CMS Price Transparency Data

X-ray, foot

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $536
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 6.03x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Atlanticare Regional Medical Center - City Campus is $536. 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 6.03x 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
$536

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: $536 (603%)
Ins. Median: $536 (603% 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 603% of the Medicare baseline (a markup of 503%). 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 - $96 94%
UnitedHealthcare $84 - $429 94%
Tricare $88 99%
Horizon $90 - $444 101%
Wellcare $90 - $102 101%
Self Pay $98 - $111 110%
Devoted Health Plan $101 114%
Oxford $129 145%
Global Exchange Managed Care $147 165%
Health Partners Plan $196 220%
Magnacare $260 - $666 292%
Cigna $273 - $373 307%
Evernorth $326 - $370 367%
Qualcare Commercial $326 - $370 367%
Great West Life $328 - $373 369%
Aetna $374 - $611 421%
Amerihealth $419 - $622 471%
Active Care Plus $423 - $481 476%
First Mco $423 - $481 476%
Mutual Of Omaha $423 - $481 476%
Qualcare Wc $423 - $481 476%
Consumer Health Network (Chn) $456 - $666 513%
Donio Trucking $456 - $518 513%
Devon/ Ullicare $488 - $555 549%
Coventry Health Care $521 - $592 586%
Private Healthcare System (Phcs) $521 - $592 586%
Blue Cross Blue Shield $536 - $609 603%
Health Payors Org $553 - $629 622%
Health South $553 - $629 622%
Metrahealth Of Nj $553 - $629 622%
Prime Health Services $553 - $629 622%
Three Rivers Provider Network (Trpn) $553 - $629 622%
Active Care Nj Pip $586 - $666 659%
Beech Street $586 - $666 659%
Choice Care $586 - $666 659%
Department Of Corrections $586 - $666 659%
Galaxy Health Network $586 - $666 659%
Health Network Inc $586 - $666 659%
Intergroup Preferred Program $586 - $666 659%
Mcs Commercial $586 - $666 659%
Metracomp $586 - $666 659%
Multiplan $586 - $666 659%
Provider Select, Inc $586 - $666 659%
Atlantis Health Plan $602 - $684 677%
Master Care Inc $602 - $684 677%
Advance Healthcare System $618 - $703 695%
Community Care Network $618 - $703 695%
Health Network America $618 - $703 695%
Mcsi/Mrsi No Fault $618 - $703 695%
Mcsi/Mrsi Worker'S Comp $618 - $703 695%
National Health Plan $618 - $703 695%

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