CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $822
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 7.70x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Atlanticare Regional Medical Center - City Campus is $822. 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 7.70x 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
$822

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: $822 (770%)
Ins. Median: $822 (770% 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 770% of the Medicare baseline (a markup of 670%). 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 $106 99%
Devoted Health Plan $121 113%
Americhoice $142 133%
UnitedHealthcare $142 - $637 133%
Wellcare $152 142%
Horizon $153 - $769 143%
Self Pay $165 154%
Oxford $174 163%
Global Exchange Managed Care $176 165%
Health Partners Plan $235 220%
Magnacare $439 - $988 411%
Cigna $461 - $553 432%
Evernorth $549 514%
Qualcare Commercial $549 514%
Great West Life $553 518%
Aetna $631 - $907 591%
Amerihealth $706 - $923 661%
Active Care Plus $714 668%
First Mco $714 668%
Mutual Of Omaha $714 668%
Qualcare Wc $714 668%
Consumer Health Network (Chn) $769 - $988 720%
Donio Trucking $769 720%
Devon/ Ullicare $824 771%
Coventry Health Care $878 822%
Private Healthcare System (Phcs) $878 822%
Blue Cross Blue Shield $903 845%
Health Payors Org $933 874%
Health South $933 874%
Metrahealth Of Nj $933 874%
Prime Health Services $933 874%
Three Rivers Provider Network (Trpn) $933 874%
Active Care Nj Pip $988 925%
Beech Street $988 925%
Choice Care $988 925%
Department Of Corrections $988 925%
Galaxy Health Network $988 925%
Health Network Inc $988 925%
Intergroup Preferred Program $988 925%
Mcs Commercial $988 925%
Metracomp $988 925%
Multiplan $988 925%
Provider Select, Inc $988 925%
Atlantis Health Plan $1,016 951%
Master Care Inc $1,016 951%
Advance Healthcare System $1,043 977%
Community Care Network $1,043 977%
Health Network America $1,043 977%
Mcsi/Mrsi No Fault $1,043 977%
Mcsi/Mrsi Worker'S Comp $1,043 977%
National Health Plan $1,043 977%

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