Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC DGTZ GLASS MCRSCP SLD LEVEL V SURG PATH
Cedartown, GA
See all hospitals reporting CPT 0754T →Price type
Polk Medical Center Inc’s median price of $2 is 97% below the median hospital's median price ($68), higher than 16% of the 543 hospitals reporting CPT 0754T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Caresource managed medicaid percent of total billed charges · outpatientfrom % of charges | $0.82 | $0.82 | $0.82 – $0.82 |
| 2 | Oscar commercial percent of total billed charges · outpatientfrom % of charges | $1.17 | $1.17 | $1.17 – $1.17 |
| 3 | Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.20 | $1.20 | $1.20 – $1.20 |
| 4 | Anthem medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.20 | $1.20 | $1.20 – $1.20 |
| 5 | Caresource medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.20 | $1.20 | $1.20 – $1.20 |
| 6 | Cigna medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.20 | $1.20 | $1.20 – $1.20 |
| 7 | Humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.20 | $1.20 | $1.20 – $1.20 |
| 8 | UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.20 | $1.20 | $1.20 – $1.20 |
| 9 | WellCare medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.20 | $1.20 | $1.20 – $1.20 |
| 10 | Clover medicare advantage percent of total billed charges · outpatientfrom % of charges | $1.56 | $1.56 | $1.56 – $1.56 |
| 11 | Ambetter marketplace exchange percent of total billed charges · outpatientfrom % of charges | $1.80 | $1.80 | $1.80 – $1.80 |
| 12 | Caresource marketplace exchange percent of total billed charges · outpatientfrom % of charges | $1.80 | $1.80 | $1.80 – $1.80 |
| 13 | Oscar commercial percent of total billed charges · inpatientfrom % of charges | $2.10 | $2.10 | $2.10 – $2.10 |
| 14 | Anthem hmo/pathway x percent of total billed charges · outpatientfrom % of charges | $3.00 | $3.00 | $3.00 – $3.00 |
| 15 | Anthem ppo percent of total billed charges · outpatientfrom % of charges | $3.00 | $3.00 | $3.00 – $3.00 |
| 16 | Cigna floyd county and rome city commercial percent of total billed charges · inpatientfrom % of charges | $3.18 | $3.18 | $3.18 – $3.18 |
| 17 | Cigna floyd county and rome city commercial percent of total billed charges · outpatientfrom % of charges | $3.18 | $3.18 | $3.18 – $3.18 |
| 18 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $3.60 | $3.60 | $3.60 – $3.60 |
| 19 | Cigna local plus commercial percent of total billed charges · outpatientfrom % of charges | $3.60 | $3.60 | $3.60 – $3.60 |
| 20 | Humana commercial percent of total billed charges · outpatientfrom % of charges | $3.90 | $3.90 | $3.90 – $3.90 |
| 21 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $3.96 | $3.96 | $3.84 – $4.08 |
| 22 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $4.20 | $4.20 | $4.20 – $4.20 |
| 23 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $4.20 | $4.20 | $4.20 – $4.20 |
| 24 | Anthem indemnity percent of total billed charges · inpatientfrom % of charges | $4.48 | $4.48 | $4.48 – $4.48 |
| 25 | Anthem indemnity percent of total billed charges · outpatientfrom % of charges | $4.48 | $4.48 | $4.48 – $4.48 |
Last updated: Nov 19, 2025
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