CMS Price Transparency Data

Flu vaccine injection

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: G0008 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0008
  • Insurance Median: $103
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.15x Medicare
The contracted insurance negotiated median rate for a Flu vaccine injection at Atlanticare Regional Medical Center - City Campus is $103. 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 2.15x 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
$103

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: $103 (215%)
Ins. Median: $103 (215% 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 215% of the Medicare baseline (a markup of 115%). 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 $11 - $27 23%
UnitedHealthcare $11 - $146 23%
Horizon $12 - $144 25%
Wellcare $12 - $28 25%
Self Pay $13 - $31 27%
Amerigroup $22 - $54 46%
Magnacare $34 - $185 71%
Cigna $36 - $104 75%
Evernorth $43 - $103 90%
Qualcare Commercial $43 - $103 90%
Great West Life $43 - $104 90%
Tricare $46 96%
Aetna $49 - $170 102%
Global Exchange Managed Care $52 - $79 109%
Devoted Health Plan $54 113%
Amerihealth $55 - $173 115%
Active Care Plus $56 - $134 117%
Mutual of Omaha $56 - $134 117%
First McO $56 - $134 117%
Qualcare Wc $56 - $134 117%
Consumer Health Network (Chn) $60 - $185 125%
Donio Trucking $60 - $144 125%
Devon/ Ullicare $64 - $154 134%
Oxford $64 - $154 134%
Private Healthcare System (PHCS) $69 - $165 144%
Coventry Health Care $69 - $165 144%
Blue Cross Blue Shield $71 - $170 148%
Prime Health Services $73 - $175 153%
Health Payors Org $73 - $175 153%
Three Rivers Provider Network (Trpn) $73 - $175 153%
Metrahealth of Nj $73 - $175 153%
Health South $73 - $175 153%
Metracomp $77 - $185 161%
Galaxy Health Network $77 - $185 161%
Choice Care $77 - $185 161%
Intergroup Preferred Program $77 - $185 161%
Multiplan $77 - $185 161%
Beech Street $77 - $185 161%
Health Network Inc $77 - $185 161%
McS Commercial $77 - $185 161%
Department of Corrections $77 - $185 161%
Active Care Nj Pip $77 - $185 161%
Provider Select, Inc $77 - $185 161%
Master Care Inc $80 - $191 167%
Atlantis Health Plan $80 - $191 167%
McSi/Mrsi Worker's Comp $82 - $196 171%
Health Network America $82 - $196 171%
Advance Healthcare System $82 - $196 171%
McSi/Mrsi No Fault $82 - $196 171%
National Health Plan $82 - $196 171%
Community Care Network $82 - $196 171%
Health Partners Plan $105 219%

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