CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70450
  • Insurance Median: $2,066
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 19.34x Medicare
The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Atlanticare Regional Medical Center - City Campus is $2,066. 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 $106.81, this hospital’s rate is 19.34x 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
$2,066

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Insurance Median: $2,066 (1934%)
Ins. Median: $2,066 (1934% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1934% of the Medicare baseline (a markup of 1834%). 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 $106 99%
Devoted Health Plan $121 113%
Oxford $174 163%
Global Exchange Managed Care $176 165%
Health Partners Plan $235 220%
Americhoice $356 333%
UnitedHealthcare $356 - $1,958 333%
Wellcare $381 357%
Horizon $383 - $1,931 359%
Self Pay $414 388%
Magnacare $1,103 - $2,482 1033%
Cigna $1,158 - $1,390 1084%
Evernorth $1,379 1291%
Qualcare Commercial $1,379 1291%
Great West Life $1,390 1301%
Aetna $1,586 - $2,278 1485%
Amerihealth $1,773 - $2,318 1660%
Active Care Plus $1,793 1679%
First Mco $1,793 1679%
Mutual Of Omaha $1,793 1679%
Qualcare Wc $1,793 1679%
Consumer Health Network (Chn) $1,931 - $2,482 1808%
Donio Trucking $1,931 1808%
Devon/ Ullicare $2,068 1936%
Coventry Health Care $2,206 2065%
Private Healthcare System (Phcs) $2,206 2065%
Blue Cross Blue Shield $2,269 2124%
Health Payors Org $2,344 2195%
Health South $2,344 2195%
Metrahealth Of Nj $2,344 2195%
Prime Health Services $2,344 2195%
Three Rivers Provider Network (Trpn) $2,344 2195%
Active Care Nj Pip $2,482 2324%
Beech Street $2,482 2324%
Choice Care $2,482 2324%
Department Of Corrections $2,482 2324%
Galaxy Health Network $2,482 2324%
Health Network Inc $2,482 2324%
Intergroup Preferred Program $2,482 2324%
Mcs Commercial $2,482 2324%
Metracomp $2,482 2324%
Multiplan $2,482 2324%
Provider Select, Inc $2,482 2324%
Atlantis Health Plan $2,551 2388%
Master Care Inc $2,551 2388%
Advance Healthcare System $2,620 2453%
Community Care Network $2,620 2453%
Health Network America $2,620 2453%
Mcsi/Mrsi No Fault $2,620 2453%
Mcsi/Mrsi Worker'S Comp $2,620 2453%
National Health Plan $2,620 2453%

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