Emergency visit, high (level 4) at Atrium Health Floyd Polk Medical Center. CPT 99284.
What Atrium Health Floyd Polk Medical Center publishes for this service, straight from its standard-charges file, last updated November 19, 2025.
Outpatient / ER
$1,318cash price (self-pay)
$2,636list price
$359–$2,372range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Amerigroup | Managed Medicaid | $359 |
| CareSource | Managed Medicaid | $362 |
| Peach State Health Plan | Managed Medicaid | $362 |
| Oscar Health Plan | Commercial | $514 |
| AWC Networks | Commercial | $514 |
| Aetna | Medicare Advantage | $527 |
| Georgia Assurance | Medicare Advantage | $527 |
| Anthem | Medicare Advantage | $527 |
| Humana | Medicare Advantage | $527 |
| Cigna | Medicare Advantage | $527 |
| CareSource | Medicare Advantage | $527 |
| United Healthcare | Medicare Advantage | $527 |
| Wellcare | Medicare Advantage | $527 |
| Alliant Health Plans | SoloCare Commercial | $659 |
| Clover | Medicare Advantage | $685 |
| CareSource | Marketplace Exchange | $791 |
| Ambetter | Marketplace Exchange | $791 |
| Alliant Health Plans | Simplecare Commercial | $1,054 |
| Cigna | Floyd County and Rome City Commercial | $1,397 |
| Cigna | Commercial | $1,582 |
| Cigna | Local Plus Commercial | $1,582 |
| Aetna | Commercial | $1,687 |
| Aetna First Health | Commercial | $1,792 |
| Humana ChoiceCare | Commercial | $1,792 |
| Multiplan | Commercial | $1,845 |
| Anthem | HMO/Pathway X | $1,857 |
| Anthem | Indemnity | $1,969 |
| United Healthcare | Commercial | $1,977 |
| Anthem | PPO | $2,016 |
| Private Health Care Systems | Commercial | $2,241 |
Inpatient
$1,318cash price (self-pay)
$2,636list price
$923–$2,372range insurers pay
| Insurance plan | Negotiated rate |
|---|---|
| Oscar Health Plan | Commercial | $923 |
| Cigna | Floyd County and Rome City Commercial | $1,397 |
| Multiplan | Commercial | $1,845 |
| Anthem | Indemnity | $1,969 |
| Beech Street | Commercial | $2,372 |
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All common services at Atrium Health Floyd Polk Medical Center