CMS Price Transparency Data

Hospital observation (per hour)

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $282
Cash Discount Price: Unavailable
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Atlanticare Regional Medical Center - City Campus is $282. 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 N/A, this hospital’s rate is N/A 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

$282

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

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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
Magnacare	$1 - $1,619	N/A
Cigna	$2 - $907	N/A
Mutual of Omaha	$2 - $1,169	N/A
Devoted Health Plan	$2 - $900	N/A
Active Care Plus	$2 - $1,169	N/A
Great West Life	$2 - $907	N/A
Donio Trucking	$2 - $1,259	N/A
Consumer Health Network (Chn)	$2 - $1,619	N/A
Horizon	$2 - $1,259	N/A
Amerihealth	$2 - $1,347	N/A
UnitedHealthcare	$2 - $1,277	N/A
First McO	$2 - $1,169	N/A
Aetna	$2 - $4,800	N/A
McS Commercial	$3 - $1,619	N/A
Department of Corrections	$3 - $1,619	N/A
Health Network Inc	$3 - $1,619	N/A
Active Care Nj Pip	$3 - $1,619	N/A
Three Rivers Provider Network (Trpn)	$3 - $1,529	N/A
McSi/Mrsi No Fault	$3 - $1,709	N/A
Metracomp	$3 - $1,619	N/A
Health Network America	$3 - $1,709	N/A
Coventry Health Care	$3 - $1,439	N/A
McSi/Mrsi Worker's Comp	$3 - $1,709	N/A
Oxford	$3 - $1,349	N/A
Metrahealth of Nj	$3 - $1,529	N/A
Health South	$3 - $1,529	N/A
Provider Select, Inc	$3 - $1,619	N/A
National Health Plan	$3 - $1,709	N/A
Beech Street	$3 - $1,619	N/A
Atlantis Health Plan	$3 - $1,664	N/A
Devon/ Ullicare	$3 - $1,349	N/A
Multiplan	$3 - $1,619	N/A
Master Care Inc	$3 - $1,664	N/A
Galaxy Health Network	$3 - $1,619	N/A
Intergroup Preferred Program	$3 - $1,619	N/A
Community Care Network	$3 - $1,709	N/A
Prime Health Services	$3 - $1,529	N/A
Advance Healthcare System	$3 - $1,709	N/A
Choice Care	$3 - $1,619	N/A
Private Healthcare System (PHCS)	$3 - $1,439	N/A
Health Payors Org	$3 - $1,529	N/A
Americhoice	$45 - $232	N/A
Wellcare	$49 - $248	N/A
Self Pay	$53 - $270	N/A
Amerigroup	$72	N/A
Health Partners Plan	$88 - $450	N/A
Qualcare Commercial	$272	N/A
Qualcare Wc	$475	N/A
United Behavorial Health	$721	N/A
Ufcw	$781	N/A
Evernorth	$945	N/A
Blue Cross Blue Shield	$7,986	N/A

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Atlanticare Regional Medical Center - City Campus is fully in-network.
Ask your insurer if "Prior Authorization" is required for HCPCS code G0378.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.