CMS Price Transparency Data

Family therapy session

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 90847 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90847
  • Insurance Median: $399
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.20x Medicare
The contracted insurance negotiated median rate for a Family therapy session at Atlanticare Regional Medical Center - City Campus is $399. 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 $181.34, this hospital’s rate is 2.20x 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
$399

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Insurance Median: $399 (220%)
Ins. Median: $399 (220% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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 220% of the Medicare baseline (a markup of 120%). 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.

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
Americhoice $65 36%
UnitedHealthcare $65 - $355 36%
Wellcare $69 38%
Horizon $70 - $350 39%
Self Pay $75 41%
Amerigroup $130 72%
Tricare $161 89%
Magnacare $200 - $450 110%
Devoted Health Plan $206 114%
Cigna $210 - $252 116%
Qualcare Commercial $250 138%
Great West Life $252 139%
Aetna $288 - $413 159%
Global Exchange Managed Care $300 165%
Amerihealth $322 - $420 178%
Active Care Plus $325 179%
First Mco $325 179%
Mutual Of Omaha $325 179%
Qualcare Wc $325 179%
Consumer Health Network (Chn) $350 - $450 193%
Donio Trucking $350 193%
Devon/ Ullicare $375 207%
Oxford $375 207%
Health Partners Plan $399 220%
Coventry Health Care $400 221%
Private Healthcare System (Phcs) $400 221%
Blue Cross Blue Shield $411 227%
Health Payors Org $425 234%
Health South $425 234%
Metrahealth Of Nj $425 234%
Prime Health Services $425 234%
Three Rivers Provider Network (Trpn) $425 234%
Active Care Nj Pip $450 248%
Beech Street $450 248%
Choice Care $450 248%
Department Of Corrections $450 248%
Galaxy Health Network $450 248%
Health Network Inc $450 248%
Intergroup Preferred Program $450 248%
Mcs Commercial $450 248%
Metracomp $450 248%
Multiplan $450 248%
Provider Select, Inc $450 248%
Atlantis Health Plan $462 255%
Master Care Inc $462 255%
Advance Healthcare System $475 262%
Community Care Network $475 262%
Health Network America $475 262%
Mcsi/Mrsi No Fault $475 262%
Mcsi/Mrsi Worker'S Comp $475 262%
National Health Plan $475 262%
Evernorth $756 417%

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