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.

Compare against other hospitals interactively →

ProcedurePosted cashPosted gross× Medicare
Application cast elbow finger short arm (29075) $97 $194 0.3×
Application Finger Splint Dynamic (29131) $130.50 $261 2.2×
Application finger splint static (29130) $85.50 $171 0.6×
Application long arm splint shoulder hand (29105) $85.50 $171 0.5×
Application Long Leg Splint (29505) $85.50 $171 0.5×
Application of rigid total contact leg cast (29445) $166 $332 0.6×
Application Short Arm Splint Dynamic (29126) $121 $242 0.9×
Application short arm splint forearm-hand static (29125) $172 $344 1.3×
Application short leg splint calf foot (29515) $85.50 $171 0.5×
Apply long arm cast (29065) $97.50 $195 0.3×
Apply Multlay Comprs Lwr Leg (29581) $130.50 $261 0.8×
Apply Short Leg Cast (29405) $142.50 $285 0.5×
Apply short leg cast (29425) $156 $312 0.5×
Arterial puncture (36600) $81 $162 0.6×
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $443.50 $887 1.4×
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $982 $1,964 1.4×
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $343.50 $687 1.1×
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $389 $778 1.2×
Aspirate/Inj Ganglion Cyst (20612) $97 $194 0.3×
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines		 $167–$173.50 $334–$347 varies
Bladder instillation anticarcinogenic agent (51720) $150.50 $301 0.2×
Bladder Irrigation (51700) $191 $382 0.8×
Bladder Scan (51798) $219 $438 3.7×
Blood Transfusion Service (36430) $275 $550 0.6×
Canthotomy Separate Procedure (67715) $1,299 $2,598 0.5×
Catheter aspiration nasotracheal spx (31720) $208.50 $417 0.9×
Change Cystostomy Tube Simple (51705) $468 $936 1.8×
Change of Windpipe Airway (31502) $106 $212 0.4×
Chemical Cautery Tissue (17250) $237.50 $475 1.2×
Chest tube placement (32551) $512.50 $1,025 0.3×
Cl Tx Tib Shft Fx W Manip (27752) $933.50 $1,867 0.6×
Clear outer ear canal (69200) $172 $344 1.3×
Closed Treat Vert Body Fract (22310) $667 $1,334 2.7×
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) $764 $1,528 3.0×
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) $590 $1,180 2.4×
Closed tx ankle dislocation w/o anesthesia (27840) $687.50 $1,375 2.7×
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $933.50 $1,867 0.6×
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $469 $938 1.9×
Closed Tx Calcaneal Fracture W/O Manipulation (28400) $1,212.50 $2,425 4.8×
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) $468 $936 1.9×
Closed Tx Mandibular Fracture W/O Manipulation (21450) $468 $936 0.9×
Closed tx metatarsal fracture w/o manipulation (28470) $468 $936 1.9×
Closed tx patellar dislocation w/o anesthesia (27560) $715 $1,430 2.9×
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 1.2×
Closed tx radial shaft fracture w/manipulation (25505) $1,025.50 $2,051 0.6×
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) $933.50 $1,867 0.6×
Closed Tx Scapular Fracture W/O Manipulation (23570) $468 $936 1.9×
Closed tx talotarsal joint dislc w/o anes (28570) $245.50 $491 1.0×
Closed Tx Talus Fracture W/Manipulation (28435) $1,230 $2,460 0.8×
Closed tx talus fracture w/o manipulation (28430) $381.50 $763 1.5×
Closed tx temporomandibular dislocation 1st/sbsq (21480) $77 $154 0.3×
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) $569 $1,138 2.3×
Closed tx ulnar shaft fracture w/o manipulation (25530) $469 $938 1.9×
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) $764 $1,528 1.4×
Clsd tx clavicular fracture w/o manipulation (23500) $468 $936 1.9×
Clsd tx fx orbit except blowout w/o manipulation (21400) $1,583 $3,166 2.9×
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) $562 $1,124 2.2×
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 2.0×
Clsd tx sternoclavicular dislc w/o manipulation (23520) $404.50 $809 0.2×
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) $495 $990 2.0×
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) $311.50 $623 0.2×
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) $420.50 $841 1.7×
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $547.50 $1,095 2.2×
Cltx dstl fibular fx lat malls w/manj (27788) $607 $1,214 2.4×
Cltx dstl fibular fx lat malls w/o manj (27786) $527 $1,054 2.1×
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $468 $936 1.9×
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $417.50 $835 1.7×
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $584 $1,168 2.3×
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $512.50 $1,025 0.3×
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $1,700 $3,400 1.0×
Cltx fx grt toe phlx/phlg w/manj (28495) $413 $826 1.6×
Cltx fx grt toe phlx/phlg w/o manj (28490) $311.50 $623 1.2×
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $343.50 $687 1.4×
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $311.50 $623 1.2×
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) $1,355 $2,710 5.4×
Cltx greater humeral tuberosity fx w/o manj (23620) $467.50 $935 1.9×
Cltx Greater Trochanteric Fx W/O Manj (27246) $492.50 $985 2.0×
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) $881.50 $1,763 0.5×
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) $312.50 $625 1.2×
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) $1,924.50 $3,849 1.2×
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) $2,028.50 $4,057 1.2×
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $381.50 $763 1.5×
Cltx iphal jt dislc w/manj w/o anes (26770) $343.50 $687 1.4×
Cltx Medial Ankle Fx (27760) $467 $934 1.9×
Cltx metacarpal fx w/manipulation each bone (26605) $468 $936 1.9×
Cltx metacarpal fx w/o manipulation each bone (26600) $311.50 $623 1.2×
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $311.50 $623 1.2×
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $311.50 $623 1.2×
Cltx post hip arthrp dislc w/o anes (27265) $487.50 $975 1.9×
Cltx prox fibula/shft fx w/manj (27781) $2,299 $4,598 1.4×
Cltx prox fibula/shft fx w/o manj (27780) $468 $936 1.9×
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) $933.50 $1,867 3.7×
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $343.50 $687 1.4×
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) $623 $1,246 2.5×
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) $623 $1,246 2.5×
Cltx tibial fx proximal w/o manipulation (27530) $622.50 $1,245 2.5×
Cltx tibial shaft fx w/o manipulation (27750) $623 $1,246 2.5×
Cltx trimalleolar ankle fx w/manipulation (27818) $933.50 $1,867 0.6×
Collect Blood From Catheter Venous Nos (36592) $72.50 $145 0.5×
Collection of venous blood by venipuncture (36415) $4.50 $9 0.5×
Complex drainage wound (10180) $933.50 $1,867 0.3×
Control Nasal Hemorrhage Anterior Complex (30903) $311.50 $623 2.3×
Control Nasal Hemorrhage Anterior Simple (30901) $172 $344 1.3×
Control oropharyngeal hemorrhage simple (42960) $155.50 $311 0.3×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $343.50 $687 2.5×
Deb Musc/Fascia 20 Sq Cm/< (11043) $584 $1,168 0.8×
Debride nail 1-5 (11720) $153.50 $307 2.6×
Debride nail 6 or more (11721) $113.50 $227 1.9×
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) $831.50 $1,663 0.5×
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines		 $437–$453 $874–$906 varies
Declot vascular device (36593) $192.50 $385 0.6×
Diagnostic sigmoidoscopy (45330) $1,740 $3,480 1.8×
Drainage External Ear Abscess/Hematoma Simple (69000) $156 $312 0.2×
Drainage Finger Abscess Complicated (26011) $1,025.50 $2,051 0.6×
Drainage Mouth Roof Lesion (42000) $311.50 $623 1.3×
Drainage of finger abscess simple (26010) $343.50 $687 1.7×
Drainage of gum lesion (41800) $156 $312 1.2×
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines		 $740–$767 $1,480–$1,534 varies
Drainage of scrotal wall abscess (55100) $569 $1,138 0.3×
Draw Blood Off Venous Device (36591) $81 $162 0.6×
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines		 $312.50–$465 $625–$930 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines		 $297–$327 $594–$654 varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines		 $107–$416 $214–$832 varies
Escharotomy; initial incision (16035) $600 $1,200 1.5×
Evacuation of subungual hematoma (11740) $47.50 $95 0.4×
Exploration Penetrating Wound Spx Neck (20100) $933.50 $1,867 1.7×
Fluid Pressure Muscle (20950) $862 $1,724 1.2×
I&d abscess simple (10060)
range across 2 matching MRF lines		 $177–$184 $354–$368 varies
I&D Mouth/Tong Intra,Masticator (41009) $1,878.50 $3,757 3.4×
I&d perianal abscess superficial (46050) $623 $1,246 0.7×
I&d pilonidal cyst complicated (10081) $512.50 $1,025 0.7×
I&d pilonidal cyst simple (10080) $172 $344 0.2×
Incise external hemorrhoid (46083) $343.50 $687 1.4×
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines		 $222.50–$231 $445–$462 varies
Incision & removal foreign body subq tiss compl (10121) $1,212.50 $2,425 0.7×
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines		 $172–$587.50 $344–$1,175 varies
Incision and drainage of bartholin's gland abscess (56420) $343.50 $687 1.7×
Incision and drainage of vulva or perineal abscess (56405) $343.50 $687 1.1×
Incision of rectal abscess (46040) $933.50 $1,867 0.8×
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines		 $97–$256 $194–$512 varies
Injection single/mlt trigger point 1/2 muscles (20552) $412.50 $825 1.3×
Injection single/mlt trigger point 3/> muscles (20553) $561 $1,122 1.8×
Injection, anesthetic agent; femoral nerve, single (64447) $3,243.50 $6,487 4.5×
Injection, anesthetic agent; other peripheral nerve or branch (64450) $343.50 $687 0.5×
Insert Bladder Cath Complex (51703) $153.50 $307 1.2×
Insert cath pleura w/o image (32556) $559 $1,118 0.3×
Insert non-tunnel cv cath (36556) $512.50 $1,025 0.2×
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines		 $75–$85.50 $150–$171 varies
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines		 $79–$85.50 $158–$171 varies
Insertion Picc W/Rs&I 5 Yr/> (36573) $2,822 $5,644 1.8×
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) $703.50 $1,407 0.4×
Intraoral i&d tongue/floor submndblr space (41008) $1,230 $2,460 0.4×
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines		 $484.50–$502 $969–$1,004 varies
Irrigation of corpora cavernosa for priapism (54220) $406 $812 1.6×
Laryngoscopy W/Foreign Body Removal (31530) $3,088.50 $6,177 1.7×
Nasal/Orogastric W/Tube Plmt (43752) $536 $1,072 1.2×
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) $4,015.50 $8,031 2.2×
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 Anes Trigeminal Nrv Any Div/Branch (64400) $188 $376 0.6×
Penile Injection (54235) $662 $1,324 2.6×
Pericardiocentesis W/Imaging (33016) $733 $1,466 0.5×
Placement of needle for intraosseous infusion (36680) $191 $382 0.4×
Punch biopsy skin single lesion (11104) $332 $664 0.8×
Puncture aspiration abscess hematoma bulla/cyst (10160) $172 $344 0.4×
Puncture Aspiration Cyst Breast (19000) $308 $616 0.4×
Rbc DNA gntyp 12 bld grp gen (0282U) $1,505 $3,010 2.1×
Removal Foreign Body Foot Subcutaneous (28190) $468 $936 0.7×
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) $569 $1,138 0.3×
Removal impacted cerumen irrigation/lvg unilat (69209) $97 $194 1.6×
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $85.50 $171 1.4×
Removal of foreign body from pharynx (42809) $412 $824 0.9×
Removal of nail bed (11750)
range across 2 matching MRF lines		 $311.50–$1,187.50 $623–$2,375 varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines		 $235–$311.50 $470–$623 varies
Removal/bivalving gauntlet boot/body cast (29700) $104.50 $209 0.4×
Remove drug implant device (11982) $1,080 $2,160 2.4×
Remove foreign body from eye (65235) $1,728.50 $3,457 0.7×
Remove foreign body from eye (65205) $287 $574 2.1×
Remove Intrauterine Device (58301) $156 $312 0.5×
Remove Nasal Foreign Body (30300) $172 $344 1.3×
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) $813 $1,626 1.1×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $569 $1,138 0.8×
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $468 $936 1.1×
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $512.50 $1,025 1.2×
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $512.50 $1,025 1.2×
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $343.50 $687 0.8×
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $512.50 $1,025 1.2×
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $512.50 $1,025 1.2×
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $467.50 $935 1.1×
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $343.50 $687 0.8×
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $343.50 $687 0.8×
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $626 $1,252 0.8×
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $512.50 $1,025 1.2×
Repair intermediate s/a/t/e 2.5 cm/< (12031) $343.50 $687 0.8×
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $343.50 $687 0.8×
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $599 $1,198 0.8×
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $512.50 $1,025 1.2×
Repair of nail bed (11760) $343.50 $687 0.5×
Repair tongue laceration (41250) $191 $382 0.4×
Replace g/c tube perc (49450) $1,234 $2,468 1.3×
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $143 $286 0.3×
Rmvl fb xtrnl eye corneal w/slit lamp (65222) $162 $324 1.2×
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) $468 $936 0.3×
Rplc Gtube No Revj Trc (43762) $191 $382 0.8×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) $512.50 $1,025 2.5×
Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) $1,688.50 $3,377 0.7×
Rpr Lip Full Thickness Half/< Vertical Height (40652) $1,628 $3,256 3.0×
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $512.50 $1,025 1.2×
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $343.50 $687 1.7×
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $343.50 $687 1.7×
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $343.50 $687 1.7×
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $343.50 $687 1.7×
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $468 $936 2.3×
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines		 $343.50–$453.50 $687–$907 varies
Skin sub graft face/nk/hf/g (15275) $4,049 $8,098 5.4×
Skin sub graft trnk/arm/leg (15271) $2,441 $4,882 3.3×
Skin sub grft t/arm/lg child (15273) $5,615 $11,230 2.7×
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $343.50 $687 1.7×
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $512.50 $1,025 1.2×
Spinal puncture lumbar diagnostic (62270) $594 $1,188 0.8×
Strapping ankle (29540) $70 $140 0.4×
Strapping shoulder (29240) $97 $194 0.7×
Strapping Unna Boot (29580) $78 $156 0.5×
Thrombolytic Therapy Stroke (37195) $683.50 $1,367 2.0×
Treat humerus fracture (24500) $311.50 $623 1.2×
Treat humerus fracture (23600) $468 $936 1.9×
Treat Knuckle Dislocation (26700) $468 $936 1.9×
Treat Metatarsal Fracture (28475) $468 $936 1.9×
Treat toe dislocation (28630) $311.50 $623 1.2×
Treatment Closed Elbow Dislocation Req Anes (24605) $933.50 $1,867 0.6×
Treatment closed elbow dislocation w/o anes (24600) $687.50 $1,375 2.7×
Trim skin lesion (11055) $112.50 $225 0.6×
Trim skin lesions 2 to 4 (11056) $157.50 $315 0.8×
Trim skin lesions over 4 (11057) $163.50 $327 0.8×
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines		 $44.50–$81.50 $89–$163 varies
Tx Incomplete Abortion Any Trimester Surgical (59812) $2,511 $5,022 0.8×
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) $406 $812 1.6×
Unlisted procedure anus (46999) $520 $1,040 0.6×
Vaginal delivery only (59409) $3,474.50 $6,949 1.1×
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines		 $166–$172 $332–$344 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.