CMS Price Transparency Data

X-ray, chest (two views)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $371
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 4.17x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Atlanticare Regional Medical Center - City Campus is $371. 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 4.17x 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
$371

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: $371 (417%)
Ins. Median: $371 (417% 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 417% of the Medicare baseline (a markup of 317%). 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 $64 72%
UnitedHealthcare $64 - $287 72%
Wellcare $68 76%
Horizon $69 - $346 78%
Self Pay $74 83%
Tricare $88 99%
Devoted Health Plan $101 114%
Oxford $129 145%
Global Exchange Managed Care $147 165%
Health Partners Plan $196 220%
Magnacare $198 - $446 223%
Cigna $208 - $249 234%
Evernorth $248 279%
Qualcare Commercial $248 279%
Great West Life $249 280%
Aetna $285 - $409 321%
Amerihealth $318 - $416 358%
Active Care Plus $322 362%
First Mco $322 362%
Mutual Of Omaha $322 362%
Qualcare Wc $322 362%
Consumer Health Network (Chn) $346 - $446 389%
Donio Trucking $346 389%
Devon/ Ullicare $371 417%
Coventry Health Care $396 445%
Private Healthcare System (Phcs) $396 445%
Blue Cross Blue Shield $407 458%
Health Payors Org $421 474%
Health South $421 474%
Metrahealth Of Nj $421 474%
Prime Health Services $421 474%
Three Rivers Provider Network (Trpn) $421 474%
Active Care Nj Pip $446 502%
Beech Street $446 502%
Choice Care $446 502%
Department Of Corrections $446 502%
Galaxy Health Network $446 502%
Health Network Inc $446 502%
Intergroup Preferred Program $446 502%
Mcs Commercial $446 502%
Metracomp $446 502%
Multiplan $446 502%
Provider Select, Inc $446 502%
Atlantis Health Plan $458 515%
Master Care Inc $458 515%
Advance Healthcare System $470 529%
Community Care Network $470 529%
Health Network America $470 529%
Mcsi/Mrsi No Fault $470 529%
Mcsi/Mrsi Worker'S Comp $470 529%
National Health Plan $470 529%

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