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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ProcedureCash priceGross charge× Medicare
Airway inhalation treatment (94640) $114.50 $229 0.6×
Appl modality 1+lllt po pain (97037) $58 $116 1.8×
Behavioral and qualitative analysis of voice and resonance (92524) $118.50 $237 1.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $358.50 $717 1.1×
Canalith Repositioning (95992) $106 $212 2.6×
Cardiac Stress Tst,Tracing Only (93017) $1,119.50 $2,239 5.9×
Cardiopulmonary resuscitation (92950) $536 $1,072 2.8×
Caregiver training 1st 30 min (97550) $149.50 $299 2.8×
Caregiver Training Strategies&Tq Ea Addl 15 Min (97551) $74.50 $149 2.9×
Cbt 1st hour (94644) $73 $146 0.6×
Chemother, IV infusion, 1 hr (96413) $413 $826 1.4×
Chemother, IV infusion, ea add hr (96415) $109.50 $219 1.7×
Chemother,Non-Hormone Anti-Neopl, Sub-Q/Im (96401) $93.50 $187 1.5×
Color/duplex Doppler, complete (93975) $1,182.50 $2,365 5.7×
Color/duplex Doppler, limited (93976) $872 $1,744 9.5×
Cpap initiation and management (94660) $501 $1,002 2.6×
Cpt initial (94667) $42.50 $85 0.4×
Critical care (99291) $2,947 $5,894 4.1×
Debridement Open Wound 20 Sq Cm< (97597) $341.50 $683 1.9×
Demo &/or eval,pt use,aerosol device (94664) $50 $100 0.3×
Dup-scan xtr veins unilateral/limited study (93971) $843 $1,686 9.2×
Duplex scan extracranial art compl bi study (93880) $1,113.50 $2,227 5.3×
Echo Heart Xthoracic,Limited (93308) $884 $1,768 4.2×
Echo transesophageal (93312) $1,478 $2,956 3.1×
EKG (93005) $379.50 $759 7.3×
EKG rhythm strip (93041) $158 $316 3.1×
Er level 1 (99281) $451.50 $903 6.1×
Er level ii (99282) $569 $1,138 4.2×
Er level iii (99283) $1,040.50 $2,081 4.3×
Er level IV (99284) $1,318 $2,636 3.6×
Er level v (99285) $1,942 $3,884 3.7×
Evaluation of speech sound production (92522) $77 $154 0.7×
Evaluation of swallowing function (92610) $187.50 $375 2.2×
Exercise tst brncspsm (94617) $330 $660 2.8×
External ECG rec>48hr<7d recording (93242) $265.50 $531 8.1×
External Ecg Scanning Analysis Report (93226) $541.50 $1,083 10.5×
Flexible Endoscopic Eval Swallow C/V Rec (92612) $392 $784 2.0×
Holter Monitor Recording (93225) $742 $1,484 6.4×
Imm Admn Sarscov2 Vaccine Single Dose (90480) $56 $112 1.6×
Immunization Admin (90471) $63 $126 1.0×
Injection intra arterial (96373) $224.50 $449 1.2×
Irrigaj Implntd Venous Access Drug Delivery Syst (96523) $88.50 $177 1.7×
IV infusion hydration each additional hour (96361) $233 $466 5.7×
IV infusion hydration initial 31 min-1 hour (96360) $532.50 $1,065 2.9×
IV infusion, therap/proph/diagnost,add infusion,1st hour (96367) $261.50 $523 4.1×
IV infusion, therap/proph/diagnost,initial,1st hour (96365) $540.50 $1,081 2.9×
IV infusion, therap/proph/diagnost,initial,ea add hour (96366) $233 $466 5.7×
IV push initial (96374) $161 $322 0.9×
Manual therapy 15 min (97140) $47.50 $95 1.7×
Massage 15 min (97124) $47.50 $95 1.6×
Mechanical chest wall oscillation (94669) $89.50 $179 0.5×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $34 $68 0.9×
Motion Fluor Eval Swlng Funcj C/V Rec (92611) $335 $670 3.7×
Neg press wnd tx </=50 sq cm (97607) $496.50 $993 1.4×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $152.50 $305 0.9×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $208 $416 0.6×
Newborn resuscitation (99465) $536 $1,072 0.9×
Non-Invas Physiologic Std Extremity Art 2 Level (93922) $642 $1,284 5.5×
Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) $250.50 $501 2.2×
Orthotics mgmt & traing initial enctr ea 15 mins (97760) $56.50 $113 1.2×
Ot Community/Work Reintegration Trainj Ea 15 Min (97537) $47.50 $95 1.5×
Ot eval high complex 60 min (97167) $187.50 $375 1.9×
Ot eval low complex 30 min (97165) $94 $188 0.9×
Ot eval mod complex 45 min (97166) $140.50 $281 1.4×
Ot Orthotics/Prosth Mgmt &/Trainj Sbsq Enctr 15 Min (97763) $47.50 $95 0.9×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $186 $372 1.6×
Outpatient cardiac rehab w/o cont ECG monitor (93797) $182 $364 1.6×
Paraffin bath (97018) $47.50 $95 7.9×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $207.50 $415 1.1×
Phy/qhp op pulm rhb w/mntr (94626) $171 $342 3.3×
Phy/qhp op pulm rhb w/o mntr (94625) $171 $342 3.3×
Pt Electrical Stimulation (97032) $49.50 $99 3.4×
Pt eval high complex 45 min (97163) $187.50 $375 1.9×
Pt eval low complex 20 min (97161) $56 $112 0.6×
Pt Gait Training Therapy (97116) $47.50 $95 1.6×
Pt group caregiver training (97552) $74.50 $149 3.4×
Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) $47.50 $95 1.5×
Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) $140.50 $281 1.4×
Pt re-evaluation (97164) $65.50 $131 1.0×
Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) $47.50 $95 1.5×
Pt Ultrasound Therapy (97035) $49.50 $99 3.4×
Pulmonary stress testing (94618) $285 $570 2.4×
Remote 30 Day Ecg Rev/Report - Cardiac Event Monitor (93270) $271 $542 8.3×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $89.50 $179 0.5×
Rt Chest Wall Manipulation,Subsequent (94668) $97 $194 0.8×
Sensory Integration Ea 15 Min (97533) $47.50 $95 0.8×
Smoking cessation > 10 min (99407) $27.50 $55 0.8×
Speech group therapy (92508) $56 $112 2.3×
Speech sound lang comprehen (92523) $88 $176 0.4×
Spirometry (94010) $388 $776 2.1×
Standardized Cognitive Performance Testing (96125) $301 $602 2.9×
Stress echo (93350) $1,087 $2,174 2.3×
Stress Tte Complete (93351) $2,347 $4,694 4.9×
Subcut infusion, therap/proph/diagnost,ea add hour (96370) $33 $66 0.8×
Subcut infusion, therap/proph/diagnost,initial,1st hour (96369) $222 $444 1.2×
Ther ivntj cog funcj cntct 1st 15 minutes (97129) $62 $124 2.8×
Ther Ivntj Cog Funcj Cntct Ea Addl 15 Minutes (97130) $49.50 $99 2.4×
Ther/Proph/Diag Inj Sc/Im (96372) $143.50 $287 2.3×
Therapeutic Activities (97530) $47.50 $95 1.4×
Therapeutic phlebotomy (99195) $89.50 $179 0.8×
Tobacco Use Cessation Intermediate 3-10 Minutes (99406) $20 $40 0.6×
Tte W/Doppler Complete - Tte Complete W/ Contrast (93306) $2,183 $4,366 4.6×
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $92.50 $185 1.2×
Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) $95.50 $191 1.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $161 $322 3.9×
Unlisted pulmonary service/procedure (94799) $240.50 $481 2.1×
Vasc Duplex Extrem Venous,Bilat (93970) $1,197.50 $2,395 5.7×
Ventilation assist & mgmt inpatient 1st day (94002) $1,194.50 $2,389 2.2×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $809 $1,618 1.5×
Vital capacity total (94150) $255.50 $511 2.3×
Wheelchair Mgmt Ea 15 Min (97542) $47.50 $95 1.5×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $282 $564 5.5×