How many shoppable procedure prices are published for Atlanticare Regional Medical Center - City Campus?

Atlanticare Regional Medical Center - City Campus in Atlantic City, NJ currently has 123 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Atlanticare Regional Medical Center - City Campus's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Atlanticare Regional Medical Center - City Campus's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Atlanticare Regional Medical Center - City Campus's CMS Care Compare overall star rating?

CMS Care Compare assigns Atlanticare Regional Medical Center - City Campus an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 532 Beds · urban Updated: 2026-03-18

Atlanticare Regional Medical Center - City Campus

1925 Pacific Avenue, Atlantic City, NJ 08401 · 123 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Above Fair Market · Negotiate

1.37×vs. Fair Market Price

Typical commercial prices here are +37% above the fair benchmark (1.37×) even after accounting for local nurse/doctor wages and patient complexity.

77/100 · Corroborated

77/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness100

Price Logic70

Peer Alignment69

Clean Billing92

Real Cash Discount50

High-Markup · Check Safety

3-Star CMS clinical quality rating paired with 1.37× fair market pricing.

Behavioral Pricing FingerprintHigh-HHI Market Leverage

Consolidated System Premium Pricer

Operating in a concentrated regional market (CBSA HHI 4,946), Atlanticare Regional Medical Center - City Campus commands a 1.37× BaseRate commercial premium across insurers. Self-pay cash quotes, in-state peer hospitals, and freestanding outpatient facilities offer critical leverage against consolidated system pricing.

#46 of 52 in NJ · 86th State Percentile#2,401 of 3,385 in U.S. · 70th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.95× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (50/100 Cash Honesty)
4-Star CMS clinical rating with 66% patient recommendation (70/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (70.5% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (1.37× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 1.34× Fair BaseRate (1.6× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.64×) jump +22% above the median procedure ratio (Q50 1.34×)
Consolidated metro market (HHI 4,946) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.6× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.87× Divergence

1.4× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+22% Upper Tail

Q25 0.95× · Q50 1.34× · Q75 1.64×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.6× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.5× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.4× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

0% Cash Edge · 50/100Elevated

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 70/100Fair

Procedure Prices at Atlanticare Regional Medical Center - City Campus

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 123 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$44,744	$30,775	1.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$32,236	$19,432	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$27,067	$19,087	1.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$25,684	$17,936	1.4×
Total hip replacement CPT Code: `27130`	—	$21,667	$13,413	1.6×
Total knee replacement CPT Code: `27447`	—	$21,667	$13,523	1.6×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$10,202	$6,109	1.7×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$9,791	$8,223	1.2×
Inguinal hernia repair CPT Code: `49505`	—	$6,042	$3,629	1.7×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,522	$3,372	1.6×
Bunion correction surgery CPT Code: `28296`	—	$5,522	$3,446	1.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$4,447	$1,256	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	—	$4,147	$981	unverified
Cataract surgery with lens implant CPT Code: `66984`	—	$3,895	$2,540	1.5×
Breast lump removal CPT Code: `19120`	—	$2,714	$3,875	0.7×
Trauma team activation HCPCS Code: `G0390`	—	$2,249	$1,453	1.5×
Upper endoscopy with biopsy CPT Code: `43239`	—	$2,041	$987	2.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	—	$1,644	$583	unverified
Sleep study (overnight, in lab) CPT Code: `95810`	—	$1,449	$1,021	1.4×
Injection procedure for pain management HCPCS Code: `G0260`	—	—	$855	unverified
Psychological testing by technician CPT Code: `96138`	—	$754	$395	1.9×
Blood transfusion CPT Code: `36430`	—	$667	$498	1.3×
MRI, brain (with and without contrast) CPT Code: `70553`	—	$497	$511	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	—	$404	$448	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$349	$166	2.1×
Family therapy session CPT Code: `90847`	—	$349	$173	2.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$349	$181	1.9×
Neurobehavioral status check CPT Code: `96116`	—	$364	$231	1.6×
Rabies immune globulin HCPCS Code: `90375`	—	$347	$322	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$300	$185	1.6×
MRI, lower back (no contrast) CPT Code: `72148`	—	$322	$338	1.0×
MRI, brain (no contrast) CPT Code: `70551`	—	$322	$343	0.9×
MRI, knee or other leg joint CPT Code: `73721`	—	$322	$369	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	—	$277	$303	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	—	$272	unverified
Psychological testing evaluation CPT Code: `96136`	—	$225	$128	1.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	—	$203	$148	1.4×
CT scan, head (with contrast) CPT Code: `70460`	—	$203	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	—	$203	$258	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	—	$150	$86	1.7×
Group therapy session CPT Code: `90853`	—	$171	$100	1.7×
Screening mammogram (both breasts) CPT Code: `77067`	—	$166	$123	1.3×
X-ray, chest (two views) CPT Code: `71046`	—	$129	$93	1.4×
X-ray, lower back CPT Code: `72110`	—	$148	$112	1.3×
Ultrasound, abdomen (limited) CPT Code: `76705`	—	$148	$126	1.2×
Ultrasound, pelvis CPT Code: `76856`	—	$148	$130	1.1×
Ultrasound, thyroid and neck CPT Code: `76536`	—	$148	$132	1.1×
Ultrasound, abdomen (complete) CPT Code: `76700`	—	$148	$134	1.1×
Hepatitis B immune globulin HCPCS Code: `90371`	—	$142	$151	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	—	$152	$201	0.8×
X-ray, pelvis CPT Code: `72170`	—	$148	$110	unverified
X-ray, shoulder CPT Code: `73030`	—	$115	$92	1.3×
X-ray, foot CPT Code: `73630`	—	$115	$92	1.3×
X-ray, neck (cervical spine) CPT Code: `72040`	—	$115	$93	1.2×
X-ray, hand CPT Code: `73130`	—	$115	$93	1.2×
X-ray, hip CPT Code: `73502`	—	$115	$93	1.2×
X-ray, ankle CPT Code: `73610`	—	$115	$93	1.2×
CT scan, head (no contrast) CPT Code: `70450`	—	$121	$160	0.8×
CT scan, pelvis CPT Code: `72192`	—	$121	$163	0.7×
CT scan, sinuses CPT Code: `70486`	—	$121	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	—	$121	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	—	$121	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	—	$121	$169	0.7×
X-ray, chest (single view) CPT Code: `71045`	—	$129	$92	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	—	—	$123	unverified
Orthotic fitting and training CPT Code: `97760`	—	$91	$51	1.8×
New patient office visit (30-44 min) CPT Code: `99203`	—	—	$110	—
Office visit, established patient (20-29 min) CPT Code: `99213`	—	—	$87	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	—	$385	$347	1.1×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$199	$203	1.0×
Drug screening test HCPCS Code: `G0480`	—	$114	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	—	$133	$140	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$77	$35	2.2×
Prosthetic fitting and training CPT Code: `97761`	—	$79	$45	1.8×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$102	$111	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$65	$38	1.7×
Colorectal cancer screening HCPCS Code: `G0010`	—	$79	$49	1.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$79	$49	unverified
Speech therapy (group session) CPT Code: `92508`	—	$46	$27	1.7×
Occupational therapy (therapeutic activities) CPT Code: `97530`	—	$68	$40	1.7×
Physical therapy (gait training) CPT Code: `97116`	—	$56	$33	1.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$63	$38	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	—	$62	$38	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	—	$56	$35	1.6×
Physical therapy (manual therapy) CPT Code: `97140`	—	$53	$34	1.6×
Blood antibody screen CPT Code: `86850`	—	$59	$46	1.3×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	—	$56	$56	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	—	$64	unverified
Flu vaccine injection HCPCS Code: `G0008`	—	$77	$48	unverified
Electrical stimulation therapy HCPCS Code: `G0283`	—	$24	$14	1.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$37	$39	0.9×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$26	$27	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$19	$20	0.9×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$23	$25	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	—	$33	$37	0.9×
Blood test, vitamin D CPT Code: `82306`	—	—	$31	unverified
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$2	$3	0.7×
Blood test, hemoglobin CPT Code: `85018`	—	$2	$3	0.7×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$2	$4	0.5×
Blood test, basic metabolic panel CPT Code: `80048`	—	—	$9	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	—	$11	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	—	$14	—
Blood test, liver function panel CPT Code: `80076`	—	—	$9	—
Blood test, amylase CPT Code: `82150`	—	—	$7	—
Blood test, calcium CPT Code: `82310`	—	—	$5	—
Blood test, creatinine (kidney) CPT Code: `82565`	—	—	$5	—
Blood test, vitamin B12 CPT Code: `82607`	—	—	$16	—
Blood test, ferritin (iron stores) CPT Code: `82728`	—	—	$14	—
Blood test, glucose (blood sugar) CPT Code: `82947`	—	—	$4	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	—	—	$10	—
Blood test, lipase CPT Code: `83690`	—	—	$7	—
Blood test, magnesium CPT Code: `83735`	—	—	$7	—
Blood test, potassium CPT Code: `84132`	—	—	$5	—
Blood test, PSA (prostate screen) CPT Code: `84153`	—	—	$19	unverified
Blood test, sodium CPT Code: `84295`	—	—	$5	—
Blood test, thyroid (TSH) CPT Code: `84443`	—	—	$18	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	—	$5	—
Blood test, clotting time (PTT) CPT Code: `85730`	—	—	$6	—
Hepatitis C antibody test CPT Code: `86803`	—	—	$15	—
Culture, blood CPT Code: `87040`	—	—	$11	—
Culture, bacterial CPT Code: `87070`	—	—	$9	—

Showing top 25 high-impact procedures of 123 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 70.5%

Audit a Bill or Quote at Atlanticare Regional Medical Center - City Campus (Zero PHI Required)

CMS CCN: 310064

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $44,744

1. Amount on Your Bill or Quote ($) Pre-filled with Atlanticare Regional Medical Center - City Campus’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $75,729 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $75,729

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (70.5% of gross = $75,729).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Atlanticare Regional Medical Center - City Campus's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$76,611 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($107,386) is $76,611 above the denoised Fair BaseRate ($30,775) and 4.6× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (70.5% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite70/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait171 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate2.2%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionbetter

C. diff Hospital-Onset Infectionbetter

Source: CMS Hospital Care Compare (534 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Atlanticare Regional Medical Center - City Campus.

Price Index: 1.44× regional baseline

Quality: 64/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Evernorth

-56.0%

Health Payors Org

-43.0%

Median Household Income$76,819U.S. Census ACS

Local Uninsured Share7.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 77/100 · Corroborated CMS CCN 310064

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 310064) ↗ CMS HCRIS Cost Reports ↗

Published MRF Fileatlanticare

Publication / Vintage2026-03-18 · 1005.19 MB

Validated Rate Rows7,117 (CMS v3.0.0)

File Integrity Digest38816cf137c5bb851381…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy