CMS Price Transparency Data

X-ray, lower back

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $604
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 5.65x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Atlanticare Regional Medical Center - City Campus is $604. 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 $106.81, this hospital’s rate is 5.65x 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
$604

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Insurance Median: $604 (565%)
Ins. Median: $604 (565% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 565% of the Medicare baseline (a markup of 465%). 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 $104 97%
UnitedHealthcare $104 - $467 97%
Tricare $106 99%
Wellcare $111 104%
Horizon $112 - $484 105%
Devoted Health Plan $121 113%
Self Pay $121 113%
Oxford $174 163%
Global Exchange Managed Care $176 165%
Health Partners Plan $235 220%
Magnacare $322 - $725 301%
Cigna $338 - $406 316%
Evernorth $403 377%
Qualcare Commercial $403 377%
Great West Life $406 380%
Aetna $464 - $666 434%
Amerihealth $518 - $678 485%
Active Care Plus $524 491%
First Mco $524 491%
Mutual Of Omaha $524 491%
Qualcare Wc $524 491%
Consumer Health Network (Chn) $564 - $725 528%
Donio Trucking $564 528%
Devon/ Ullicare $604 565%
Coventry Health Care $645 604%
Private Healthcare System (Phcs) $645 604%
Blue Cross Blue Shield $663 621%
Health Payors Org $685 641%
Health South $685 641%
Metrahealth Of Nj $685 641%
Prime Health Services $685 641%
Three Rivers Provider Network (Trpn) $685 641%
Active Care Nj Pip $725 679%
Beech Street $725 679%
Choice Care $725 679%
Department Of Corrections $725 679%
Galaxy Health Network $725 679%
Health Network Inc $725 679%
Intergroup Preferred Program $725 679%
Mcs Commercial $725 679%
Metracomp $725 679%
Multiplan $725 679%
Provider Select, Inc $725 679%
Atlantis Health Plan $746 698%
Master Care Inc $746 698%
Advance Healthcare System $766 717%
Community Care Network $766 717%
Health Network America $766 717%
Mcsi/Mrsi No Fault $766 717%
Mcsi/Mrsi Worker'S Comp $766 717%
National Health Plan $766 717%

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