Does Atrium Health Floyd Medical Center have an emergency room?

Yes. The hospital’s official website lists an emergency room at Atrium Health Floyd Medical Center (trauma center: Level II). Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.

Where is Atrium Health Floyd Medical Center?

304 Turner McCall Boulevard, Rome, GA 30162, in Floyd County, Georgia.

What is the phone number of Atrium Health Floyd Medical Center?

(706) 509-6900, as listed by Medicare (CMS).

What is the Medicare star rating of Atrium Health Floyd Medical Center?

2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Atrium Health Floyd Medical Center — Rome, GA

Quick answers

Does Atrium Health Floyd Medical Center have an emergency room?: Yes. The hospital’s official website lists an emergency room at Atrium Health Floyd Medical Center (trauma center: Level II). Medicare (CMS) data does not list emergency services for it. In a medical emergency, call 911.
Where is Atrium Health Floyd Medical Center?: 304 Turner McCall Boulevard, Rome, GA 30162, in Floyd County, Georgia.
What is the phone number of Atrium Health Floyd Medical Center?: (706) 509-6900, as listed by Medicare (CMS).
What is the Medicare star rating of Atrium Health Floyd Medical Center?: 2 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4]

Pediatrics
Wound care
Hyperbaric therapy
Trauma care
Stroke care
Joint replacement
Bariatric surgery
Breast imaging
Hyperbaric medicine

Treatments^[4]

Joint replacement
Hyperbaric therapy

Procedures^[4]

Bariatric surgery

Programs and centers^[4][6][8]

Certified chest pain center
Bariatric surgery center of excellence
Breast imaging center of excellence
Level III neonatal intensive care unit
Trauma care (Level II trauma center)
Stroke care
Neonatal intensive care unit (Level III)

Emergency care (hospital website)^[4][6][8]

Emergency room	Yes
Trauma designation	Level II
Stroke designation	Primary Stroke Center

Visiting and practical information

Visiting	Hospital visiting daily 8 a.m.-8 p.m.; maternity 8 a.m.-9 p.m.; ICU 24/7, two visitors at a time^[5]
Parking	Parking is limited on the campus due to construction; shuttles run from the Main Entrance lot^[5]
Interpreters and languages	Free language assistance services during visits, in 15 languages including Spanish and Arabic^[4]
Patient portal	MyAtriumHealth

Recognition^[4][9][10]

Certified chest pain center
Commission on Cancer accreditation, Comprehensive Community Cancer Program
Advanced Certification in Heart Failure, The Joint Commission

Doctors and clinicians (639)

639 doctors and other clinicians list Atrium Health Floyd Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 615 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

AdventHealth Redmond1.5 mi · Rome, GA · Acute Care Hospital
Atrium Health Floyd Polk Medical Center19 mi · Cedartown, GA · Critical Access Hospital
Piedmont Cartersville Medical Center22 mi · Cartersville, GA · Acute Care Hospital
AdventHealth Gordon23 mi · Calhoun, GA · Acute Care Hospital
Floyd Cherokee Medical Center28 mi · Centre, AL · Acute Care Hospital

Other hospitals nearby

Wellstar Paulding Medical Center33 mi · Hiram, GA · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Fifth Avenue Health Care0.2 mi · Rome, GA · 1 of 5 stars
Etowah Landing1.4 mi · Rome, GA · 3 of 5 stars
Magnolia Place Nursing and Rehabilitation2.2 mi · Rome, GA · 5 of 5 stars

All nursing homes in the state →

Hospice providers

Atrium Health Floyd Medical Center Heyman Hospice Care1.7 mi · Rome, GA · 5 of 5 stars
Pruitthealth Hospice-Rome1.7 mi · Rome, GA
Transitions Hospice, Inc1.7 mi · Rome, GA

All hospice providers in the state →

Home health agencies

Adoration Home Health1.7 mi · Rome, GA
Coosa Valley Home Health, An Amedisys1.7 mi · Rome, GA
Pruitthealth at Home - Rome1.7 mi · Rome, GA

All home health agencies in the state →

Dialysis facilities

DaVita Rome Dialysis1.7 mi · Rome, GA · 3 of 5 stars
Fresenius Kidney Care Seven Hills1.7 mi · Rome, GA · 2 of 5 stars
Fresenius Kidney Care Rome7.7 mi · Rome, GA · 4 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

Georgia Interventional Pain - I, LLC1.7 mi · Rome, GA
Rome Orthopaedic Clinic Asc, Inc1.7 mi · Rome, GA
The Physicians Rome Surgery Center, LLC1.7 mi · Rome, GA

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Primary Health Care Center Summerville19 mi · Summerville, GA · Community health center
GHMS Bartow Family Health Center22 mi · Cartersville, GA · Community health center

Clinics and urgent care

Premise Health of Georgia Medical PC16 mi · Adairsville, GA · Urgent care center
Sherri Asbel19 mi · Cedartown, GA · Urgent care center
Urgent Care Travel Inc23 mi · Cartersville, GA · Urgent care center

Pharmacies

Georgia CVS Pharmacy, L.L.C.1.7 mi · Rome, GA · Pharmacy
Jai Geerdhar LLC1.7 mi · Rome, GA · Community/retail pharmacy
Shannon Pharmacy1.7 mi · Rome, GA · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Atrium Health Floyd Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics)	3 of 5 stars
Overall rating of the hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	4 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	3 of 5 stars
Room and bathroom kept clean	3 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	72%National average: 72%
Would definitely recommend the hospital	72%National average: 71%
Nurses “always” communicated well	81%National average: 80%
Doctors “always” communicated well	77%National average: 80%
Staff “always” explained medicines before giving them	59%National average: 62%
Were given information about recovery at home	85%National average: 86%
Room and bathroom “always” clean	70%National average: 74%
Area around the room “always” quiet at night	62%National average: 60%
Completed surveys	827Response rate: 13%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	0.619No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)	0.421Better than the national benchmark
Surgical site infections after colon surgery	0.44No different from the national benchmark
Surgical site infections after abdominal hysterectomy	1.259No different from the national benchmark
MRSA bloodstream infections	1.202No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections	0.175Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	11.2%
Deaths within 30 days: heart failure patients	13.2%
Deaths within 30 days: pneumonia patients	18.4%
Deaths within 30 days: COPD patients	9.3%
Deaths within 30 days: stroke patients	13.7%
Deaths within 30 days: coronary bypass surgery (CABG)	Too few cases to report
Serious complications (patient safety indicator PSI-90)	0.95No different from the national rate
Complications after hip or knee replacement	3.5%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	14.4%
Readmitted within 30 days: heart failure	21.1%
Readmitted within 30 days: pneumonia	17.3%
Readmitted within 30 days: COPD	21.3%
Readmitted within 30 days: coronary bypass surgery	Too few cases to report
Readmitted within 30 days: hip or knee replacement	5.4%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	146 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	0%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	68%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Rome Best hospitals in Georgia

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 86 common services exactly as Atrium Health Floyd Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30-44 MIN	Not listed in the file	Not listed in the file	$112.25 – $168.37
New patient office visit (about 30–44 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $113.37 Alliant Health Plans — SoloCare Commercial: $168.37 Ambetter — Marketplace Exchange: $168.37 Anthem — Medicare Advantage: $112.25 CareSource — Marketplace Exchange: $168.37 CareSource — Medicare Advantage: $112.25 Cigna — Medicare Advantage: $112.25 Clover — Medicare Advantage: $115.62 Georgia Assurance — Medicare Advantage: $112.25 Humana — Medicare Advantage: $112.25
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45-59 MIN	Not listed in the file	Not listed in the file	$169.99 – $254.98
New patient office visit (about 45–59 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $171.69 Alliant Health Plans — SoloCare Commercial: $254.98 Ambetter — Marketplace Exchange: $254.98 Anthem — Medicare Advantage: $169.99 CareSource — Marketplace Exchange: $254.98 CareSource — Medicare Advantage: $169.99 Cigna — Medicare Advantage: $169.99 Clover — Medicare Advantage: $175.09 Georgia Assurance — Medicare Advantage: $169.99 Humana — Medicare Advantage: $169.99
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60-74 MIN	Not listed in the file	Not listed in the file	$227.47 – $341.20
New patient office visit (about 60–74 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $229.74 Alliant Health Plans — SoloCare Commercial: $341.20 Ambetter — Marketplace Exchange: $341.20 Anthem — Medicare Advantage: $227.47 CareSource — Marketplace Exchange: $341.20 CareSource — Medicare Advantage: $227.47 Cigna — Medicare Advantage: $227.47 Clover — Medicare Advantage: $234.29 Georgia Assurance — Medicare Advantage: $227.47 Humana — Medicare Advantage: $227.47
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20-29 MIN	Not listed in the file	Not listed in the file	$90.50 – $135.75
Established patient office visit (about 20–29 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $91.41 Alliant Health Plans — SoloCare Commercial: $135.75 Ambetter — Marketplace Exchange: $135.75 Anthem — Medicare Advantage: $90.50 CareSource — Marketplace Exchange: $135.75 CareSource — Medicare Advantage: $90.50 Cigna — Medicare Advantage: $90.50 Clover — Medicare Advantage: $93.22 Georgia Assurance — Medicare Advantage: $90.50 Humana — Medicare Advantage: $90.50
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST MOD 30-39 MIN	Not listed in the file	Not listed in the file	$129.29 – $193.94
Established patient office visit (about 30–39 minutes): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $130.58 Alliant Health Plans — SoloCare Commercial: $193.94 Ambetter — Marketplace Exchange: $193.94 Anthem — Medicare Advantage: $129.29 CareSource — Marketplace Exchange: $193.94 CareSource — Medicare Advantage: $129.29 Cigna — Medicare Advantage: $129.29 Clover — Medicare Advantage: $133.17 Georgia Assurance — Medicare Advantage: $129.29 Humana — Medicare Advantage: $129.29
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$108 – $162
Office consultation with a specialist (moderate): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $109.08 Alliant Health Plans — SoloCare Commercial: $162 Ambetter — Marketplace Exchange: $162 Anthem — Medicare Advantage: $108 CareSource — Marketplace Exchange: $162 CareSource — Medicare Advantage: $108 Cigna — Medicare Advantage: $108 Clover — Medicare Advantage: $111.24 Georgia Assurance — Medicare Advantage: $108 Humana — Medicare Advantage: $108
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE CONSULTATION	Not listed in the file	Not listed in the file	$155.01 – $232.52
Office consultation with a specialist (moderate to high): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $156.56 Alliant Health Plans — SoloCare Commercial: $232.52 Ambetter — Marketplace Exchange: $232.52 Anthem — Medicare Advantage: $155.01 CareSource — Marketplace Exchange: $232.52 CareSource — Medicare Advantage: $155.01 Cigna — Medicare Advantage: $155.01 Clover — Medicare Advantage: $159.66 Georgia Assurance — Medicare Advantage: $155.01 Humana — Medicare Advantage: $155.01
Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC VISIT NEW HEALTHCHECK EXAM 18-39 YRS	$324	$162	$54.79 – $275.40
Preventive checkup, new patient, age 18–39: 10 of 34 insurance plan rates Aetna — Commercial: $207.36 Aetna — Medicare Advantage: $129.48 Aetna First Health — Commercial: $220.32 Alliant Health Plans — Simplecare Commercial: $129.60 Alliant Health Plans — SoloCare Commercial: $192.29 Ambetter — Marketplace Exchange: $192.29 Amerigroup — Managed Medicaid: $54.79 Anthem — HMO/POS: $226.80 Anthem — Indemnity: $242 Anthem — Medicare Advantage: $128.20
Preventive checkup, new patient, age 18–39 CPT 99385 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CLINIC VISIT NEW HEALTHCHECK EXAM 18-39 YRS	$324	$162	$113.40 – $242
Preventive checkup, new patient, age 18–39: rates for 4 insurance plans Anthem — Indemnity: $242 Cigna — Floyd County and Rome City Commercial: $171.72 Multiplan — Commercial: $226.80 Oscar Health Plan — Commercial: $113.40
Preventive checkup, new patient, age 40–64 CPT 99386 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CLINIC VISIT NEW PREVT 40-64 YRS	$376	$188	$63.58 – $319.60
Preventive checkup, new patient, age 40–64: 10 of 34 insurance plan rates Aetna — Commercial: $240.64 Aetna — Medicare Advantage: $150.23 Aetna First Health — Commercial: $255.68 Alliant Health Plans — Simplecare Commercial: $150.40 Alliant Health Plans — SoloCare Commercial: $223.12 Ambetter — Marketplace Exchange: $223.12 Amerigroup — Managed Medicaid: $63.58 Anthem — HMO/POS: $263.20 Anthem — Indemnity: $280.83 Anthem — Medicare Advantage: $148.75
Preventive checkup, new patient, age 40–64 CPT 99386 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CLINIC VISIT NEW PREVT 40-64 YRS	$376	$188	$131.60 – $280.83
Preventive checkup, new patient, age 40–64: rates for 4 insurance plans Anthem — Indemnity: $280.83 Cigna — Floyd County and Rome City Commercial: $199.28 Multiplan — Commercial: $263.20 Oscar Health Plan — Commercial: $131.60
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER LEVEL 3 VISIT MODERATE SEVERITY	$2,200	$1,100	$277.27 – $1,870
Emergency room visit (moderate): 10 of 34 insurance plan rates Aetna — Commercial: $1,408 Aetna — Medicare Advantage: $280.04 Aetna First Health — Commercial: $1,496 Alliant Health Plans — Simplecare Commercial: $880 Alliant Health Plans — SoloCare Commercial: $415.90 Ambetter — Marketplace Exchange: $415.90 Amerigroup — Managed Medicaid: $372.02 Anthem — HMO/POS: $1,320 Anthem — Indemnity: $1,643.18 Anthem — Medicare Advantage: $277.27
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ER LEVEL 3 VISIT MODERATE SEVERITY	$2,200	$1,100	$770 – $1,643.18
Emergency room visit (moderate): rates for 4 insurance plans Anthem — Indemnity: $1,643.18 Cigna — Floyd County and Rome City Commercial: $1,166 Multiplan — Commercial: $1,540 Oscar Health Plan — Commercial: $770
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER LEVEL 4 VISIT HIGH/URGENT SEVERITY	$2,962	$1,481	$423.82 – $2,517.70
Emergency room visit (moderately high): 10 of 34 insurance plan rates Aetna — Commercial: $1,895.68 Aetna — Medicare Advantage: $428.06 Aetna First Health — Commercial: $2,014.16 Alliant Health Plans — Simplecare Commercial: $1,184.80 Alliant Health Plans — SoloCare Commercial: $635.73 Ambetter — Marketplace Exchange: $635.73 Amerigroup — Managed Medicaid: $500.87 Anthem — HMO/POS: $1,777.20 Anthem — Indemnity: $2,212.32 Anthem — Medicare Advantage: $423.82
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ER LEVEL 4 VISIT HIGH/URGENT SEVERITY	$2,962	$1,481	$1,036.70 – $2,212.32
Emergency room visit (moderately high): rates for 4 insurance plans Anthem — Indemnity: $2,212.32 Cigna — Floyd County and Rome City Commercial: $1,569.86 Multiplan — Commercial: $2,073.40 Oscar Health Plan — Commercial: $1,036.70
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$4,286	$2,143	$604.89 – $3,643.10
Emergency room visit (high): 10 of 34 insurance plan rates Aetna — Commercial: $2,743.04 Aetna — Medicare Advantage: $610.94 Aetna First Health — Commercial: $2,914.48 Alliant Health Plans — Simplecare Commercial: $1,714.40 Alliant Health Plans — SoloCare Commercial: $907.33 Ambetter — Marketplace Exchange: $907.33 Amerigroup — Managed Medicaid: $724.76 Anthem — HMO/POS: $2,571.60 Anthem — Indemnity: $3,201.21 Anthem — Medicare Advantage: $604.89
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ER LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC	$4,286	$2,143	$1,500.10 – $3,201.21
Emergency room visit (high): rates for 4 insurance plans Anthem — Indemnity: $3,201.21 Cigna — Floyd County and Rome City Commercial: $2,271.58 Multiplan — Commercial: $3,000.20 Oscar Health Plan — Commercial: $1,500.10

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE	$774	$387	$8.46 – $657.90
Basic metabolic panel (blood test): 10 of 34 insurance plan rates Aetna — Commercial: $495.36 Aetna — Medicare Advantage: $8.54 Aetna First Health — Commercial: $526.32 Alliant Health Plans — Simplecare Commercial: $309.60 Alliant Health Plans — SoloCare Commercial: $12.69 Ambetter — Marketplace Exchange: $12.69 Amerigroup — Managed Medicaid: $130.88 Anthem — HMO/POS: $541.80 Anthem — Indemnity: $578.10 Anthem — Medicare Advantage: $8.46
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL BUNDLED CHARGE	$774	$387	$270.90 – $578.10
Basic metabolic panel (blood test): rates for 4 insurance plans Anthem — Indemnity: $578.10 Cigna — Floyd County and Rome City Commercial: $410.22 Multiplan — Commercial: $541.80 Oscar Health Plan — Commercial: $270.90
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE	$1,160	$580	$10.56 – $986
Comprehensive metabolic panel (blood test): 10 of 34 insurance plan rates Aetna — Commercial: $742.40 Aetna — Medicare Advantage: $10.67 Aetna First Health — Commercial: $788.80 Alliant Health Plans — Simplecare Commercial: $464 Alliant Health Plans — SoloCare Commercial: $15.84 Ambetter — Marketplace Exchange: $15.84 Amerigroup — Managed Medicaid: $196.16 Anthem — HMO/POS: $812 Anthem — Indemnity: $866.40 Anthem — Medicare Advantage: $10.56
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC METABOLIC PANEL COMPREHENSIVE BUNDLED CHARGE	$1,160	$580	$406 – $866.40
Comprehensive metabolic panel (blood test): rates for 4 insurance plans Anthem — Indemnity: $866.40 Cigna — Floyd County and Rome City Commercial: $614.80 Multiplan — Commercial: $812 Oscar Health Plan — Commercial: $406
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL	Not listed in the file	Not listed in the file	$28.08 – $110.14
Obstetric blood test panel: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $48.29 Alliant Health Plans — SoloCare Commercial: $71.72 Ambetter — Marketplace Exchange: $71.72 Anthem — Medicare Advantage: $47.81 CareSource — Marketplace Exchange: $71.72 CareSource — Medicare Advantage: $47.81 Cigna — Local Plus Commercial: $110.14 Cigna — Medicare Advantage: $47.81 Clover — Medicare Advantage: $49.24 Georgia Assurance — Medicare Advantage: $47.81
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL BUNDLED CHARGE	$726	$363	$13.39 – $617.10
Cholesterol panel (lipid panel): 10 of 34 insurance plan rates Aetna — Commercial: $464.64 Aetna — Medicare Advantage: $13.52 Aetna First Health — Commercial: $493.68 Alliant Health Plans — Simplecare Commercial: $290.40 Alliant Health Plans — SoloCare Commercial: $20.09 Ambetter — Marketplace Exchange: $20.09 Amerigroup — Managed Medicaid: $122.77 Anthem — HMO/POS: $508.20 Anthem — Indemnity: $542.25 Anthem — Medicare Advantage: $13.39
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LIPID PANEL BUNDLED CHARGE	$726	$363	$254.10 – $542.25
Cholesterol panel (lipid panel): rates for 4 insurance plans Anthem — Indemnity: $542.25 Cigna — Floyd County and Rome City Commercial: $384.78 Multiplan — Commercial: $508.20 Oscar Health Plan — Commercial: $254.10
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL BUNDLED CHARGE	$505	$252.50	$8.68 – $429.25
Kidney function panel: 10 of 34 insurance plan rates Aetna — Commercial: $323.20 Aetna — Medicare Advantage: $8.77 Aetna First Health — Commercial: $343.40 Alliant Health Plans — Simplecare Commercial: $202 Alliant Health Plans — SoloCare Commercial: $13.02 Ambetter — Marketplace Exchange: $13.02 Amerigroup — Managed Medicaid: $85.40 Anthem — HMO/POS: $353.50 Anthem — Indemnity: $377.18 Anthem — Medicare Advantage: $8.68
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL BUNDLED CHARGE	$505	$252.50	$176.75 – $377.18
Kidney function panel: rates for 4 insurance plans Anthem — Indemnity: $377.18 Cigna — Floyd County and Rome City Commercial: $267.65 Multiplan — Commercial: $353.50 Oscar Health Plan — Commercial: $176.75
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL BUNDLED CHARGE	$765	$382.50	$8.17 – $650.25
Liver function panel: 10 of 34 insurance plan rates Aetna — Commercial: $489.60 Aetna — Medicare Advantage: $8.25 Aetna First Health — Commercial: $520.20 Alliant Health Plans — Simplecare Commercial: $306 Alliant Health Plans — SoloCare Commercial: $12.26 Ambetter — Marketplace Exchange: $12.26 Amerigroup — Managed Medicaid: $129.36 Anthem — HMO/POS: $535.50 Anthem — Indemnity: $571.38 Anthem — Medicare Advantage: $8.17
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL BUNDLED CHARGE	$765	$382.50	$267.75 – $571.38
Liver function panel: rates for 4 insurance plans Anthem — Indemnity: $571.38 Cigna — Floyd County and Rome City Commercial: $405.45 Multiplan — Commercial: $535.50 Oscar Health Plan — Commercial: $267.75
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/SCOPE MICRO	$357	$178.50	$3.17 – $303.45
Urine test (automated, with microscope): 10 of 34 insurance plan rates Aetna — Commercial: $228.48 Aetna — Medicare Advantage: $3.20 Aetna First Health — Commercial: $242.76 Alliant Health Plans — Simplecare Commercial: $142.80 Alliant Health Plans — SoloCare Commercial: $4.76 Ambetter — Marketplace Exchange: $4.76 Amerigroup — Managed Medicaid: $60.37 Anthem — HMO/POS: $249.90 Anthem — Indemnity: $266.64 Anthem — Medicare Advantage: $3.17
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/SCOPE MICRO	$357	$178.50	$124.95 – $266.64
Urine test (automated, with microscope): rates for 4 insurance plans Anthem — Indemnity: $266.64 Cigna — Floyd County and Rome City Commercial: $189.21 Multiplan — Commercial: $249.90 Oscar Health Plan — Commercial: $124.95
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O MICRO	$73	$36.50	$3.21 – $62.05
Urine test (manual, without microscope): 10 of 34 insurance plan rates Aetna — Commercial: $46.72 Aetna — Medicare Advantage: $3.51 Aetna First Health — Commercial: $49.64 Alliant Health Plans — Simplecare Commercial: $29.20 Alliant Health Plans — SoloCare Commercial: $5.22 Ambetter — Marketplace Exchange: $5.22 Amerigroup — Managed Medicaid: $12.34 Anthem — HMO/POS: $51.10 Anthem — Indemnity: $54.52 Anthem — Medicare Advantage: $3.48
Urine test (manual, without microscope) CPT 81002 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS NONAUTO W/O MICRO	$73	$36.50	$25.55 – $54.52
Urine test (manual, without microscope): rates for 4 insurance plans Anthem — Indemnity: $54.52 Cigna — Floyd County and Rome City Commercial: $38.69 Multiplan — Commercial: $51.10 Oscar Health Plan — Commercial: $25.55
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE	$174	$87	$2.25 – $147.90
Urine test (automated, without microscope): 10 of 34 insurance plan rates Aetna — Commercial: $111.36 Aetna — Medicare Advantage: $2.27 Aetna First Health — Commercial: $118.32 Alliant Health Plans — Simplecare Commercial: $69.60 Alliant Health Plans — SoloCare Commercial: $3.38 Ambetter — Marketplace Exchange: $3.38 Amerigroup — Managed Medicaid: $29.42 Anthem — HMO/POS: $121.80 Anthem — Indemnity: $129.96 Anthem — Medicare Advantage: $2.25
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC URINALYSIS AUTO W/O SCOPE	$174	$87	$60.90 – $129.96
Urine test (automated, without microscope): rates for 4 insurance plans Anthem — Indemnity: $129.96 Cigna — Floyd County and Rome City Commercial: $92.22 Multiplan — Commercial: $121.80 Oscar Health Plan — Commercial: $60.90
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN TOTAL	$437	$218.50	$18.39 – $371.45
PSA (prostate specific antigen) blood test: 10 of 34 insurance plan rates Aetna — Commercial: $279.68 Aetna — Medicare Advantage: $18.57 Aetna First Health — Commercial: $297.16 Alliant Health Plans — Simplecare Commercial: $174.80 Alliant Health Plans — SoloCare Commercial: $27.59 Ambetter — Marketplace Exchange: $27.59 Amerigroup — Managed Medicaid: $73.90 Anthem — HMO/POS: $305.90 Anthem — Indemnity: $326.40 Anthem — Medicare Advantage: $18.39
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROSTATE SPECIFIC ANTIGEN TOTAL	$437	$218.50	$152.95 – $326.40
PSA (prostate specific antigen) blood test: rates for 4 insurance plans Anthem — Indemnity: $326.40 Cigna — Floyd County and Rome City Commercial: $231.61 Multiplan — Commercial: $305.90 Oscar Health Plan — Commercial: $152.95
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIMULATING HORMONE	$413	$206.50	$16.80 – $351.05
Thyroid stimulating hormone (TSH) test: 10 of 34 insurance plan rates Aetna — Commercial: $264.32 Aetna — Medicare Advantage: $16.97 Aetna First Health — Commercial: $280.84 Alliant Health Plans — Simplecare Commercial: $165.20 Alliant Health Plans — SoloCare Commercial: $25.20 Ambetter — Marketplace Exchange: $25.20 Amerigroup — Managed Medicaid: $69.84 Anthem — HMO/POS: $289.10 Anthem — Indemnity: $308.47 Anthem — Medicare Advantage: $16.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIMULATING HORMONE	$413	$206.50	$144.55 – $308.47
Thyroid stimulating hormone (TSH) test: rates for 4 insurance plans Anthem — Indemnity: $308.47 Cigna — Floyd County and Rome City Commercial: $218.89 Multiplan — Commercial: $289.10 Oscar Health Plan — Commercial: $144.55
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC AUTO DIFF WBC	$550	$275	$7.77 – $467.50
Complete blood count (CBC) with differential: 10 of 34 insurance plan rates Aetna — Commercial: $352 Aetna — Medicare Advantage: $7.85 Aetna First Health — Commercial: $374 Alliant Health Plans — Simplecare Commercial: $220 Alliant Health Plans — SoloCare Commercial: $11.66 Ambetter — Marketplace Exchange: $11.66 Amerigroup — Managed Medicaid: $93.01 Anthem — HMO/POS: $385 Anthem — Indemnity: $410.80 Anthem — Medicare Advantage: $7.77
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC AUTO DIFF WBC	$550	$275	$192.50 – $410.80
Complete blood count (CBC) with differential: rates for 4 insurance plans Anthem — Indemnity: $410.80 Cigna — Floyd County and Rome City Commercial: $291.50 Multiplan — Commercial: $385 Oscar Health Plan — Commercial: $192.50
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC COMPLETE CBC	$367	$183.50	$6.47 – $311.95
Complete blood count (CBC), automated: 10 of 34 insurance plan rates Aetna — Commercial: $234.88 Aetna — Medicare Advantage: $6.53 Aetna First Health — Commercial: $249.56 Alliant Health Plans — Simplecare Commercial: $146.80 Alliant Health Plans — SoloCare Commercial: $9.71 Ambetter — Marketplace Exchange: $9.71 Amerigroup — Managed Medicaid: $62.06 Anthem — HMO/POS: $256.90 Anthem — Indemnity: $274.11 Anthem — Medicare Advantage: $6.47
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC COMPLETE CBC	$367	$183.50	$128.45 – $274.11
Complete blood count (CBC), automated: rates for 4 insurance plans Anthem — Indemnity: $274.11 Cigna — Floyd County and Rome City Commercial: $194.51 Multiplan — Commercial: $256.90 Oscar Health Plan — Commercial: $128.45
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$151	$75.50	$4.29 – $128.35
Blood clotting time test (prothrombin time, PT): 10 of 34 insurance plan rates Aetna — Commercial: $96.64 Aetna — Medicare Advantage: $4.33 Aetna First Health — Commercial: $102.68 Alliant Health Plans — Simplecare Commercial: $60.40 Alliant Health Plans — SoloCare Commercial: $6.44 Ambetter — Marketplace Exchange: $6.44 Amerigroup — Managed Medicaid: $25.53 Anthem — HMO/POS: $105.70 Anthem — Indemnity: $112.78 Anthem — Medicare Advantage: $4.29
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME	$151	$75.50	$52.85 – $112.78
Blood clotting time test (prothrombin time, PT): rates for 4 insurance plans Anthem — Indemnity: $112.78 Cigna — Floyd County and Rome City Commercial: $80.03 Multiplan — Commercial: $105.70 Oscar Health Plan — Commercial: $52.85
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL	$243	$121.50	$6.01 – $206.55
Blood clotting test (partial thromboplastin time, PTT): 10 of 34 insurance plan rates Aetna — Commercial: $155.52 Aetna — Medicare Advantage: $6.07 Aetna First Health — Commercial: $165.24 Alliant Health Plans — Simplecare Commercial: $97.20 Alliant Health Plans — SoloCare Commercial: $9.02 Ambetter — Marketplace Exchange: $9.02 Amerigroup — Managed Medicaid: $41.09 Anthem — HMO/POS: $170.10 Anthem — Indemnity: $181.50 Anthem — Medicare Advantage: $6.01
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC THROMBOPLAS TIME PARTIAL	$243	$121.50	$85.05 – $181.50
Blood clotting test (partial thromboplastin time, PTT): rates for 4 insurance plans Anthem — Indemnity: $181.50 Cigna — Floyd County and Rome City Commercial: $128.79 Multiplan — Commercial: $170.10 Oscar Health Plan — Commercial: $85.05

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$3,284	$1,642	$106.19 – $2,791.40
CT scan of the head or brain, without contrast: 10 of 34 insurance plan rates Aetna — Commercial: $2,101.76 Aetna — Medicare Advantage: $107.25 Aetna First Health — Commercial: $2,233.12 Alliant Health Plans — Simplecare Commercial: $873 Alliant Health Plans — SoloCare Commercial: $159.28 Ambetter — Marketplace Exchange: $159.28 Amerigroup — Managed Medicaid: $555.32 Anthem — HMO/POS: $201.76 Anthem — Indemnity: $2,452.82 Anthem — Medicare Advantage: $106.19
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN W/O CONTRAST	$3,284	$1,642	$1,149.40 – $2,452.82
CT scan of the head or brain, without contrast: rates for 4 insurance plans Anthem — Indemnity: $2,452.82 Cigna — Floyd County and Rome City Commercial: $1,740.52 Multiplan — Commercial: $2,298.80 Oscar Health Plan — Commercial: $1,149.40
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CT HEAD/BRAIN W/O DYE	Not listed in the file	Not listed in the file	$349.70
CT scan of the head or brain, without contrast: rates for 1 insurance plan Cigna — Local Plus Commercial: $349.70
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN W & W/O CONTRAST	$5,673	$2,836.50	$354.36 – $4,822.05
MRI of the brain, before and after contrast: 10 of 34 insurance plan rates Aetna — Commercial: $3,630.72 Aetna — Medicare Advantage: $357.90 Aetna First Health — Commercial: $3,857.64 Alliant Health Plans — Simplecare Commercial: $1,120 Alliant Health Plans — SoloCare Commercial: $531.53 Ambetter — Marketplace Exchange: $531.53 Amerigroup — Managed Medicaid: $959.30 Anthem — HMO/POS: $673.28 Anthem — Indemnity: $4,237.16 Anthem — Medicare Advantage: $354.36
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI BRAIN W & W/O CONTRAST	$5,673	$2,836.50	$1,985.55 – $4,237.16
MRI of the brain, before and after contrast: rates for 4 insurance plans Anthem — Indemnity: $4,237.16 Cigna — Floyd County and Rome City Commercial: $3,006.69 Multiplan — Commercial: $3,971.10 Oscar Health Plan — Commercial: $1,985.55
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX EXAM CHEST 2 VIEWS	$1,293	$646.50	$88.39 – $1,099.05
Chest X-ray, 2 views: 10 of 34 insurance plan rates Aetna — Commercial: $827.52 Aetna — Medicare Advantage: $89.28 Aetna First Health — Commercial: $879.24 Alliant Health Plans — Simplecare Commercial: $517.20 Alliant Health Plans — SoloCare Commercial: $132.59 Ambetter — Marketplace Exchange: $132.59 Amerigroup — Managed Medicaid: $218.65 Anthem — HMO/POS: $167.95 Anthem — Indemnity: $965.74 Anthem — Medicare Advantage: $88.39
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX EXAM CHEST 2 VIEWS	$1,293	$646.50	$452.55 – $965.74
Chest X-ray, 2 views: rates for 4 insurance plans Anthem — Indemnity: $965.74 Cigna — Floyd County and Rome City Commercial: $685.29 Multiplan — Commercial: $905.10 Oscar Health Plan — Commercial: $452.55
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX SPINE LUMBAR MIN 4 VIEWS	$1,503	$751.50	$106.19 – $1,277.55
X-ray of the lower spine, at least 4 views: 10 of 34 insurance plan rates Aetna — Commercial: $961.92 Aetna — Medicare Advantage: $107.25 Aetna First Health — Commercial: $1,022.04 Alliant Health Plans — Simplecare Commercial: $601.20 Alliant Health Plans — SoloCare Commercial: $159.28 Ambetter — Marketplace Exchange: $159.28 Amerigroup — Managed Medicaid: $254.16 Anthem — HMO/POS: $201.76 Anthem — Indemnity: $1,122.59 Anthem — Medicare Advantage: $106.19
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DX SPINE LUMBAR MIN 4 VIEWS	$1,503	$751.50	$526.05 – $1,122.59
X-ray of the lower spine, at least 4 views: rates for 4 insurance plans Anthem — Indemnity: $1,122.59 Cigna — Floyd County and Rome City Commercial: $796.59 Multiplan — Commercial: $1,052.10 Oscar Health Plan — Commercial: $526.05
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$5,882	$2,941	$242.35 – $4,999.70
MRI of the lower back (lumbar spine), without contrast: 10 of 34 insurance plan rates Aetna — Commercial: $3,764.48 Aetna — Medicare Advantage: $244.77 Aetna First Health — Commercial: $3,999.76 Alliant Health Plans — Simplecare Commercial: $1,120 Alliant Health Plans — SoloCare Commercial: $363.53 Ambetter — Marketplace Exchange: $363.53 Amerigroup — Managed Medicaid: $994.65 Anthem — HMO/POS: $460.47 Anthem — Indemnity: $4,393.27 Anthem — Medicare Advantage: $242.35
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL	$5,882	$2,941	$2,058.70 – $4,393.27
MRI of the lower back (lumbar spine), without contrast: rates for 4 insurance plans Anthem — Indemnity: $4,393.27 Cigna — Floyd County and Rome City Commercial: $3,117.46 Multiplan — Commercial: $4,117.40 Oscar Health Plan — Commercial: $2,058.70
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST	$3,494	$1,747	$178.16 – $2,969.90
CT scan of the pelvis, with contrast: 10 of 34 insurance plan rates Aetna — Commercial: $2,236.16 Aetna — Medicare Advantage: $179.94 Aetna First Health — Commercial: $2,375.92 Alliant Health Plans — Simplecare Commercial: $873 Alliant Health Plans — SoloCare Commercial: $267.24 Ambetter — Marketplace Exchange: $267.24 Amerigroup — Managed Medicaid: $590.84 Anthem — HMO/POS: $338.50 Anthem — Indemnity: $2,609.67 Anthem — Medicare Advantage: $178.16
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN OF PELVIS CONTRAST	$3,494	$1,747	$1,222.90 – $2,609.67
CT scan of the pelvis, with contrast: rates for 4 insurance plans Anthem — Indemnity: $2,609.67 Cigna — Floyd County and Rome City Commercial: $1,851.82 Multiplan — Commercial: $2,445.80 Oscar Health Plan — Commercial: $1,222.90
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREM JT W/O CONTRAST	$9,316	$4,658	$242.35 – $7,918.60
MRI of a leg joint (such as the knee), without contrast: 10 of 34 insurance plan rates Aetna — Commercial: $5,962.24 Aetna — Medicare Advantage: $244.77 Aetna First Health — Commercial: $6,334.88 Alliant Health Plans — Simplecare Commercial: $1,120 Alliant Health Plans — SoloCare Commercial: $363.53 Ambetter — Marketplace Exchange: $363.53 Amerigroup — Managed Medicaid: $1,575.34 Anthem — HMO/POS: $460.47 Anthem — Indemnity: $6,958.12 Anthem — Medicare Advantage: $242.35
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC MRI LOWER EXTREM JT W/O CONTRAST	$9,316	$4,658	$3,260.60 – $6,958.12
MRI of a leg joint (such as the knee), without contrast: rates for 4 insurance plans Anthem — Indemnity: $6,958.12 Cigna — Floyd County and Rome City Commercial: $4,937.48 Multiplan — Commercial: $6,521.20 Oscar Health Plan — Commercial: $3,260.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT SCAN ABDOMEN AND PELVIS W CONTRAST	$8,956	$4,478	$250 – $7,612.60
CT scan of the abdomen and pelvis, with contrast: 10 of 34 insurance plan rates Aetna — Commercial: $5,731.84 Aetna — Medicare Advantage: $357.90 Aetna First Health — Commercial: $6,090.08 Alliant Health Plans — Simplecare Commercial: $873 Alliant Health Plans — SoloCare Commercial: $531.53 Ambetter — Marketplace Exchange: $531.53 Amerigroup — Managed Medicaid: $1,514.46 Anthem — HMO/POS: $673.28 Anthem — Indemnity: $6,689.24 Anthem — Medicare Advantage: $354.36
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC CT SCAN ABDOMEN AND PELVIS W CONTRAST	$8,956	$4,478	$3,134.60 – $6,689.24
CT scan of the abdomen and pelvis, with contrast: rates for 4 insurance plans Anthem — Indemnity: $6,689.24 Cigna — Floyd County and Rome City Commercial: $4,746.68 Multiplan — Commercial: $6,269.20 Oscar Health Plan — Commercial: $3,134.60
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE	$2,092	$1,046	$106.19 – $1,778.20
Ultrasound of the abdomen, complete: 10 of 34 insurance plan rates Aetna — Commercial: $1,338.88 Aetna — Medicare Advantage: $107.25 Aetna First Health — Commercial: $1,422.56 Alliant Health Plans — Simplecare Commercial: $836.80 Alliant Health Plans — SoloCare Commercial: $159.28 Ambetter — Marketplace Exchange: $159.28 Amerigroup — Managed Medicaid: $353.76 Anthem — HMO/POS: $201.76 Anthem — Indemnity: $1,562.51 Anthem — Medicare Advantage: $106.19
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US ABDOM B-SCAN &/OR REAL TIME COMPLETE	$2,092	$1,046	$732.20 – $1,562.51
Ultrasound of the abdomen, complete: rates for 4 insurance plans Anthem — Indemnity: $1,562.51 Cigna — Floyd County and Rome City Commercial: $1,108.76 Multiplan — Commercial: $1,464.40 Oscar Health Plan — Commercial: $732.20
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US OB >/= 14 WKS SNGL FETUS	$1,460	$730	$106.19 – $1,241
Pregnancy ultrasound (after the first trimester): 10 of 34 insurance plan rates Aetna — Commercial: $934.40 Aetna — Medicare Advantage: $107.25 Aetna First Health — Commercial: $992.80 Alliant Health Plans — Simplecare Commercial: $584 Alliant Health Plans — SoloCare Commercial: $159.28 Ambetter — Marketplace Exchange: $159.28 Amerigroup — Managed Medicaid: $246.89 Anthem — HMO/POS: $201.76 Anthem — Indemnity: $1,090.47 Anthem — Medicare Advantage: $106.19
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC US OB >/= 14 WKS SNGL FETUS	$1,460	$730	$511 – $1,090.47
Pregnancy ultrasound (after the first trimester): rates for 4 insurance plans Anthem — Indemnity: $1,090.47 Cigna — Floyd County and Rome City Commercial: $773.80 Multiplan — Commercial: $1,022 Oscar Health Plan — Commercial: $511
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC TRANSVAGINAL ULTRASOUND	$1,992	$996	$106.19 – $1,693.20
Transvaginal ultrasound: 10 of 34 insurance plan rates Aetna — Commercial: $1,274.88 Aetna — Medicare Advantage: $107.25 Aetna First Health — Commercial: $1,354.56 Alliant Health Plans — Simplecare Commercial: $796.80 Alliant Health Plans — SoloCare Commercial: $159.28 Ambetter — Marketplace Exchange: $159.28 Amerigroup — Managed Medicaid: $336.85 Anthem — HMO/POS: $201.76 Anthem — Indemnity: $1,487.82 Anthem — Medicare Advantage: $106.19
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC TRANSVAGINAL ULTRASOUND	$1,992	$996	$697.20 – $1,487.82
Transvaginal ultrasound: rates for 4 insurance plans Anthem — Indemnity: $1,487.82 Cigna — Floyd County and Rome City Commercial: $1,055.76 Multiplan — Commercial: $1,394.40 Oscar Health Plan — Commercial: $697.20
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$539	$269.50	$91.14 – $458.15
Diagnostic mammogram, one breast: 10 of 34 insurance plan rates Aetna — Commercial: $344.96 Aetna — Medicare Advantage: $115.13 Aetna First Health — Commercial: $366.52 Alliant Health Plans — Simplecare Commercial: $215.60 Alliant Health Plans — SoloCare Commercial: $170.98 Ambetter — Marketplace Exchange: $170.98 Amerigroup — Managed Medicaid: $91.14 Anthem — HMO/POS: $216.57 Anthem — Indemnity: $402.58 Anthem — Medicare Advantage: $113.99
Diagnostic mammogram, one breast CPT 77065 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI	$539	$269.50	$188.65 – $402.58
Diagnostic mammogram, one breast: rates for 4 insurance plans Anthem — Indemnity: $402.58 Cigna — Floyd County and Rome City Commercial: $285.67 Multiplan — Commercial: $377.30 Oscar Health Plan — Commercial: $188.65
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$707	$353.50	$119.55 – $600.95
Diagnostic mammogram, both breasts: 10 of 34 insurance plan rates Aetna — Commercial: $452.48 Aetna — Medicare Advantage: $145.81 Aetna First Health — Commercial: $480.76 Alliant Health Plans — Simplecare Commercial: $282.80 Alliant Health Plans — SoloCare Commercial: $216.55 Ambetter — Marketplace Exchange: $216.55 Amerigroup — Managed Medicaid: $119.55 Anthem — HMO/POS: $274.30 Anthem — Indemnity: $528.06 Anthem — Medicare Advantage: $144.37
Diagnostic mammogram, both breasts CPT 77066 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI	$707	$353.50	$247.45 – $528.06
Diagnostic mammogram, both breasts: rates for 4 insurance plans Anthem — Indemnity: $528.06 Cigna — Floyd County and Rome City Commercial: $374.71 Multiplan — Commercial: $494.90 Oscar Health Plan — Commercial: $247.45
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$590	$295	$99.77 – $501.50
Screening mammogram, both breasts: 10 of 34 insurance plan rates Aetna — Commercial: $377.60 Aetna — Medicare Advantage: $116.95 Aetna First Health — Commercial: $401.20 Alliant Health Plans — Simplecare Commercial: $236 Alliant Health Plans — SoloCare Commercial: $173.69 Ambetter — Marketplace Exchange: $173.69 Amerigroup — Managed Medicaid: $99.77 Anthem — HMO/POS: $220 Anthem — Indemnity: $440.67 Anthem — Medicare Advantage: $115.79
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD	$590	$295	$206.50 – $440.67
Screening mammogram, both breasts: rates for 4 insurance plans Anthem — Indemnity: $440.67 Cigna — Floyd County and Rome City Commercial: $312.70 Multiplan — Commercial: $413 Oscar Health Plan — Commercial: $206.50

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE	Not listed in the file	Not listed in the file	$14.52 – $21.78
Electrocardiogram (ECG/EKG) with reading: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $14.66 Alliant Health Plans — SoloCare Commercial: $21.78 Ambetter — Marketplace Exchange: $21.78 Anthem — Medicare Advantage: $14.52 CareSource — Marketplace Exchange: $21.78 CareSource — Medicare Advantage: $14.52 Cigna — Medicare Advantage: $14.52 Clover — Medicare Advantage: $14.95 Georgia Assurance — Medicare Advantage: $14.52 Humana — Medicare Advantage: $14.52
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY	$6,228	$3,114	$1,053.15 – $8,343
Left heart catheterization (diagnostic): 10 of 34 insurance plan rates Aetna — Commercial: $3,985.92 Aetna — Medicare Advantage: $3,325.80 Aetna First Health — Commercial: $4,235.04 Alliant Health Plans — Simplecare Commercial: $8,343 Alliant Health Plans — SoloCare Commercial: $4,939.31 Ambetter — Marketplace Exchange: $4,939.31 Amerigroup — Managed Medicaid: $1,053.15 Anthem — HMO/POS: $6,543.18 Anthem — Indemnity: $4,651.69 Anthem — Medicare Advantage: $3,292.87
Left heart catheterization (diagnostic) CPT 93452 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC LEFT HRT CATH W/VENTRCLGRPHY	$6,228	$3,114	$2,179.80 – $7,360
Left heart catheterization (diagnostic): rates for 10 insurance plans Anthem — HMO/POS: $4,299.62 Anthem — Indemnity: $4,651.69 Anthem — PPO: $4,299.62 Beech Street — Commercial: $4,982.40 Cigna — Floyd County and Rome City Commercial: $3,300.84 Humana ChoiceCare — Commercial: $7,360 Multiplan — Commercial: $4,359.60 Oscar Health Plan — Commercial: $2,179.80 Private Health Care Systems — Commercial: $5,293.80 United Healthcare — Commercial: $2,300
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROPHYSIOLOGY EVALUATION	Not listed in the file	Not listed in the file	$7,922.22 – $15,844.45
Heart rhythm study (electrophysiology evaluation): 10 of 13 insurance plan rates Aetna — Medicare Advantage: $8,001.44 Alliant Health Plans — SoloCare Commercial: $11,883.33 Ambetter — Marketplace Exchange: $11,883.33 Anthem — Medicare Advantage: $7,922.22 CareSource — Marketplace Exchange: $11,883.33 CareSource — Medicare Advantage: $7,922.22 Cigna — Medicare Advantage: $7,922.22 Clover — Medicare Advantage: $8,159.89 Georgia Assurance — Medicare Advantage: $7,922.22 Humana — Medicare Advantage: $7,922.22
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$80,290	$40,145	$4,115 – $68,246.50
Heart rhythm study with ablation for atrial fibrillation: 10 of 34 insurance plan rates Aetna — Commercial: $51,385.60 Aetna — Medicare Advantage: $26,814.06 Aetna First Health — Commercial: $54,597.20 Alliant Health Plans — Simplecare Commercial: $32,116 Alliant Health Plans — SoloCare Commercial: $39,822.86 Ambetter — Marketplace Exchange: $39,822.86 Amerigroup — Managed Medicaid: $13,577.04 Anthem — HMO/POS: $4,115 Anthem — Indemnity: $59,968.60 Anthem — Medicare Advantage: $26,548.57
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN	$80,290	$40,145	$28,101.50 – $59,968.60
Heart rhythm study with ablation for atrial fibrillation: rates for 4 insurance plans Anthem — Indemnity: $59,968.60 Cigna — Floyd County and Rome City Commercial: $42,553.70 Multiplan — Commercial: $56,203 Oscar Health Plan — Commercial: $28,101.50
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPRE EP EVAL ABLTJ ATR FIB	Not listed in the file	Not listed in the file	$53,097.15
Heart rhythm study with ablation for atrial fibrillation: rates for 1 insurance plan Occunet — Commercial: $53,097.15
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$9,104	$4,552	$872.23 – $7,738.40
Sleep study (overnight, in a sleep lab): 10 of 34 insurance plan rates Aetna — Commercial: $5,826.56 Aetna — Medicare Advantage: $880.96 Aetna First Health — Commercial: $6,190.72 Alliant Health Plans — Simplecare Commercial: $3,641.60 Alliant Health Plans — SoloCare Commercial: $1,308.35 Ambetter — Marketplace Exchange: $1,308.35 Amerigroup — Managed Medicaid: $1,539.49 Anthem — HMO/POS: $6,372.80 Anthem — Indemnity: $6,799.78 Anthem — Medicare Advantage: $872.23
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND	$9,104	$4,552	$3,186.40 – $6,799.78
Sleep study (overnight, in a sleep lab): rates for 4 insurance plans Anthem — Indemnity: $6,799.78 Cigna — Floyd County and Rome City Commercial: $4,825.12 Multiplan — Commercial: $6,372.80 Oscar Health Plan — Commercial: $3,186.40

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES	$125	$62.50	$21.14 – $250
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates Aetna — Commercial: $80 Aetna — Medicare Advantage: $27.92 Aetna First Health — Commercial: $85 Alliant Health Plans — Simplecare Commercial: $50 Alliant Health Plans — SoloCare Commercial: $41.47 Ambetter — Marketplace Exchange: $41.47 Amerigroup — Managed Medicaid: $21.14 Anthem — HMO/POS: $87.50 Anthem — Indemnity: $93.36 Anthem — Medicare Advantage: $27.64
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXERCISES	$125	$62.50	$21.14 – $250
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 34 insurance plan rates Aetna — Commercial: $80 Aetna — Medicare Advantage: $27.92 Aetna First Health — Commercial: $85 Alliant Health Plans — Simplecare Commercial: $50 Alliant Health Plans — SoloCare Commercial: $41.47 Ambetter — Marketplace Exchange: $41.47 Amerigroup — Managed Medicaid: $21.14 Anthem — HMO/POS: $87.50 Anthem — Indemnity: $93.36 Anthem — Medicare Advantage: $27.64
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES	$125	$62.50	$43.75 – $93.36
Physical therapy: therapeutic exercise (each 15 minutes): rates for 4 insurance plans Anthem — Indemnity: $93.36 Cigna — Floyd County and Rome City Commercial: $66.25 Multiplan — Commercial: $87.50 Oscar Health Plan — Commercial: $43.75
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$276	$138	$46.67 – $250
Physical therapy evaluation (low complexity): 10 of 34 insurance plan rates Aetna — Commercial: $176.64 Aetna — Medicare Advantage: $93.88 Aetna First Health — Commercial: $187.68 Alliant Health Plans — Simplecare Commercial: $110.40 Alliant Health Plans — SoloCare Commercial: $139.43 Ambetter — Marketplace Exchange: $139.43 Amerigroup — Managed Medicaid: $46.67 Anthem — HMO/POS: $193.20 Anthem — Indemnity: $206.14 Anthem — Medicare Advantage: $92.95
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS	$276	$138	$96.60 – $206.14
Physical therapy evaluation (low complexity): rates for 4 insurance plans Anthem — Indemnity: $206.14 Cigna — Floyd County and Rome City Commercial: $146.28 Multiplan — Commercial: $193.20 Oscar Health Plan — Commercial: $96.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$414	$207	$70.01 – $351.90
Physical therapy evaluation (moderate complexity): 10 of 34 insurance plan rates Aetna — Commercial: $264.96 Aetna — Medicare Advantage: $93.88 Aetna First Health — Commercial: $281.52 Alliant Health Plans — Simplecare Commercial: $165.60 Alliant Health Plans — SoloCare Commercial: $139.43 Ambetter — Marketplace Exchange: $139.43 Amerigroup — Managed Medicaid: $70.01 Anthem — HMO/POS: $289.80 Anthem — Indemnity: $309.22 Anthem — Medicare Advantage: $92.95
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS	$414	$207	$144.90 – $309.22
Physical therapy evaluation (moderate complexity): rates for 4 insurance plans Anthem — Indemnity: $309.22 Cigna — Floyd County and Rome City Commercial: $219.42 Multiplan — Commercial: $289.80 Oscar Health Plan — Commercial: $144.90
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$551	$275.50	$92.95 – $468.35
Physical therapy evaluation (high complexity): 10 of 34 insurance plan rates Aetna — Commercial: $352.64 Aetna — Medicare Advantage: $93.88 Aetna First Health — Commercial: $374.68 Alliant Health Plans — Simplecare Commercial: $220.40 Alliant Health Plans — SoloCare Commercial: $139.43 Ambetter — Marketplace Exchange: $139.43 Amerigroup — Managed Medicaid: $93.17 Anthem — HMO/POS: $385.70 Anthem — Indemnity: $411.54 Anthem — Medicare Advantage: $92.95
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS	$551	$275.50	$192.85 – $411.54
Physical therapy evaluation (high complexity): rates for 4 insurance plans Anthem — Indemnity: $411.54 Cigna — Floyd County and Rome City Commercial: $292.03 Multiplan — Commercial: $385.70 Oscar Health Plan — Commercial: $192.85
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 30 MINUTES	$115	$57.50	$19.45 – $270.43
Psychotherapy, 30 minutes: 10 of 34 insurance plan rates Aetna — Commercial: $73.60 Aetna — Medicare Advantage: $182.09 Aetna First Health — Commercial: $78.20 Alliant Health Plans — Simplecare Commercial: $46 Alliant Health Plans — SoloCare Commercial: $270.43 Ambetter — Marketplace Exchange: $270.43 Amerigroup — Managed Medicaid: $19.45 Anthem — HMO/POS: $80.50 Anthem — Indemnity: $85.89 Anthem — Medicare Advantage: $180.28
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES	$339	$169.50	$57.32 – $288.15
Psychotherapy, 30 minutes: 10 of 34 insurance plan rates Aetna — Commercial: $216.96 Aetna — Medicare Advantage: $182.09 Aetna First Health — Commercial: $230.52 Alliant Health Plans — Simplecare Commercial: $135.60 Alliant Health Plans — SoloCare Commercial: $270.43 Ambetter — Marketplace Exchange: $270.43 Amerigroup — Managed Medicaid: $57.32 Anthem — HMO/POS: $237.30 Anthem — Indemnity: $253.20 Anthem — Medicare Advantage: $180.28
Psychotherapy, 30 minutes CPT 90832 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 30 MINUTES	$115	$57.50	$40.25 – $85.89
Psychotherapy, 30 minutes: rates for 4 insurance plans Anthem — Indemnity: $85.89 Cigna — Floyd County and Rome City Commercial: $60.95 Multiplan — Commercial: $80.50 Oscar Health Plan — Commercial: $40.25
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$461	$230.50	$77.96 – $391.85
Psychotherapy, 45 minutes: 10 of 34 insurance plan rates Aetna — Commercial: $295.04 Aetna — Medicare Advantage: $182.09 Aetna First Health — Commercial: $313.48 Alliant Health Plans — Simplecare Commercial: $184.40 Alliant Health Plans — SoloCare Commercial: $270.43 Ambetter — Marketplace Exchange: $270.43 Amerigroup — Managed Medicaid: $77.96 Anthem — HMO/POS: $322.70 Anthem — Indemnity: $344.32 Anthem — Medicare Advantage: $180.28
Psychotherapy, 45 minutes CPT 90834 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES	$461	$230.50	$161.35 – $344.32
Psychotherapy, 45 minutes: rates for 4 insurance plans Anthem — Indemnity: $344.32 Cigna — Floyd County and Rome City Commercial: $244.33 Multiplan — Commercial: $322.70 Oscar Health Plan — Commercial: $161.35
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAC PSYCHOTHERAPY PT &/ FAMILY 60 MIN	$487	$243.50	$82.35 – $413.95
Psychotherapy, 60 minutes: 10 of 34 insurance plan rates Aetna — Commercial: $311.68 Aetna — Medicare Advantage: $182.09 Aetna First Health — Commercial: $331.16 Alliant Health Plans — Simplecare Commercial: $194.80 Alliant Health Plans — SoloCare Commercial: $270.43 Ambetter — Marketplace Exchange: $270.43 Amerigroup — Managed Medicaid: $82.35 Anthem — HMO/POS: $340.90 Anthem — Indemnity: $363.74 Anthem — Medicare Advantage: $180.28
Psychotherapy, 60 minutes CPT 90837 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAC PSYCHOTHERAPY PT &/ FAMILY 60 MIN	$487	$243.50	$170.45 – $363.74
Psychotherapy, 60 minutes: rates for 4 insurance plans Anthem — Indemnity: $363.74 Cigna — Floyd County and Rome City Commercial: $258.11 Multiplan — Commercial: $340.90 Oscar Health Plan — Commercial: $170.45
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/O PT 50 MIN	$352	$176	$59.52 – $299.20
Family psychotherapy, without the patient: 10 of 34 insurance plan rates Aetna — Commercial: $225.28 Aetna — Medicare Advantage: $182.09 Aetna First Health — Commercial: $239.36 Alliant Health Plans — Simplecare Commercial: $140.80 Alliant Health Plans — SoloCare Commercial: $270.43 Ambetter — Marketplace Exchange: $270.43 Amerigroup — Managed Medicaid: $59.52 Anthem — HMO/POS: $246.40 Anthem — Indemnity: $262.91 Anthem — Medicare Advantage: $180.28
Family psychotherapy, without the patient CPT 90846 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY W/O PT 50 MIN	$352	$176	$123.20 – $262.91
Family psychotherapy, without the patient: rates for 4 insurance plans Anthem — Indemnity: $262.91 Cigna — Floyd County and Rome City Commercial: $186.56 Multiplan — Commercial: $246.40 Oscar Health Plan — Commercial: $123.20
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY FAMILY W/PT 50 MIN	$471	$235.50	$79.65 – $400.35
Family psychotherapy, with the patient: 10 of 34 insurance plan rates Aetna — Commercial: $301.44 Aetna — Medicare Advantage: $182.09 Aetna First Health — Commercial: $320.28 Alliant Health Plans — Simplecare Commercial: $188.40 Alliant Health Plans — SoloCare Commercial: $270.43 Ambetter — Marketplace Exchange: $270.43 Amerigroup — Managed Medicaid: $79.65 Anthem — HMO/POS: $329.70 Anthem — Indemnity: $351.79 Anthem — Medicare Advantage: $180.28
Family psychotherapy, with the patient CPT 90847 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY FAMILY W/PT 50 MIN	$471	$235.50	$164.85 – $351.79
Family psychotherapy, with the patient: rates for 4 insurance plans Anthem — Indemnity: $351.79 Cigna — Floyd County and Rome City Commercial: $249.63 Multiplan — Commercial: $329.70 Oscar Health Plan — Commercial: $164.85
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY	$249	$124.50	$42.11 – $211.65
Group psychotherapy: 10 of 34 insurance plan rates Aetna — Commercial: $159.36 Aetna — Medicare Advantage: $104.22 Aetna First Health — Commercial: $169.32 Alliant Health Plans — Simplecare Commercial: $99.60 Alliant Health Plans — SoloCare Commercial: $154.78 Ambetter — Marketplace Exchange: $154.78 Amerigroup — Managed Medicaid: $42.11 Anthem — HMO/POS: $174.30 Anthem — Indemnity: $185.98 Anthem — Medicare Advantage: $103.19
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC IOP CHEM DEPEND GROUP THERAPY	$339	$169.50	$57.32 – $288.15
Group psychotherapy: 10 of 34 insurance plan rates Aetna — Commercial: $216.96 Aetna — Medicare Advantage: $104.22 Aetna First Health — Commercial: $230.52 Alliant Health Plans — Simplecare Commercial: $135.60 Alliant Health Plans — SoloCare Commercial: $154.78 Ambetter — Marketplace Exchange: $154.78 Amerigroup — Managed Medicaid: $57.32 Anthem — HMO/POS: $237.30 Anthem — Indemnity: $253.20 Anthem — Medicare Advantage: $103.19
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC IOP TX ISSUEGROUP45-50	$339	$169.50	$57.32 – $288.15
Group psychotherapy: 10 of 34 insurance plan rates Aetna — Commercial: $216.96 Aetna — Medicare Advantage: $104.22 Aetna First Health — Commercial: $230.52 Alliant Health Plans — Simplecare Commercial: $135.60 Alliant Health Plans — SoloCare Commercial: $154.78 Ambetter — Marketplace Exchange: $154.78 Amerigroup — Managed Medicaid: $57.32 Anthem — HMO/POS: $237.30 Anthem — Indemnity: $253.20 Anthem — Medicare Advantage: $103.19

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVAL OF BREAST LESION	Not listed in the file	Not listed in the file	$1,927 – $7,953.92
Removal of breast growth (open surgery): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $4,016.73 Alliant Health Plans — SoloCare Commercial: $5,965.44 Ambetter — Marketplace Exchange: $5,965.44 Anthem — HMO/POS: $1,927 Anthem — Medicare Advantage: $3,976.96 Anthem — PPO: $2,533 CareSource — Marketplace Exchange: $5,965.44 CareSource — Medicare Advantage: $3,976.96 Cigna — Medicare Advantage: $3,976.96 Clover — Medicare Advantage: $4,096.27
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY	Not listed in the file	Not listed in the file	$3,581 – $26,080.84
Total hip replacement: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $13,170.82 Alliant Health Plans — SoloCare Commercial: $19,560.63 Ambetter — Marketplace Exchange: $19,560.63 Anthem — HMO/POS: $3,581 Anthem — Medicare Advantage: $13,040.42 Anthem — PPO: $4,469 CareSource — Marketplace Exchange: $19,560.63 CareSource — Medicare Advantage: $13,040.42 Cigna — Medicare Advantage: $13,040.42 Clover — Medicare Advantage: $13,431.63
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY	Not listed in the file	Not listed in the file	$3,854 – $26,080.84
Total knee replacement: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $13,170.82 Alliant Health Plans — SoloCare Commercial: $19,560.63 Ambetter — Marketplace Exchange: $19,560.63 Anthem — HMO/POS: $3,854 Anthem — Medicare Advantage: $13,040.42 Anthem — PPO: $4,916 CareSource — Marketplace Exchange: $19,560.63 CareSource — Medicare Advantage: $13,040.42 Cigna — Medicare Advantage: $13,040.42 Clover — Medicare Advantage: $13,431.63
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION	Not listed in the file	Not listed in the file	$148.07 – $296.14
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $149.55 Alliant Health Plans — SoloCare Commercial: $222.10 Ambetter — Marketplace Exchange: $222.10 Anthem — Medicare Advantage: $148.07 CareSource — Marketplace Exchange: $222.10 CareSource — Medicare Advantage: $148.07 Cigna — Medicare Advantage: $148.07 Clover — Medicare Advantage: $152.51 Georgia Assurance — Medicare Advantage: $148.07 Humana — Medicare Advantage: $148.07
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: KNEE ARTHROSCOPY/SURGERY	Not listed in the file	Not listed in the file	$1,927 – $6,646.83
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $3,356.65 Alliant Health Plans — SoloCare Commercial: $4,985.12 Ambetter — Marketplace Exchange: $4,985.12 Anthem — HMO/POS: $1,927 Anthem — Medicare Advantage: $3,323.41 Anthem — PPO: $2,533 CareSource — Marketplace Exchange: $4,985.12 CareSource — Medicare Advantage: $3,323.41 Cigna — Medicare Advantage: $3,323.41 Clover — Medicare Advantage: $3,423.12
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS	Not listed in the file	Not listed in the file	$2,203 – $12,025.70
Removal of tonsils and adenoids (under age 12): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $6,072.98 Alliant Health Plans — SoloCare Commercial: $9,019.28 Ambetter — Marketplace Exchange: $9,019.28 Anthem — HMO/POS: $2,203 Anthem — Medicare Advantage: $6,012.85 Anthem — PPO: $2,977 CareSource — Marketplace Exchange: $9,019.28 CareSource — Medicare Advantage: $6,012.85 Cigna — Medicare Advantage: $6,012.85 Clover — Medicare Advantage: $6,193.24
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH	Not listed in the file	Not listed in the file	$921.24 – $1,842.47
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $930.45 Alliant Health Plans — SoloCare Commercial: $1,381.86 Ambetter — Marketplace Exchange: $1,381.86 Anthem — HMO/POS: $1,241 Anthem — Medicare Advantage: $921.24 Anthem — PPO: $1,636 CareSource — Marketplace Exchange: $1,381.86 CareSource — Medicare Advantage: $921.24 Cigna — Medicare Advantage: $921.24 Clover — Medicare Advantage: $948.87
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE	Not listed in the file	Not listed in the file	$921.24 – $1,842.47
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $930.45 Alliant Health Plans — SoloCare Commercial: $1,381.86 Ambetter — Marketplace Exchange: $1,381.86 Anthem — HMO/POS: $1,241 Anthem — Medicare Advantage: $921.24 Anthem — PPO: $1,636 CareSource — Marketplace Exchange: $1,381.86 CareSource — Medicare Advantage: $921.24 Cigna — Medicare Advantage: $921.24 Clover — Medicare Advantage: $948.87
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY	Not listed in the file	Not listed in the file	$944.57 – $2,500
Colonoscopy (diagnostic): 10 of 16 insurance plan rates Aetna — Medicare Advantage: $954.02 Alliant Health Plans — SoloCare Commercial: $1,416.86 Ambetter — Marketplace Exchange: $1,416.86 Anthem — HMO/POS: $1,241 Anthem — Medicare Advantage: $944.57 Anthem — PPO: $1,636 CareSource — Marketplace Exchange: $1,416.86 CareSource — Medicare Advantage: $944.57 Cigna — Local Plus Commercial: $2,500 Cigna — Medicare Advantage: $944.57
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY	Not listed in the file	Not listed in the file	$1,215.44 – $2,500
Colonoscopy with biopsy: 10 of 16 insurance plan rates Aetna — Medicare Advantage: $1,227.60 Alliant Health Plans — SoloCare Commercial: $1,823.17 Ambetter — Marketplace Exchange: $1,823.17 Anthem — HMO/POS: $1,515 Anthem — Medicare Advantage: $1,215.44 Anthem — PPO: $2,091 CareSource — Marketplace Exchange: $1,823.17 CareSource — Medicare Advantage: $1,215.44 Cigna — Local Plus Commercial: $2,500 Cigna — Medicare Advantage: $1,215.44
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL	Not listed in the file	Not listed in the file	$1,215.44 – $2,500
Colonoscopy with removal of polyps (snare): 10 of 16 insurance plan rates Aetna — Medicare Advantage: $1,227.60 Alliant Health Plans — SoloCare Commercial: $1,823.17 Ambetter — Marketplace Exchange: $1,823.17 Anthem — HMO/POS: $1,515 Anthem — Medicare Advantage: $1,215.44 Anthem — PPO: $2,091 CareSource — Marketplace Exchange: $1,823.17 CareSource — Medicare Advantage: $1,215.44 Cigna — Local Plus Commercial: $2,500 Cigna — Medicare Advantage: $1,215.44
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US	Not listed in the file	Not listed in the file	$1,215.44 – $2,500
Ultrasound of the lower bowel by endoscope: 10 of 16 insurance plan rates Aetna — Medicare Advantage: $1,227.60 Alliant Health Plans — SoloCare Commercial: $1,823.17 Ambetter — Marketplace Exchange: $1,823.17 Anthem — HMO/POS: $1,515 Anthem — Medicare Advantage: $1,215.44 Anthem — PPO: $2,091 CareSource — Marketplace Exchange: $1,823.17 CareSource — Medicare Advantage: $1,215.44 Cigna — Local Plus Commercial: $2,500 Cigna — Medicare Advantage: $1,215.44
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind	Not listed in the file	Not listed in the file	$944.57 – $1,889.14
Screening colonoscopy (not high risk): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $954.02 Alliant Health Plans — SoloCare Commercial: $1,416.86 Ambetter — Marketplace Exchange: $1,416.86 Anthem — HMO/POS: $1,241 Anthem — Medicare Advantage: $944.57 Anthem — PPO: $1,636 CareSource — Marketplace Exchange: $1,416.86 CareSource — Medicare Advantage: $944.57 Cigna — Medicare Advantage: $944.57 Clover — Medicare Advantage: $972.91
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY	Not listed in the file	Not listed in the file	$6,140.52 – $12,281.05
Gallbladder removal by laparoscope: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $6,201.93 Alliant Health Plans — SoloCare Commercial: $9,210.78 Ambetter — Marketplace Exchange: $9,210.78 Anthem — HMO/POS: $7,854.12 Anthem — Medicare Advantage: $6,140.52 Anthem — PPO: $7,854.12 CareSource — Marketplace Exchange: $9,210.78 CareSource — Medicare Advantage: $6,140.52 Cigna — Medicare Advantage: $6,140.52 Clover — Medicare Advantage: $6,324.74
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR	Not listed in the file	Not listed in the file	$1,927 – $7,273.32
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $3,673.03 Alliant Health Plans — SoloCare Commercial: $5,454.99 Ambetter — Marketplace Exchange: $5,454.99 Anthem — HMO/POS: $1,927 Anthem — Medicare Advantage: $3,636.66 Anthem — PPO: $2,533 CareSource — Marketplace Exchange: $5,454.99 CareSource — Medicare Advantage: $3,636.66 Cigna — Medicare Advantage: $3,636.66 Clover — Medicare Advantage: $3,745.76
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE	Not listed in the file	Not listed in the file	$1,515 – $2,091
Prostate biopsy: rates for 2 insurance plans Anthem — HMO/POS: $1,515 Anthem — PPO: $2,091
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPARO RADICAL PROSTATECTOMY	Not listed in the file	Not listed in the file	$3,854 – $21,593.73
Prostate removal by laparoscope (radical prostatectomy): 10 of 15 insurance plan rates Aetna — Medicare Advantage: $10,904.83 Alliant Health Plans — SoloCare Commercial: $16,195.30 Ambetter — Marketplace Exchange: $16,195.30 Anthem — HMO/POS: $3,854 Anthem — Medicare Advantage: $10,796.86 Anthem — PPO: $4,916 CareSource — Marketplace Exchange: $16,195.30 CareSource — Medicare Advantage: $10,796.86 Cigna — Medicare Advantage: $10,796.86 Clover — Medicare Advantage: $11,120.77
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY	Not listed in the file	Not listed in the file	$1,515 – $6,575.98
Hysteroscopy with biopsy of the uterus lining: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $3,320.87 Alliant Health Plans — SoloCare Commercial: $4,931.99 Ambetter — Marketplace Exchange: $4,931.99 Anthem — HMO/POS: $1,515 Anthem — Medicare Advantage: $3,287.99 Anthem — PPO: $2,091 CareSource — Marketplace Exchange: $4,931.99 CareSource — Medicare Advantage: $3,287.99 Cigna — Medicare Advantage: $3,287.99 Clover — Medicare Advantage: $3,386.63
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJ EPI SUBAR LUM/SAC W/IMAGE	$2,006	$1,003	$339.21 – $8,343
Spinal injection, lower back (epidural), with imaging guidance: 10 of 34 insurance plan rates Aetna — Commercial: $1,283.84 Aetna — Medicare Advantage: $724.14 Aetna First Health — Commercial: $1,364.08 Alliant Health Plans — Simplecare Commercial: $8,343 Alliant Health Plans — SoloCare Commercial: $1,075.46 Ambetter — Marketplace Exchange: $1,075.46 Amerigroup — Managed Medicaid: $339.21 Anthem — HMO/POS: $1,241 Anthem — Indemnity: $1,498.28 Anthem — Medicare Advantage: $716.97
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJ EPI SUBAR LUM/SAC W/IMAGE	$2,006	$1,003	$702.10 – $1,498.28
Spinal injection, lower back (epidural), with imaging guidance: rates for 4 insurance plans Anthem — Indemnity: $1,498.28 Cigna — Floyd County and Rome City Commercial: $1,063.18 Multiplan — Commercial: $1,404.20 Oscar Health Plan — Commercial: $702.10
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC	Not listed in the file	Not listed in the file	$1,362.25 – $1,433.95
Spinal injection, lower back (epidural), with imaging guidance: rates for 3 insurance plans Anthem — HMO/POS: $1,362.25 Anthem — PPO: $1,433.95 Occunet — Commercial: $1,433.95
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W GUIDE 1 LVL	$937	$468.50	$158.45 – $8,343
Nerve root injection, lower back, with imaging guidance: 10 of 34 insurance plan rates Aetna — Commercial: $599.68 Aetna — Medicare Advantage: $907.35 Aetna First Health — Commercial: $637.16 Alliant Health Plans — Simplecare Commercial: $8,343 Alliant Health Plans — SoloCare Commercial: $1,347.56 Ambetter — Marketplace Exchange: $1,347.56 Amerigroup — Managed Medicaid: $158.45 Anthem — HMO/POS: $1,241 Anthem — Indemnity: $699.85 Anthem — Medicare Advantage: $898.37
Nerve root injection, lower back, with imaging guidance CPT 64483 · Inpatient (hospital stay) · Hospital (facility) fee In the file: HC INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W GUIDE 1 LVL	$937	$468.50	$327.95 – $699.85
Nerve root injection, lower back, with imaging guidance: rates for 4 insurance plans Anthem — Indemnity: $699.85 Cigna — Floyd County and Rome City Commercial: $496.61 Multiplan — Commercial: $655.90 Oscar Health Plan — Commercial: $327.95
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY	Not listed in the file	Not listed in the file	$1,515 – $3,966.82
Carpal tunnel release: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $2,003.24 Alliant Health Plans — SoloCare Commercial: $2,975.11 Ambetter — Marketplace Exchange: $2,975.11 Anthem — HMO/POS: $1,515 Anthem — Medicare Advantage: $1,983.41 Anthem — PPO: $2,091 CareSource — Marketplace Exchange: $2,975.11 CareSource — Medicare Advantage: $1,983.41 Cigna — Medicare Advantage: $1,983.41 Clover — Medicare Advantage: $2,042.91
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY	Not listed in the file	Not listed in the file	$558.64 – $1,636
Laser treatment of clouding after cataract surgery: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $564.23 Alliant Health Plans — SoloCare Commercial: $837.96 Ambetter — Marketplace Exchange: $837.96 Anthem — HMO/POS: $1,241 Anthem — Medicare Advantage: $558.64 Anthem — PPO: $1,636 CareSource — Marketplace Exchange: $837.96 CareSource — Medicare Advantage: $558.64 Cigna — Medicare Advantage: $558.64 Clover — Medicare Advantage: $575.40
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP	Not listed in the file	Not listed in the file	$1,515 – $4,688.18
Cataract removal with lens implant: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $2,367.53 Alliant Health Plans — SoloCare Commercial: $3,516.13 Ambetter — Marketplace Exchange: $3,516.13 Anthem — HMO/POS: $1,515 Anthem — Medicare Advantage: $2,344.09 Anthem — PPO: $2,091 CareSource — Marketplace Exchange: $3,516.13 CareSource — Medicare Advantage: $2,344.09 Cigna — Medicare Advantage: $2,344.09 Clover — Medicare Advantage: $2,414.41

Pregnancy and childbirth

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE	Not listed in the file	Not listed in the file	$1,927 – $4,428.80
Vaginal delivery, with care before and after: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $2,236.54 Alliant Health Plans — SoloCare Commercial: $3,321.60 Ambetter — Marketplace Exchange: $3,321.60 Anthem — HMO/POS: $1,927 Anthem — Medicare Advantage: $2,214.40 Anthem — PPO: $2,533 CareSource — Marketplace Exchange: $3,321.60 CareSource — Medicare Advantage: $2,214.40 Cigna — Medicare Advantage: $2,214.40 Clover — Medicare Advantage: $2,280.83
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY	Not listed in the file	Not listed in the file	$1,927 – $4,969.12
Cesarean delivery (C-section), with care before and after: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $2,509.40 Alliant Health Plans — SoloCare Commercial: $3,726.84 Ambetter — Marketplace Exchange: $3,726.84 Anthem — HMO/POS: $1,927 Anthem — Medicare Advantage: $2,484.56 Anthem — PPO: $2,533 CareSource — Marketplace Exchange: $3,726.84 CareSource — Medicare Advantage: $2,484.56 Cigna — Medicare Advantage: $2,484.56 Clover — Medicare Advantage: $2,559.10
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY	Not listed in the file	Not listed in the file	$1,927 – $4,686.58
Vaginal delivery after a previous C-section, with care before and after: 10 of 15 insurance plan rates Aetna — Medicare Advantage: $2,366.72 Alliant Health Plans — SoloCare Commercial: $3,514.93 Ambetter — Marketplace Exchange: $3,514.93 Anthem — HMO/POS: $1,927 Anthem — Medicare Advantage: $2,343.29 Anthem — PPO: $2,533 CareSource — Marketplace Exchange: $3,514.93 CareSource — Medicare Advantage: $2,343.29 Cigna — Medicare Advantage: $2,343.29 Clover — Medicare Advantage: $2,413.59

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$82,845.75 – $165,691.50
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $83,674.21 Alliant Health Plans — SoloCare Commercial: $124,268.63 Ambetter — Marketplace Exchange: $124,268.63 Anthem — Medicare Advantage: $82,845.75 CareSource — Marketplace Exchange: $124,268.63 CareSource — Medicare Advantage: $82,845.75 Cigna — Medicare Advantage: $82,845.75 Clover — Medicare Advantage: $85,331.12 Georgia Assurance — Medicare Advantage: $82,845.75 Humana — Medicare Advantage: $82,845.75
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$19,251.43 – $38,502.86
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $19,443.94 Alliant Health Plans — SoloCare Commercial: $28,877.15 Ambetter — Marketplace Exchange: $28,877.15 Anthem — Medicare Advantage: $19,251.43 CareSource — Marketplace Exchange: $28,877.15 CareSource — Medicare Advantage: $19,251.43 Cigna — Medicare Advantage: $19,251.43 Clover — Medicare Advantage: $19,828.97 Georgia Assurance — Medicare Advantage: $19,251.43 Humana — Medicare Advantage: $19,251.43
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$23,226.62 – $46,453.24
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $23,458.89 Alliant Health Plans — SoloCare Commercial: $34,839.93 Ambetter — Marketplace Exchange: $34,839.93 Anthem — Medicare Advantage: $23,226.62 CareSource — Marketplace Exchange: $34,839.93 CareSource — Medicare Advantage: $23,226.62 Cigna — Medicare Advantage: $23,226.62 Clover — Medicare Advantage: $23,923.42 Georgia Assurance — Medicare Advantage: $23,226.62 Humana — Medicare Advantage: $23,226.62
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$13,965.33 – $27,930.66
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates Aetna — Medicare Advantage: $14,104.98 Alliant Health Plans — SoloCare Commercial: $20,948 Ambetter — Marketplace Exchange: $20,948 Anthem — Medicare Advantage: $13,965.33 CareSource — Marketplace Exchange: $20,948 CareSource — Medicare Advantage: $13,965.33 Cigna — Medicare Advantage: $13,965.33 Clover — Medicare Advantage: $14,384.29 Georgia Assurance — Medicare Advantage: $13,965.33 Humana — Medicare Advantage: $13,965.33

Source: Atrium Health Floyd Medical Center’s standard charges file (sthpiprd.blob.core.windows.net, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on October 30, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	304 Turner McCall Boulevard, Rome, GA 30162
County	Floyd County
State	Georgia
Phone	(706) 509‑6900
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	2 of 5 stars
Birthing-friendly designation	Yes (meets CMS criteria)
CMS Certification Number	110054
Name in Medicare records	ATRIUM HEALTH FLOYD MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(706) 509‑5000^[4]
Official website	atriumhealthfloydharbin.org
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Floyd Medical Center | Atrium Health Floyd and Harbin Clinic — atriumhealthfloydharbin.org
For Visitors | Atrium Health Floyd and Harbin Clinic — atriumhealthfloydharbin.org
Emergency & trauma center | Atrium Health Floyd and Harbin Clinic — atriumhealthfloydharbin.org
Stroke | Atrium Health Floyd and Harbin Clinic — atriumhealthfloydharbin.org
Cancer Care | Atrium Health Floyd and Harbin Clinic — atriumhealthfloydharbin.org
Heart Care | Atrium Health Floyd and Harbin Clinic — atriumhealthfloydharbin.org

Atrium Health Floyd Medical Center

Summary

Profile from official sources

At a glance