CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $188
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.60x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Atlanticare Regional Medical Center - City Campus is $188. 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 $117.57, this hospital’s rate is 1.60x 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
$188

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Insurance Median: $188 (160%)
Ins. Median: $188 (160% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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.

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 $31 26%
UnitedHealthcare $31 - $171 26%
Wellcare $33 28%
Horizon $34 - $169 29%
Self Pay $36 31%
Health Partners Plan $60 51%
Amerigroup $63 54%
Magnacare $96 - $217 82%
Cigna $101 - $121 86%
Devoted Health Plan $120 102%
Evernorth $120 102%
Qualcare Commercial $120 102%
Great West Life $121 103%
Aetna $139 - $199 118%
Amerihealth $155 - $203 132%
Active Care Plus $157 134%
First Mco $157 134%
Mutual Of Omaha $157 134%
Qualcare Wc $157 134%
Consumer Health Network (Chn) $169 - $217 144%
Donio Trucking $169 144%
Devon/ Ullicare $181 154%
Oxford $181 154%
Coventry Health Care $193 164%
Private Healthcare System (Phcs) $193 164%
Blue Cross Blue Shield $198 168%
Health Payors Org $205 174%
Health South $205 174%
Metrahealth Of Nj $205 174%
Prime Health Services $205 174%
Three Rivers Provider Network (Trpn) $205 174%
Active Care Nj Pip $217 185%
Beech Street $217 185%
Choice Care $217 185%
Department Of Corrections $217 185%
Galaxy Health Network $217 185%
Health Network Inc $217 185%
Intergroup Preferred Program $217 185%
Mcs Commercial $217 185%
Metracomp $217 185%
Multiplan $217 185%
Provider Select, Inc $217 185%
Atlantis Health Plan $223 190%
Master Care Inc $223 190%
Advance Healthcare System $229 195%
Community Care Network $229 195%
Health Network America $229 195%
Mcsi/Mrsi No Fault $229 195%
Mcsi/Mrsi Worker'S Comp $229 195%
National Health Plan $229 195%

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