X-ray, hand
Facility: Atlanticare Regional Medical Center - City Campus
Billing Code: 73130 (CPT)
- CPT Billing Code: 73130
- Insurance Median: $515
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 5.79x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $88.91 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 579% of the Medicare baseline (a markup of 479%). 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.
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 | $81 - $408 | 91% |
| Americhoice | $81 - $91 | 91% |
| Wellcare | $86 - $97 | 97% |
| Horizon | $87 - $422 | 98% |
| Tricare | $88 | 99% |
| Self Pay | $94 - $105 | 106% |
| Devoted Health Plan | $101 | 114% |
| Oxford | $129 | 145% |
| Global Exchange Managed Care | $147 | 165% |
| Health Partners Plan | $196 | 220% |
| Magnacare | $250 - $633 | 281% |
| Cigna | $263 - $354 | 296% |
| Evernorth | $313 - $352 | 352% |
| Qualcare Commercial | $313 - $352 | 352% |
| Great West Life | $316 - $354 | 355% |
| Aetna | $360 - $581 | 405% |
| Amerihealth | $403 - $591 | 453% |
| Mutual of Omaha | $407 - $457 | 458% |
| First McO | $407 - $457 | 458% |
| Active Care Plus | $407 - $457 | 458% |
| Qualcare Wc | $407 - $457 | 458% |
| Donio Trucking | $438 - $492 | 493% |
| Consumer Health Network (Chn) | $438 - $633 | 493% |
| Devon/ Ullicare | $470 - $527 | 529% |
| Private Healthcare System (PHCS) | $501 - $562 | 563% |
| Coventry Health Care | $501 - $562 | 563% |
| Blue Cross Blue Shield | $515 - $578 | 579% |
| Metrahealth of Nj | $532 - $598 | 598% |
| Three Rivers Provider Network (Trpn) | $532 - $598 | 598% |
| Health Payors Org | $532 - $598 | 598% |
| Health South | $532 - $598 | 598% |
| Prime Health Services | $532 - $598 | 598% |
| Beech Street | $563 - $633 | 633% |
| Provider Select, Inc | $563 - $633 | 633% |
| Choice Care | $563 - $633 | 633% |
| Health Network Inc | $563 - $633 | 633% |
| Galaxy Health Network | $563 - $633 | 633% |
| Metracomp | $563 - $633 | 633% |
| Department of Corrections | $563 - $633 | 633% |
| Active Care Nj Pip | $563 - $633 | 633% |
| Multiplan | $563 - $633 | 633% |
| Intergroup Preferred Program | $563 - $633 | 633% |
| McS Commercial | $563 - $633 | 633% |
| Atlantis Health Plan | $579 - $650 | 651% |
| Master Care Inc | $579 - $650 | 651% |
| Community Care Network | $595 - $668 | 669% |
| Advance Healthcare System | $595 - $668 | 669% |
| National Health Plan | $595 - $668 | 669% |
| McSi/Mrsi Worker's Comp | $595 - $668 | 669% |
| McSi/Mrsi No Fault | $595 - $668 | 669% |
| Health Network America | $595 - $668 | 669% |