CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $174
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 17.92x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Atlanticare Regional Medical Center - City Campus is $174. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 17.92x the Medicare baseline. Located in 1925 Pacific Avenue, Atlantic City, NJ.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$174

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Insurance Median: $174 (1792%)
Ins. Median: $174 (1792% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1792% of the Medicare baseline (a markup of 1692%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Aetna $1 - $187 10%
Americhoice $1 10%
Amerigroup $1 10%
UnitedHealthcare $1 - $155 10%
Wellcare $1 10%
Ambetter / Centene $2 21%
Health Partners Plan $8 - $54 82%
Devoted Health Plan $10 - $109 103%
Oxford $10 - $164 103%
Global Exchange Managed Care $15 154%
Horizon $30 - $158 309%
Self Pay $33 - $34 340%
Magnacare $87 - $203 896%
Cigna $91 - $114 937%
Evernorth $109 - $113 1123%
Qualcare Commercial $109 - $113 1123%
Great West Life $110 - $114 1133%
Amerihealth $140 - $190 1442%
Active Care Plus $142 - $147 1462%
First Mco $142 - $147 1462%
Mutual Of Omaha $142 - $147 1462%
Qualcare Wc $142 - $147 1462%
Consumer Health Network (Chn) $153 - $203 1576%
Donio Trucking $153 - $158 1576%
Devon/ Ullicare $164 - $170 1689%
Coventry Health Care $174 - $181 1792%
Private Healthcare System (Phcs) $174 - $181 1792%
Blue Cross Blue Shield $179 - $186 1843%
Health Payors Org $185 - $192 1905%
Health South $185 - $192 1905%
Metrahealth Of Nj $185 - $192 1905%
Prime Health Services $185 - $192 1905%
Three Rivers Provider Network (Trpn) $185 - $192 1905%
Active Care Nj Pip $196 - $203 2019%
Beech Street $196 - $203 2019%
Choice Care $196 - $203 2019%
Department Of Corrections $196 - $203 2019%
Galaxy Health Network $196 - $203 2019%
Health Network Inc $196 - $203 2019%
Intergroup Preferred Program $196 - $203 2019%
Mcs Commercial $196 - $203 2019%
Metracomp $196 - $203 2019%
Multiplan $196 - $203 2019%
Provider Select, Inc $196 - $203 2019%
Atlantis Health Plan $202 - $209 2080%
Master Care Inc $202 - $209 2080%
Advance Healthcare System $207 - $215 2132%
Community Care Network $207 - $215 2132%
Health Network America $207 - $215 2132%
Mcsi/Mrsi No Fault $207 - $215 2132%
Mcsi/Mrsi Worker'S Comp $207 - $215 2132%
National Health Plan $207 - $215 2132%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1925 Pacific Avenue, Atlantic City, NJ 08401
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals