CMS Price Transparency Data

Colorectal cancer screening

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: G0010 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0010
  • Insurance Median: $107
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.24x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening at Atlanticare Regional Medical Center - City Campus is $107. 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 $47.84, this hospital’s rate is 2.24x 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
$107

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$47.84

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $47.84 (100%)
Insurance Median: $107 (224%)
Ins. Median: $107 (224% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $47.84 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 224% of the Medicare baseline (a markup of 124%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

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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 $18 38%
UnitedHealthcare $18 - $98 38%
Horizon $19 - $97 40%
Wellcare $19 40%
Self Pay $20 - $21 42%
Amerigroup $35 - $36 73%
Tricare $46 96%
Devoted Health Plan $54 113%
Magnacare $54 - $124 113%
Cigna $57 - $70 119%
Qualcare Commercial $68 - $69 142%
Evernorth $68 - $69 142%
Great West Life $69 - $70 144%
Aetna $78 - $114 163%
Global Exchange Managed Care $79 165%
Amerihealth $87 - $116 182%
Mutual of Omaha $88 - $90 184%
Qualcare Wc $88 - $90 184%
First McO $88 - $90 184%
Active Care Plus $88 - $90 184%
Consumer Health Network (Chn) $95 - $124 199%
Donio Trucking $95 - $97 199%
Devon/ Ullicare $102 - $104 213%
Oxford $102 - $104 213%
Health Partners Plan $105 219%
Coventry Health Care $109 - $110 228%
Private Healthcare System (PHCS) $109 - $110 228%
Blue Cross Blue Shield $112 - $114 234%
Health Payors Org $116 - $117 242%
Health South $116 - $117 242%
Three Rivers Provider Network (Trpn) $116 - $117 242%
Prime Health Services $116 - $117 242%
Metrahealth of Nj $116 - $117 242%
Metracomp $122 - $124 255%
Provider Select, Inc $122 - $124 255%
Department of Corrections $122 - $124 255%
Health Network Inc $122 - $124 255%
Beech Street $122 - $124 255%
McS Commercial $122 - $124 255%
Choice Care $122 - $124 255%
Active Care Nj Pip $122 - $124 255%
Intergroup Preferred Program $122 - $124 255%
Multiplan $122 - $124 255%
Galaxy Health Network $122 - $124 255%
Master Care Inc $126 - $128 263%
Atlantis Health Plan $126 - $128 263%
Health Network America $129 - $131 270%
National Health Plan $129 - $131 270%
Advance Healthcare System $129 - $131 270%
McSi/Mrsi No Fault $129 - $131 270%
McSi/Mrsi Worker's Comp $129 - $131 270%
Community Care Network $129 - $131 270%

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