CMS Price Transparency Data

X-ray, ankle

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $538
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 6.05x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Atlanticare Regional Medical Center - City Campus is $538. 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 $88.91, this hospital’s rate is 6.05x 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
$538

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Insurance Median: $538 (605%)
Ins. Median: $538 (605% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 605% of the Medicare baseline (a markup of 505%). 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
Americhoice $84 - $95 94%
UnitedHealthcare $84 - $426 94%
Tricare $88 99%
Wellcare $90 - $101 101%
Horizon $91 - $440 102%
Self Pay $98 - $110 110%
Devoted Health Plan $101 114%
Oxford $129 145%
Global Exchange Managed Care $147 165%
Health Partners Plan $196 220%
Magnacare $262 - $661 295%
Cigna $274 - $370 308%
Evernorth $327 - $367 368%
Qualcare Commercial $327 - $367 368%
Great West Life $330 - $370 371%
Aetna $376 - $606 423%
Amerihealth $421 - $617 474%
Active Care Plus $425 - $477 478%
First Mco $425 - $477 478%
Mutual Of Omaha $425 - $477 478%
Qualcare Wc $425 - $477 478%
Consumer Health Network (Chn) $458 - $661 515%
Donio Trucking $458 - $514 515%
Devon/ Ullicare $490 - $550 551%
Coventry Health Care $523 - $587 588%
Private Healthcare System (Phcs) $523 - $587 588%
Blue Cross Blue Shield $538 - $604 605%
Health Payors Org $556 - $624 625%
Health South $556 - $624 625%
Metrahealth Of Nj $556 - $624 625%
Prime Health Services $556 - $624 625%
Three Rivers Provider Network (Trpn) $556 - $624 625%
Active Care Nj Pip $589 - $661 662%
Beech Street $589 - $661 662%
Choice Care $589 - $661 662%
Department Of Corrections $589 - $661 662%
Galaxy Health Network $589 - $661 662%
Health Network Inc $589 - $661 662%
Intergroup Preferred Program $589 - $661 662%
Mcs Commercial $589 - $661 662%
Metracomp $589 - $661 662%
Multiplan $589 - $661 662%
Provider Select, Inc $589 - $661 662%
Atlantis Health Plan $605 - $679 680%
Master Care Inc $605 - $679 680%
Advance Healthcare System $621 - $697 698%
Community Care Network $621 - $697 698%
Health Network America $621 - $697 698%
Mcsi/Mrsi No Fault $621 - $697 698%
Mcsi/Mrsi Worker'S Comp $621 - $697 698%
National Health Plan $621 - $697 698%

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