CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $3,228
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 13.24x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Atlanticare Regional Medical Center - City Campus is $3,228. 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 $243.77, this hospital’s rate is 13.24x 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
$3,228

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Insurance Median: $3,228 (1324%)
Ins. Median: $3,228 (1324% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 1324% of the Medicare baseline (a markup of 1224%). 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
Tricare $242 99%
Devoted Health Plan $276 113%
Oxford $368 151%
UnitedHealthcare $368 - $2,401 151%
Global Exchange Managed Care $403 165%
Americhoice $532 - $534 218%
Health Partners Plan $537 220%
Wellcare $569 - $572 233%
Horizon $572 - $2,897 235%
Self Pay $618 - $621 254%
Magnacare $1,647 - $3,725 676%
Cigna $1,728 - $2,086 709%
Evernorth $2,059 - $2,070 845%
Qualcare Commercial $2,059 - $2,070 845%
Great West Life $2,075 - $2,086 851%
Aetna $2,368 - $3,419 971%
Amerihealth $2,648 - $3,479 1086%
Active Care Plus $2,677 - $2,690 1098%
First Mco $2,677 - $2,690 1098%
Mutual Of Omaha $2,677 - $2,690 1098%
Qualcare Wc $2,677 - $2,690 1098%
Consumer Health Network (Chn) $2,883 - $3,725 1183%
Donio Trucking $2,883 - $2,897 1183%
Devon/ Ullicare $3,088 - $3,104 1267%
Coventry Health Care $3,294 - $3,311 1351%
Private Healthcare System (Phcs) $3,294 - $3,311 1351%
Blue Cross Blue Shield $3,388 - $3,406 1390%
Health Payors Org $3,500 - $3,518 1436%
Health South $3,500 - $3,518 1436%
Metrahealth Of Nj $3,500 - $3,518 1436%
Prime Health Services $3,500 - $3,518 1436%
Three Rivers Provider Network (Trpn) $3,500 - $3,518 1436%
Active Care Nj Pip $3,706 - $3,725 1520%
Beech Street $3,706 - $3,725 1520%
Choice Care $3,706 - $3,725 1520%
Department Of Corrections $3,706 - $3,725 1520%
Galaxy Health Network $3,706 - $3,725 1520%
Health Network Inc $3,706 - $3,725 1520%
Intergroup Preferred Program $3,706 - $3,725 1520%
Mcs Commercial $3,706 - $3,725 1520%
Metracomp $3,706 - $3,725 1520%
Multiplan $3,706 - $3,725 1520%
Provider Select, Inc $3,706 - $3,725 1520%
Atlantis Health Plan $3,809 - $3,829 1563%
Master Care Inc $3,809 - $3,829 1563%
Advance Healthcare System $3,912 - $3,932 1605%
Community Care Network $3,912 - $3,932 1605%
Health Network America $3,912 - $3,932 1605%
Mcsi/Mrsi No Fault $3,912 - $3,932 1605%
Mcsi/Mrsi Worker'S Comp $3,912 - $3,932 1605%
National Health Plan $3,912 - $3,932 1605%

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