CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $1,116
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 7.11x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Atlanticare Regional Medical Center - City Campus is $1,116. 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 $156.98, this hospital’s rate is 7.11x 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
$1,116

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Insurance Median: $1,116 (711%)
Ins. Median: $1,116 (711% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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 711% of the Medicare baseline (a markup of 611%). 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
Oxford $187 119%
UnitedHealthcare $187 - $864 119%
Americhoice $192 122%
Wellcare $206 131%
Horizon $207 - $1,042 132%
Devoted Health Plan $219 140%
Self Pay $223 142%
Global Exchange Managed Care $320 204%
Delta Dental $350 223%
Health Partners Plan $426 271%
Magnacare $596 - $1,340 380%
Cigna $625 - $750 398%
Evernorth $744 474%
Qualcare Commercial $744 474%
Great West Life $750 478%
Aetna $856 - $1,230 545%
Amerihealth $957 - $1,252 610%
Active Care Plus $968 617%
First Mco $968 617%
Mutual Of Omaha $968 617%
Qualcare Wc $968 617%
Consumer Health Network (Chn) $1,042 - $1,340 664%
Donio Trucking $1,042 664%
Devon/ Ullicare $1,117 712%
Coventry Health Care $1,191 759%
Private Healthcare System (Phcs) $1,191 759%
Blue Cross Blue Shield $1,225 780%
Health Payors Org $1,266 806%
Health South $1,266 806%
Metrahealth Of Nj $1,266 806%
Prime Health Services $1,266 806%
Three Rivers Provider Network (Trpn) $1,266 806%
Active Care Nj Pip $1,340 854%
Beech Street $1,340 854%
Choice Care $1,340 854%
Department Of Corrections $1,340 854%
Galaxy Health Network $1,340 854%
Health Network Inc $1,340 854%
Intergroup Preferred Program $1,340 854%
Mcs Commercial $1,340 854%
Metracomp $1,340 854%
Multiplan $1,340 854%
Provider Select, Inc $1,340 854%
Atlantis Health Plan $1,377 877%
Master Care Inc $1,377 877%
Advance Healthcare System $1,415 901%
Community Care Network $1,415 901%
Health Network America $1,415 901%
Mcsi/Mrsi No Fault $1,415 901%
Mcsi/Mrsi Worker'S Comp $1,415 901%
National Health Plan $1,415 901%

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