CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $3,812
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 15.64x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Atlanticare Regional Medical Center - City Campus is $3,812. 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 $243.77, this hospital’s rate is 15.64x 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
$3,812

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Insurance Median: $3,812 (1564%)
Ins. Median: $3,812 (1564% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 1564% of the Medicare baseline (a markup of 1464%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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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
Tricare $242 99%
Devoted Health Plan $276 113%
Oxford $368 151%
Global Exchange Managed Care $403 165%
Health Partners Plan $537 220%
Americhoice $657 270%
UnitedHealthcare $657 - $3,611 270%
Wellcare $702 288%
Horizon $707 - $3,052 290%
Self Pay $763 313%
Magnacare $2,034 - $4,577 834%
Cigna $2,135 - $2,563 876%
Evernorth $2,543 1043%
Qualcare Commercial $2,543 1043%
Great West Life $2,563 1051%
Aetna $2,925 - $4,201 1200%
Amerihealth $3,270 - $4,275 1341%
Active Care Plus $3,306 1356%
First Mco $3,306 1356%
Mutual Of Omaha $3,306 1356%
Qualcare Wc $3,306 1356%
Consumer Health Network (Chn) $3,560 - $4,577 1460%
Donio Trucking $3,560 1460%
Devon/ Ullicare $3,814 1565%
Coventry Health Care $4,069 1669%
Private Healthcare System (Phcs) $4,069 1669%
Blue Cross Blue Shield $4,185 1717%
Health Payors Org $4,323 1773%
Health South $4,323 1773%
Metrahealth Of Nj $4,323 1773%
Prime Health Services $4,323 1773%
Three Rivers Provider Network (Trpn) $4,323 1773%
Active Care Nj Pip $4,577 1878%
Beech Street $4,577 1878%
Choice Care $4,577 1878%
Department Of Corrections $4,577 1878%
Galaxy Health Network $4,577 1878%
Health Network Inc $4,577 1878%
Intergroup Preferred Program $4,577 1878%
Mcs Commercial $4,577 1878%
Metracomp $4,577 1878%
Multiplan $4,577 1878%
Provider Select, Inc $4,577 1878%
Atlantis Health Plan $4,705 1930%
Master Care Inc $4,705 1930%
Advance Healthcare System $4,832 1982%
Community Care Network $4,832 1982%
Health Network America $4,832 1982%
Mcsi/Mrsi No Fault $4,832 1982%
Mcsi/Mrsi Worker'S Comp $4,832 1982%
National Health Plan $4,832 1982%

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