CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $78
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 15.23x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Atlanticare Regional Medical Center - City Campus is $78. 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 $5.12, this hospital’s rate is 15.23x 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
$78

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.12

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.12 (100%)
Insurance Median: $78 (1523%)
Ins. Median: $78 (1523% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.12 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 1523% of the Medicare baseline (a markup of 1423%). 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 - $88 20%
Americhoice $1 20%
Amerigroup $1 20%
UnitedHealthcare $1 - $76 20%
Wellcare $1 20%
Ambetter / Centene $2 39%
Devoted Health Plan $5 - $54 98%
Oxford $5 - $80 98%
Global Exchange Managed Care $8 156%
Health Partners Plan $10 - $27 195%
Horizon $15 - $75 293%
Self Pay $16 313%
Magnacare $43 - $96 840%
Cigna $45 - $54 879%
Evernorth $54 1055%
Great West Life $54 1055%
Qualcare Commercial $54 1055%
Amerihealth $69 - $90 1348%
Active Care Plus $70 1367%
First Mco $70 1367%
Mutual Of Omaha $70 1367%
Qualcare Wc $70 1367%
Consumer Health Network (Chn) $75 - $96 1465%
Donio Trucking $75 1465%
Devon/ Ullicare $80 1563%
Coventry Health Care $86 1680%
Private Healthcare System (Phcs) $86 1680%
Blue Cross Blue Shield $88 1719%
Health Payors Org $91 1777%
Health South $91 1777%
Metrahealth Of Nj $91 1777%
Prime Health Services $91 1777%
Three Rivers Provider Network (Trpn) $91 1777%
Active Care Nj Pip $96 1875%
Beech Street $96 1875%
Choice Care $96 1875%
Department Of Corrections $96 1875%
Galaxy Health Network $96 1875%
Health Network Inc $96 1875%
Intergroup Preferred Program $96 1875%
Mcs Commercial $96 1875%
Metracomp $96 1875%
Multiplan $96 1875%
Provider Select, Inc $96 1875%
Atlantis Health Plan $99 1934%
Master Care Inc $99 1934%
Advance Healthcare System $102 1992%
Community Care Network $102 1992%
Health Network America $102 1992%
Mcsi/Mrsi No Fault $102 1992%
Mcsi/Mrsi Worker'S Comp $102 1992%
National Health Plan $102 1992%

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