Medical emergency?Emergency? Call 911. Nearest emergency roomsNearest ERs

Español Near me My list Help
US Patient GuideUSA
Surprise me
Acute Care Hospital

Baptist Health Medical Center - Jacksonville

Jacksonville, Florida · Duval County · Emergency services listed

Summary

Baptist Health Medical Center - Jacksonville is an acute care hospital in Jacksonville, Florida. Medicare data lists emergency services. CMS overall star rating: 4 of 5 stars. Its official website lists 37 services, specialties and programs. Medicare lists 2,448 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-07-22.

What is an acute care hospital?

A general hospital for short-term care: emergencies, surgery, illness and injury. Most patients stay a few days. More about hospital types

Call(904) 202‑2000 Directions Website Medicare profile
Compare
Exterior of Baptist Health Medical Center - Jacksonville
Photo: MikesMegapixels, CC BY 3.0, via Wikimedia Commons · source · licence

Profile from official sources

Built from official Medicare (CMS) data and the hospital’s own website (checked 2026-10-30). Every service links to the page that lists it. Services change: call the hospital to confirm before you go.

In a medical emergency, call 911.

At a glance

YesEmergency services
4 of 5 stars4 of 5 stars · Medicare rating
YesBirthing-friendly (CMS)
2,448Doctors and clinicians
37Services listed

Quick answers

Does Baptist Health Medical Center - Jacksonville have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Baptist Health Medical Center - Jacksonville. In a medical emergency, call 911.
Where is Baptist Health Medical Center - Jacksonville?
800 Prudential Dr, Jacksonville, FL 32207, in Duval County, Florida.
What is the phone number of Baptist Health Medical Center - Jacksonville?
(904) 202-2000, as listed by Medicare (CMS).
What is the Medicare star rating of Baptist Health Medical Center - Jacksonville?
4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas[4][9][14]

Conditions treated[4]

Treatments[8][11]

  • Heart rhythm disorder diagnosis and treatment
  • High-risk pregnancy care

Procedures[4]

Programs and centers[4][8][10][12]

  • Heart Rhythm Center
  • Familial Brain Aneurysm Study
  • Florida Resuscitation Center of Excellence
  • Emergency Center (adult ER)
  • Obstetric Emergency Department (OBED)
  • Baptist MD Anderson Cancer Center

Emergency care (hospital website)[10][12]

Emergency roomYes

Visiting and practical information

VisitingBaptist Health general policy lists visiting 5 a.m.-9 p.m., up to 4 visitors per room; not campus-specific[5]
ParkingGarages P2 and P3 serve the campus; new main entrance at Borowy Critical Care Tower (Palm Ave & Baptist Way). Fees not listed[6]
Interpreters and languagesFree language and sign language interpreter services; call 904.202.2435[15][9]
Patient portalMy Baptist Chart

Recognition[4][11]

  • Get With The Guidelines Stroke Gold Plus (AHA)
  • Florida Resuscitation Center of Excellence
  • Birthing-Friendly (CMS)
  • Level IV: Regional Perinatal Health Care Center (The Joint Commission)

Doctors and clinicians (2,448)

2,448 doctors and other clinicians list Baptist Health Medical Center - Jacksonville as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (2,448)

And 2,424 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

All nursing homes in the state →

Hospice providers

All hospice providers in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

Licensed homes from the official state licence list, by straight-line distance.

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Baptist Health Medical Center - Jacksonville reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Summary star rating (all survey topics) 3 of 5 stars
Overall rating of the hospital4 of 5 stars
Would recommend the hospital4 of 5 stars
Nurses communicated well3 of 5 stars
Doctors communicated well2 of 5 stars
Staff explained medicines2 of 5 stars
Information about recovery at home3 of 5 stars
Room and bathroom kept clean4 of 5 stars
Quiet at night4 of 5 stars
Rated the hospital 9 or 10 out of 1076%National average: 72%
Would definitely recommend the hospital77%National average: 71%
Nurses “always” communicated well77%National average: 80%
Doctors “always” communicated well75%National average: 80%
Staff “always” explained medicines before giving them59%National average: 62%
Were given information about recovery at home86%National average: 86%
Room and bathroom “always” clean77%National average: 74%
Area around the room “always” quiet at night59%National average: 60%
Completed surveys680Response rate: 19%

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)0.923No different from the national benchmark
Catheter-associated urinary tract infections (CAUTI)0.568No different from the national benchmark
Surgical site infections after colon surgery0.374Better than the national benchmark
Surgical site infections after abdominal hysterectomy1.838No different from the national benchmark
MRSA bloodstream infections1.19No different from the national benchmark
Clostridioides difficile (C. diff) intestinal infections0.183Better than the national benchmark

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026; data from October 2024 to September 2025.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients10.3%
Deaths within 30 days: heart failure patients9%
Deaths within 30 days: pneumonia patients15.3%
Deaths within 30 days: COPD patients6.5%
Deaths within 30 days: stroke patients10.2%
Deaths within 30 days: coronary bypass surgery (CABG)1.8%
Serious complications (patient safety indicator PSI-90)1.17No different from the national rate
Complications after hip or knee replacement4.2%

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)Not reported to Medicare
Readmitted within 30 days: heart attack14.4%
Readmitted within 30 days: heart failure20.6%
Readmitted within 30 days: pneumonia16.8%
Readmitted within 30 days: COPD18.1%
Readmitted within 30 days: coronary bypass surgery9.5%
Readmitted within 30 days: hip or knee replacement5.8%

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)Very high (60,000 or more)
Average (median) time patients spent in the emergency room before leaving (OP-18b)169 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)59%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in JacksonvilleBest hospitals in Jacksonville

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 84 common services exactly as Baptist Health Medical Center - Jacksonville lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean
Hospital charge
The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price
The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates
The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees
A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW LOW 30 MIN Not listed in the file Not listed in the file $84.28
New patient office visit (about 30–44 minutes): rates for 2 insurance plans
  • Corvel — Managed WC: $84.28
  • Coventry Workers Comp — Managed WC: $84.28
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW MOD 45 MIN Not listed in the file Not listed in the file $144.06
New patient office visit (about 45–59 minutes): rates for 2 insurance plans
  • Corvel — Managed WC: $144.06
  • Coventry Workers Comp — Managed WC: $144.06
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P NEW HI 60 MIN Not listed in the file Not listed in the file $187.18
New patient office visit (about 60–74 minutes): rates for 2 insurance plans
  • Corvel — Managed WC: $187.18
  • Coventry Workers Comp — Managed WC: $187.18
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFFICE O/P EST LOW 20 MIN Not listed in the file Not listed in the file $56.84
Established patient office visit (about 20–29 minutes): rates for 2 insurance plans
  • Corvel — Managed WC: $56.84
  • Coventry Workers Comp — Managed WC: $56.84
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LINE ASSESSMENT/MONITORING $865 $536.30 $173 – $778.50
Established patient office visit (about 30–39 minutes): 10 of 50 insurance plan rates
  • Aetna — ASA: $588.20
  • Aetna — Coventry Healthcare HMO of S Georgia: $605.50
  • Aetna — First Health: $692
  • Aetna — Gatekeeper: $311.40
  • Aetna — Non-Gatekeeper: $380.60
  • Aetna — SRC and NAP: $441.15
  • Aetna — Whole Health: $198.95
  • Aetna — Whole Health -Child: $320.05
  • AvMed — All Products: $441.15
  • AvMed — Engage & Empower & Entrust: $276.80
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST LOW 30 Not listed in the file Not listed in the file $107.80
Office consultation with a specialist (moderate): rates for 2 insurance plans
  • Corvel — Managed WC: $107.80
  • Coventry Workers Comp — Managed WC: $107.80
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OFF/OP CNSLTJ NEW/EST MOD 40 Not listed in the file Not listed in the file $173.46
Office consultation with a specialist (moderate to high): rates for 2 insurance plans
  • Corvel — Managed WC: $173.46
  • Coventry Workers Comp — Managed WC: $173.46
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 3 VISIT MODERATE SEVERITY $2,630 $1,630.60 $604.90 – $2,367
Emergency room visit (moderate): 10 of 60 insurance plan rates
  • Aetna — ASA: $1,788.40
  • Aetna — Coventry Healthcare HMO of S Georgia: $1,841
  • Aetna — First Health: $2,104
  • Aetna — Gatekeeper: $946.80
  • Aetna — Medicare Advantage: $283.50
  • Aetna — Non-Gatekeeper: $1,157.20
  • Aetna — SRC and NAP: $1,341.30
  • Aetna — Whole Health: $604.90
  • Aetna — Whole Health -Child: $973.10
  • Ambetter — Marketplace - All Products: $667.05
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 4 VISIT HIGH/URGENT SEVERITY $4,610 $2,858.20 $1,060.30 – $4,149
Emergency room visit (moderately high): 10 of 60 insurance plan rates
  • Aetna — ASA: $3,134.80
  • Aetna — Coventry Healthcare HMO of S Georgia: $3,227
  • Aetna — First Health: $3,688
  • Aetna — Gatekeeper: $1,659.60
  • Aetna — Medicare Advantage: $435.98
  • Aetna — Non-Gatekeeper: $2,028.40
  • Aetna — SRC and NAP: $2,351.10
  • Aetna — Whole Health: $1,060.30
  • Aetna — Whole Health -Child: $1,705.70
  • Ambetter — Marketplace - All Products: $1,025.83
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EMERGENCY DEPARTMENT LEVEL 5 VISIT HIGH SEVERITY&THREAT FUNC $4,710 $2,920.20 $1,083.30 – $4,239
Emergency room visit (high): 10 of 60 insurance plan rates
  • Aetna — ASA: $3,202.80
  • Aetna — Coventry Healthcare HMO of S Georgia: $3,297
  • Aetna — First Health: $3,768
  • Aetna — Gatekeeper: $1,695.60
  • Aetna — Medicare Advantage: $627.73
  • Aetna — Non-Gatekeeper: $2,072.40
  • Aetna — SRC and NAP: $2,402.10
  • Aetna — Whole Health: $1,083.30
  • Aetna — Whole Health -Child: $1,742.70
  • Ambetter — Marketplace - All Products: $1,477

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BASIC METABOLIC PANEL CALCIUM TOTAL $187 $115.94 $37.40 – $183.26
Basic metabolic panel (blood test): 10 of 75 insurance plan rates
  • Aetna — ASA: $127.16
  • Aetna — Coventry Healthcare HMO of S Georgia: $130.90
  • Aetna — First Health: $149.60
  • Aetna — Gatekeeper: $67.32
  • Aetna — Medicare Advantage: $8.63
  • Aetna — Non-Gatekeeper: $82.28
  • Aetna — SRC and NAP: $95.37
  • Aetna — Whole Health: $43.01
  • Aetna — Whole Health -Child: $69.19
  • Aetna Better Health — Healthy Kids: $5.45
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehen metabolic panel Not listed in the file Not listed in the file $4.54 – $25.34
Comprehensive metabolic panel (blood test): 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $5.45
  • Aetna Better Health — Managed Medicaid: $5.45
  • Amerigroup of Georgia — Managed Medicaid OOS: $4.54
  • Amerihealth Caritas — Managed Medicaid: $4.99
  • Daniel Memorial — Managed Medicaid: $4.54
  • Florida Community Care — Managed Medicaid: $4.99
  • Humana — Managed Medicaid: $4.99
  • Molina Healthcare of Florida — Managed Medicaid: $5.40
  • Simply Healthcare Plans — Florida Healthy Kids: $5.45
  • Simply Healthcare Plans — Managed Medicaid: $4.77
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COMPREHEN METABOLIC PANEL Not listed in the file Not listed in the file $4.54 – $25.34
Comprehensive metabolic panel (blood test): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $10.77
  • Ambetter — Marketplace - All Products: $25.34
  • Community Hospice of Northeast Florida — Medicare Advantage: $10.56
  • Devoted — Medicare Advantage: $11.19
  • Florida Community Care — Medicare Advantage: $11.09
  • PACE — Medicare Advantage: $10.56
  • Sunshine State Health Plan — Managed Medicaid: $5
  • Tomorrow's Rainbow — Medicare Advantage: $10.56
  • United Healthcare — Medicare Advantage: $10.67
  • UPMC — Medicare Advantage: $11.62
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetric panel Not listed in the file Not listed in the file $4.54 – $114.74
Obstetric blood test panel: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $5.45
  • Aetna Better Health — Managed Medicaid: $5.45
  • Amerigroup of Georgia — Managed Medicaid OOS: $4.54
  • Amerihealth Caritas — Managed Medicaid: $4.99
  • Daniel Memorial — Managed Medicaid: $4.54
  • Florida Community Care — Managed Medicaid: $4.99
  • Humana — Managed Medicaid: $4.99
  • Molina Healthcare of Florida — Managed Medicaid: $5.40
  • Simply Healthcare Plans — Florida Healthy Kids: $5.45
  • Simply Healthcare Plans — Managed Medicaid: $4.77
Obstetric blood test panel CPT 80055 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRIC PANEL Not listed in the file Not listed in the file $4.54 – $114.74
Obstetric blood test panel: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $48.77
  • Ambetter — Marketplace - All Products: $114.74
  • Community Hospice of Northeast Florida — Medicare Advantage: $47.81
  • Devoted — Medicare Advantage: $50.68
  • Florida Community Care — Medicare Advantage: $50.20
  • PACE — Medicare Advantage: $47.81
  • Sunshine State Health Plan — Managed Medicaid: $5
  • Tomorrow's Rainbow — Medicare Advantage: $47.81
  • United Healthcare — Medicare Advantage: $48.29
  • UPMC — Medicare Advantage: $52.59
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC LIPID PANEL $393 $243.66 $78.60 – $385.14
Cholesterol panel (lipid panel): 10 of 75 insurance plan rates
  • Aetna — ASA: $267.24
  • Aetna — Coventry Healthcare HMO of S Georgia: $275.10
  • Aetna — First Health: $314.40
  • Aetna — Gatekeeper: $141.48
  • Aetna — Medicare Advantage: $13.66
  • Aetna — Non-Gatekeeper: $172.92
  • Aetna — SRC and NAP: $200.43
  • Aetna — Whole Health: $90.39
  • Aetna — Whole Health -Child: $145.41
  • Aetna Better Health — Healthy Kids: $5.45
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL $196 $121.52 $39.20 – $192.08
Kidney function panel: 10 of 75 insurance plan rates
  • Aetna — ASA: $133.28
  • Aetna — Coventry Healthcare HMO of S Georgia: $137.20
  • Aetna — First Health: $156.80
  • Aetna — Gatekeeper: $70.56
  • Aetna — Medicare Advantage: $8.85
  • Aetna — Non-Gatekeeper: $86.24
  • Aetna — SRC and NAP: $99.96
  • Aetna — Whole Health: $45.08
  • Aetna — Whole Health -Child: $72.52
  • Aetna Better Health — Healthy Kids: $5.45
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL $142 $88.04 $28.40 – $139.16
Liver function panel: 10 of 75 insurance plan rates
  • Aetna — ASA: $96.56
  • Aetna — Coventry Healthcare HMO of S Georgia: $99.40
  • Aetna — First Health: $113.60
  • Aetna — Gatekeeper: $51.12
  • Aetna — Medicare Advantage: $8.33
  • Aetna — Non-Gatekeeper: $62.48
  • Aetna — SRC and NAP: $72.42
  • Aetna — Whole Health: $32.66
  • Aetna — Whole Health -Child: $52.54
  • Aetna Better Health — Healthy Kids: $5.45
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/scope Not listed in the file Not listed in the file $1.50 – $7.61
Urine test (automated, with microscope): 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1.80
  • Aetna Better Health — Managed Medicaid: $1.80
  • Amerigroup of Georgia — Managed Medicaid OOS: $1.50
  • Amerihealth Caritas — Managed Medicaid: $1.65
  • Daniel Memorial — Managed Medicaid: $1.50
  • Florida Community Care — Managed Medicaid: $1.65
  • Humana — Managed Medicaid: $1.65
  • Molina Healthcare of Florida — Managed Medicaid: $1.79
  • Simply Healthcare Plans — Florida Healthy Kids: $1.80
  • Simply Healthcare Plans — Managed Medicaid: $1.58
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/SCOPE Not listed in the file Not listed in the file $1.50 – $7.61
Urine test (automated, with microscope): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $3.23
  • Ambetter — Marketplace - All Products: $7.61
  • Community Hospice of Northeast Florida — Medicare Advantage: $3.17
  • Devoted — Medicare Advantage: $3.36
  • Florida Community Care — Medicare Advantage: $3.33
  • PACE — Medicare Advantage: $3.17
  • Sunshine State Health Plan — Managed Medicaid: $1.65
  • Tomorrow's Rainbow — Medicare Advantage: $3.17
  • United Healthcare — Medicare Advantage: $3.20
  • UPMC — Medicare Advantage: $3.49
Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC URINE DIPSTICK $87 $53.94 $17.40 – $85.26
Urine test (manual, without microscope): 10 of 74 insurance plan rates
  • Aetna — ASA: $59.16
  • Aetna — Coventry Healthcare HMO of S Georgia: $60.90
  • Aetna — First Health: $69.60
  • Aetna — Gatekeeper: $31.32
  • Aetna — Medicare Advantage: $3.55
  • Aetna — Non-Gatekeeper: $38.28
  • Aetna — SRC and NAP: $44.37
  • Aetna — Whole Health: $20.01
  • Aetna — Whole Health -Child: $32.19
  • Aetna Better Health — Healthy Kids: $1.80
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis auto w/o scope Not listed in the file Not listed in the file $1.50 – $5.40
Urine test (automated, without microscope): 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1.80
  • Aetna Better Health — Managed Medicaid: $1.80
  • Amerigroup of Georgia — Managed Medicaid OOS: $1.50
  • Amerihealth Caritas — Managed Medicaid: $1.65
  • Daniel Memorial — Managed Medicaid: $1.50
  • Florida Community Care — Managed Medicaid: $1.65
  • Humana — Managed Medicaid: $1.65
  • Molina Healthcare of Florida — Managed Medicaid: $1.79
  • Simply Healthcare Plans — Florida Healthy Kids: $1.80
  • Simply Healthcare Plans — Managed Medicaid: $1.58
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: URINALYSIS AUTO W/O SCOPE Not listed in the file Not listed in the file $1.50 – $5.40
Urine test (automated, without microscope): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $2.30
  • Ambetter — Marketplace - All Products: $5.40
  • Community Hospice of Northeast Florida — Medicare Advantage: $2.25
  • Devoted — Medicare Advantage: $2.39
  • Florida Community Care — Medicare Advantage: $2.36
  • PACE — Medicare Advantage: $2.25
  • Sunshine State Health Plan — Managed Medicaid: $1.65
  • Tomorrow's Rainbow — Medicare Advantage: $2.25
  • United Healthcare — Medicare Advantage: $2.27
  • UPMC — Medicare Advantage: $2.48
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Assay of psa total Not listed in the file Not listed in the file $6.08 – $44.14
PSA (prostate specific antigen) blood test: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $7.30
  • Aetna Better Health — Managed Medicaid: $7.30
  • Amerigroup of Georgia — Managed Medicaid OOS: $6.08
  • Amerihealth Caritas — Managed Medicaid: $6.69
  • Daniel Memorial — Managed Medicaid: $6.08
  • Florida Community Care — Managed Medicaid: $6.69
  • Humana — Managed Medicaid: $6.69
  • Molina Healthcare of Florida — Managed Medicaid: $7.24
  • Simply Healthcare Plans — Florida Healthy Kids: $7.30
  • Simply Healthcare Plans — Managed Medicaid: $6.38
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ASSAY OF PSA TOTAL Not listed in the file Not listed in the file $6.08 – $44.14
PSA (prostate specific antigen) blood test: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $18.76
  • Ambetter — Marketplace - All Products: $44.14
  • Community Hospice of Northeast Florida — Medicare Advantage: $18.39
  • Devoted — Medicare Advantage: $19.49
  • Florida Community Care — Medicare Advantage: $19.31
  • PACE — Medicare Advantage: $18.39
  • Sunshine State Health Plan — Managed Medicaid: $6.70
  • Tomorrow's Rainbow — Medicare Advantage: $18.39
  • United Healthcare — Medicare Advantage: $18.57
  • UPMC — Medicare Advantage: $20.23
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ASSAY THYROID STIM HORMONE - THYROID STIMULATING HORMONE $375 $232.50 $6.66 – $983.45
Thyroid stimulating hormone (TSH) test: 10 of 75 insurance plan rates
  • Aetna — ASA: $255
  • Aetna — Coventry Healthcare HMO of S Georgia: $262.50
  • Aetna — First Health: $300
  • Aetna — Gatekeeper: $135
  • Aetna — Medicare Advantage: $17.14
  • Aetna — Non-Gatekeeper: $165
  • Aetna — SRC and NAP: $191.25
  • Aetna — Whole Health: $86.25
  • Aetna — Whole Health -Child: $138.75
  • Aetna Better Health — Healthy Kids: $7.99
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTO W/ DIFFERENTIAL $121 $75.02 $24.20 – $118.58
Complete blood count (CBC) with differential: 10 of 74 insurance plan rates
  • Aetna — ASA: $82.28
  • Aetna — Coventry Healthcare HMO of S Georgia: $84.70
  • Aetna — First Health: $96.80
  • Aetna — Gatekeeper: $43.56
  • Aetna — Medicare Advantage: $7.93
  • Aetna — Non-Gatekeeper: $53.24
  • Aetna — SRC and NAP: $61.71
  • Aetna — Whole Health: $27.83
  • Aetna — Whole Health -Child: $44.77
  • Aetna Better Health — Healthy Kids: $3.55
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BLOOD COUNT COMPLETE AUTO W/O DIFFERENTIAL $159 $98.58 $31.80 – $155.82
Complete blood count (CBC), automated: 10 of 74 insurance plan rates
  • Aetna — ASA: $108.12
  • Aetna — Coventry Healthcare HMO of S Georgia: $111.30
  • Aetna — First Health: $127.20
  • Aetna — Gatekeeper: $57.24
  • Aetna — Medicare Advantage: $6.60
  • Aetna — Non-Gatekeeper: $69.96
  • Aetna — SRC and NAP: $81.09
  • Aetna — Whole Health: $36.57
  • Aetna — Whole Health -Child: $58.83
  • Aetna Better Health — Healthy Kids: $3.55
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PROTHROMBIN TIME - PROTIME-INR $72 $44.64 $14.40 – $70.56
Blood clotting time test (prothrombin time, PT): 10 of 74 insurance plan rates
  • Aetna — ASA: $48.96
  • Aetna — Coventry Healthcare HMO of S Georgia: $50.40
  • Aetna — First Health: $57.60
  • Aetna — Gatekeeper: $25.92
  • Aetna — Medicare Advantage: $4.38
  • Aetna — Non-Gatekeeper: $31.68
  • Aetna — SRC and NAP: $36.72
  • Aetna — Whole Health: $16.56
  • Aetna — Whole Health -Child: $26.64
  • Aetna Better Health — Healthy Kids: $2.68
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL $87 $53.94 $17.40 – $85.26
Blood clotting test (partial thromboplastin time, PTT): 10 of 74 insurance plan rates
  • Aetna — ASA: $59.16
  • Aetna — Coventry Healthcare HMO of S Georgia: $60.90
  • Aetna — First Health: $69.60
  • Aetna — Gatekeeper: $31.32
  • Aetna — Medicare Advantage: $6.13
  • Aetna — Non-Gatekeeper: $38.28
  • Aetna — SRC and NAP: $44.37
  • Aetna — Whole Health: $20.01
  • Aetna — Whole Health -Child: $32.19
  • Aetna Better Health — Healthy Kids: $2.68
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC THROMBOPLASTIN TIME PARTIAL - HEPZYME $87 $53.94 $17.40 – $85.26
Blood clotting test (partial thromboplastin time, PTT): 10 of 74 insurance plan rates
  • Aetna — ASA: $59.16
  • Aetna — Coventry Healthcare HMO of S Georgia: $60.90
  • Aetna — First Health: $69.60
  • Aetna — Gatekeeper: $31.32
  • Aetna — Medicare Advantage: $6.13
  • Aetna — Non-Gatekeeper: $38.28
  • Aetna — SRC and NAP: $44.37
  • Aetna — Whole Health: $20.01
  • Aetna — Whole Health -Child: $32.19
  • Aetna Better Health — Healthy Kids: $2.68

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT HEAD/BRAIN WO CONTRAST $1,562 $968.44 $227.59 – $2,597
CT scan of the head or brain, without contrast: 10 of 74 insurance plan rates
  • Aetna — ASA: $1,062.16
  • Aetna — Coventry Healthcare HMO of S Georgia: $1,093.40
  • Aetna — First Health: $1,249.60
  • Aetna — Gatekeeper: $669
  • Aetna — Medicare Advantage: $108.88
  • Aetna — Non-Gatekeeper: $669
  • Aetna — SRC and NAP: $796.62
  • Aetna — Whole Health: $511
  • Aetna — Whole Health -Child: $511
  • Aetna Better Health — Healthy Kids: $248.28
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT HEAD/BRAIN W/O DYE Not listed in the file Not listed in the file $75.46
CT scan of the head or brain, without contrast: rates for 2 insurance plans
  • Corvel — Managed WC: $75.46
  • Coventry Workers Comp — Managed WC: $75.46
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI BRAIN/BRAIN STEM W AND WO IV CONTRAST $4,540 $2,814.80 $280.09 – $5,861
MRI of the brain, before and after contrast: 10 of 74 insurance plan rates
  • Aetna — ASA: $3,087.20
  • Aetna — Coventry Healthcare HMO of S Georgia: $3,178
  • Aetna — First Health: $3,632
  • Aetna — Gatekeeper: $1,120
  • Aetna — Medicare Advantage: $365.65
  • Aetna — Non-Gatekeeper: $1,120
  • Aetna — SRC and NAP: $2,315.40
  • Aetna — Whole Health: $866
  • Aetna — Whole Health -Child: $866
  • Aetna Better Health — Healthy Kids: $305.56
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI BRAIN STEM W/O & W/DYE Not listed in the file Not listed in the file $258.72
MRI of the brain, before and after contrast: rates for 2 insurance plans
  • Corvel — Managed WC: $258.72
  • Coventry Workers Comp — Managed WC: $258.72
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY EXAM CHEST 2 VIEWS $825 $511.50 $189.75 – $808.50
Chest X-ray, 2 views: 10 of 74 insurance plan rates
  • Aetna — ASA: $561
  • Aetna — Coventry Healthcare HMO of S Georgia: $577.50
  • Aetna — First Health: $660
  • Aetna — Gatekeeper: $297
  • Aetna — Medicare Advantage: $90.15
  • Aetna — Non-Gatekeeper: $363
  • Aetna — SRC and NAP: $420.75
  • Aetna — Whole Health: $189.75
  • Aetna — Whole Health -Child: $305.25
  • Aetna Better Health — Healthy Kids: $42.71
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM CHEST 2 VIEWS Not listed in the file Not listed in the file $22.54
Chest X-ray, 2 views: rates for 2 insurance plans
  • Corvel — Managed WC: $22.54
  • Coventry Workers Comp — Managed WC: $22.54
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC X-RAY LUMBAR SPINE 4-5 VIEWS $1,608 $996.96 $369.84 – $1,575.84
X-ray of the lower spine, at least 4 views: 10 of 74 insurance plan rates
  • Aetna — ASA: $1,093.44
  • Aetna — Coventry Healthcare HMO of S Georgia: $1,125.60
  • Aetna — First Health: $1,286.40
  • Aetna — Gatekeeper: $578.88
  • Aetna — Medicare Advantage: $108.88
  • Aetna — Non-Gatekeeper: $707.52
  • Aetna — SRC and NAP: $820.08
  • Aetna — Whole Health: $369.84
  • Aetna — Whole Health -Child: $594.96
  • Aetna Better Health — Healthy Kids: $42.71
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: X-RAY EXAM L-2 SPINE 4/>VWS Not listed in the file Not listed in the file $36.26
X-ray of the lower spine, at least 4 views: rates for 2 insurance plans
  • Corvel — Managed WC: $36.26
  • Coventry Workers Comp — Managed WC: $36.26
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LUMBAR SPINE WO CONTRAST $2,989 $1,853.18 $168.44 – $5,861
MRI of the lower back (lumbar spine), without contrast: 10 of 74 insurance plan rates
  • Aetna — ASA: $2,032.52
  • Aetna — Coventry Healthcare HMO of S Georgia: $2,092.30
  • Aetna — First Health: $2,391.20
  • Aetna — Gatekeeper: $1,120
  • Aetna — Medicare Advantage: $247.49
  • Aetna — Non-Gatekeeper: $1,120
  • Aetna — SRC and NAP: $1,524.39
  • Aetna — Whole Health: $866
  • Aetna — Whole Health -Child: $866
  • Aetna Better Health — Healthy Kids: $183.74
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI LUMBAR SPINE W/O DYE Not listed in the file Not listed in the file $147.98
MRI of the lower back (lumbar spine), without contrast: rates for 2 insurance plans
  • Corvel — Managed WC: $147.98
  • Coventry Workers Comp — Managed WC: $147.98
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT PELVIS W CONTRAST $2,450 $1,519 $178.69 – $983.45
CT scan of the pelvis, with contrast: 10 of 74 insurance plan rates
  • Aetna — ASA: $1,666
  • Aetna — Coventry Healthcare HMO of S Georgia: $1,715
  • Aetna — First Health: $1,960
  • Aetna — Gatekeeper: $669
  • Aetna — Medicare Advantage: $182.27
  • Aetna — Non-Gatekeeper: $669
  • Aetna — SRC and NAP: $1,249.50
  • Aetna — Whole Health: $511
  • Aetna — Whole Health -Child: $511
  • Aetna Better Health — Healthy Kids: $248.28
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT PELVIS W/DYE Not listed in the file Not listed in the file $186.20
CT scan of the pelvis, with contrast: rates for 2 insurance plans
  • Corvel — Managed WC: $186.20
  • Coventry Workers Comp — Managed WC: $186.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC MRI LOWER EXT JOINT W/O CONTRAST $2,983 $1,849.46 $168.44 – $5,861
MRI of a leg joint (such as the knee), without contrast: 10 of 74 insurance plan rates
  • Aetna — ASA: $2,028.44
  • Aetna — Coventry Healthcare HMO of S Georgia: $2,088.10
  • Aetna — First Health: $2,386.40
  • Aetna — Gatekeeper: $1,120
  • Aetna — Medicare Advantage: $247.49
  • Aetna — Non-Gatekeeper: $1,120
  • Aetna — SRC and NAP: $1,521.33
  • Aetna — Whole Health: $866
  • Aetna — Whole Health -Child: $866
  • Aetna Better Health — Healthy Kids: $183.74
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: MRI JNT OF LWR EXTRE W/O DYE Not listed in the file Not listed in the file $166.60
MRI of a leg joint (such as the knee), without contrast: rates for 2 insurance plans
  • Corvel — Managed WC: $166.60
  • Coventry Workers Comp — Managed WC: $166.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC CT ABD & PELVIS W/CONTRAST $4,325 $2,681.50 $227.59 – $2,597
CT scan of the abdomen and pelvis, with contrast: 10 of 74 insurance plan rates
  • Aetna — ASA: $2,941
  • Aetna — Coventry Healthcare HMO of S Georgia: $3,027.50
  • Aetna — First Health: $3,460
  • Aetna — Gatekeeper: $669
  • Aetna — Medicare Advantage: $365.65
  • Aetna — Non-Gatekeeper: $669
  • Aetna — SRC and NAP: $2,205.75
  • Aetna — Whole Health: $511
  • Aetna — Whole Health -Child: $511
  • Aetna Better Health — Healthy Kids: $248.28
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT ABD & PELVIS W/CONTRAST Not listed in the file Not listed in the file $244.02
CT scan of the abdomen and pelvis, with contrast: rates for 2 insurance plans
  • Corvel — Managed WC: $244.02
  • Coventry Workers Comp — Managed WC: $244.02
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US COMPLETE ABDOMEN $2,485 $1,540.70 $571.55 – $2,435.30
Ultrasound of the abdomen, complete: 10 of 74 insurance plan rates
  • Aetna — ASA: $1,689.80
  • Aetna — Coventry Healthcare HMO of S Georgia: $1,739.50
  • Aetna — First Health: $1,988
  • Aetna — Gatekeeper: $894.60
  • Aetna — Medicare Advantage: $108.88
  • Aetna — Non-Gatekeeper: $1,093.40
  • Aetna — SRC and NAP: $1,267.35
  • Aetna — Whole Health: $571.55
  • Aetna — Whole Health -Child: $919.45
  • Aetna Better Health — Healthy Kids: $126.34
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: US EXAM ABDOM COMPLETE Not listed in the file Not listed in the file $85.26
Ultrasound of the abdomen, complete: rates for 2 insurance plans
  • Corvel — Managed WC: $85.26
  • Coventry Workers Comp — Managed WC: $85.26
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OB US >/= 14 WKS SNGL FETUS - US OB 14+ WEEKS SINGLE OR FIRST $1,129 $699.98 $259.67 – $1,106.42
Pregnancy ultrasound (after the first trimester): 10 of 74 insurance plan rates
  • Aetna — ASA: $767.72
  • Aetna — Coventry Healthcare HMO of S Georgia: $790.30
  • Aetna — First Health: $903.20
  • Aetna — Gatekeeper: $406.44
  • Aetna — Medicare Advantage: $108.88
  • Aetna — Non-Gatekeeper: $496.76
  • Aetna — SRC and NAP: $575.79
  • Aetna — Whole Health: $259.67
  • Aetna — Whole Health -Child: $417.73
  • Aetna Better Health — Healthy Kids: $75.38
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: OB US >/= 14 WKS SNGL FETUS Not listed in the file Not listed in the file $94.08
Pregnancy ultrasound (after the first trimester): rates for 2 insurance plans
  • Corvel — Managed WC: $94.08
  • Coventry Workers Comp — Managed WC: $94.08
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC US NON-OB TRANSVAGINAL $1,800 $1,116 $414 – $1,764
Transvaginal ultrasound: 10 of 74 insurance plan rates
  • Aetna — ASA: $1,224
  • Aetna — Coventry Healthcare HMO of S Georgia: $1,260
  • Aetna — First Health: $1,440
  • Aetna — Gatekeeper: $648
  • Aetna — Medicare Advantage: $108.88
  • Aetna — Non-Gatekeeper: $792
  • Aetna — SRC and NAP: $918
  • Aetna — Whole Health: $414
  • Aetna — Whole Health -Child: $666
  • Aetna Better Health — Healthy Kids: $83.81
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: TRANSVAGINAL US NON-OB Not listed in the file Not listed in the file $92.12
Transvaginal ultrasound: rates for 2 insurance plans
  • Corvel — Managed WC: $92.12
  • Coventry Workers Comp — Managed WC: $92.12
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC LEFT $832 $515.84 $191.36 – $815.36
Diagnostic mammogram, one breast: 10 of 74 insurance plan rates
  • Aetna — ASA: $565.76
  • Aetna — Coventry Healthcare HMO of S Georgia: $582.40
  • Aetna — First Health: $665.60
  • Aetna — Gatekeeper: $299.52
  • Aetna — Medicare Advantage: $167.81
  • Aetna — Non-Gatekeeper: $366.08
  • Aetna — SRC and NAP: $424.32
  • Aetna — Whole Health: $191.36
  • Aetna — Whole Health -Child: $307.84
  • Aetna Better Health — Healthy Kids: $35.22
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD UNI - MAMMO BREAST DIAGNOSTIC RIGHT $832 $515.84 $191.36 – $815.36
Diagnostic mammogram, one breast: 10 of 74 insurance plan rates
  • Aetna — ASA: $565.76
  • Aetna — Coventry Healthcare HMO of S Georgia: $582.40
  • Aetna — First Health: $665.60
  • Aetna — Gatekeeper: $299.52
  • Aetna — Medicare Advantage: $167.81
  • Aetna — Non-Gatekeeper: $366.08
  • Aetna — SRC and NAP: $424.32
  • Aetna — Whole Health: $191.36
  • Aetna — Whole Health -Child: $307.84
  • Aetna Better Health — Healthy Kids: $35.22
Diagnostic mammogram, one breast CPT 77065 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DX MAMMO INCL CAD UNI Not listed in the file Not listed in the file $97.02
Diagnostic mammogram, one breast: rates for 2 insurance plans
  • Corvel — Managed WC: $97.02
  • Coventry Workers Comp — Managed WC: $97.02
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC DX MAMMO INCL CAD BI - MAMMO BREAST DIAGNOSTIC BILATERAL $1,324 $820.88 $304.52 – $1,297.52
Diagnostic mammogram, both breasts: 10 of 74 insurance plan rates
  • Aetna — ASA: $900.32
  • Aetna — Coventry Healthcare HMO of S Georgia: $926.80
  • Aetna — First Health: $1,059.20
  • Aetna — Gatekeeper: $476.64
  • Aetna — Medicare Advantage: $212.11
  • Aetna — Non-Gatekeeper: $582.56
  • Aetna — SRC and NAP: $675.24
  • Aetna — Whole Health: $304.52
  • Aetna — Whole Health -Child: $489.88
  • Aetna Better Health — Healthy Kids: $35.22
Diagnostic mammogram, both breasts CPT 77066 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: DX MAMMO INCL CAD BI Not listed in the file Not listed in the file $123.48
Diagnostic mammogram, both breasts: rates for 2 insurance plans
  • Corvel — Managed WC: $123.48
  • Coventry Workers Comp — Managed WC: $123.48
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BREAST SCREENING MAMMOGRAM BILATERAL $876 $543.12 $201.48 – $858.48
Screening mammogram, both breasts: 10 of 74 insurance plan rates
  • Aetna — ASA: $595.68
  • Aetna — Coventry Healthcare HMO of S Georgia: $613.20
  • Aetna — First Health: $700.80
  • Aetna — Gatekeeper: $315.36
  • Aetna — Medicare Advantage: $172.44
  • Aetna — Non-Gatekeeper: $385.44
  • Aetna — SRC and NAP: $446.76
  • Aetna — Whole Health: $201.48
  • Aetna — Whole Health -Child: $324.12
  • Aetna Better Health — Healthy Kids: $35.22
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BREAST SCREENING MAMMOGRAM LEFT $876 $543.12 $201.48 – $858.48
Screening mammogram, both breasts: 10 of 74 insurance plan rates
  • Aetna — ASA: $595.68
  • Aetna — Coventry Healthcare HMO of S Georgia: $613.20
  • Aetna — First Health: $700.80
  • Aetna — Gatekeeper: $315.36
  • Aetna — Medicare Advantage: $172.44
  • Aetna — Non-Gatekeeper: $385.44
  • Aetna — SRC and NAP: $446.76
  • Aetna — Whole Health: $201.48
  • Aetna — Whole Health -Child: $324.12
  • Aetna Better Health — Healthy Kids: $35.22
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC BREAST SCREENING MAMMOGRAM RIGHT $876 $543.12 $201.48 – $858.48
Screening mammogram, both breasts: 10 of 74 insurance plan rates
  • Aetna — ASA: $595.68
  • Aetna — Coventry Healthcare HMO of S Georgia: $613.20
  • Aetna — First Health: $700.80
  • Aetna — Gatekeeper: $315.36
  • Aetna — Medicare Advantage: $172.44
  • Aetna — Non-Gatekeeper: $385.44
  • Aetna — SRC and NAP: $446.76
  • Aetna — Whole Health: $201.48
  • Aetna — Whole Health -Child: $324.12
  • Aetna Better Health — Healthy Kids: $35.22

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Electrocardiogram complete Not listed in the file Not listed in the file $16.87 – $20.24
Electrocardiogram (ECG/EKG) with reading: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $20.24
  • Aetna Better Health — Managed Medicaid: $20.24
  • Amerigroup of Georgia — Managed Medicaid OOS: $16.87
  • Amerihealth Caritas — Managed Medicaid: $18.56
  • Daniel Memorial — Managed Medicaid: $16.87
  • Florida Community Care — Managed Medicaid: $18.56
  • Humana — Managed Medicaid: $18.56
  • Molina Healthcare of Florida — Managed Medicaid: $20.08
  • Simply Healthcare Plans — Florida Healthy Kids: $20.24
  • Simply Healthcare Plans — Managed Medicaid: $17.71
Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ELECTROCARDIOGRAM COMPLETE Not listed in the file Not listed in the file $18.56 – $18.62
Electrocardiogram (ECG/EKG) with reading: rates for 3 insurance plans
  • Corvel — Managed WC: $18.62
  • Coventry Workers Comp — Managed WC: $18.62
  • Sunshine State Health Plan — Managed Medicaid: $18.56
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Left hrt cath w/ventrclgrphy Not listed in the file Not listed in the file $1,592.84 – $7,748.56
Left heart catheterization (diagnostic): 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,911.41
  • Aetna Better Health — Managed Medicaid: $1,911.41
  • Amerigroup of Georgia — Managed Medicaid OOS: $1,592.84
  • Amerihealth Caritas — Managed Medicaid: $1,752.12
  • Daniel Memorial — Managed Medicaid: $1,592.84
  • Florida Community Care — Managed Medicaid: $1,752.12
  • Humana — Managed Medicaid: $1,752.12
  • Molina Healthcare of Florida — Managed Medicaid: $1,895.48
  • Simply Healthcare Plans — Florida Healthy Kids: $1,911.41
  • Simply Healthcare Plans — Managed Medicaid: $1,672.48
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $1,592.84 – $7,748.56
Left heart catheterization (diagnostic): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $3,293.14
  • Ambetter — Marketplace - All Products: $7,748.56
  • Community Hospice of Northeast Florida — Medicare Advantage: $3,228.57
  • Devoted — Medicare Advantage: $3,422.28
  • Florida Community Care — Medicare Advantage: $3,390
  • PACE — Medicare Advantage: $3,228.57
  • Sunshine State Health Plan — Managed Medicaid: $1,752.13
  • Tomorrow's Rainbow — Medicare Advantage: $3,228.57
  • United Healthcare — Medicare Advantage: $3,260.85
  • UPMC — Medicare Advantage: $3,551.42
Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: LEFT HRT CATH W/VENTRCLGRPHY Not listed in the file Not listed in the file $702.66
Left heart catheterization (diagnostic): rates for 2 insurance plans
  • Corvel — Managed WC: $702.66
  • Coventry Workers Comp — Managed WC: $702.66
Heart rhythm study (electrophysiology evaluation) CPT 93619 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION $15,923 $9,872.26 $3,662.29 – $15,604.54
Heart rhythm study (electrophysiology evaluation): 10 of 74 insurance plan rates
  • Aetna — ASA: $10,827.64
  • Aetna — Coventry Healthcare HMO of S Georgia: $11,146.10
  • Aetna — First Health: $12,738.40
  • Aetna — Gatekeeper: $5,732.28
  • Aetna — Medicare Advantage: $7,769.12
  • Aetna — Non-Gatekeeper: $7,006.12
  • Aetna — SRC and NAP: $8,120.73
  • Aetna — Whole Health: $3,662.29
  • Aetna — Whole Health -Child: $5,891.51
  • Aetna Better Health — Healthy Kids: $5,101.58
Heart rhythm study with ablation for atrial fibrillation CPT 93656 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EP EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN $98,517 $61,080.54 $5,132.76 – $88,665.30
Heart rhythm study with ablation for atrial fibrillation: 10 of 74 insurance plan rates
  • Aetna — ASA: $66,991.56
  • Aetna — Coventry Healthcare HMO of S Georgia: $68,961.90
  • Aetna — First Health: $78,813.60
  • Aetna — Gatekeeper: $35,466.12
  • Aetna — Medicare Advantage: $25,117.53
  • Aetna — Non-Gatekeeper: $43,347.48
  • Aetna — SRC and NAP: $50,243.67
  • Aetna — Whole Health: $22,658.91
  • Aetna — Whole Health -Child: $36,451.29
  • Aetna Better Health — Healthy Kids: $13,317.82
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSG SLEEP STAGING 4+PARAMETERS $9,245 $5,731.90 $2,126.35 – $9,060.10
Sleep study (overnight, in a sleep lab): 10 of 74 insurance plan rates
  • Aetna — ASA: $6,286.60
  • Aetna — Coventry Healthcare HMO of S Georgia: $6,471.50
  • Aetna — First Health: $7,396
  • Aetna — Gatekeeper: $3,328.20
  • Aetna — Medicare Advantage: $1,041.66
  • Aetna — Non-Gatekeeper: $4,067.80
  • Aetna — SRC and NAP: $4,714.95
  • Aetna — Whole Health: $2,126.35
  • Aetna — Whole Health -Child: $3,420.65
  • Aetna Better Health — Healthy Kids: $573.29
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier 52 In the file: HC TERMINATED PSG PROCEDURE $9,245 $5,731.90 $2,126.35 – $9,060.10
Sleep study (overnight, in a sleep lab): 10 of 63 insurance plan rates
  • Aetna — ASA: $6,286.60
  • Aetna — Coventry Healthcare HMO of S Georgia: $6,471.50
  • Aetna — First Health: $7,396
  • Aetna — Gatekeeper: $3,328.20
  • Aetna — Non-Gatekeeper: $4,067.80
  • Aetna — SRC and NAP: $4,714.95
  • Aetna — Whole Health: $2,126.35
  • Aetna — Whole Health -Child: $3,420.65
  • Aetna Better Health — Healthy Kids: $573.29
  • Aetna Better Health — Managed Medicaid: $573.29
Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: POLYSOM 6/> YRS 4/> PARAM Not listed in the file Not listed in the file $508.62
Sleep study (overnight, in a sleep lab): rates for 2 insurance plans
  • Corvel — Managed WC: $508.62
  • Coventry Workers Comp — Managed WC: $508.62

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT THERAPEUTIC EXERCISES $292 $181.04 $67.16 – $262.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 74 insurance plan rates
  • Aetna — ASA: $198.56
  • Aetna — Coventry Healthcare HMO of S Georgia: $204.40
  • Aetna — First Health: $233.60
  • Aetna — Gatekeeper: $105.12
  • Aetna — Medicare Advantage: $37.80
  • Aetna — Non-Gatekeeper: $128.48
  • Aetna — SRC and NAP: $148.92
  • Aetna — Whole Health: $67.16
  • Aetna — Whole Health -Child: $108.04
  • Aetna Better Health — Healthy Kids: $26.48
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC OT THERAPEUTIC EXERCISES $292 $181.04 $67.16 – $262.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 74 insurance plan rates
  • Aetna — ASA: $198.56
  • Aetna — Coventry Healthcare HMO of S Georgia: $204.40
  • Aetna — First Health: $233.60
  • Aetna — Gatekeeper: $105.12
  • Aetna — Medicare Advantage: $37.80
  • Aetna — Non-Gatekeeper: $128.48
  • Aetna — SRC and NAP: $148.92
  • Aetna — Whole Health: $67.16
  • Aetna — Whole Health -Child: $108.04
  • Aetna Better Health — Healthy Kids: $26.48
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS $364 $225.68 $83.72 – $327.60
Physical therapy evaluation (low complexity): 10 of 74 insurance plan rates
  • Aetna — ASA: $247.52
  • Aetna — Coventry Healthcare HMO of S Georgia: $254.80
  • Aetna — First Health: $291.20
  • Aetna — Gatekeeper: $131.04
  • Aetna — Medicare Advantage: $128.71
  • Aetna — Non-Gatekeeper: $160.16
  • Aetna — SRC and NAP: $185.64
  • Aetna — Whole Health: $83.72
  • Aetna — Whole Health -Child: $134.68
  • Aetna Better Health — Healthy Kids: $188.18
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS $566 $350.92 $130.18 – $509.40
Physical therapy evaluation (moderate complexity): 10 of 74 insurance plan rates
  • Aetna — ASA: $384.88
  • Aetna — Coventry Healthcare HMO of S Georgia: $396.20
  • Aetna — First Health: $452.80
  • Aetna — Gatekeeper: $203.76
  • Aetna — Medicare Advantage: $128.71
  • Aetna — Non-Gatekeeper: $249.04
  • Aetna — SRC and NAP: $288.66
  • Aetna — Whole Health: $130.18
  • Aetna — Whole Health -Child: $209.42
  • Aetna Better Health — Healthy Kids: $188.18
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PT PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS $798 $494.76 $183.54 – $718.20
Physical therapy evaluation (high complexity): 10 of 74 insurance plan rates
  • Aetna — ASA: $542.64
  • Aetna — Coventry Healthcare HMO of S Georgia: $558.60
  • Aetna — First Health: $638.40
  • Aetna — Gatekeeper: $287.28
  • Aetna — Medicare Advantage: $128.71
  • Aetna — Non-Gatekeeper: $351.12
  • Aetna — SRC and NAP: $406.98
  • Aetna — Whole Health: $183.54
  • Aetna — Whole Health -Child: $295.26
  • Aetna Better Health — Healthy Kids: $188.18
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY W/PATIENT 30 MINUTES $210 $130.20 $78.04 – $983.45
Psychotherapy, 30 minutes: 10 of 78 insurance plan rates
  • Aetna — ASA: $142.80
  • Aetna — Coventry Healthcare HMO of S Georgia: $147
  • Aetna — First Health: $168
  • Aetna — Gatekeeper: $75.60
  • Aetna — Medicare Advantage: $164.50
  • Aetna — Non-Gatekeeper: $92.40
  • Aetna — SRC and NAP: $107.10
  • Aetna — Whole Health: $48.30
  • Aetna — Whole Health -Child: $77.70
  • Aetna Better Health — Healthy Kids: $93.65
Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT 30 MINUTES $210 $130.20 $42 – $189
Psychotherapy, 30 minutes: 10 of 76 insurance plan rates
  • Aetna — ASA: $142.80
  • Aetna — Coventry Healthcare HMO of S Georgia: $147
  • Aetna — First Health: $168
  • Aetna — Gatekeeper: $75.60
  • Aetna — Medicare Advantage: $164.50
  • Aetna — Non-Gatekeeper: $92.40
  • Aetna — SRC and NAP: $107.10
  • Aetna — Whole Health: $48.30
  • Aetna — Whole Health -Child: $77.70
  • Aetna Better Health — Healthy Kids: $93.65
Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT 45 MINUTES $278 $172.36 $86.52 – $983.45
Psychotherapy, 45 minutes: 10 of 78 insurance plan rates
  • Aetna — ASA: $189.04
  • Aetna — Coventry Healthcare HMO of S Georgia: $194.60
  • Aetna — First Health: $222.40
  • Aetna — Gatekeeper: $100.08
  • Aetna — Medicare Advantage: $164.50
  • Aetna — Non-Gatekeeper: $122.32
  • Aetna — SRC and NAP: $141.78
  • Aetna — Whole Health: $63.94
  • Aetna — Whole Health -Child: $102.86
  • Aetna Better Health — Healthy Kids: $103.82
Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC PSYCHOTHERAPY PATIENT 60 MINUTES $582 $360.84 $86.52 – $983.45
Psychotherapy, 60 minutes: 10 of 78 insurance plan rates
  • Aetna — ASA: $395.76
  • Aetna — Coventry Healthcare HMO of S Georgia: $407.40
  • Aetna — First Health: $465.60
  • Aetna — Gatekeeper: $209.52
  • Aetna — Medicare Advantage: $164.50
  • Aetna — Non-Gatekeeper: $256.08
  • Aetna — SRC and NAP: $296.82
  • Aetna — Whole Health: $133.86
  • Aetna — Whole Health -Child: $215.34
  • Aetna Better Health — Healthy Kids: $103.82
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: FAMILY PSYTX W/O PT 50 MIN Not listed in the file Not listed in the file $103 – $387.07
Family psychotherapy, without the patient: 10 of 13 insurance plan rates
  • Aetna — Medicare Advantage: $164.50
  • Ambetter — Marketplace - All Products: $387.07
  • Community Hospice of Northeast Florida — Medicare Advantage: $161.28
  • Corvel — Managed WC: $111.72
  • Coventry Workers Comp — Managed WC: $111.72
  • Devoted — Medicare Advantage: $170.95
  • Florida Community Care — Medicare Advantage: $169.34
  • PACE — Medicare Advantage: $161.28
  • Sunshine State Health Plan — Managed Medicaid: $113.31
  • Tomorrow's Rainbow — Medicare Advantage: $161.28
Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Family psytx w/o pt 50 min Not listed in the file Not listed in the file $103 – $387.07
Family psychotherapy, without the patient: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $123.60
  • Aetna Better Health — Managed Medicaid: $123.60
  • Amerigroup of Georgia — Managed Medicaid OOS: $103
  • Amerihealth Caritas — Managed Medicaid: $113.30
  • Daniel Memorial — Managed Medicaid: $103
  • Florida Community Care — Managed Medicaid: $113.30
  • Humana — Managed Medicaid: $113.30
  • Molina Healthcare of Florida — Managed Medicaid: $122.57
  • Simply Healthcare Plans — Florida Healthy Kids: $123.60
  • Simply Healthcare Plans — Managed Medicaid: $108.15
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY WITH PT $413 $256.06 $82.60 – $371.70
Family psychotherapy, with the patient: 10 of 78 insurance plan rates
  • Aetna — ASA: $280.84
  • Aetna — Coventry Healthcare HMO of S Georgia: $289.10
  • Aetna — First Health: $330.40
  • Aetna — Gatekeeper: $148.68
  • Aetna — Medicare Advantage: $164.50
  • Aetna — Non-Gatekeeper: $181.72
  • Aetna — SRC and NAP: $210.63
  • Aetna — Whole Health: $94.99
  • Aetna — Whole Health -Child: $152.81
  • Aetna Better Health — Healthy Kids: $123.60
Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY WITH PT 50 MIN $413 $256.06 $82.60 – $371.70
Family psychotherapy, with the patient: 10 of 78 insurance plan rates
  • Aetna — ASA: $280.84
  • Aetna — Coventry Healthcare HMO of S Georgia: $289.10
  • Aetna — First Health: $330.40
  • Aetna — Gatekeeper: $148.68
  • Aetna — Medicare Advantage: $164.50
  • Aetna — Non-Gatekeeper: $181.72
  • Aetna — SRC and NAP: $210.63
  • Aetna — Whole Health: $94.99
  • Aetna — Whole Health -Child: $152.81
  • Aetna Better Health — Healthy Kids: $123.60
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC GROUP PSYCHOTHERAPY INTENSIVE OUTPATIENT PSYCHIATRIC $339 $210.18 $67.80 – $305.10
Group psychotherapy: 10 of 78 insurance plan rates
  • Aetna — ASA: $230.52
  • Aetna — Coventry Healthcare HMO of S Georgia: $237.30
  • Aetna — First Health: $271.20
  • Aetna — Gatekeeper: $122.04
  • Aetna — Medicare Advantage: $94.71
  • Aetna — Non-Gatekeeper: $149.16
  • Aetna — SRC and NAP: $172.89
  • Aetna — Whole Health: $77.97
  • Aetna — Whole Health -Child: $125.43
  • Aetna Better Health — Healthy Kids: $183.42
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INTERACTIVE GRP THERAPY IOP $339 $210.18 $67.80 – $305.10
Group psychotherapy: 10 of 78 insurance plan rates
  • Aetna — ASA: $230.52
  • Aetna — Coventry Healthcare HMO of S Georgia: $237.30
  • Aetna — First Health: $271.20
  • Aetna — Gatekeeper: $122.04
  • Aetna — Medicare Advantage: $94.71
  • Aetna — Non-Gatekeeper: $149.16
  • Aetna — SRC and NAP: $172.89
  • Aetna — Whole Health: $77.97
  • Aetna — Whole Health -Child: $125.43
  • Aetna Better Health — Healthy Kids: $183.42
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ACTIVITY THERAPY OTHER $339 $210.18 $67.80 – $305.10
Group psychotherapy: 10 of 78 insurance plan rates
  • Aetna — ASA: $230.52
  • Aetna — Coventry Healthcare HMO of S Georgia: $237.30
  • Aetna — First Health: $271.20
  • Aetna — Gatekeeper: $122.04
  • Aetna — Medicare Advantage: $94.71
  • Aetna — Non-Gatekeeper: $149.16
  • Aetna — SRC and NAP: $172.89
  • Aetna — Whole Health: $77.97
  • Aetna — Whole Health -Child: $125.43
  • Aetna Better Health — Healthy Kids: $183.42

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Removal of breast growth (open surgery) CPT 19120 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC EXCISE BREAST CYST $4,741 $2,939.42 $1,090.43 – $4,646.18
Removal of breast growth (open surgery): 10 of 74 insurance plan rates
  • Aetna — ASA: $3,223.88
  • Aetna — Coventry Healthcare HMO of S Georgia: $3,318.70
  • Aetna — First Health: $3,792.80
  • Aetna — Gatekeeper: $1,706.76
  • Aetna — Medicare Advantage: $3,920.63
  • Aetna — Non-Gatekeeper: $2,086.04
  • Aetna — SRC and NAP: $2,417.91
  • Aetna — Whole Health: $1,090.43
  • Aetna — Whole Health -Child: $1,754.17
  • Aetna Better Health — Healthy Kids: $1,031.48
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total hip arthroplasty Not listed in the file Not listed in the file $5,957.96 – $30,997.10
Total hip replacement: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $7,149.55
  • Aetna Better Health — Managed Medicaid: $7,149.55
  • Amerigroup of Georgia — Managed Medicaid OOS: $5,957.96
  • Amerihealth Caritas — Managed Medicaid: $6,553.76
  • Daniel Memorial — Managed Medicaid: $5,957.96
  • Florida Community Care — Managed Medicaid: $6,553.76
  • Humana — Managed Medicaid: $6,553.76
  • Molina Healthcare of Florida — Managed Medicaid: $7,089.97
  • Simply Healthcare Plans — Florida Healthy Kids: $7,149.55
  • Simply Healthcare Plans — Managed Medicaid: $6,255.86
Total hip replacement CPT 27130 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL HIP ARTHROPLASTY Not listed in the file Not listed in the file $5,957.96 – $30,997.10
Total hip replacement: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $13,173.77
  • Ambetter — Marketplace - All Products: $30,997.10
  • Community Hospice of Northeast Florida — Medicare Advantage: $12,915.46
  • Corvel — Managed WC: $1,091.02
  • Devoted — Medicare Advantage: $13,690.38
  • Florida Community Care — Medicare Advantage: $13,561.23
  • PACE — Medicare Advantage: $12,915.46
  • Sunshine State Health Plan — Managed Medicaid: $6,553.76
  • Tomorrow's Rainbow — Medicare Advantage: $12,915.46
  • United Healthcare — Medicare Advantage: $13,044.61
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Total knee arthroplasty Not listed in the file Not listed in the file $5,957.96 – $30,997.10
Total knee replacement: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $7,149.55
  • Aetna Better Health — Managed Medicaid: $7,149.55
  • Amerigroup of Georgia — Managed Medicaid OOS: $5,957.96
  • Amerihealth Caritas — Managed Medicaid: $6,553.76
  • Daniel Memorial — Managed Medicaid: $5,957.96
  • Florida Community Care — Managed Medicaid: $6,553.76
  • Humana — Managed Medicaid: $6,553.76
  • Molina Healthcare of Florida — Managed Medicaid: $7,089.97
  • Simply Healthcare Plans — Florida Healthy Kids: $7,149.55
  • Simply Healthcare Plans — Managed Medicaid: $6,255.86
Total knee replacement CPT 27447 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TOTAL KNEE ARTHROPLASTY Not listed in the file Not listed in the file $5,957.96 – $30,997.10
Total knee replacement: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $13,173.77
  • Ambetter — Marketplace - All Products: $30,997.10
  • Community Hospice of Northeast Florida — Medicare Advantage: $12,915.46
  • Corvel — Managed WC: $6,035.04
  • Devoted — Medicare Advantage: $13,690.38
  • Florida Community Care — Medicare Advantage: $13,561.23
  • PACE — Medicare Advantage: $12,915.46
  • Sunshine State Health Plan — Managed Medicaid: $6,553.76
  • Tomorrow's Rainbow — Medicare Advantage: $12,915.46
  • United Healthcare — Medicare Advantage: $13,044.61
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Sho arthrs srg decompression Not listed in the file Not listed in the file $1,380.28 – $1,656.34
Shoulder arthroscopy: shaving of shoulder bone: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,656.34
  • Aetna Better Health — Managed Medicaid: $1,656.34
  • Amerigroup of Georgia — Managed Medicaid OOS: $1,380.28
  • Amerihealth Caritas — Managed Medicaid: $1,518.31
  • Daniel Memorial — Managed Medicaid: $1,380.28
  • Florida Community Care — Managed Medicaid: $1,518.31
  • Humana — Managed Medicaid: $1,518.31
  • Molina Healthcare of Florida — Managed Medicaid: $1,642.53
  • Simply Healthcare Plans — Florida Healthy Kids: $1,656.34
  • Simply Healthcare Plans — Managed Medicaid: $1,449.29
Shoulder arthroscopy: shaving of shoulder bone CPT 29826 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: SHO ARTHRS SRG DECOMPRESSION Not listed in the file Not listed in the file $1,518.31 – $6,770.97
Shoulder arthroscopy: shaving of shoulder bone: rates for 2 insurance plans
  • Corvel — Managed WC: $6,770.97
  • Sunshine State Health Plan — Managed Medicaid: $1,518.31
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Arthrs kne srg mnisectmy m/l Not listed in the file Not listed in the file $1,380.28 – $7,816.50
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,656.34
  • Aetna Better Health — Managed Medicaid: $1,656.34
  • Amerigroup of Georgia — Managed Medicaid OOS: $1,380.28
  • Amerihealth Caritas — Managed Medicaid: $1,518.31
  • Daniel Memorial — Managed Medicaid: $1,380.28
  • Florida Community Care — Managed Medicaid: $1,518.31
  • Humana — Managed Medicaid: $1,518.31
  • Molina Healthcare of Florida — Managed Medicaid: $1,642.53
  • Simply Healthcare Plans — Florida Healthy Kids: $1,656.34
  • Simply Healthcare Plans — Managed Medicaid: $1,449.29
Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: ARTHRS KNE SRG MNISECTMY M/L Not listed in the file Not listed in the file $1,380.28 – $7,816.50
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $3,322.01
  • Ambetter — Marketplace - All Products: $7,816.50
  • Community Hospice of Northeast Florida — Medicare Advantage: $3,256.87
  • Corvel — Managed WC: $3,107.16
  • Devoted — Medicare Advantage: $3,452.29
  • Florida Community Care — Medicare Advantage: $3,419.72
  • PACE — Medicare Advantage: $3,256.87
  • Sunshine State Health Plan — Managed Medicaid: $1,518.31
  • Tomorrow's Rainbow — Medicare Advantage: $3,256.87
  • United Healthcare — Medicare Advantage: $3,289.44
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Remove tonsils and adenoids Not listed in the file Not listed in the file $1,360.17 – $14,251.25
Removal of tonsils and adenoids (under age 12): 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,632.20
  • Aetna Better Health — Managed Medicaid: $1,632.20
  • Amerigroup of Georgia — Managed Medicaid OOS: $1,360.17
  • Amerihealth Caritas — Managed Medicaid: $1,496.19
  • Daniel Memorial — Managed Medicaid: $1,360.17
  • Florida Community Care — Managed Medicaid: $1,496.19
  • Humana — Managed Medicaid: $1,496.19
  • Molina Healthcare of Florida — Managed Medicaid: $1,618.60
  • Simply Healthcare Plans — Florida Healthy Kids: $1,632.20
  • Simply Healthcare Plans — Managed Medicaid: $1,428.18
Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: REMOVE TONSILS AND ADENOIDS Not listed in the file Not listed in the file $1,360.17 – $14,251.25
Removal of tonsils and adenoids (under age 12): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $6,056.78
  • Ambetter — Marketplace - All Products: $14,251.25
  • Community Hospice of Northeast Florida — Medicare Advantage: $5,938.02
  • Devoted — Medicare Advantage: $6,294.30
  • Florida Community Care — Medicare Advantage: $6,234.92
  • PACE — Medicare Advantage: $5,938.02
  • Sunshine State Health Plan — Managed Medicaid: $1,496.19
  • Tomorrow's Rainbow — Medicare Advantage: $5,938.02
  • United Healthcare — Medicare Advantage: $5,997.40
  • UPMC — Medicare Advantage: $6,531.82
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd diagnostic brush wash Not listed in the file Not listed in the file $648.98 – $2,258.65
Upper GI endoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $778.78
  • Aetna Better Health — Managed Medicaid: $778.78
  • Amerigroup of Georgia — Managed Medicaid OOS: $648.98
  • Amerihealth Caritas — Managed Medicaid: $713.88
  • Daniel Memorial — Managed Medicaid: $648.98
  • Florida Community Care — Managed Medicaid: $713.88
  • Humana — Managed Medicaid: $713.88
  • Molina Healthcare of Florida — Managed Medicaid: $772.29
  • Simply Healthcare Plans — Florida Healthy Kids: $778.78
  • Simply Healthcare Plans — Managed Medicaid: $681.43
Upper GI endoscopy (diagnostic) CPT 43235 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD DIAGNOSTIC BRUSH WASH Not listed in the file Not listed in the file $648.98 – $2,258.65
Upper GI endoscopy (diagnostic): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $959.93
  • Ambetter — Marketplace - All Products: $2,258.65
  • Community Hospice of Northeast Florida — Medicare Advantage: $941.10
  • Corvel — Managed WC: $1,895.79
  • Devoted — Medicare Advantage: $997.57
  • Florida Community Care — Medicare Advantage: $988.16
  • PACE — Medicare Advantage: $941.10
  • Sunshine State Health Plan — Managed Medicaid: $713.88
  • Tomorrow's Rainbow — Medicare Advantage: $941.10
  • United Healthcare — Medicare Advantage: $950.52
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Egd biopsy single/multiple Not listed in the file Not listed in the file $648.98 – $2,258.65
Upper GI endoscopy with biopsy: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $778.78
  • Aetna Better Health — Managed Medicaid: $778.78
  • Amerigroup of Georgia — Managed Medicaid OOS: $648.98
  • Amerihealth Caritas — Managed Medicaid: $713.88
  • Daniel Memorial — Managed Medicaid: $648.98
  • Florida Community Care — Managed Medicaid: $713.88
  • Humana — Managed Medicaid: $713.88
  • Molina Healthcare of Florida — Managed Medicaid: $772.29
  • Simply Healthcare Plans — Florida Healthy Kids: $778.78
  • Simply Healthcare Plans — Managed Medicaid: $681.43
Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: EGD BIOPSY SINGLE/MULTIPLE Not listed in the file Not listed in the file $648.98 – $2,258.65
Upper GI endoscopy with biopsy: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $959.93
  • Ambetter — Marketplace - All Products: $2,258.65
  • Community Hospice of Northeast Florida — Medicare Advantage: $941.10
  • Corvel — Managed WC: $2,714.92
  • Devoted — Medicare Advantage: $997.57
  • Florida Community Care — Medicare Advantage: $988.16
  • PACE — Medicare Advantage: $941.10
  • Sunshine State Health Plan — Managed Medicaid: $713.88
  • Tomorrow's Rainbow — Medicare Advantage: $941.10
  • United Healthcare — Medicare Advantage: $950.52
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Diagnostic colonoscopy Not listed in the file Not listed in the file $636.88 – $2,196.38
Colonoscopy (diagnostic): 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $764.26
  • Aetna Better Health — Managed Medicaid: $764.26
  • Amerigroup of Georgia — Managed Medicaid OOS: $636.88
  • Amerihealth Caritas — Managed Medicaid: $700.57
  • Daniel Memorial — Managed Medicaid: $636.88
  • Florida Community Care — Managed Medicaid: $700.57
  • Humana — Managed Medicaid: $700.57
  • Molina Healthcare of Florida — Managed Medicaid: $757.89
  • Simply Healthcare Plans — Florida Healthy Kids: $764.26
  • Simply Healthcare Plans — Managed Medicaid: $668.72
Colonoscopy (diagnostic) CPT 45378 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: DIAGNOSTIC COLONOSCOPY Not listed in the file Not listed in the file $636.88 – $2,196.38
Colonoscopy (diagnostic): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $933.46
  • Ambetter — Marketplace - All Products: $2,196.38
  • Community Hospice of Northeast Florida — Medicare Advantage: $915.16
  • Corvel — Managed WC: $1,264.85
  • Devoted — Medicare Advantage: $970.07
  • Florida Community Care — Medicare Advantage: $960.91
  • PACE — Medicare Advantage: $915.16
  • Sunshine State Health Plan — Managed Medicaid: $700.57
  • Tomorrow's Rainbow — Medicare Advantage: $915.16
  • United Healthcare — Medicare Advantage: $924.31
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy and biopsy Not listed in the file Not listed in the file $636.88 – $2,840.49
Colonoscopy with biopsy: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $764.26
  • Aetna Better Health — Managed Medicaid: $764.26
  • Amerigroup of Georgia — Managed Medicaid OOS: $636.88
  • Amerihealth Caritas — Managed Medicaid: $700.57
  • Daniel Memorial — Managed Medicaid: $636.88
  • Florida Community Care — Managed Medicaid: $700.57
  • Humana — Managed Medicaid: $700.57
  • Molina Healthcare of Florida — Managed Medicaid: $757.89
  • Simply Healthcare Plans — Florida Healthy Kids: $764.26
  • Simply Healthcare Plans — Managed Medicaid: $668.72
Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY AND BIOPSY Not listed in the file Not listed in the file $636.88 – $2,840.49
Colonoscopy with biopsy: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $1,207.21
  • Ambetter — Marketplace - All Products: $2,840.49
  • Community Hospice of Northeast Florida — Medicare Advantage: $1,183.54
  • Corvel — Managed WC: $3,291.39
  • Devoted — Medicare Advantage: $1,254.55
  • Florida Community Care — Medicare Advantage: $1,242.71
  • PACE — Medicare Advantage: $1,183.54
  • Sunshine State Health Plan — Managed Medicaid: $700.57
  • Tomorrow's Rainbow — Medicare Advantage: $1,183.54
  • United Healthcare — Medicare Advantage: $1,195.37
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/lesion removal Not listed in the file Not listed in the file $636.88 – $2,840.49
Colonoscopy with removal of polyps (snare): 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $764.26
  • Aetna Better Health — Managed Medicaid: $764.26
  • Amerigroup of Georgia — Managed Medicaid OOS: $636.88
  • Amerihealth Caritas — Managed Medicaid: $700.57
  • Daniel Memorial — Managed Medicaid: $636.88
  • Florida Community Care — Managed Medicaid: $700.57
  • Humana — Managed Medicaid: $700.57
  • Molina Healthcare of Florida — Managed Medicaid: $757.89
  • Simply Healthcare Plans — Florida Healthy Kids: $764.26
  • Simply Healthcare Plans — Managed Medicaid: $668.72
Colonoscopy with removal of polyps (snare) CPT 45385 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/LESION REMOVAL Not listed in the file Not listed in the file $636.88 – $2,840.49
Colonoscopy with removal of polyps (snare): 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $1,207.21
  • Ambetter — Marketplace - All Products: $2,840.49
  • Community Hospice of Northeast Florida — Medicare Advantage: $1,183.54
  • Corvel — Managed WC: $1,909.66
  • Devoted — Medicare Advantage: $1,254.55
  • Florida Community Care — Medicare Advantage: $1,242.71
  • PACE — Medicare Advantage: $1,183.54
  • Sunshine State Health Plan — Managed Medicaid: $700.57
  • Tomorrow's Rainbow — Medicare Advantage: $1,183.54
  • United Healthcare — Medicare Advantage: $1,195.37
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colonoscopy w/endoscope us Not listed in the file Not listed in the file $636.88 – $2,840.49
Ultrasound of the lower bowel by endoscope: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $764.26
  • Aetna Better Health — Managed Medicaid: $764.26
  • Amerigroup of Georgia — Managed Medicaid OOS: $636.88
  • Amerihealth Caritas — Managed Medicaid: $700.57
  • Daniel Memorial — Managed Medicaid: $636.88
  • Florida Community Care — Managed Medicaid: $700.57
  • Humana — Managed Medicaid: $700.57
  • Molina Healthcare of Florida — Managed Medicaid: $757.89
  • Simply Healthcare Plans — Florida Healthy Kids: $764.26
  • Simply Healthcare Plans — Managed Medicaid: $668.72
Ultrasound of the lower bowel by endoscope CPT 45391 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: COLONOSCOPY W/ENDOSCOPE US Not listed in the file Not listed in the file $636.88 – $2,840.49
Ultrasound of the lower bowel by endoscope: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $1,207.21
  • Ambetter — Marketplace - All Products: $2,840.49
  • Community Hospice of Northeast Florida — Medicare Advantage: $1,183.54
  • Corvel — Managed WC: $1,909.66
  • Devoted — Medicare Advantage: $1,254.55
  • Florida Community Care — Medicare Advantage: $1,242.71
  • PACE — Medicare Advantage: $1,183.54
  • Sunshine State Health Plan — Managed Medicaid: $700.57
  • Tomorrow's Rainbow — Medicare Advantage: $1,183.54
  • United Healthcare — Medicare Advantage: $1,195.37
Screening colonoscopy (not high risk) HCPCS G0121 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Colon ca scrn not hi rsk ind Not listed in the file Not listed in the file $636.88 – $2,196.38
Screening colonoscopy (not high risk): 10 of 26 insurance plan rates
  • Aetna — Medicare Advantage: $933.46
  • Aetna Better Health — Healthy Kids: $764.26
  • Aetna Better Health — Managed Medicaid: $764.26
  • Ambetter — Marketplace - All Products: $2,196.38
  • Amerigroup of Georgia — Managed Medicaid OOS: $636.88
  • Amerihealth Caritas — Managed Medicaid: $700.57
  • Community Hospice of Northeast Florida — Medicare Advantage: $915.16
  • Corvel — Managed WC: $211.68
  • Coventry Workers Comp — Managed WC: $211.68
  • Daniel Memorial — Managed Medicaid: $636.88
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laparoscopic cholecystectomy Not listed in the file Not listed in the file $2,399.65 – $14,055.39
Gallbladder removal by laparoscope: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $2,879.58
  • Aetna Better Health — Managed Medicaid: $2,879.58
  • Amerigroup of Georgia — Managed Medicaid OOS: $2,399.65
  • Amerihealth Caritas — Managed Medicaid: $2,639.62
  • Daniel Memorial — Managed Medicaid: $2,399.65
  • Florida Community Care — Managed Medicaid: $2,639.62
  • Humana — Managed Medicaid: $2,639.62
  • Molina Healthcare of Florida — Managed Medicaid: $2,855.58
  • Simply Healthcare Plans — Florida Healthy Kids: $2,879.58
  • Simply Healthcare Plans — Managed Medicaid: $2,519.63
Gallbladder removal by laparoscope CPT 47562 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPAROSCOPIC CHOLECYSTECTOMY Not listed in the file Not listed in the file $2,399.65 – $14,055.39
Gallbladder removal by laparoscope: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $5,973.54
  • Ambetter — Marketplace - All Products: $14,055.39
  • Community Hospice of Northeast Florida — Medicare Advantage: $5,856.41
  • Corvel — Managed WC: $1,346.57
  • Devoted — Medicare Advantage: $6,207.80
  • Florida Community Care — Medicare Advantage: $6,149.23
  • PACE — Medicare Advantage: $5,856.41
  • Sunshine State Health Plan — Managed Medicaid: $2,639.62
  • Tomorrow's Rainbow — Medicare Advantage: $5,856.41
  • United Healthcare — Medicare Advantage: $5,914.98
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prp i/hern init reduc >5 yr Not listed in the file Not listed in the file $2,501.46 – $8,501.76
Groin (inguinal) hernia repair, age 5 or older: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $3,001.75
  • Aetna Better Health — Managed Medicaid: $3,001.75
  • Amerigroup of Georgia — Managed Medicaid OOS: $2,501.46
  • Amerihealth Caritas — Managed Medicaid: $2,751.61
  • Daniel Memorial — Managed Medicaid: $2,501.46
  • Florida Community Care — Managed Medicaid: $2,751.61
  • Humana — Managed Medicaid: $2,751.61
  • Molina Healthcare of Florida — Managed Medicaid: $2,976.74
  • Simply Healthcare Plans — Florida Healthy Kids: $3,001.75
  • Simply Healthcare Plans — Managed Medicaid: $2,626.53
Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: PRP I/HERN INIT REDUC >5 YR Not listed in the file Not listed in the file $2,501.46 – $8,501.76
Groin (inguinal) hernia repair, age 5 or older: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $3,613.25
  • Ambetter — Marketplace - All Products: $8,501.76
  • Community Hospice of Northeast Florida — Medicare Advantage: $3,542.40
  • Corvel — Managed WC: $13,025.89
  • Devoted — Medicare Advantage: $3,754.94
  • Florida Community Care — Medicare Advantage: $3,719.52
  • PACE — Medicare Advantage: $3,542.40
  • Sunshine State Health Plan — Managed Medicaid: $2,751.61
  • Tomorrow's Rainbow — Medicare Advantage: $3,542.40
  • United Healthcare — Medicare Advantage: $3,577.82
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Biopsy of prostate Not listed in the file Not listed in the file $1,098.49 – $4,935.01
Prostate biopsy: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,318.19
  • Aetna Better Health — Managed Medicaid: $1,318.19
  • Amerigroup of Georgia — Managed Medicaid OOS: $1,098.49
  • Amerihealth Caritas — Managed Medicaid: $1,208.34
  • Daniel Memorial — Managed Medicaid: $1,098.49
  • Florida Community Care — Managed Medicaid: $1,208.34
  • Humana — Managed Medicaid: $1,208.34
  • Molina Healthcare of Florida — Managed Medicaid: $1,307.20
  • Simply Healthcare Plans — Florida Healthy Kids: $1,318.19
  • Simply Healthcare Plans — Managed Medicaid: $1,153.41
Prostate biopsy CPT 55700 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: BIOPSY OF PROSTATE Not listed in the file Not listed in the file $1,098.49 – $4,935.01
Prostate biopsy: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $2,097.38
  • Ambetter — Marketplace - All Products: $4,935.01
  • Community Hospice of Northeast Florida — Medicare Advantage: $2,056.25
  • Devoted — Medicare Advantage: $2,179.63
  • Florida Community Care — Medicare Advantage: $2,159.07
  • PACE — Medicare Advantage: $2,056.25
  • Sunshine State Health Plan — Managed Medicaid: $1,208.34
  • Tomorrow's Rainbow — Medicare Advantage: $2,056.25
  • United Healthcare — Medicare Advantage: $2,076.82
  • UPMC — Medicare Advantage: $2,261.88
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Laps surg prst8ect rpbic rad Not listed in the file Not listed in the file $3,041.11 – $25,081.38
Prostate removal by laparoscope (radical prostatectomy): 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $3,649.33
  • Aetna Better Health — Managed Medicaid: $3,649.33
  • Amerigroup of Georgia — Managed Medicaid OOS: $3,041.11
  • Amerihealth Caritas — Managed Medicaid: $3,345.22
  • Daniel Memorial — Managed Medicaid: $3,041.11
  • Florida Community Care — Managed Medicaid: $3,345.22
  • Humana — Managed Medicaid: $3,345.22
  • Molina Healthcare of Florida — Managed Medicaid: $3,618.92
  • Simply Healthcare Plans — Florida Healthy Kids: $3,649.33
  • Simply Healthcare Plans — Managed Medicaid: $3,193.17
Prostate removal by laparoscope (radical prostatectomy) CPT 55866 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: LAPS SURG PRST8ECT RPBIC RAD Not listed in the file Not listed in the file $3,041.11 – $25,081.38
Prostate removal by laparoscope (radical prostatectomy): 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $10,659.59
  • Ambetter — Marketplace - All Products: $25,081.38
  • Community Hospice of Northeast Florida — Medicare Advantage: $10,450.57
  • Devoted — Medicare Advantage: $11,077.61
  • Florida Community Care — Medicare Advantage: $10,973.10
  • PACE — Medicare Advantage: $10,450.57
  • Sunshine State Health Plan — Managed Medicaid: $3,345.23
  • Tomorrow's Rainbow — Medicare Advantage: $10,450.57
  • United Healthcare — Medicare Advantage: $10,555.08
  • UPMC — Medicare Advantage: $11,495.63
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Hysteroscopy biopsy Not listed in the file Not listed in the file $1,564.37 – $7,659.72
Hysteroscopy with biopsy of the uterus lining: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,877.24
  • Aetna Better Health — Managed Medicaid: $1,877.24
  • Amerigroup of Georgia — Managed Medicaid OOS: $1,564.37
  • Amerihealth Caritas — Managed Medicaid: $1,720.81
  • Daniel Memorial — Managed Medicaid: $1,564.37
  • Florida Community Care — Managed Medicaid: $1,720.81
  • Humana — Managed Medicaid: $1,720.81
  • Molina Healthcare of Florida — Managed Medicaid: $1,861.60
  • Simply Healthcare Plans — Florida Healthy Kids: $1,877.24
  • Simply Healthcare Plans — Managed Medicaid: $1,642.59
Hysteroscopy with biopsy of the uterus lining CPT 58558 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HYSTEROSCOPY BIOPSY Not listed in the file Not listed in the file $1,564.37 – $7,659.72
Hysteroscopy with biopsy of the uterus lining: 10 of 11 insurance plan rates
  • Aetna — Medicare Advantage: $3,255.38
  • Ambetter — Marketplace - All Products: $7,659.72
  • Community Hospice of Northeast Florida — Medicare Advantage: $3,191.55
  • Devoted — Medicare Advantage: $3,383.04
  • Florida Community Care — Medicare Advantage: $3,351.13
  • PACE — Medicare Advantage: $3,191.55
  • Sunshine State Health Plan — Managed Medicaid: $1,720.82
  • Tomorrow's Rainbow — Medicare Advantage: $3,191.55
  • United Healthcare — Medicare Advantage: $3,223.46
  • UPMC — Medicare Advantage: $3,510.70
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN $4,258 $2,639.96 $979.34 – $4,172.84
Spinal injection, lower back (epidural), with imaging guidance: 10 of 74 insurance plan rates
  • Aetna — ASA: $2,895.44
  • Aetna — Coventry Healthcare HMO of S Georgia: $2,980.60
  • Aetna — First Health: $3,406.40
  • Aetna — Gatekeeper: $1,532.88
  • Aetna — Medicare Advantage: $709.04
  • Aetna — Non-Gatekeeper: $1,873.52
  • Aetna — SRC and NAP: $2,171.58
  • Aetna — Whole Health: $979.34
  • Aetna — Whole Health -Child: $1,575.46
  • Aetna Better Health — Healthy Kids: $579.85
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Njx aa&/strd tfrm epi l/s 1 Not listed in the file Not listed in the file $483.21 – $2,144.77
Nerve root injection, lower back, with imaging guidance: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $579.85
  • Aetna Better Health — Managed Medicaid: $579.85
  • Amerigroup of Georgia — Managed Medicaid OOS: $483.21
  • Amerihealth Caritas — Managed Medicaid: $531.53
  • Daniel Memorial — Managed Medicaid: $483.21
  • Florida Community Care — Managed Medicaid: $531.53
  • Humana — Managed Medicaid: $531.53
  • Molina Healthcare of Florida — Managed Medicaid: $575.02
  • Simply Healthcare Plans — Florida Healthy Kids: $579.85
  • Simply Healthcare Plans — Managed Medicaid: $507.37
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX AA&/STRD TFRM EPI L/S 1 Not listed in the file Not listed in the file $483.21 – $2,144.77
Nerve root injection, lower back, with imaging guidance: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $911.53
  • Ambetter — Marketplace - All Products: $2,144.77
  • Community Hospice of Northeast Florida — Medicare Advantage: $893.66
  • Corvel — Managed WC: $2,021.58
  • Devoted — Medicare Advantage: $947.27
  • Florida Community Care — Medicare Advantage: $938.34
  • PACE — Medicare Advantage: $893.66
  • Sunshine State Health Plan — Managed Medicaid: $531.54
  • Tomorrow's Rainbow — Medicare Advantage: $893.66
  • United Healthcare — Medicare Advantage: $902.59
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Carpal tunnel surgery Not listed in the file Not listed in the file $879.72 – $4,704.36
Carpal tunnel release: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,055.66
  • Aetna Better Health — Managed Medicaid: $1,055.66
  • Amerigroup of Georgia — Managed Medicaid OOS: $879.72
  • Amerihealth Caritas — Managed Medicaid: $967.69
  • Daniel Memorial — Managed Medicaid: $879.72
  • Florida Community Care — Managed Medicaid: $967.69
  • Humana — Managed Medicaid: $967.69
  • Molina Healthcare of Florida — Managed Medicaid: $1,046.87
  • Simply Healthcare Plans — Florida Healthy Kids: $1,055.66
  • Simply Healthcare Plans — Managed Medicaid: $923.71
Carpal tunnel release CPT 64721 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CARPAL TUNNEL SURGERY Not listed in the file Not listed in the file $879.72 – $4,704.36
Carpal tunnel release: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $1,999.35
  • Ambetter — Marketplace - All Products: $4,704.36
  • Community Hospice of Northeast Florida — Medicare Advantage: $1,960.15
  • Corvel — Managed WC: $4,123.39
  • Devoted — Medicare Advantage: $2,077.76
  • Florida Community Care — Medicare Advantage: $2,058.16
  • PACE — Medicare Advantage: $1,960.15
  • Sunshine State Health Plan — Managed Medicaid: $967.70
  • Tomorrow's Rainbow — Medicare Advantage: $1,960.15
  • United Healthcare — Medicare Advantage: $1,979.75
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: After cataract laser surgery Not listed in the file Not listed in the file $370.27 – $1,321.62
Laser treatment of clouding after cataract surgery: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $444.32
  • Aetna Better Health — Managed Medicaid: $444.32
  • Amerigroup of Georgia — Managed Medicaid OOS: $370.27
  • Amerihealth Caritas — Managed Medicaid: $407.30
  • Daniel Memorial — Managed Medicaid: $370.27
  • Florida Community Care — Managed Medicaid: $407.30
  • Humana — Managed Medicaid: $407.30
  • Molina Healthcare of Florida — Managed Medicaid: $440.62
  • Simply Healthcare Plans — Florida Healthy Kids: $444.32
  • Simply Healthcare Plans — Managed Medicaid: $388.78
Laser treatment of clouding after cataract surgery CPT 66821 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: AFTER CATARACT LASER SURGERY Not listed in the file Not listed in the file $370.27 – $1,321.62
Laser treatment of clouding after cataract surgery: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $561.69
  • Ambetter — Marketplace - All Products: $1,321.62
  • Community Hospice of Northeast Florida — Medicare Advantage: $550.67
  • Corvel — Managed WC: $4,162.02
  • Devoted — Medicare Advantage: $583.71
  • Florida Community Care — Medicare Advantage: $578.21
  • PACE — Medicare Advantage: $550.67
  • Sunshine State Health Plan — Managed Medicaid: $407.30
  • Tomorrow's Rainbow — Medicare Advantage: $550.67
  • United Healthcare — Medicare Advantage: $556.18
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Xcapsl ctrc rmvl w/o ecp Not listed in the file Not listed in the file $1,112.36 – $5,494.44
Cataract removal with lens implant: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,334.83
  • Aetna Better Health — Managed Medicaid: $1,334.83
  • Amerigroup of Georgia — Managed Medicaid OOS: $1,112.36
  • Amerihealth Caritas — Managed Medicaid: $1,223.60
  • Daniel Memorial — Managed Medicaid: $1,112.36
  • Florida Community Care — Managed Medicaid: $1,223.60
  • Humana — Managed Medicaid: $1,223.60
  • Molina Healthcare of Florida — Managed Medicaid: $1,323.71
  • Simply Healthcare Plans — Florida Healthy Kids: $1,334.83
  • Simply Healthcare Plans — Managed Medicaid: $1,167.98
Cataract removal with lens implant CPT 66984 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: XCAPSL CTRC RMVL W/O ECP Not listed in the file Not listed in the file $1,112.36 – $5,494.44
Cataract removal with lens implant: 10 of 12 insurance plan rates
  • Aetna — Medicare Advantage: $2,335.14
  • Ambetter — Marketplace - All Products: $5,494.44
  • Community Hospice of Northeast Florida — Medicare Advantage: $2,289.35
  • Corvel — Managed WC: $4,162.02
  • Devoted — Medicare Advantage: $2,426.71
  • Florida Community Care — Medicare Advantage: $2,403.82
  • PACE — Medicare Advantage: $2,289.35
  • Sunshine State Health Plan — Managed Medicaid: $1,223.60
  • Tomorrow's Rainbow — Medicare Advantage: $2,289.35
  • United Healthcare — Medicare Advantage: $2,312.24

Pregnancy and childbirth

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Obstetrical care Not listed in the file Not listed in the file $1,519.80 – $1,823.76
Vaginal delivery, with care before and after: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,823.76
  • Aetna Better Health — Managed Medicaid: $1,823.76
  • Amerigroup of Georgia — Managed Medicaid OOS: $1,519.80
  • Amerihealth Caritas — Managed Medicaid: $1,671.78
  • Daniel Memorial — Managed Medicaid: $1,519.80
  • Florida Community Care — Managed Medicaid: $1,671.78
  • Humana — Managed Medicaid: $1,671.78
  • Molina Healthcare of Florida — Managed Medicaid: $1,808.56
  • Simply Healthcare Plans — Florida Healthy Kids: $1,823.76
  • Simply Healthcare Plans — Managed Medicaid: $1,595.79
Vaginal delivery, with care before and after CPT 59400 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: OBSTETRICAL CARE Not listed in the file Not listed in the file $1,671.79
Vaginal delivery, with care before and after: rates for 1 insurance plan
  • Sunshine State Health Plan — Managed Medicaid: $1,671.79
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Cesarean delivery Not listed in the file Not listed in the file $1,680.71 – $2,016.85
Cesarean delivery (C-section), with care before and after: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $2,016.85
  • Aetna Better Health — Managed Medicaid: $2,016.85
  • Amerigroup of Georgia — Managed Medicaid OOS: $1,680.71
  • Amerihealth Caritas — Managed Medicaid: $1,848.78
  • Daniel Memorial — Managed Medicaid: $1,680.71
  • Florida Community Care — Managed Medicaid: $1,848.78
  • Humana — Managed Medicaid: $1,848.78
  • Molina Healthcare of Florida — Managed Medicaid: $2,000.04
  • Simply Healthcare Plans — Florida Healthy Kids: $2,016.85
  • Simply Healthcare Plans — Managed Medicaid: $1,764.75
Cesarean delivery (C-section), with care before and after CPT 59510 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CESAREAN DELIVERY Not listed in the file Not listed in the file $1,848.79
Cesarean delivery (C-section), with care before and after: rates for 1 insurance plan
  • Sunshine State Health Plan — Managed Medicaid: $1,848.79
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Vbac delivery Not listed in the file Not listed in the file $1,519.80 – $1,823.76
Vaginal delivery after a previous C-section, with care before and after: 10 of 13 insurance plan rates
  • Aetna Better Health — Healthy Kids: $1,823.76
  • Aetna Better Health — Managed Medicaid: $1,823.76
  • Amerigroup of Georgia — Managed Medicaid OOS: $1,519.80
  • Amerihealth Caritas — Managed Medicaid: $1,671.78
  • Daniel Memorial — Managed Medicaid: $1,519.80
  • Florida Community Care — Managed Medicaid: $1,671.78
  • Humana — Managed Medicaid: $1,671.78
  • Molina Healthcare of Florida — Managed Medicaid: $1,808.56
  • Simply Healthcare Plans — Florida Healthy Kids: $1,823.76
  • Simply Healthcare Plans — Managed Medicaid: $1,595.79
Vaginal delivery after a previous C-section, with care before and after CPT 59610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: VBAC DELIVERY Not listed in the file Not listed in the file $1,671.79
Vaginal delivery after a previous C-section, with care before and after: rates for 1 insurance plan
  • Sunshine State Health Plan — Managed Medicaid: $1,671.79

Hospital stays (whole stay, MS-DRG)

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC Not listed in the file Not listed in the file $10,479 – $277,577.17
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 53 insurance plan rates
  • Aetna — Gatekeeper: $248,688.56
  • Aetna — Medicare Advantage: $80,001.11
  • Aetna — Non-Gatekeeper: $277,577.17
  • Aetna — Whole Health: $151,105.13
  • Aetna — Whole Health -Child: $230,453.42
  • Ambetter — Marketplace - All Products: $172,551.41
  • AvMed — All Products: $243,992.81
  • AvMed — Engage & Empower & Entrust: $162,717.31
  • AvMed — Engage & Empower & Entrust - Child: $248,130.94
  • BCBS — Blue Select - Adult: $103,550.94
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Major joint replacement or reattachment of lower extremity w/o MCC Not listed in the file Not listed in the file $10,479 – $54,730.61
Hip or knee replacement (major joint of the leg), without major complications: 10 of 44 insurance plan rates
  • Aetna — Gatekeeper: $49,034.57
  • Aetna — Non-Gatekeeper: $54,730.61
  • Aetna — Whole Health: $29,793.79
  • Aetna — Whole Health -Child: $45,439.10
  • AvMed — All Products: $48,108.69
  • AvMed — Engage & Empower & Entrust: $32,083.39
  • AvMed — Engage & Empower & Entrust - Child: $48,924.62
  • BCBS — Blue Select - Adult: $20,417.41
  • BCBS — Blue Select - Child: $25,521.28
  • BCBS — HMO: $25,521.28
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC Not listed in the file Not listed in the file $10,479 – $54,730.61
Hip or knee replacement (major joint of the leg), without major complications: rates for 9 insurance plans
  • Aetna — Medicare Advantage: $16,749.48
  • Ambetter — Marketplace - All Products: $36,126.33
  • Community Hospice of Northeast Florida — Medicare Advantage: $14,778.95
  • Devoted — Medicare Advantage: $17,406.32
  • Florida Community Care — Medicare Advantage: $17,242.11
  • PACE — Medicare Advantage: $16,421.06
  • United Healthcare — Medicare Advantage: $16,585.27
  • UPMC — Medicare Advantage: $18,063.17
  • VA CCN — Medicare Advantage: $16,421.06
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC Not listed in the file Not listed in the file $10,479 – $69,269.45
Neck (cervical) spinal fusion, without complications: 10 of 53 insurance plan rates
  • Aetna — Gatekeeper: $62,060.29
  • Aetna — Medicare Advantage: $20,876.12
  • Aetna — Non-Gatekeeper: $69,269.45
  • Aetna — Whole Health: $37,708.32
  • Aetna — Whole Health -Child: $57,509.70
  • Ambetter — Marketplace - All Products: $45,026.92
  • AvMed — All Products: $60,888.46
  • AvMed — Engage & Empower & Entrust: $40,606.14
  • AvMed — Engage & Empower & Entrust - Child: $61,921.13
  • BCBS — Blue Select - Adult: $25,841.16
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC Not listed in the file Not listed in the file $9,888.57 – $35,203.62
Uterus and ovary surgery (not for cancer), without complications: 10 of 53 insurance plan rates
  • Aetna — Gatekeeper: $31,539.83
  • Aetna — Medicare Advantage: $11,207.05
  • Aetna — Non-Gatekeeper: $35,203.62
  • Aetna — Whole Health: $19,163.85
  • Aetna — Whole Health -Child: $29,227.17
  • Ambetter — Marketplace - All Products: $24,172.06
  • AvMed — All Products: $30,944.30
  • AvMed — Engage & Empower & Entrust: $20,636.56
  • AvMed — Engage & Empower & Entrust - Child: $31,469.11
  • BCBS — Blue Select - Adult: $13,132.81

Source: Baptist Health Medical Center - Jacksonville’s standard charges file (baptistjacksonville.pt.panaceainc.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on February 6, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital typeAcute Care Hospital
Address800 Prudential Dr, Jacksonville, FL 32207
CountyDuval County
StateFlorida
Phone(904) 202‑2000
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating4 of 5 stars
Birthing-friendly designationYes (meets CMS criteria)
CMS Certification Number100088
Name in Medicare recordsBAPTIST HEALTH MEDICAL CENTER - JACKSONVILLE
Profile levelMedicare data + hospital website
Name on the hospital’s websiteBaptist Medical Center Jacksonville
Official websitebaptistjax.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

  1. Baptist Medical Center Jacksonville — baptistjax.com
  2. Visitor Policy - Baptist Health — baptistjax.com
  3. Parking - Baptist Medical Center Jacksonville — baptistjax.com
  4. Baptist Medical Center Jacksonville | Baptist Health | Jacksonville, Florida — baptistjax.com
  5. Patient & Visitor Information | Baptist Medical Center Downtown Jacksonville, FL — baptistjax.com
  6. Parking | Baptist Medical Center Jacksonville | Baptist Health | FL — baptistjax.com
  7. Labor & Delivery at Baptist Jacksonville — baptistjax.com
  8. OB Emergency Department | Baptist Health — baptistjax.com
  9. Baptist Medical Center Jacksonville | Insurance Information — baptistjax.com
  10. Language Assistance | Baptist Health | Jacksonville, FL — baptistjax.com