CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $1,034
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 9.68x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Atlanticare Regional Medical Center - City Campus is $1,034. 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 $106.81, this hospital’s rate is 9.68x 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
$1,034

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Insurance Median: $1,034 (968%)
Ins. Median: $1,034 (968% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 968% of the Medicare baseline (a markup of 868%). 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 $106 99%
Devoted Health Plan $121 113%
Oxford $174 163%
UnitedHealthcare $174 - $801 163%
Global Exchange Managed Care $176 165%
Americhoice $178 167%
Wellcare $191 179%
Horizon $192 - $967 180%
Self Pay $207 194%
Health Partners Plan $235 220%
Magnacare $552 - $1,243 517%
Cigna $580 - $696 543%
Evernorth $690 646%
Qualcare Commercial $690 646%
Great West Life $696 652%
Aetna $794 - $1,141 743%
Amerihealth $888 - $1,161 831%
Active Care Plus $898 841%
First Mco $898 841%
Mutual Of Omaha $898 841%
Qualcare Wc $898 841%
Consumer Health Network (Chn) $967 - $1,243 905%
Donio Trucking $967 905%
Devon/ Ullicare $1,036 970%
Coventry Health Care $1,105 1035%
Private Healthcare System (Phcs) $1,105 1035%
Blue Cross Blue Shield $1,136 1064%
Health Payors Org $1,174 1099%
Health South $1,174 1099%
Metrahealth Of Nj $1,174 1099%
Prime Health Services $1,174 1099%
Three Rivers Provider Network (Trpn) $1,174 1099%
Active Care Nj Pip $1,243 1164%
Beech Street $1,243 1164%
Choice Care $1,243 1164%
Department Of Corrections $1,243 1164%
Galaxy Health Network $1,243 1164%
Health Network Inc $1,243 1164%
Intergroup Preferred Program $1,243 1164%
Mcs Commercial $1,243 1164%
Metracomp $1,243 1164%
Multiplan $1,243 1164%
Provider Select, Inc $1,243 1164%
Atlantis Health Plan $1,277 1196%
Master Care Inc $1,277 1196%
Advance Healthcare System $1,312 1228%
Community Care Network $1,312 1228%
Health Network America $1,312 1228%
Mcsi/Mrsi No Fault $1,312 1228%
Mcsi/Mrsi Worker'S Comp $1,312 1228%
National Health Plan $1,312 1228%

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