CMS Price Transparency Data

X-ray, chest (single view)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71045
  • Insurance Median: $314
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.53x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (single view) at Atlanticare Regional Medical Center - City Campus is $314. 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 3.53x 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
$314

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: $314 (353%)
Ins. Median: $314 (353% 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 353% of the Medicare baseline (a markup of 253%). 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.

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 $54 61%
UnitedHealthcare $54 - $243 61%
Horizon $58 - $293 65%
Wellcare $58 65%
Self Pay $63 71%
Tricare $88 99%
Devoted Health Plan $101 114%
Oxford $129 145%
Global Exchange Managed Care $147 165%
Magnacare $168 - $377 189%
Cigna $176 - $211 198%
Health Partners Plan $196 220%
Evernorth $210 236%
Qualcare Commercial $210 236%
Great West Life $211 237%
Aetna $241 - $346 271%
Amerihealth $269 - $352 303%
Active Care Plus $272 306%
First Mco $272 306%
Mutual Of Omaha $272 306%
Qualcare Wc $272 306%
Consumer Health Network (Chn) $293 - $377 330%
Donio Trucking $293 330%
Devon/ Ullicare $314 353%
Coventry Health Care $335 377%
Private Healthcare System (Phcs) $335 377%
Blue Cross Blue Shield $345 388%
Health Payors Org $356 400%
Health South $356 400%
Metrahealth Of Nj $356 400%
Prime Health Services $356 400%
Three Rivers Provider Network (Trpn) $356 400%
Active Care Nj Pip $377 424%
Beech Street $377 424%
Choice Care $377 424%
Department Of Corrections $377 424%
Galaxy Health Network $377 424%
Health Network Inc $377 424%
Intergroup Preferred Program $377 424%
Mcs Commercial $377 424%
Metracomp $377 424%
Multiplan $377 424%
Provider Select, Inc $377 424%
Atlantis Health Plan $388 436%
Master Care Inc $388 436%
Advance Healthcare System $398 448%
Community Care Network $398 448%
Health Network America $398 448%
Mcsi/Mrsi No Fault $398 448%
Mcsi/Mrsi Worker'S Comp $398 448%
National Health Plan $398 448%

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