CMS Price Transparency Data

Blood test, potassium

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $61
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 12.82x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Atlanticare Regional Medical Center - City Campus is $61. 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 $4.76, this hospital’s rate is 12.82x 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
$61

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.76 (100%)
Insurance Median: $61 (1282%)
Ins. Median: $61 (1282% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.76 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 1282% of the Medicare baseline (a markup of 1182%). 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 - $69 21%
Americhoice $1 21%
Amerigroup $1 21%
UnitedHealthcare $1 - $60 21%
Wellcare $1 21%
Ambetter / Centene $2 42%
Health Partners Plan $4 - $21 84%
Devoted Health Plan $5 - $42 105%
Oxford $5 - $63 105%
Global Exchange Managed Care $7 147%
Horizon $12 - $59 252%
Self Pay $13 273%
Magnacare $34 - $76 714%
Cigna $35 - $42 735%
Evernorth $42 882%
Great West Life $42 882%
Qualcare Commercial $42 882%
Amerihealth $54 - $71 1134%
Active Care Plus $55 1155%
First Mco $55 1155%
Mutual Of Omaha $55 1155%
Qualcare Wc $55 1155%
Consumer Health Network (Chn) $59 - $76 1239%
Donio Trucking $59 1239%
Devon/ Ullicare $63 1324%
Coventry Health Care $67 1408%
Private Healthcare System (Phcs) $67 1408%
Blue Cross Blue Shield $69 1450%
Health Payors Org $71 1492%
Health South $71 1492%
Metrahealth Of Nj $71 1492%
Prime Health Services $71 1492%
Three Rivers Provider Network (Trpn) $71 1492%
Active Care Nj Pip $76 1597%
Beech Street $76 1597%
Choice Care $76 1597%
Department Of Corrections $76 1597%
Galaxy Health Network $76 1597%
Health Network Inc $76 1597%
Intergroup Preferred Program $76 1597%
Mcs Commercial $76 1597%
Metracomp $76 1597%
Multiplan $76 1597%
Provider Select, Inc $76 1597%
Atlantis Health Plan $78 1639%
Master Care Inc $78 1639%
Advance Healthcare System $80 1681%
Community Care Network $80 1681%
Health Network America $80 1681%
Mcsi/Mrsi No Fault $80 1681%
Mcsi/Mrsi Worker'S Comp $80 1681%
National Health Plan $80 1681%

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