CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $69
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 21.77x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Atlanticare Regional Medical Center - City Campus is $69. 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 $3.17, this hospital’s rate is 21.77x 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
$69

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.17 (100%)
Insurance Median: $69 (2177%)
Ins. Median: $69 (2177% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.17 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 2177% of the Medicare baseline (a markup of 2077%). 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
Aetna $1 - $78 32%
Americhoice $1 32%
Amerigroup $1 32%
UnitedHealthcare $1 - $67 32%
Wellcare $1 32%
Ambetter / Centene $2 63%
Devoted Health Plan $3 - $47 95%
Oxford $3 - $70 95%
Global Exchange Managed Care $5 158%
Health Partners Plan $6 - $24 189%
Horizon $13 - $66 410%
Self Pay $14 442%
Magnacare $38 - $85 1199%
Cigna $39 - $47 1230%
Evernorth $47 1483%
Great West Life $47 1483%
Qualcare Commercial $47 1483%
Amerihealth $60 - $79 1893%
Active Care Plus $61 1924%
First Mco $61 1924%
Mutual Of Omaha $61 1924%
Qualcare Wc $61 1924%
Consumer Health Network (Chn) $66 - $85 2082%
Donio Trucking $66 2082%
Devon/ Ullicare $70 2208%
Coventry Health Care $75 2366%
Private Healthcare System (Phcs) $75 2366%
Blue Cross Blue Shield $77 2429%
Health Payors Org $80 2524%
Health South $80 2524%
Metrahealth Of Nj $80 2524%
Prime Health Services $80 2524%
Three Rivers Provider Network (Trpn) $80 2524%
Active Care Nj Pip $85 2681%
Beech Street $85 2681%
Choice Care $85 2681%
Department Of Corrections $85 2681%
Galaxy Health Network $85 2681%
Health Network Inc $85 2681%
Intergroup Preferred Program $85 2681%
Mcs Commercial $85 2681%
Metracomp $85 2681%
Multiplan $85 2681%
Provider Select, Inc $85 2681%
Atlantis Health Plan $87 2744%
Master Care Inc $87 2744%
Advance Healthcare System $89 2808%
Community Care Network $89 2808%
Health Network America $89 2808%
Mcsi/Mrsi No Fault $89 2808%
Mcsi/Mrsi Worker'S Comp $89 2808%
National Health Plan $89 2808%

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