CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $3,435
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 14.09x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Atlanticare Regional Medical Center - City Campus is $3,435. 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 14.09x 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
$3,435

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: $3,435 (1409%)
Ins. Median: $3,435 (1409% 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 1409% of the Medicare baseline (a markup of 1309%). 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 - $6,428 151%
Global Exchange Managed Care $403 165%
Americhoice $493 - $1,431 202%
Wellcare $527 - $1,530 216%
Horizon $531 - $7,757 218%
Health Partners Plan $537 220%
Self Pay $573 - $1,662 235%
Magnacare $1,527 - $9,974 626%
Cigna $1,602 - $5,585 657%
Evernorth $1,908 - $5,541 783%
Qualcare Commercial $1,908 - $5,541 783%
Great West Life $1,924 - $5,585 789%
Aetna $2,195 - $9,154 900%
Amerihealth $2,454 - $9,316 1007%
Active Care Plus $2,481 - $7,203 1018%
First Mco $2,481 - $7,203 1018%
Mutual Of Omaha $2,481 - $7,203 1018%
Qualcare Wc $2,481 - $7,203 1018%
Consumer Health Network (Chn) $2,672 - $9,974 1096%
Donio Trucking $2,672 - $7,757 1096%
Devon/ Ullicare $2,863 - $8,312 1174%
Coventry Health Care $3,054 - $8,866 1253%
Private Healthcare System (Phcs) $3,054 - $8,866 1253%
Blue Cross Blue Shield $3,141 - $9,118 1289%
Health Payors Org $3,244 - $9,420 1331%
Health South $3,244 - $9,420 1331%
Metrahealth Of Nj $3,244 - $9,420 1331%
Prime Health Services $3,244 - $9,420 1331%
Three Rivers Provider Network (Trpn) $3,244 - $9,420 1331%
Active Care Nj Pip $3,435 - $9,974 1409%
Beech Street $3,435 - $9,974 1409%
Choice Care $3,435 - $9,974 1409%
Department Of Corrections $3,435 - $9,974 1409%
Galaxy Health Network $3,435 - $9,974 1409%
Health Network Inc $3,435 - $9,974 1409%
Intergroup Preferred Program $3,435 - $9,974 1409%
Mcs Commercial $3,435 - $9,974 1409%
Metracomp $3,435 - $9,974 1409%
Multiplan $3,435 - $9,974 1409%
Provider Select, Inc $3,435 - $9,974 1409%
Atlantis Health Plan $3,531 - $10,251 1448%
Master Care Inc $3,531 - $10,251 1448%
Advance Healthcare System $3,626 - $10,528 1487%
Community Care Network $3,626 - $10,528 1487%
Health Network America $3,626 - $10,528 1487%
Mcsi/Mrsi No Fault $3,626 - $10,528 1487%
Mcsi/Mrsi Worker'S Comp $3,626 - $10,528 1487%
National Health Plan $3,626 - $10,528 1487%

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