27265) $487.50 $975 2.3×
Cltx prox fibula/shft fx w/manj (27781) $2,299 $4,598 1.6×
Cltx prox fibula/shft fx w/o manj (27780) $468 $936 2.2×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $343.50 $687 1.6×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $623 $1,246 2.9×
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $933.50 $1,867 0.7×
Cltx trimalleolar ankle fx w/manipulation (27818) $933.50 $1,867 0.7×
Complex Drainage, Wound (10180) $933.50 $1,867 0.4×
Control Nasal Hemorrhage Anterior Complex (30903) $311.50 $623 2.7×
Control Nasal Hemorrhage Anterior Simple (30901) $172 $344 1.5×
Control Oropharyngeal Hemorrhage Simple (42960) $155.50 $311 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $343.50 $687 2.9×
Debride nail 1-5 (11720) $153.50 $307 3.0×
Debride nail 6 or more (11721) $113.50 $227 2.2×
Debridement subcutaneous tissue 20 sq cm/< (11042) $445 $890 1.2×
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $584 $1,168 0.9×
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $831.50 $1,663 0.6×
Declot vascular device (36593) $192.50 $385 0.7×
Diagnostic sigmoidoscopy (45330) $1,740 $3,480 2.1×
Drainage External Ear Abscess/Hematoma Simple (69000) $156 $312 0.3×
Drainage Finger Abscess Complicated (26011) $1,025.50 $2,051 0.7×
Drainage Finger Abscess Simple (26010) $343.50 $687 2.0×
Drainage mouth roof lesion (42000) $311.50 $623 1.5×
Drainage of gum lesion (41800) $156 $312 1.3×
Drainage of hematoma/fluid (10140) $753.50 $1,507 0.5×
Drainage of scrotal wall abscess (55100) $569 $1,138 0.4×
Draw blood off venous device (36591) $81 $162 0.7×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $388.75 $777.50 1.1×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $312 $624 1.8×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $237.50 $475 1.4×
Escharotomy initial incision (16035) $600 $1,200 1.7×
Evacuation of subungual hematoma (11740) $47.50 $95 0.4×
Excision of nail fold toe (11765) $169 $338 0.5×
Exploration Penetrating Wound Spx Neck (20100) $933.50 $1,867 2.0×
Fluid pressure muscle (20950) $862 $1,724 1.4×
I&d abscess simple (10060) $180.50 $361 1.0×
I&d perianal abscess superficial (46050) $623 $1,246 0.8×
I&d pilonidal cyst simple (10080) $172 $344 0.3×
Incision & drainage abscess complicated/multiple (10061) $226.75 $453.50 0.6×
Incision & drainage pilonidal cyst complicated (10081) $512.50 $1,025 0.8×
Incision & removal foreign body subq tiss compl (10121) $1,212.50 $2,425 0.8×
Incision & removal foreign body subq tiss simple (10120) $379.75 $759.50 1.1×
Incision and drainage of bartholin's gland abscess (56420) $343.50 $687 1.9×
Incision and drainage of vulva or perineal abscess (56405) $343.50 $687 1.3×
Incision of rectal abscess (46040) $933.50 $1,867 0.9×
Incision thrombosed hemorrhoid external (46083) $343.50 $687 1.6×
Initial tx 1st degree burn local tx (16000) $176.50 $353 1.0×
Inj,Anes Agent,Femoral Nerve,Single (64447) $3,243.50 $6,487 5.2×
Injection aa&/strd trigeminal nerve each branch (64400) $188 $376 0.7×
Injection anes other peripheral nerve/branch (64450) $343.50 $687 0.6×
Injection single/mlt trigger point 1/2 muscles (20552) $412.50 $825 1.5×
Injection single/mlt trigger point 3/> muscles (20553) $561 $1,122 2.1×
Insert Bladder Cath Complex (51703) $153.50 $307 1.4×
Insert non-tunnel cv cath (36556) $512.50 $1,025 0.2×
Insert picc cath (36569) $703.50 $1,407 0.5×
Insert Temp Bladder Cath (51702) $80.25 $160.50 0.7×
Insert,Non-Indwelling Bladder Catheter (51701) $82.25 $164.50 0.7×
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,822 $5,644 2.0×
Intraoral i&d tongue/floor masticator space (41009) $1,878.50 $3,757 4.0×
Intraoral i&d tongue/floor submndblr space (41008) $1,230 $2,460 0.4×
Intubation endotracheal emergency procedure (31500) $493.25 $986.50 2.4×
Irrigate corpora cavernosa for priapism (54220) $406 $812 1.9×
Laryngoscopy W/Foreign Body Removal (31530) $3,088.50 $6,177 2.0×
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $4,015.50 $8,031 2.6×
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $536 $1,072 1.4×
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $333 $666 0.8×
Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) $4,677 $9,354 2.2×
Njx c/p/a cavernosa w/pharmacologic agt (54235) $662 $1,324 3.0×
Pericardiocentesis W/Imaging (33016) $733 $1,466 0.5×
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $559 $1,118 0.3×
Perq replacement gtube not req revj gstrst trc (43762) $191 $382 0.9×
Placement of needle for intraosseous infusion (36680) $191 $382 0.5×
Punch biopsy skin single lesion (11104) $332 $664 0.9×
Puncture Aspiration (10160) $172 $344 0.5×
Puncture Aspiration Cyst Breast (19000) $308 $616 0.5×
Rbc DNA gntyp 12 bld grp gen (0282U) $1,505 $3,010 2.1×
Removal fb intranasal (30300) $172 $344 1.5×
Removal foreign body foot subcutaneous (28190) $468 $936 0.8×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $569 $1,138 0.4×
Removal foreign body pharynx (42809) $412 $824 1.1×
Removal impacted cerumen irrigation/lvg unilat (69209) $97 $194 1.9×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $85.50 $171 1.7×
Removal of arm foreign body (24200) $468 $936 0.3×
Removal of intrauterine device (iud) (58301) $156 $312 0.6×
Removal of nail bed (11750) $749.50 $1,499 2.1×
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $273.25 $546.50 1.6×
Removal/bivalving gauntlet boot/body cast (29700) $104.50 $209 0.4×
Remove drug implant device (11982) $1,080 $2,160 2.8×
Remove foreign body from eye (65235) $1,728.50 $3,457 0.9×
Remv Ext Canal Foreign Body (69200) $172 $344 1.5×
Remv F.B.,Eye,Superf Conjunc (65205) $287 $574 2.5×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $813 $1,626 1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $569 $1,138 0.9×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $468 $936 1.3×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $512.50 $1,025 1.4×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $512.50 $1,025 1.4×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $343.50 $687 1.0×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $512.50 $1,025 1.4×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $512.50 $1,025 1.4×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $467.50 $935 1.3×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $343.50 $687 1.0×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $343.50 $687 1.0×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $626 $1,252 1.0×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $512.50 $1,025 1.4×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $343.50 $687 1.0×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $343.50 $687 1.0×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $599 $1,198 0.9×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $512.50 $1,025 1.4×
Repair of eye wound (65286) $1,688.50 $3,377 0.8×
Repair of nail bed (11760) $343.50 $687 0.5×
Repair Tongue Laceration (41250) $191 $382 0.5×
Replace g/c tube perc (49450) $1,234 $2,468 1.6×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $143 $286 0.4×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $162 $324 1.4×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,628 $3,256 3.4×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $512.50 $1,025 1.4×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $343.50 $687 2.0×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $343.50 $687 2.0×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $343.50 $687 2.0×
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $512.50 $1,025 2.9×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $343.50 $687 2.0×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $468 $936 2.7×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $398.50 $797 2.3×
Skin sub graft face/nk/hf/g (15275) $4,049 $8,098 6.3×
Skin sub graft trnk/arm/leg (15271) $2,441 $4,882 3.8×
Skin Sub Grft T/Arm/Lg Child (15273) $5,615 $11,230 3.1×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $343.50 $687 2.0×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $512.50 $1,025 1.4×
Spinal puncture lumbar diagnostic (62270) $594 $1,188 1.0×
Strapping ankle (29540) $70 $140 0.5×
Strapping shoulder (29240) $97 $194 0.8×
Strapping unna boot (29580) $78 $156 0.5×
Thrombolytic Therapy, Stroke (37195) $683.50 $1,367 2.4×
Trach Tube Change (31502) $106 $212 0.5×
Treat humerus fracture (24500) $311.50 $623 1.4×
Treat humerus fracture (23600) $468 $936 2.2×
Treat Metatarsal Fracture (28475) $468 $936 2.2×
Treat wrist bone fracture (25622) $468 $936 2.2×
Treat Wrist Bone Fracture (25630) $420.50 $841 1.9×
Treatment closed elbow dislocation req anes (24605) $933.50 $1,867 0.7×
Treatment closed elbow dislocation w/o anes (24600) $687.50 $1,375 3.2×
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $406 $812 1.9×
Trim skin lesion (11055) $112.50 $225 0.6×
Trim skin lesions 2 to 4 (11056) $157.50 $315 0.9×
Trim skin lesions over 4 (11057) $163.50 $327 0.9×
Trimming Of Nondystrophic Nails, Any Number (11719) $63 $126 1.2×
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,511 $5,022 0.9×
Unlisted procedure anus (46999) $520 $1,040 0.6×
Vaginal delivery only (59409) $3,474.50 $6,949 1.2×
Venipuncture (36415) $4.50 $9 0.5×