CMS Price Transparency Data

Blood test, liver function panel

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $140
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 17.14x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Atlanticare Regional Medical Center - City Campus is $140. 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 $8.17, this hospital’s rate is 17.14x 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
$140

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)
Insurance Median: $140 (1714%)
Ins. Median: $140 (1714% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 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 1714% of the Medicare baseline (a markup of 1614%). 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.

Input your details and click calculate to compare out-of-pocket costs.

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 - $159 12%
Americhoice $1 12%
Amerigroup $1 12%
UnitedHealthcare $1 - $136 12%
Wellcare $1 12%
Ambetter / Centene $2 24%
Devoted Health Plan $8 - $96 98%
Oxford $8 - $144 98%
Global Exchange Managed Care $12 147%
Health Partners Plan $16 - $48 196%
Horizon $27 - $134 330%
Self Pay $29 355%
Magnacare $77 - $173 942%
Cigna $81 - $97 991%
Evernorth $96 1175%
Qualcare Commercial $96 1175%
Great West Life $97 1187%
Amerihealth $123 - $161 1506%
Active Care Plus $125 1530%
First Mco $125 1530%
Mutual Of Omaha $125 1530%
Qualcare Wc $125 1530%
Consumer Health Network (Chn) $134 - $173 1640%
Donio Trucking $134 1640%
Devon/ Ullicare $144 1763%
Coventry Health Care $154 1885%
Private Healthcare System (Phcs) $154 1885%
Blue Cross Blue Shield $158 1934%
Health Payors Org $163 1995%
Health South $163 1995%
Metrahealth Of Nj $163 1995%
Prime Health Services $163 1995%
Three Rivers Provider Network (Trpn) $163 1995%
Active Care Nj Pip $173 2118%
Beech Street $173 2118%
Choice Care $173 2118%
Department Of Corrections $173 2118%
Galaxy Health Network $173 2118%
Health Network Inc $173 2118%
Intergroup Preferred Program $173 2118%
Mcs Commercial $173 2118%
Metracomp $173 2118%
Multiplan $173 2118%
Provider Select, Inc $173 2118%
Atlantis Health Plan $178 2179%
Master Care Inc $178 2179%
Advance Healthcare System $182 2228%
Community Care Network $182 2228%
Health Network America $182 2228%
Mcsi/Mrsi No Fault $182 2228%
Mcsi/Mrsi Worker'S Comp $182 2228%
National Health Plan $182 2228%

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