CMS Price Transparency Data

Injection procedure for pain management

Facility: Atlanticare Regional Medical Center - City Campus

Billing Code: G0260 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0260
  • Insurance Median: $805
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Injection procedure for pain management at Atlanticare Regional Medical Center - City Campus is $805. 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 $721.17, this hospital’s rate is 1.12x 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
$805

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$721.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $721.17 (100%)
Insurance Median: $805 (112%)
Ins. Median: $805 (112% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $721.17 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.

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
UnitedHealthcare $130 - $714 18%
Americhoice $130 18%
Wellcare $139 19%
Horizon $140 - $704 19%
Self Pay $151 21%
Amerigroup $262 36%
Magnacare $402 - $905 56%
Cigna $422 - $552 59%
Evernorth $503 70%
Qualcare Commercial $503 70%
Qualcare Wc $503 70%
Great West Life $552 77%
Amerihealth $571 - $753 79%
Global Exchange Managed Care $604 84%
Mutual of Omaha $654 91%
Active Care Plus $654 91%
First McO $654 91%
Tricare $693 96%
Consumer Health Network (Chn) $704 - $905 98%
Aetna $704 - $9,272 98%
Donio Trucking $704 98%
Devon/ Ullicare $754 105%
Oxford $754 105%
Private Healthcare System (PHCS) $805 112%
Coventry Health Care $805 112%
Devoted Health Plan $818 113%
Blue Cross Blue Shield $828 115%
Prime Health Services $855 119%
Health Payors Org $855 119%
Three Rivers Provider Network (Trpn) $855 119%
Metrahealth of Nj $855 119%
Health South $855 119%
Active Care Nj Pip $905 125%
Multiplan $905 125%
Metracomp $905 125%
Provider Select, Inc $905 125%
Health Network Inc $905 125%
Beech Street $905 125%
McS Commercial $905 125%
Intergroup Preferred Program $905 125%
Department of Corrections $905 125%
Galaxy Health Network $905 125%
Choice Care $905 125%
Atlantis Health Plan $931 129%
Master Care Inc $931 129%
National Health Plan $956 133%
Community Care Network $956 133%
McSi/Mrsi Worker's Comp $956 133%
Advance Healthcare System $956 133%
McSi/Mrsi No Fault $956 133%
Health Network America $956 133%
Health Partners Plan $1,588 220%

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