CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 392
Insurance Median: $11,314
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.99x Medicare

The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Atlanticare Regional Medical Center - City Campus is $11,314. 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 $5,675.87, this hospital’s rate is 1.99x 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

$11,314

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)

Insurance Median: $11,314 (199%)

Ins. Median: $11,314 (199% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Horizon Nj Health	$4,342	76%
Amerihealth	$6,153 - $7,893	108%
Arcadian	$6,153	108%
Horizon	$6,226 - $27,245	110%
Humana	$6,338	112%
Amerigroup	$6,350	112%
Wellcare	$6,475	114%
Longevity	$7,384	130%
Devoted Health Plan	$8,268	146%
Health Partners Plan	$11,314	199%
Global Exchange Managed Care	$11,924	210%
Aetna	$14,621 - $22,684	258%
Tricare	$16,486	290%
Blue Cross Blue Shield	$17,035	300%
UnitedHealthcare	$18,550 - $32,599	327%
Oxford	$26,542	468%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify MS-DRG Code matches exactly: 392.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atlanticare Regional Medical Center - City Campus is fully in-network.
Ask your insurer if "Prior Authorization" is required for MS-DRG code 392.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.