CMS Price Transparency Data

Culture, bacterial

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 87070 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 87070
  • Insurance Median: $163
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 18.91x Medicare
The contracted insurance negotiated median rate for a Culture, bacterial at Atlanticare Regional Medical Center - City Campus is $163. 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 $8.62, this hospital’s rate is 18.91x 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
$163

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.62

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.62 (100%)
Insurance Median: $163 (1891%)
Ins. Median: $163 (1891% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.62 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 1891% of the Medicare baseline (a markup of 1791%). 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 - $185 12%
Americhoice $1 12%
Amerigroup $1 12%
UnitedHealthcare $1 - $159 12%
Wellcare $1 12%
Ambetter / Centene $2 23%
Devoted Health Plan $9 - $112 104%
Oxford $9 - $168 104%
Global Exchange Managed Care $13 151%
Health Partners Plan $17 - $56 197%
Horizon $31 - $157 360%
Self Pay $34 394%
Magnacare $90 - $202 1044%
Cigna $94 - $113 1090%
Evernorth $112 1299%
Qualcare Commercial $112 1299%
Great West Life $113 1311%
Amerihealth $144 - $188 1671%
Active Care Plus $146 1694%
First Mco $146 1694%
Mutual Of Omaha $146 1694%
Qualcare Wc $146 1694%
Consumer Health Network (Chn) $157 - $202 1821%
Donio Trucking $157 1821%
Devon/ Ullicare $168 1949%
Coventry Health Care $179 2077%
Private Healthcare System (Phcs) $179 2077%
Blue Cross Blue Shield $184 2135%
Health Payors Org $190 2204%
Health South $190 2204%
Metrahealth Of Nj $190 2204%
Prime Health Services $190 2204%
Three Rivers Provider Network (Trpn) $190 2204%
Active Care Nj Pip $202 2343%
Beech Street $202 2343%
Choice Care $202 2343%
Department Of Corrections $202 2343%
Galaxy Health Network $202 2343%
Health Network Inc $202 2343%
Intergroup Preferred Program $202 2343%
Mcs Commercial $202 2343%
Metracomp $202 2343%
Multiplan $202 2343%
Provider Select, Inc $202 2343%
Atlantis Health Plan $207 2401%
Master Care Inc $207 2401%
Advance Healthcare System $213 2471%
Community Care Network $213 2471%
Health Network America $213 2471%
Mcsi/Mrsi No Fault $213 2471%
Mcsi/Mrsi Worker'S Comp $213 2471%
National Health Plan $213 2471%

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