Cedartown, GA
1 known revision on file.
| Revision date | Added | Payer-specific rates |
|---|---|---|
| Nov 19, 2025 | Sep 19, 2026 | Yes |
Search by billing code or procedure name (CPT, HCPCS, MS-DRG and more) to see Polk Medical Center Inc’s price for it.
The codes Polk Medical Center Inc has the most pricing samples for.
| Procedure | |||||||
|---|---|---|---|---|---|---|---|
| Flumazenil IV injectionHCPCS J3490 | $43 | $226 | $2.2k | 965% | 15,771–156,387 | $0 | $152.1k |
| Emergency department visitCPT 99284 | $989 | $1.2k | $677 | 57% | 5,652–5,679 | $359 | $2.4k |
| Lidocaine local anesthetic injection, preservative-free 1%HCPCS J2003 | $12 | $14 | $12 | 84% | 889–8,017 | $3 | $100 |
| Emergency department visitCPT 99283 | $780 | $964 | $567 | 59% | 3,856–3,883 | $283 | $2.0k |
| Complete blood count with automated differentialCPT 85025 | $137 | $192 | $133 | 69% | 3,145 | $10 | $439 |
| Heparin sodium injection, 5000 units per mLHCPCS J1644 | $15 | $21 | $21 | 101% | 532–5,320 | $0 | $174 |
| Intravenous push injection of therapeutic or diagnostic drugCPT 96374 | $121 | $141 | $80 | 56% | 2,823–2,841 | $44 | $290 |
| Emergency department visitCPT 99285 | $1.5k | $1.7k | $963 | 56% | 1,993–2,029 | $528 | $3.5k |
| Therapeutic or preventive subcutaneous or intramuscular injectionCPT 96372 | $108 | $126 | $71 | 56% | 1,981–1,999 | $39 | $258 |
| Lidocaine with epinephrine injectionHCPCS J2004 | $14 | $18 | $15 | 82% | 387–3,519 | $3 | $84 |
EIN: 453957368
Last updated: Nov 19, 2025
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Hospital ID: 8cdf707d5bfe76e41bafecaaa418430a22a807b70eeba58f9775230b1b0137c3