CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $3,178
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 17.73x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Atlanticare Regional Medical Center - City Campus is $3,178. 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 17.73x 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
$3,178

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: $3,178 (1773%)
Ins. Median: $3,178 (1773% 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 1773% of the Medicare baseline (a markup of 1673%). 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 $178 99%
Devoted Health Plan $203 113%
Oxford $286 160%
Global Exchange Managed Care $296 165%
Health Partners Plan $395 220%
Americhoice $548 306%
UnitedHealthcare $548 - $3,013 306%
Wellcare $586 327%
Horizon $590 - $2,970 329%
Self Pay $636 355%
Magnacare $1,697 - $3,819 947%
Cigna $1,781 - $2,138 994%
Evernorth $2,122 1184%
Qualcare Commercial $2,122 1184%
Great West Life $2,138 1193%
Aetna $2,440 - $3,505 1362%
Amerihealth $2,728 - $3,567 1522%
Active Care Plus $2,758 1539%
First Mco $2,758 1539%
Mutual Of Omaha $2,758 1539%
Qualcare Wc $2,758 1539%
Consumer Health Network (Chn) $2,970 - $3,819 1657%
Donio Trucking $2,970 1657%
Devon/ Ullicare $3,182 1776%
Coventry Health Care $3,394 1894%
Private Healthcare System (Phcs) $3,394 1894%
Blue Cross Blue Shield $3,491 1948%
Health Payors Org $3,607 2013%
Health South $3,607 2013%
Metrahealth Of Nj $3,607 2013%
Prime Health Services $3,607 2013%
Three Rivers Provider Network (Trpn) $3,607 2013%
Active Care Nj Pip $3,819 2131%
Beech Street $3,819 2131%
Choice Care $3,819 2131%
Department Of Corrections $3,819 2131%
Galaxy Health Network $3,819 2131%
Health Network Inc $3,819 2131%
Intergroup Preferred Program $3,819 2131%
Mcs Commercial $3,819 2131%
Metracomp $3,819 2131%
Multiplan $3,819 2131%
Provider Select, Inc $3,819 2131%
Atlantis Health Plan $3,925 2190%
Master Care Inc $3,925 2190%
Advance Healthcare System $4,031 2249%
Community Care Network $4,031 2249%
Health Network America $4,031 2249%
Mcsi/Mrsi No Fault $4,031 2249%
Mcsi/Mrsi Worker'S Comp $4,031 2249%
National Health Plan $4,031 2249%

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