CMS Price Transparency Data

X-ray, hip

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $383
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 4.31x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Atlanticare Regional Medical Center - City Campus is $383. 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 4.31x 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
$383

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: $383 (431%)
Ins. Median: $383 (431% 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 431% of the Medicare baseline (a markup of 331%). 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 $66 74%
UnitedHealthcare $66 - $296 74%
Horizon $71 - $307 80%
Wellcare $71 80%
Self Pay $77 87%
Tricare $88 99%
Devoted Health Plan $101 114%
Oxford $129 145%
Global Exchange Managed Care $147 165%
Health Partners Plan $196 220%
Magnacare $204 - $460 229%
Cigna $214 - $258 241%
Evernorth $256 288%
Qualcare Commercial $256 288%
Great West Life $258 290%
Aetna $294 - $422 331%
Amerihealth $329 - $430 370%
Active Care Plus $332 373%
First Mco $332 373%
Mutual Of Omaha $332 373%
Qualcare Wc $332 373%
Consumer Health Network (Chn) $358 - $460 403%
Donio Trucking $358 403%
Devon/ Ullicare $383 431%
Coventry Health Care $409 460%
Private Healthcare System (Phcs) $409 460%
Blue Cross Blue Shield $420 472%
Health Payors Org $434 488%
Health South $434 488%
Metrahealth Of Nj $434 488%
Prime Health Services $434 488%
Three Rivers Provider Network (Trpn) $434 488%
Active Care Nj Pip $460 517%
Beech Street $460 517%
Choice Care $460 517%
Department Of Corrections $460 517%
Galaxy Health Network $460 517%
Health Network Inc $460 517%
Intergroup Preferred Program $460 517%
Mcs Commercial $460 517%
Metracomp $460 517%
Multiplan $460 517%
Provider Select, Inc $460 517%
Atlantis Health Plan $473 532%
Master Care Inc $473 532%
Advance Healthcare System $485 545%
Community Care Network $485 545%
Health Network America $485 545%
Mcsi/Mrsi No Fault $485 545%
Mcsi/Mrsi Worker'S Comp $485 545%
National Health Plan $485 545%

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