Does Baptist Medical Center - Nassau have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Baptist Medical Center - Nassau. In a medical emergency, call 911.

Where is Baptist Medical Center - Nassau?

1250 S 18th St, Fernandina Beach, FL 32034, in Nassau County, Florida.

What is the phone number of Baptist Medical Center - Nassau?

(904) 321-3500, as listed by Medicare (CMS).

What is the Medicare star rating of Baptist Medical Center - Nassau?

4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Baptist Medical Center - Nassau — Fernandina Beach, FL

Quick answers

Does Baptist Medical Center - Nassau have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Baptist Medical Center - Nassau. In a medical emergency, call 911.
Where is Baptist Medical Center - Nassau?: 1250 S 18th St, Fernandina Beach, FL 32034, in Nassau County, Florida.
What is the phone number of Baptist Medical Center - Nassau?: (904) 321-3500, as listed by Medicare (CMS).
What is the Medicare star rating of Baptist Medical Center - Nassau?: 4 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-07-22).

Specialties and care areas^[4][6][7]

Treatments^[4][6]

Procedures^[4]

Robotic and minimally invasive surgery

Programs and centers^[4][6][8]

Surgery Center
24/7 emergency services
Cardiac rehabilitation

Emergency care (hospital website)^[4][5][6]

Emergency room	Yes
Open 24/7	Yes
Stroke designation	Get With The Guidelines Stroke Gold Plus (AHA)

Visiting and practical information

Interpreters and languages	Multilingual assistance provided free of charge^[4]
Patient portal	My Baptist Chart

Recognition^[4]

Leapfrog Hospital Safety Grade A
CMS 5-star rating
AHA Get With The Guidelines Stroke Gold Plus
Chartis Performance Leadership Award 2023

Doctors and clinicians (676)

676 doctors and other clinicians list Baptist Medical Center - Nassau 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

And 652 more: the button below opens the full list.

Other emergency rooms nearby

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

Southeast Georgia Health System -- Camden Campus13 mi · Saint Marys, GA · Acute Care Hospital
Shands Jacksonville25 mi · Jacksonville, FL · Acute Care Hospital
Baptist Medical Center Beaches26 mi · Jacksonville Beach, FL · Acute Care Hospital
Baptist Health Medical Center - Jacksonville27 mi · Jacksonville, FL · Acute Care Hospital
Mayo Clinic27 mi · Jacksonville, FL · Acute Care Hospital

Other hospitals nearby

UF Health Rehabilitation Hospital - Jacksonville16 mi · Jacksonville, FL · Inpatient Rehabilitation Hospital
Reunion Rehabilitation Hospital Jacksonville25 mi · Jacksonville, FL · Inpatient Rehabilitation Hospital
River Point Behavioral Health27 mi · Jacksonville, FL · Psychiatric Hospital

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

Fernandina Beach Rehabilitation and Nursing Center0.1 mi · Fernandina Beach, FL · 4 of 5 stars
Senior Care Center - St Marys8.4 mi · Saint Marys, GA · 2 of 5 stars
Lanier Rehabilitation Center15 mi · Jacksonville, FL · 3 of 5 stars

All nursing homes in the state →

Home health agencies

Beacon in Home Health LLC12 mi · Yulee, FL
Fleet Landing Home Care21 mi · Atlantic Beach, FL
Welcome Homecare21 mi · Jacksonville, FL

All home health agencies in the state →

Dialysis facilities

Fresenius Kidney Care Amelia Island4.1 mi · Fernandina Beach, FL · 1 of 5 stars
DaVita St. Mary's Dialysis11 mi · Saint Marys, GA · 3 of 5 stars
Fresenius Medical Care St. Marys11 mi · Saint Marys, GA · 2 of 5 stars

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

Amelia Island Surgery Center4.1 mi · Fernandina Beach, FL
Nassau Crossing Endoscopy Center12 mi · Yulee, FL
Azura Surgery Center Jacksonville17 mi · Jacksonville, FL

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

Coastal Community Health - Fernandina/Yulee4.1 mi · Fernandina Beach, FL · Community health center
CCHS St. Mary's13 mi · Saint Marys, GA · Community health center
McKinney Community Health Center, Inc.15 mi · Kingsland, GA · Community health center

Clinics and urgent care

Amelia Urgent Care LLC4.1 mi · Fernandina Beach, FL · Urgent care center
University of Florida Jacksonville Physicians, Inc.11 mi · Saint Marys, GA · Rural health clinic
Avecina Medical, PA12 mi · Yulee, FL · Urgent care center

Pharmacies

Publix Super Markets Inc4.1 mi · Fernandina Beach, FL · Community/retail pharmacy
Wal-Mart Stores East LP4.1 mi · Fernandina Beach, FL · Community/retail pharmacy
Walgreen Co4.1 mi · Fernandina Beach, FL · Pharmacy

Assisted living nearby

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

Amelia Springs Assisted Living4.1 mi · Fernandina Beach, FL
Fellowship Amelia Island4.1 mi · Fernandina Beach, FL
Osprey Village at Amelia Island, Ltd4.1 mi · Fernandina Beach, FL
The Lakeside at Amelia Island4.1 mi · Fernandina Beach, FL

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 Medical Center - Nassau 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 hospital	4 of 5 stars
Would recommend the hospital	4 of 5 stars
Nurses communicated well	3 of 5 stars
Doctors communicated well	3 of 5 stars
Staff explained medicines	2 of 5 stars
Information about recovery at home	2 of 5 stars
Room and bathroom kept clean	4 of 5 stars
Quiet at night	4 of 5 stars
Rated the hospital 9 or 10 out of 10	77%National average: 72%
Would definitely recommend the hospital	76%National average: 71%
Nurses “always” communicated well	76%National average: 80%
Doctors “always” communicated well	78%National average: 80%
Staff “always” explained medicines before giving them	54%National average: 62%
Were given information about recovery at home	82%National average: 86%
Room and bathroom “always” clean	75%National average: 74%
Area around the room “always” quiet at night	60%National average: 60%
Completed surveys	420Response rate: 25%

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)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	0.784No different from the national benchmark
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	0Better 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 patients	11.1%
Deaths within 30 days: heart failure patients	12.1%
Deaths within 30 days: pneumonia patients	14.8%
Deaths within 30 days: COPD patients	10%
Deaths within 30 days: stroke patients	13.4%
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	1.07No different from the national rate
Complications after hip or knee replacement	Not reported to Medicare

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 attack	Too few cases to report
Readmitted within 30 days: heart failure	22.9%
Readmitted within 30 days: pneumonia	16.8%
Readmitted within 30 days: COPD	20%
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

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)	Medium (20,000–39,999)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	158 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	1%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	61%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 Florida Best hospitals in Florida

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 Medical Center - Nassau 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

Service	Hospital charge	Cash price	Insurance 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	$250.85 – $778.50
Established patient office visit (about 30–39 minutes): 10 of 45 insurance plan rates Aetna — ASA: $588.20 Aetna — Coventry Healthcare HMO of S Georgia: $605.50 Aetna — First Health: $692 Aetna — Gatekeeper: $320.05 Aetna — Non-Gatekeeper: $380.60 Aetna — SRC and NAP: $441.15 Aetna — Whole Health: $320.05 AvMed — All Products: $648.75 AvMed — Engage & Empower & Entrust: $276.80 BCBS — Blue Select - Adult: $256.04
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	$762.70 – $2,367
Emergency room visit (moderate): 10 of 55 insurance plan rates Aetna — ASA: $1,788.40 Aetna — Coventry Healthcare HMO of S Georgia: $1,841 Aetna — First Health: $2,104 Aetna — Gatekeeper: $973.10 Aetna — Medicare Advantage: $283.50 Aetna — Non-Gatekeeper: $1,157.20 Aetna — SRC and NAP: $1,341.30 Aetna — Whole Health: $973.10 Ambetter — Marketplace - All Products: $667.05 AvMed — All Products: $1,972.50
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	$1,336.90 – $4,149
Emergency room visit (moderately high): 10 of 55 insurance plan rates Aetna — ASA: $3,134.80 Aetna — Coventry Healthcare HMO of S Georgia: $3,227 Aetna — First Health: $3,688 Aetna — Gatekeeper: $1,705.70 Aetna — Medicare Advantage: $435.98 Aetna — Non-Gatekeeper: $2,028.40 Aetna — SRC and NAP: $2,351.10 Aetna — Whole Health: $1,705.70 Ambetter — Marketplace - All Products: $1,025.83 AvMed — All Products: $3,457.50
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	$1,365.90 – $4,239
Emergency room visit (high): 10 of 55 insurance plan rates Aetna — ASA: $3,202.80 Aetna — Coventry Healthcare HMO of S Georgia: $3,297 Aetna — First Health: $3,768 Aetna — Gatekeeper: $1,742.70 Aetna — Medicare Advantage: $627.73 Aetna — Non-Gatekeeper: $2,072.40 Aetna — SRC and NAP: $2,402.10 Aetna — Whole Health: $1,742.70 Ambetter — Marketplace - All Products: $1,477 AvMed — All Products: $3,532.50

Lab tests

Service	Hospital charge	Cash price	Insurance 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	$54.23 – $183.26
Basic metabolic panel (blood test): 10 of 70 insurance plan rates Aetna — ASA: $127.16 Aetna — Coventry Healthcare HMO of S Georgia: $130.90 Aetna — First Health: $149.60 Aetna — Gatekeeper: $69.19 Aetna — Medicare Advantage: $8.63 Aetna — Non-Gatekeeper: $82.28 Aetna — SRC and NAP: $95.37 Aetna — Whole Health: $69.19 Aetna Better Health — Healthy Kids: $5.45 Aetna Better Health — Managed Medicaid: $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 14 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: $4.54 Molina Healthcare of Florida — Managed Medicaid: $5.40 Nassaua County Sheriff's Office — Managed Medicaid: $4.54 Simply Healthcare Plans — Florida 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 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 14 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: $4.54 Molina Healthcare of Florida — Managed Medicaid: $5.40 Nassaua County Sheriff's Office — Managed Medicaid: $4.54 Simply Healthcare Plans — Florida Healthy Kids: $5.45
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	$113.97 – $385.14
Cholesterol panel (lipid panel): 10 of 70 insurance plan rates Aetna — ASA: $267.24 Aetna — Coventry Healthcare HMO of S Georgia: $275.10 Aetna — First Health: $314.40 Aetna — Gatekeeper: $145.41 Aetna — Medicare Advantage: $13.66 Aetna — Non-Gatekeeper: $172.92 Aetna — SRC and NAP: $200.43 Aetna — Whole Health: $145.41 Aetna Better Health — Healthy Kids: $5.45 Aetna Better Health — Managed Medicaid: $5.45
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC RENAL FUNCTION PANEL	$196	$121.52	$56.84 – $192.08
Kidney function panel: 10 of 70 insurance plan rates Aetna — ASA: $133.28 Aetna — Coventry Healthcare HMO of S Georgia: $137.20 Aetna — First Health: $156.80 Aetna — Gatekeeper: $72.52 Aetna — Medicare Advantage: $8.85 Aetna — Non-Gatekeeper: $86.24 Aetna — SRC and NAP: $99.96 Aetna — Whole Health: $72.52 Aetna Better Health — Healthy Kids: $5.45 Aetna Better Health — Managed Medicaid: $5.45
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC HEPATIC FUNCTION PANEL	$142	$88.04	$41.18 – $139.16
Liver function panel: 10 of 70 insurance plan rates Aetna — ASA: $96.56 Aetna — Coventry Healthcare HMO of S Georgia: $99.40 Aetna — First Health: $113.60 Aetna — Gatekeeper: $52.54 Aetna — Medicare Advantage: $8.33 Aetna — Non-Gatekeeper: $62.48 Aetna — SRC and NAP: $72.42 Aetna — Whole Health: $52.54 Aetna Better Health — Healthy Kids: $5.45 Aetna Better Health — Managed Medicaid: $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 14 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: $1.50 Molina Healthcare of Florida — Managed Medicaid: $1.79 Nassaua County Sheriff's Office — Managed Medicaid: $1.50 Simply Healthcare Plans — Florida Healthy Kids: $1.80
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	$25.23 – $85.26
Urine test (manual, without microscope): 10 of 70 insurance plan rates Aetna — ASA: $59.16 Aetna — Coventry Healthcare HMO of S Georgia: $60.90 Aetna — First Health: $69.60 Aetna — Gatekeeper: $32.19 Aetna — Medicare Advantage: $3.55 Aetna — Non-Gatekeeper: $38.28 Aetna — SRC and NAP: $44.37 Aetna — Whole Health: $32.19 Aetna Better Health — Healthy Kids: $1.80 Aetna Better Health — Managed Medicaid: $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 14 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: $1.50 Molina Healthcare of Florida — Managed Medicaid: $1.79 Nassaua County Sheriff's Office — Managed Medicaid: $1.50 Simply Healthcare Plans — Florida 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 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 14 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: $6.08 Molina Healthcare of Florida — Managed Medicaid: $7.24 Nassaua County Sheriff's Office — Managed Medicaid: $6.08 Simply Healthcare Plans — Florida Healthy Kids: $7.30
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	$108.75 – $367.50
Thyroid stimulating hormone (TSH) test: 10 of 70 insurance plan rates Aetna — ASA: $255 Aetna — Coventry Healthcare HMO of S Georgia: $262.50 Aetna — First Health: $300 Aetna — Gatekeeper: $138.75 Aetna — Medicare Advantage: $17.14 Aetna — Non-Gatekeeper: $165 Aetna — SRC and NAP: $191.25 Aetna — Whole Health: $138.75 Aetna Better Health — Healthy Kids: $7.99 Aetna Better Health — Managed Medicaid: $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	$35.09 – $118.58
Complete blood count (CBC) with differential: 10 of 70 insurance plan rates Aetna — ASA: $82.28 Aetna — Coventry Healthcare HMO of S Georgia: $84.70 Aetna — First Health: $96.80 Aetna — Gatekeeper: $44.77 Aetna — Medicare Advantage: $7.93 Aetna — Non-Gatekeeper: $53.24 Aetna — SRC and NAP: $61.71 Aetna — Whole Health: $44.77 Aetna Better Health — Healthy Kids: $3.55 Aetna Better Health — Managed Medicaid: $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	$46.11 – $155.82
Complete blood count (CBC), automated: 10 of 70 insurance plan rates Aetna — ASA: $108.12 Aetna — Coventry Healthcare HMO of S Georgia: $111.30 Aetna — First Health: $127.20 Aetna — Gatekeeper: $58.83 Aetna — Medicare Advantage: $6.60 Aetna — Non-Gatekeeper: $69.96 Aetna — SRC and NAP: $81.09 Aetna — Whole Health: $58.83 Aetna Better Health — Healthy Kids: $3.55 Aetna Better Health — Managed Medicaid: $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	$20.88 – $70.56
Blood clotting time test (prothrombin time, PT): 10 of 70 insurance plan rates Aetna — ASA: $48.96 Aetna — Coventry Healthcare HMO of S Georgia: $50.40 Aetna — First Health: $57.60 Aetna — Gatekeeper: $26.64 Aetna — Medicare Advantage: $4.38 Aetna — Non-Gatekeeper: $31.68 Aetna — SRC and NAP: $36.72 Aetna — Whole Health: $26.64 Aetna Better Health — Healthy Kids: $2.68 Aetna Better Health — Managed Medicaid: $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	$25.23 – $85.26
Blood clotting test (partial thromboplastin time, PTT): 10 of 70 insurance plan rates Aetna — ASA: $59.16 Aetna — Coventry Healthcare HMO of S Georgia: $60.90 Aetna — First Health: $69.60 Aetna — Gatekeeper: $32.19 Aetna — Medicare Advantage: $6.13 Aetna — Non-Gatekeeper: $38.28 Aetna — SRC and NAP: $44.37 Aetna — Whole Health: $32.19 Aetna Better Health — Healthy Kids: $2.68 Aetna Better Health — Managed Medicaid: $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	$25.23 – $85.26
Blood clotting test (partial thromboplastin time, PTT): 10 of 70 insurance plan rates Aetna — ASA: $59.16 Aetna — Coventry Healthcare HMO of S Georgia: $60.90 Aetna — First Health: $69.60 Aetna — Gatekeeper: $32.19 Aetna — Medicare Advantage: $6.13 Aetna — Non-Gatekeeper: $38.28 Aetna — SRC and NAP: $44.37 Aetna — Whole Health: $32.19 Aetna Better Health — Healthy Kids: $2.68 Aetna Better Health — Managed Medicaid: $2.68

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

Service	Hospital charge	Cash price	Insurance 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	$452.98 – $1,530.76
CT scan of the head or brain, without contrast: 10 of 70 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 Better Health — Healthy Kids: $248.28 Aetna Better Health — Managed Medicaid: $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 – $1,200
MRI of the brain, before and after contrast: 10 of 70 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 Better Health — Healthy Kids: $305.56 Aetna Better Health — Managed Medicaid: $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	$239.25 – $808.50
Chest X-ray, 2 views: 10 of 70 insurance plan rates Aetna — ASA: $561 Aetna — Coventry Healthcare HMO of S Georgia: $577.50 Aetna — First Health: $660 Aetna — Gatekeeper: $305.25 Aetna — Medicare Advantage: $90.15 Aetna — Non-Gatekeeper: $363 Aetna — SRC and NAP: $420.75 Aetna — Whole Health: $305.25 Aetna Better Health — Healthy Kids: $42.71 Aetna Better Health — Managed Medicaid: $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	$466.32 – $1,575.84
X-ray of the lower spine, at least 4 views: 10 of 70 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: $594.96 Aetna — Medicare Advantage: $108.88 Aetna — Non-Gatekeeper: $707.52 Aetna — SRC and NAP: $820.08 Aetna — Whole Health: $594.96 Aetna Better Health — Healthy Kids: $42.71 Aetna Better Health — Managed Medicaid: $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	$153.12 – $582.32
MRI of the lower back (lumbar spine), without contrast: 10 of 70 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 Better Health — Healthy Kids: $183.74 Aetna Better Health — Managed Medicaid: $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	$710.50 – $2,401
CT scan of the pelvis, with contrast: 10 of 70 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 Better Health — Healthy Kids: $248.28 Aetna Better Health — Managed Medicaid: $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	$865.07 – $2,923.34
MRI of a leg joint (such as the knee), without contrast: 10 of 70 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 Better Health — Healthy Kids: $183.74 Aetna Better Health — Managed Medicaid: $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	$206.90 – $860.35
CT scan of the abdomen and pelvis, with contrast: 10 of 70 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 Better Health — Healthy Kids: $248.28 Aetna Better Health — Managed Medicaid: $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	$720.65 – $2,435.30
Ultrasound of the abdomen, complete: 10 of 70 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: $919.45 Aetna — Medicare Advantage: $108.88 Aetna — Non-Gatekeeper: $1,093.40 Aetna — SRC and NAP: $1,267.35 Aetna — Whole Health: $919.45 Aetna Better Health — Healthy Kids: $126.34 Aetna Better Health — Managed Medicaid: $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	$327.41 – $1,106.42
Pregnancy ultrasound (after the first trimester): 10 of 70 insurance plan rates Aetna — ASA: $767.72 Aetna — Coventry Healthcare HMO of S Georgia: $790.30 Aetna — First Health: $903.20 Aetna — Gatekeeper: $417.73 Aetna — Medicare Advantage: $108.88 Aetna — Non-Gatekeeper: $496.76 Aetna — SRC and NAP: $575.79 Aetna — Whole Health: $417.73 Aetna Better Health — Healthy Kids: $75.38 Aetna Better Health — Managed Medicaid: $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	$522 – $1,764
Transvaginal ultrasound: 10 of 70 insurance plan rates Aetna — ASA: $1,224 Aetna — Coventry Healthcare HMO of S Georgia: $1,260 Aetna — First Health: $1,440 Aetna — Gatekeeper: $666 Aetna — Medicare Advantage: $108.88 Aetna — Non-Gatekeeper: $792 Aetna — SRC and NAP: $918 Aetna — Whole Health: $666 Aetna Better Health — Healthy Kids: $83.81 Aetna Better Health — Managed Medicaid: $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	$29.35 – $394.85
Diagnostic mammogram, one breast: 10 of 70 insurance plan rates Aetna — ASA: $565.76 Aetna — Coventry Healthcare HMO of S Georgia: $582.40 Aetna — First Health: $665.60 Aetna — Gatekeeper: $307.84 Aetna — Medicare Advantage: $167.81 Aetna — Non-Gatekeeper: $366.08 Aetna — SRC and NAP: $424.32 Aetna — Whole Health: $307.84 Aetna Better Health — Healthy Kids: $35.22 Aetna Better Health — Managed Medicaid: $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	$241.28 – $815.36
Diagnostic mammogram, one breast: 10 of 70 insurance plan rates Aetna — ASA: $565.76 Aetna — Coventry Healthcare HMO of S Georgia: $582.40 Aetna — First Health: $665.60 Aetna — Gatekeeper: $307.84 Aetna — Medicare Advantage: $167.81 Aetna — Non-Gatekeeper: $366.08 Aetna — SRC and NAP: $424.32 Aetna — Whole Health: $307.84 Aetna Better Health — Healthy Kids: $35.22 Aetna Better Health — Managed Medicaid: $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	$383.96 – $1,297.52
Diagnostic mammogram, both breasts: 10 of 70 insurance plan rates Aetna — ASA: $900.32 Aetna — Coventry Healthcare HMO of S Georgia: $926.80 Aetna — First Health: $1,059.20 Aetna — Gatekeeper: $489.88 Aetna — Medicare Advantage: $212.11 Aetna — Non-Gatekeeper: $582.56 Aetna — SRC and NAP: $675.24 Aetna — Whole Health: $489.88 Aetna Better Health — Healthy Kids: $35.22 Aetna Better Health — Managed Medicaid: $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	$254.04 – $858.48
Screening mammogram, both breasts: 10 of 70 insurance plan rates Aetna — ASA: $595.68 Aetna — Coventry Healthcare HMO of S Georgia: $613.20 Aetna — First Health: $700.80 Aetna — Gatekeeper: $324.12 Aetna — Medicare Advantage: $172.44 Aetna — Non-Gatekeeper: $385.44 Aetna — SRC and NAP: $446.76 Aetna — Whole Health: $324.12 Aetna Better Health — Healthy Kids: $35.22 Aetna Better Health — Managed Medicaid: $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	$254.04 – $858.48
Screening mammogram, both breasts: 10 of 70 insurance plan rates Aetna — ASA: $595.68 Aetna — Coventry Healthcare HMO of S Georgia: $613.20 Aetna — First Health: $700.80 Aetna — Gatekeeper: $324.12 Aetna — Medicare Advantage: $172.44 Aetna — Non-Gatekeeper: $385.44 Aetna — SRC and NAP: $446.76 Aetna — Whole Health: $324.12 Aetna Better Health — Healthy Kids: $35.22 Aetna Better Health — Managed Medicaid: $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	$254.04 – $858.48
Screening mammogram, both breasts: 10 of 70 insurance plan rates Aetna — ASA: $595.68 Aetna — Coventry Healthcare HMO of S Georgia: $613.20 Aetna — First Health: $700.80 Aetna — Gatekeeper: $324.12 Aetna — Medicare Advantage: $172.44 Aetna — Non-Gatekeeper: $385.44 Aetna — SRC and NAP: $446.76 Aetna — Whole Health: $324.12 Aetna Better Health — Healthy Kids: $35.22 Aetna Better Health — Managed Medicaid: $35.22

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance 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 14 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: $16.87 Molina Healthcare of Florida — Managed Medicaid: $20.08 Nassaua County Sheriff's Office — Managed Medicaid: $16.87 Simply Healthcare Plans — Florida Healthy Kids: $20.24
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 14 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: $1,592.84 Molina Healthcare of Florida — Managed Medicaid: $1,895.48 Nassaua County Sheriff's Office — Managed Medicaid: $1,592.84 Simply Healthcare Plans — Florida Healthy Kids: $1,911.41
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	$4,251.32 – $18,280.28
Heart rhythm study (electrophysiology evaluation): 10 of 70 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: $5,891.51 Aetna — Medicare Advantage: $7,769.12 Aetna — Non-Gatekeeper: $7,006.12 Aetna — SRC and NAP: $8,120.73 Aetna — Whole Health: $5,891.51 Aetna Better Health — Healthy Kids: $5,101.58 Aetna Better Health — Managed Medicaid: $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 70 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: $36,451.29 Aetna — Medicare Advantage: $25,117.53 Aetna — Non-Gatekeeper: $43,347.48 Aetna — SRC and NAP: $50,243.67 Aetna — Whole Health: $36,451.29 Aetna Better Health — Healthy Kids: $13,317.82 Aetna Better Health — Managed Medicaid: $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	$2,681.05 – $9,060.10
Sleep study (overnight, in a sleep lab): 10 of 70 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: $3,420.65 Aetna — Medicare Advantage: $1,041.66 Aetna — Non-Gatekeeper: $4,067.80 Aetna — SRC and NAP: $4,714.95 Aetna — Whole Health: $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 52 In the file: HC TERMINATED PSG PROCEDURE	$9,245	$5,731.90	$2,681.05 – $9,060.10
Sleep study (overnight, in a sleep lab): 10 of 59 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: $3,420.65 Aetna — Non-Gatekeeper: $4,067.80 Aetna — SRC and NAP: $4,714.95 Aetna — Whole Health: $3,420.65 Aetna Better Health — Healthy Kids: $573.29 Aetna Better Health — Managed Medicaid: $573.29 Amerigroup of Georgia — Managed Medicaid OOS: $477.74
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

Service	Hospital charge	Cash price	Insurance 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	$84.68 – $262.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 70 insurance plan rates Aetna — ASA: $198.56 Aetna — Coventry Healthcare HMO of S Georgia: $204.40 Aetna — First Health: $233.60 Aetna — Gatekeeper: $108.04 Aetna — Medicare Advantage: $37.80 Aetna — Non-Gatekeeper: $128.48 Aetna — SRC and NAP: $148.92 Aetna — Whole Health: $108.04 Aetna Better Health — Healthy Kids: $26.48 Aetna Better Health — Managed Medicaid: $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	$84.68 – $262.80
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 70 insurance plan rates Aetna — ASA: $198.56 Aetna — Coventry Healthcare HMO of S Georgia: $204.40 Aetna — First Health: $233.60 Aetna — Gatekeeper: $108.04 Aetna — Medicare Advantage: $37.80 Aetna — Non-Gatekeeper: $128.48 Aetna — SRC and NAP: $148.92 Aetna — Whole Health: $108.04 Aetna Better Health — Healthy Kids: $26.48 Aetna Better Health — Managed Medicaid: $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	$105.56 – $327.60
Physical therapy evaluation (low complexity): 10 of 70 insurance plan rates Aetna — ASA: $247.52 Aetna — Coventry Healthcare HMO of S Georgia: $254.80 Aetna — First Health: $291.20 Aetna — Gatekeeper: $134.68 Aetna — Medicare Advantage: $128.71 Aetna — Non-Gatekeeper: $160.16 Aetna — SRC and NAP: $185.64 Aetna — Whole Health: $134.68 Aetna Better Health — Healthy Kids: $188.18 Aetna Better Health — Managed Medicaid: $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	$164.14 – $509.40
Physical therapy evaluation (moderate complexity): 10 of 70 insurance plan rates Aetna — ASA: $384.88 Aetna — Coventry Healthcare HMO of S Georgia: $396.20 Aetna — First Health: $452.80 Aetna — Gatekeeper: $209.42 Aetna — Medicare Advantage: $128.71 Aetna — Non-Gatekeeper: $249.04 Aetna — SRC and NAP: $288.66 Aetna — Whole Health: $209.42 Aetna Better Health — Healthy Kids: $188.18 Aetna Better Health — Managed Medicaid: $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	$231.42 – $718.20
Physical therapy evaluation (high complexity): 10 of 70 insurance plan rates Aetna — ASA: $542.64 Aetna — Coventry Healthcare HMO of S Georgia: $558.60 Aetna — First Health: $638.40 Aetna — Gatekeeper: $295.26 Aetna — Medicare Advantage: $128.71 Aetna — Non-Gatekeeper: $351.12 Aetna — SRC and NAP: $406.98 Aetna — Whole Health: $295.26 Aetna Better Health — Healthy Kids: $188.18 Aetna Better Health — Managed Medicaid: $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	$60.90 – $189
Psychotherapy, 30 minutes: 10 of 71 insurance plan rates Aetna — ASA: $142.80 Aetna — Coventry Healthcare HMO of S Georgia: $147 Aetna — First Health: $168 Aetna — Gatekeeper: $77.70 Aetna — Medicare Advantage: $164.50 Aetna — Non-Gatekeeper: $92.40 Aetna — SRC and NAP: $107.10 Aetna — Whole Health: $77.70 Aetna Better Health — Healthy Kids: $93.65 Aetna Better Health — Managed Medicaid: $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	$60.90 – $189
Psychotherapy, 30 minutes: 10 of 71 insurance plan rates Aetna — ASA: $142.80 Aetna — Coventry Healthcare HMO of S Georgia: $147 Aetna — First Health: $168 Aetna — Gatekeeper: $77.70 Aetna — Medicare Advantage: $164.50 Aetna — Non-Gatekeeper: $92.40 Aetna — SRC and NAP: $107.10 Aetna — Whole Health: $77.70 Aetna Better Health — Healthy Kids: $93.65 Aetna Better Health — Managed Medicaid: $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 – $387.07
Psychotherapy, 45 minutes: 10 of 71 insurance plan rates Aetna — ASA: $189.04 Aetna — Coventry Healthcare HMO of S Georgia: $194.60 Aetna — First Health: $222.40 Aetna — Gatekeeper: $102.86 Aetna — Medicare Advantage: $164.50 Aetna — Non-Gatekeeper: $122.32 Aetna — SRC and NAP: $141.78 Aetna — Whole Health: $102.86 Aetna Better Health — Healthy Kids: $103.82 Aetna Better Health — Managed Medicaid: $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	$168.78 – $523.80
Psychotherapy, 60 minutes: 10 of 71 insurance plan rates Aetna — ASA: $395.76 Aetna — Coventry Healthcare HMO of S Georgia: $407.40 Aetna — First Health: $465.60 Aetna — Gatekeeper: $215.34 Aetna — Medicare Advantage: $164.50 Aetna — Non-Gatekeeper: $256.08 Aetna — SRC and NAP: $296.82 Aetna — Whole Health: $215.34 Aetna Better Health — Healthy Kids: $103.82 Aetna Better Health — Managed Medicaid: $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 14 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: $103 Molina Healthcare of Florida — Managed Medicaid: $122.57 Nassaua County Sheriff's Office — Managed Medicaid: $103 Simply Healthcare Plans — Florida Healthy Kids: $123.60
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, with the patient CPT 90847 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC FAMILY PSYCHOTHERAPY WITH PT	$413	$256.06	$119.77 – $371.70
Family psychotherapy, with the patient: 10 of 71 insurance plan rates Aetna — ASA: $280.84 Aetna — Coventry Healthcare HMO of S Georgia: $289.10 Aetna — First Health: $330.40 Aetna — Gatekeeper: $152.81 Aetna — Medicare Advantage: $164.50 Aetna — Non-Gatekeeper: $181.72 Aetna — SRC and NAP: $210.63 Aetna — Whole Health: $152.81 Aetna Better Health — Healthy Kids: $123.60 Aetna Better Health — Managed Medicaid: $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	$119.77 – $371.70
Family psychotherapy, with the patient: 10 of 71 insurance plan rates Aetna — ASA: $280.84 Aetna — Coventry Healthcare HMO of S Georgia: $289.10 Aetna — First Health: $330.40 Aetna — Gatekeeper: $152.81 Aetna — Medicare Advantage: $164.50 Aetna — Non-Gatekeeper: $181.72 Aetna — SRC and NAP: $210.63 Aetna — Whole Health: $152.81 Aetna Better Health — Healthy Kids: $123.60 Aetna Better Health — Managed Medicaid: $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	$98.31 – $305.10
Group psychotherapy: 10 of 71 insurance plan rates Aetna — ASA: $230.52 Aetna — Coventry Healthcare HMO of S Georgia: $237.30 Aetna — First Health: $271.20 Aetna — Gatekeeper: $125.43 Aetna — Medicare Advantage: $94.71 Aetna — Non-Gatekeeper: $149.16 Aetna — SRC and NAP: $172.89 Aetna — Whole Health: $125.43 Aetna Better Health — Healthy Kids: $183.42 Aetna Better Health — Managed Medicaid: $183.42
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC INTERACTIVE GRP THERAPY IOP	$339	$210.18	$98.31 – $305.10
Group psychotherapy: 10 of 71 insurance plan rates Aetna — ASA: $230.52 Aetna — Coventry Healthcare HMO of S Georgia: $237.30 Aetna — First Health: $271.20 Aetna — Gatekeeper: $125.43 Aetna — Medicare Advantage: $94.71 Aetna — Non-Gatekeeper: $149.16 Aetna — SRC and NAP: $172.89 Aetna — Whole Health: $125.43 Aetna Better Health — Healthy Kids: $183.42 Aetna Better Health — Managed Medicaid: $183.42
Group psychotherapy CPT 90853 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: HC ACTIVITY THERAPY OTHER	$339	$210.18	$98.31 – $305.10
Group psychotherapy: 10 of 71 insurance plan rates Aetna — ASA: $230.52 Aetna — Coventry Healthcare HMO of S Georgia: $237.30 Aetna — First Health: $271.20 Aetna — Gatekeeper: $125.43 Aetna — Medicare Advantage: $94.71 Aetna — Non-Gatekeeper: $149.16 Aetna — SRC and NAP: $172.89 Aetna — Whole Health: $125.43 Aetna Better Health — Healthy Kids: $183.42 Aetna Better Health — Managed Medicaid: $183.42

Procedures and surgery

Service	Hospital charge	Cash price	Insurance 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	$1,374.89 – $4,646.18
Removal of breast growth (open surgery): 10 of 70 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: $1,754.17 Aetna — Medicare Advantage: $3,920.63 Aetna — Non-Gatekeeper: $2,086.04 Aetna — SRC and NAP: $2,417.91 Aetna — Whole Health: $1,754.17 Aetna Better Health — Healthy Kids: $1,031.48 Aetna Better Health — Managed Medicaid: $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 14 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: $5,957.96 Molina Healthcare of Florida — Managed Medicaid: $7,089.97 Nassaua County Sheriff's Office — Managed Medicaid: $5,957.96 Simply Healthcare Plans — Florida Healthy Kids: $7,149.55
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 14 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: $5,957.96 Molina Healthcare of Florida — Managed Medicaid: $7,089.97 Nassaua County Sheriff's Office — Managed Medicaid: $5,957.96 Simply Healthcare Plans — Florida Healthy Kids: $7,149.55
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 14 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: $1,380.28 Molina Healthcare of Florida — Managed Medicaid: $1,642.53 Nassaua County Sheriff's Office — Managed Medicaid: $1,380.28 Simply Healthcare Plans — Florida Healthy Kids: $1,656.34
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 14 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: $1,380.28 Molina Healthcare of Florida — Managed Medicaid: $1,642.53 Nassaua County Sheriff's Office — Managed Medicaid: $1,380.28 Simply Healthcare Plans — Florida Healthy Kids: $1,656.34
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 14 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: $1,360.17 Molina Healthcare of Florida — Managed Medicaid: $1,618.60 Nassaua County Sheriff's Office — Managed Medicaid: $1,360.17 Simply Healthcare Plans — Florida Healthy Kids: $1,632.20
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 14 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: $648.98 Molina Healthcare of Florida — Managed Medicaid: $772.29 Nassaua County Sheriff's Office — Managed Medicaid: $648.98 Simply Healthcare Plans — Florida Healthy Kids: $778.78
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 14 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: $648.98 Molina Healthcare of Florida — Managed Medicaid: $772.29 Nassaua County Sheriff's Office — Managed Medicaid: $648.98 Simply Healthcare Plans — Florida Healthy Kids: $778.78
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 14 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: $636.88 Molina Healthcare of Florida — Managed Medicaid: $757.89 Nassaua County Sheriff's Office — Managed Medicaid: $636.88 Simply Healthcare Plans — Florida Healthy Kids: $764.26
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 14 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: $636.88 Molina Healthcare of Florida — Managed Medicaid: $757.89 Nassaua County Sheriff's Office — Managed Medicaid: $636.88 Simply Healthcare Plans — Florida Healthy Kids: $764.26
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 14 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: $636.88 Molina Healthcare of Florida — Managed Medicaid: $757.89 Nassaua County Sheriff's Office — Managed Medicaid: $636.88 Simply Healthcare Plans — Florida Healthy Kids: $764.26
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 14 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: $636.88 Molina Healthcare of Florida — Managed Medicaid: $757.89 Nassaua County Sheriff's Office — Managed Medicaid: $636.88 Simply Healthcare Plans — Florida Healthy Kids: $764.26
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 27 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 14 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: $2,399.65 Molina Healthcare of Florida — Managed Medicaid: $2,855.58 Nassaua County Sheriff's Office — Managed Medicaid: $2,399.65 Simply Healthcare Plans — Florida Healthy Kids: $2,879.58
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 14 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: $2,501.46 Molina Healthcare of Florida — Managed Medicaid: $2,976.74 Nassaua County Sheriff's Office — Managed Medicaid: $2,501.46 Simply Healthcare Plans — Florida Healthy Kids: $3,001.75
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 14 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: $1,098.49 Molina Healthcare of Florida — Managed Medicaid: $1,307.20 Nassaua County Sheriff's Office — Managed Medicaid: $1,098.49 Simply Healthcare Plans — Florida Healthy Kids: $1,318.19
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 14 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: $3,041.11 Molina Healthcare of Florida — Managed Medicaid: $3,618.92 Nassaua County Sheriff's Office — Managed Medicaid: $3,041.11 Simply Healthcare Plans — Florida Healthy Kids: $3,649.33
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 14 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: $1,564.37 Molina Healthcare of Florida — Managed Medicaid: $1,861.60 Nassaua County Sheriff's Office — Managed Medicaid: $1,564.37 Simply Healthcare Plans — Florida Healthy Kids: $1,877.24
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	$483.21 – $1,668.33
Spinal injection, lower back (epidural), with imaging guidance: 10 of 70 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: $1,575.46 Aetna — Medicare Advantage: $709.04 Aetna — Non-Gatekeeper: $1,873.52 Aetna — SRC and NAP: $2,171.58 Aetna — Whole Health: $1,575.46 Aetna Better Health — Healthy Kids: $579.85 Aetna Better Health — Managed Medicaid: $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 14 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: $483.21 Molina Healthcare of Florida — Managed Medicaid: $575.02 Nassaua County Sheriff's Office — Managed Medicaid: $483.21 Simply Healthcare Plans — Florida 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 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 14 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: $879.72 Molina Healthcare of Florida — Managed Medicaid: $1,046.87 Nassaua County Sheriff's Office — Managed Medicaid: $879.72 Simply Healthcare Plans — Florida Healthy Kids: $1,055.66
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 14 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: $370.27 Molina Healthcare of Florida — Managed Medicaid: $440.62 Nassaua County Sheriff's Office — Managed Medicaid: $370.27 Simply Healthcare Plans — Florida Healthy Kids: $444.32
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 14 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: $1,112.36 Molina Healthcare of Florida — Managed Medicaid: $1,323.71 Nassaua County Sheriff's Office — Managed Medicaid: $1,112.36 Simply Healthcare Plans — Florida Healthy Kids: $1,334.83
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

Service	Hospital charge	Cash price	Insurance 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 14 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: $1,519.80 Molina Healthcare of Florida — Managed Medicaid: $1,808.56 Nassaua County Sheriff's Office — Managed Medicaid: $1,519.80 Simply Healthcare Plans — Florida Healthy Kids: $1,823.76
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 14 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: $1,680.71 Molina Healthcare of Florida — Managed Medicaid: $2,000.04 Nassaua County Sheriff's Office — Managed Medicaid: $1,680.71 Simply Healthcare Plans — Florida Healthy Kids: $2,016.85
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 14 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: $1,519.80 Molina Healthcare of Florida — Managed Medicaid: $1,808.56 Nassaua County Sheriff's Office — Managed Medicaid: $1,519.80 Simply Healthcare Plans — Florida Healthy Kids: $1,823.76
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)

Service	Hospital charge	Cash price	Insurance 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 – $301,828.73
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 51 insurance plan rates Aetna — Gatekeeper: $281,402.24 Aetna — Medicare Advantage: $77,210.57 Aetna — Non-Gatekeeper: $301,828.73 Aetna — Whole Health: $301,828.73 Ambetter — Marketplace - All Products: $166,532.61 AvMed — Engage & Empower & Entrust: $156,446.54 BCBS — Blue Select - Adult: $135,403.73 BCBS — Blue Select - Child: $169,262.01 BCBS — HMO: $169,262.01 BCBS — HMO - Child: $169,262.01
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 – $59,512.35
Hip or knee replacement (major joint of the leg), without major complications: 10 of 42 insurance plan rates Aetna — Gatekeeper: $55,484.81 Aetna — Non-Gatekeeper: $59,512.35 Aetna — Whole Health: $59,512.35 AvMed — Engage & Empower & Entrust: $30,846.97 BCBS — Blue Select - Adult: $26,697.90 BCBS — Blue Select - Child: $33,373.83 BCBS — HMO: $33,373.83 BCBS — HMO - Child: $33,373.83 BCBS — Indemnity: $33,528.14 BCBS — Medicare Advantage: $10,479
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 – $59,512.35
Hip or knee replacement (major joint of the leg), without major complications: rates for 9 insurance plans Aetna — Medicare Advantage: $15,223.81 Ambetter — Marketplace - All Products: $32,835.66 Community Hospice of Northeast Florida — Medicare Advantage: $13,432.77 Devoted — Medicare Advantage: $15,820.82 Florida Community Care — Medicare Advantage: $15,671.57 PACE — Medicare Advantage: $14,925.30 United Healthcare — Medicare Advantage: $15,074.55 UPMC — Medicare Advantage: $16,417.83 VA CCN — Medicare Advantage: $14,925.30
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 – $75,321.43
Neck (cervical) spinal fusion, without complications: 10 of 51 insurance plan rates Aetna — Gatekeeper: $70,223.99 Aetna — Medicare Advantage: $19,267.91 Aetna — Non-Gatekeeper: $75,321.43 Aetna — Whole Health: $75,321.43 Ambetter — Marketplace - All Products: $41,558.24 AvMed — Engage & Empower & Entrust: $39,041.27 BCBS — Blue Select - Adult: $33,790.03 BCBS — Blue Select - Child: $42,239.37 BCBS — HMO: $42,239.37 BCBS — HMO - Child: $42,239.37
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	$8,640.17 – $38,279.32
Uterus and ovary surgery (not for cancer), without complications: 10 of 51 insurance plan rates Aetna — Gatekeeper: $35,688.74 Aetna — Medicare Advantage: $9,792.19 Aetna — Non-Gatekeeper: $38,279.32 Aetna — Whole Health: $38,279.32 Ambetter — Marketplace - All Products: $21,120.42 AvMed — Engage & Empower & Entrust: $19,841.27 BCBS — Blue Select - Adult: $17,172.53 BCBS — Blue Select - Child: $21,466.59 BCBS — HMO: $21,466.59 BCBS — HMO - Child: $21,466.59

Source: Baptist Medical Center - Nassau’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 type	Acute Care Hospital
Address	1250 S 18th St, Fernandina Beach, FL 32034
County	Nassau County
State	Florida
Phone	(904) 321‑3500
Emergency services	Yes
Ownership	Voluntary non-profit - Private
Medicare overall rating	4 of 5 stars
CMS Certification Number	100140
Name in Medicare records	BAPTIST MEDICAL CENTER - NASSAU
Profile level	Medicare data + hospital website
Official website	baptistjax.com
Corrections	Report an error or suggest an update →

Sources

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

From the hospital’s website

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

Baptist Medical Center Nassau — baptistjax.com
Baptist Nassau Emergency Room (ER) — baptistjax.com
Baptist Medical Center Nassau | Baptist Health | Fernandina Beach, FL — baptistjax.com
Patient and Visitor Information | Baptist Medical Center Nassau | FL — baptistjax.com
Heart patients can get rehab right here on the island | Baptist Medical Center Nassau | Baptist Health, Jacksonville, FL — baptistjax.com

Baptist Medical Center - Nassau

Summary

Profile from official sources

At a glance