CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $3,679
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 15.09x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Atlanticare Regional Medical Center - City Campus is $3,679. 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 15.09x 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
$3,679

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: $3,679 (1509%)
Ins. Median: $3,679 (1509% 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 1509% of the Medicare baseline (a markup of 1409%). 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
Tricare $242 99%
Devoted Health Plan $276 113%
Oxford $368 151%
UnitedHealthcare $368 - $2,847 151%
Global Exchange Managed Care $403 165%
Health Partners Plan $537 220%
Americhoice $634 260%
Wellcare $678 278%
Horizon $682 - $2,945 280%
Self Pay $736 302%
Magnacare $1,964 - $4,418 806%
Cigna $2,060 - $2,474 845%
Evernorth $2,454 1007%
Qualcare Commercial $2,454 1007%
Great West Life $2,474 1015%
Aetna $2,823 - $4,055 1158%
Amerihealth $3,156 - $4,127 1295%
Active Care Plus $3,191 1309%
First Mco $3,191 1309%
Mutual Of Omaha $3,191 1309%
Qualcare Wc $3,191 1309%
Consumer Health Network (Chn) $3,436 - $4,418 1410%
Donio Trucking $3,436 1410%
Devon/ Ullicare $3,682 1510%
Coventry Health Care $3,927 1611%
Private Healthcare System (Phcs) $3,927 1611%
Blue Cross Blue Shield $4,039 1657%
Health Payors Org $4,173 1712%
Health South $4,173 1712%
Metrahealth Of Nj $4,173 1712%
Prime Health Services $4,173 1712%
Three Rivers Provider Network (Trpn) $4,173 1712%
Active Care Nj Pip $4,418 1812%
Beech Street $4,418 1812%
Choice Care $4,418 1812%
Department Of Corrections $4,418 1812%
Galaxy Health Network $4,418 1812%
Health Network Inc $4,418 1812%
Intergroup Preferred Program $4,418 1812%
Mcs Commercial $4,418 1812%
Metracomp $4,418 1812%
Multiplan $4,418 1812%
Provider Select, Inc $4,418 1812%
Atlantis Health Plan $4,541 1863%
Master Care Inc $4,541 1863%
Advance Healthcare System $4,664 1913%
Community Care Network $4,664 1913%
Health Network America $4,664 1913%
Mcsi/Mrsi No Fault $4,664 1913%
Mcsi/Mrsi Worker'S Comp $4,664 1913%
National Health Plan $4,664 1913%

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