Visits & medical services prices at Atrium Health Floyd Polk Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $56 $112 1.4×
Airway Inhalation Treatment (94640) $114.50 $229 0.5×
Appl modality 1+ areas lllt po pain reduction (97037) $58 $116 1.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $49.50 $99 3.4×
Behavral qualit analys voice (92524) $118.50 $237 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $358.50 $717 0.9×
Canalith repositioning proc (95992) $106 $212 2.6×
Cardiac Stress Tst,Tracing Only (93017) $1,119.50 $2,239 5.1×
Cardiopulmonary resuscitation (92950) $536 $1,072 2.4×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $74.50 $149 2.9×
Cbt 1st hour (94644) $73 $146 0.5×
Chemo Anti-Neopl Sq/Im (96401) $93.50 $187 1.3×
Chemo IV infusion addl hr (96415) $109.50 $219 1.5×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $413 $826 1.2×
Chest Wall Manipulation (94668) $97 $194 0.7×
Color/duplex Doppler, complete (93975) $1,182.50 $2,365 4.9×
Color/duplex Doppler, limited (93976) $872 $1,744 8.2×
Community/Work Reintegration Trainj Ea 15 Min (97537) $47.50 $95 1.5×
Continuous Pulse Ox (94762) $250.50 $501 1.9×
Cpap Ventilation Cpap Initiation&Mgmt (94660)
range across 2 matching MRF lines
$470–$532 $940–$1,064 varies
Cpt initial (94667) $42.50 $85 0.3×
Critical care first hour (99291) $2,947 $5,894 3.5×
Debridement Open Wound 20 Sq Cm< (97597) $341.50 $683 1.7×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,197.50 $2,395 4.9×
Dup-scan xtr veins unilateral/limited study (93971) $843 $1,686 7.9×
Echo Heart Xthoracic,Limited (93308) $884 $1,768 3.6×
Echo transesophageal (93312) $1,478 $2,956 2.7×
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) $2,347 $4,694 4.2×
Electrical Stimulation Ea 15 Min (97032) $49.50 $99 3.4×
Electrocardiogram Tracing (93005) $379.50 $759 6.3×
Emergency Dept Visit Level 2 (99282) $569 $1,138 3.6×
Emergency Dept Visit Level 3 (99283) $1,040.50 $2,081 3.8×
Emergency Dept Visit Level 4 (99284) $1,318 $2,636 3.1×
Er level 1 (99281) $451.50 $903 5.3×
Er level v (99285) $1,942 $3,884 3.2×
Evaluate pt use of inhaler (94664) $50 $100 0.2×
Evaluate Speech Production (92522) $77 $154 0.7×
Evaluate Swallowing Function (92610) $187.50 $375 2.2×
Exercise test for bronchospasm (94617) $330 $660 2.4×
External ECG rec>48hr<7d recording (93242) $265.50 $531 7.0×
External Ecg Scanning Analysis Report (93226) $541.50 $1,083 9.0×
Extracranial Bilat Study (93880) $1,113.50 $2,227 4.6×
Flexible endoscopic eval swallow c/v rec (92612) $392 $784 2.0×
Holter monitor recording (93225) $742 $1,484 5.5×
Immunization administration (90471) $63 $126 0.9×
Irrig Drug Delivery Device (96523) $88.50 $177 1.5×
IV infusion hydration each additional hour (96361) $233 $466 4.9×
IV infusion hydration initial 31 min-1 hour (96360) $532.50 $1,065 2.5×
IV infusion ther proph addl sequential to 1 hr (96367) $261.50 $523 3.6×
IV infusion therapy prophylaxis/dx ea hour (96366) $233 $466 4.9×
IV push initial (96374) $161 $322 0.7×
Mechanical chest wall oscillation per session (94669) $89.50 $179 0.4×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $34 $68 0.9×
Motion Fluoroscopy/Swallow (92611) $335 $670 3.7×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $496.50 $993 1.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605)
range across 2 matching MRF lines
$134–$171 $268–$342 varies
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $208 $416 0.5×
Neuromuscular Reeducation (97112) $47.50 $95 1.5×
Newborn resuscitation (99465) $536 $1,072 0.8×
Oral Function Therapy (92526) $95.50 $191 1.1×
Orthc/Prostc Mgmt Sbsq Enc (97763) $47.50 $95 0.9×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760)
range across 2 matching MRF lines
$47.50–$65.50 $95–$131 varies
Ot eval high complexity (97167) $187.50 $375 1.9×
Ot Eval Low Complex (97165) $94 $188 0.9×
Ot Eval Moderate Complexity (97166) $140.50 $281 1.4×
Ot manual therapy 15 min (97140) $47.50 $95 1.7×
Ot paraffin bath (97018) $47.50 $95 7.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $186 $372 1.4×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $182 $364 1.4×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $207.50 $415 0.9×
Phlebotomy therapeutic (99195) $89.50 $179 0.7×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $171 $342 2.9×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $171 $342 2.9×
Pt Eval High Complex (97163) $187.50 $375 1.9×
Pt eval low complex 20 min (97161) $56 $112 0.6×
Pt Eval Mod Complex (97162) $140.50 $281 1.4×
Pt gait training 15 min (97116) $47.50 $95 1.6×
Pt group caregiver training (97552) $74.50 $149 3.4×
Pt Re-Eval Est Plan Care (97164) $65.50 $131 1.0×
Pulmonary service/procedure (94799) $240.50 $481 1.8×
Pulmonary Stress Testing (94618) $285 $570 2.1×
Remote 30 Day Ecg Rev/Report (93270) $271 $542 7.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $158 $316 2.6×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $89.50 $179 0.4×
Self Care Mngment Training (97535)
range across 3 matching MRF lines
$47.50–$74.50 $95–$149 varies
Sensory Integration Ea 15 Min (97533) $47.50 $95 0.8×
Slp caregiver training 1st 30 min (97550) $149.50 $299 2.8×
Speech sound lang comprehen (92523) $88 $176 0.4×
Spirometry (94010) $388 $776 1.8×
Standardized Cognitive Performance Testing (96125) $301 $602 2.9×
Stress Tte Only (93350) $1,087 $2,174 2.0×
Subcutaneous Infusion Each Additional Hour (96370) $33 $66 0.7×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $222 $444 1.0×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129)
range across 2 matching MRF lines
$49.50–$74.50 $99–$149 varies
Ther Ivntj Ea Addl 15 Min (97130) $49.50 $99 2.4×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $47.50 $95 1.6×
Ther/Proph/Diag Inj Ia (96373) $224.50 $449 1.0×
Ther/Proph/Diag Inj Sc/Im (96372) $143.50 $287 2.0×
Ther/Proph/Diag Iv Inf Init (96365) $540.50 $1,081 2.5×
Therapeutic Activities (97530) $47.50 $95 1.4×
Tobacco Use Cessation Intensive >10 Minutes (99407) $27.50 $55 0.7×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $20 $40 0.5×
Tte w/doppler, complete (93306) $2,183 $4,366 3.9×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $92.50 $185 1.2×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $56 $112 2.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $161 $322 3.4×
Upr/L Xtremity Art 2 Levels (93922) $642 $1,284 4.8×
Vent Mgmt Inpat Init Day (94002) $1,194.50 $2,389 1.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $809 $1,618 1.3×
Vital capacity, total (94150) $255.50 $511 2.0×
Wheelchair Mgmt Ea 15 Min (97542) $47.50 $95 1.5×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $282 $564 4.7×

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.