CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $3,950
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 22.04x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Atlanticare Regional Medical Center - City Campus is $3,950. 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 $179.2, this hospital’s rate is 22.04x 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
$3,950

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Insurance Median: $3,950 (2204%)
Ins. Median: $3,950 (2204% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 2204% of the Medicare baseline (a markup of 2104%). 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
Tricare $178 99%
Devoted Health Plan $203 113%
Oxford $286 160%
Global Exchange Managed Care $296 165%
Health Partners Plan $395 220%
Americhoice $681 380%
UnitedHealthcare $681 - $3,745 380%
Wellcare $728 406%
Horizon $733 - $3,692 409%
Self Pay $791 441%
Magnacare $2,110 - $4,747 1177%
Cigna $2,214 - $2,658 1235%
Evernorth $2,637 1472%
Qualcare Commercial $2,637 1472%
Great West Life $2,658 1483%
Aetna $3,033 - $4,356 1693%
Amerihealth $3,391 - $4,433 1892%
Active Care Plus $3,428 1913%
First Mco $3,428 1913%
Mutual Of Omaha $3,428 1913%
Qualcare Wc $3,428 1913%
Consumer Health Network (Chn) $3,692 - $4,747 2060%
Donio Trucking $3,692 2060%
Devon/ Ullicare $3,956 2208%
Coventry Health Care $4,219 2354%
Private Healthcare System (Phcs) $4,219 2354%
Blue Cross Blue Shield $4,339 2421%
Health Payors Org $4,483 2502%
Health South $4,483 2502%
Metrahealth Of Nj $4,483 2502%
Prime Health Services $4,483 2502%
Three Rivers Provider Network (Trpn) $4,483 2502%
Active Care Nj Pip $4,747 2649%
Beech Street $4,747 2649%
Choice Care $4,747 2649%
Department Of Corrections $4,747 2649%
Galaxy Health Network $4,747 2649%
Health Network Inc $4,747 2649%
Intergroup Preferred Program $4,747 2649%
Mcs Commercial $4,747 2649%
Metracomp $4,747 2649%
Multiplan $4,747 2649%
Provider Select, Inc $4,747 2649%
Atlantis Health Plan $4,878 2722%
Master Care Inc $4,878 2722%
Advance Healthcare System $5,010 2796%
Community Care Network $5,010 2796%
Health Network America $5,010 2796%
Mcsi/Mrsi No Fault $5,010 2796%
Mcsi/Mrsi Worker'S Comp $5,010 2796%
National Health Plan $5,010 2796%

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