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Acute Care Hospital

Ed Fraser Memorial Hospital

Macclenny, Florida · Baker County · Emergency services listed

Ed Fraser Memorial Hospital is an acute care hospital at 159 N 3rd St, Macclenny, FL 32063. Phone: (904) 259-3151. It has an emergency department. Medicare overall rating: 1 of 5 stars (CMS, October 2026).

Data as of October 26, 2026. Source: CMS Hospital General Information and the hospital’s website (checked October 30, 2026).

Summary

Ed Fraser Memorial Hospital is an acute care hospital in Macclenny, Florida. Medicare data lists emergency services. CMS overall star rating: 1 of 5 stars. Its official website lists 37 services, specialties and programs. Medicare lists 190 affiliated clinicians. Source: CMS Hospital General Information, data updated 2026-10-26.

What is an acute care hospital?

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

Call(904) 259‑3151 Directions Website Medicare profile
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Profile from official sources

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

In a medical emergency, call 911.

At a glance

YesEmergency services
1 of 5 stars1 of 5 stars · Medicare rating
190Doctors and clinicians
37Services listed

Quick answers

Does Ed Fraser Memorial Hospital have an emergency room?
Yes. Medicare (CMS) data lists emergency services at Ed Fraser Memorial Hospital. In a medical emergency, call 911.
Where is Ed Fraser Memorial Hospital?
159 N 3rd St, Macclenny, FL 32063, in Baker County, Florida.
What is the phone number of Ed Fraser Memorial Hospital?
(904) 259-3151, as listed by Medicare (CMS).
What is the Medicare star rating of Ed Fraser Memorial Hospital?
1 out of 5 stars in the CMS overall hospital quality rating (CMS data updated 2026-10-26).
Does Medicare reduce its payments to Ed Fraser Memorial Hospital for hospital-acquired conditions?
No. For fiscal year 2026, CMS lists no Medicare payment reduction for Ed Fraser Memorial Hospital under the Hospital-Acquired Condition Reduction Program (Total HAC Score: -1.4622; a lower score is better). It is an adjustment to what Medicare pays the hospital, not a charge to patients (CMS data released January 26, 2026).

Specialties and care areas[4][9]

Treatments[6][10][11]

Procedures[6][7][9]

Programs and centers[7][8][10]

  • Clinical lab services
  • Medical nutrition therapy
  • Inpatient pharmacy
  • Self-referred screening mammogram program

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

Emergency roomYes
Open 24/7Yes

Visiting and practical information

Patient portalhttps://edfraserhospital.com/patient-portal/

Doctors and clinicians (190)

190 doctors and other clinicians list Ed Fraser Memorial Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

Doctors with a page on this site (190)

And 166 more: the button below opens the full list.

Other emergency rooms nearby

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

Find the closest emergency room to where you are → · Compare ER wait times

Other hospitals near Macclenny

All hospitals in Macclenny · Hospitals in Baker County · Hospitals near me

Nursing homes, hospice, home health and dialysis nearby

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

Nursing homes

All nursing homes in the state →

Home health agencies

All home health agencies in the state →

Dialysis facilities

All dialysis facilities in the state →

Outpatient surgery centers nearby

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

All outpatient surgery centers in the state →

Community care nearby

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

Community health centers

Clinics and urgent care

Pharmacies

Assisted living nearby

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

About the Medicare star rating

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

Medicare quality data

What Ed Fraser Memorial Hospital 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.

Rated the hospital 9 or 10 out of 1081%National average: 72%
Would definitely recommend the hospital78%National average: 71%
Nurses “always” communicated well83%National average: 80%
Doctors “always” communicated well87%National average: 80%
“Always” got help as soon as they wanted86%National average: 64%
Staff “always” explained medicines before giving them82%National average: 62%
Were given information about recovery at home90%National average: 86%
Room and bathroom “always” clean84%National average: 73%
Not reported to MedicareSummary star rating (all survey topics); Overall rating of the hospital; Would recommend the hospital; Nurses communicated well; Doctors communicated well; Patients got help quickly from staff; Staff explained medicines; Information about recovery at home; Room and bathroom kept clean; Restfulness of Environment; Care Coordination; Symptoms After Stay
Completed surveys60Response rate: 21%

Source: Patient survey (HCAHPS) - Hospital — CMS, released October 19, 2026; patients discharged January 2025 to December 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 failure patients15.2%
Deaths within 30 days: pneumonia patients16.5%
Deaths within 30 days: COPD patients7.7%
Not reported to MedicareDeaths within 30 days: coronary bypass surgery (CABG); Complications after hip or knee replacement
Too few cases to reportDeaths within 30 days: heart attack patients; Deaths within 30 days: stroke patients; Serious complications (patient safety indicator PSI-90)

Source: Complications and Deaths - Hospital — CMS, released October 20, 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)15.8%
Readmitted within 30 days: heart failure21%
Readmitted within 30 days: pneumonia17.2%
Readmitted within 30 days: COPD19.9%
Not reported to MedicareReadmitted within 30 days: coronary bypass surgery; Readmitted within 30 days: hip or knee replacement
Too few cases to reportReadmitted within 30 days: heart attack

Source: Unplanned Hospital Visits - Hospital — CMS, released October 20, 2026; data from July 2024 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)Low (under 20,000)
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)2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)78%National average: 66%

Source: Timely and Effective Care - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

Not reported to Medicare: infections caught in the hospital. For these topics Medicare shows no result for this hospital (not reported, or too few cases).

See every measure on Medicare Care Compare →

Medicare payment programs

Medicare (CMS) uses these federal programs to adjust what it pays hospitals, based on quality, safety and cost results. This is a payment to the hospital for Medicare patients, not a price you pay, and not a prediction for any one person. Results for Ed Fraser Memorial Hospital, fiscal year 2026 (October 2025 to September 2026).

Show the Medicare payment program results

Hospital-Acquired Condition Reduction Program

What this means: Medicare gives each hospital a Total HAC Score built from patient-safety complications and from infections caught in the hospital. The quarter of hospitals with the highest (worst) scores gets a reduction in its Medicare payments. A lower score is better.

CMS says: Hospitals with a Total HAC Score above the 75th percentile of the Total HAC Score distribution will be subject to a 1-percent payment reduction.

Medicare payment reduction, fiscal year 2026NoCMS lists no payment reduction for this hospital.
Total HAC Score-1.4622Lower is better. Hospitals above the 75th percentile of all scores get the reduction.

Source: Hospital-Acquired Condition (HAC) Reduction Program — CMS, released January 26, 2026; patient-safety data from July 2022 to June 2024 and infection data from January 2023 to December 2024.

Hospital Readmissions Reduction Program

What this means: For six conditions, Medicare compares how often this hospital’s patients had to go back into a hospital within 30 days with how often that happens at an average hospital with similar patients. The ratio is that comparison: 1 means as many readmissions as expected, above 1 means more than expected (CMS calls these “excess readmissions”), below 1 means fewer.

CMS says: In October 2012, CMS began reducing Medicare payments for subsection(d) hospitals with excess readmissions under the Hospital Readmissions Reduction Program (HRRP).

Heart failure0.9936Fewer readmissions than expected
Pneumonia0.9990Fewer readmissions than expected
No result publishedHeart attack; COPD (chronic lung disease); Hip or knee replacement; Coronary bypass surgery (CABG) (not reported, or too few cases)

Source: Hospital Readmissions Reduction Program — CMS, released January 26, 2026; patients discharged July 2021 to June 2024.

Medicare spending per patient (MSPB)

What this means: This compares what Medicare spent on a hospital stay, counting the 3 days before it and the 30 days after, with the national median hospital, after adjusting for the patient’s age and health and for local prices. A ratio of 1.00 is the national median hospital; below 1.00 means Medicare spent less, above 1.00 means more. It measures the cost to Medicare, not the quality of care.

CMS says: The Medicare Spending Per Beneficiary (MSPB) Measure shows whether Medicare spends more, less, or about the same for an episode of care (episode) at a specific hospital compared to all hospitals nationally.

Medicare spending per patient, ratio0.90Below the national median hospital (1.00): Medicare spent less

Source: Medicare Spending Per Beneficiary - Hospital — CMS, released October 19, 2026; data from January 2024 to December 2024.

No result for this hospital: Hospital Value-Based Purchasing Program. This is normal when a hospital is paid under another Medicare system (for example critical access, children’s or psychiatric hospitals), is not in the program that year, or has too few cases.

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 FloridaBest hospitals in Florida

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 33 common services exactly as Ed Fraser Memorial Hospital 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 →

Show the prices of 33 common services

Office and emergency visits

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/Outpatient Visit New $275 $275 $260.39 – $269.64
New patient office visit (about 30–44 minutes): rates for 3 insurance plans
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $269.64
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $260.39
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $269.64
Established patient office visit (about 20–29 minutes) CPT 99213 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/Outpatient Visit Est $275 $275 $221.47 – $269.64
Established patient office visit (about 20–29 minutes): rates for 6 insurance plans
  • AETNA - Commercial-PPO — Aetna: $265
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $260.39
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $260.39
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $269.64
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $240
  • UNITEDHEALTHCARE - Commercial-PPO — United Healthcare: $221.47
Established patient office visit (about 30–39 minutes) CPT 99214 · Inpatient or outpatient · Hospital (facility) fee In the file: Office/Outpatient Visit Est $275 $275 $260.39 – $269.64
Established patient office visit (about 30–39 minutes): rates for 2 insurance plans
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $260.39
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $269.64
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL 3 $1,184 $1,184 $176.41 – $947.20
Emergency room visit (moderate): 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $886.82
  • AETNA - Commercial-POS — Aetna: $886.82
  • AETNA - Commercial-PPO — Aetna: $886.82
  • AMBETTER - Medicaid — Medicaid Managed Care: $535.81
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $292.91
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $584.90
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $292.91
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $292.91
  • FLORIDA BLUE - Commercial-HMO — Florida Blue: $292.91
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $947.20
Emergency room visit (moderate) CPT 99283 · Inpatient or outpatient · Doctor (professional) fee In the file: EMERGENCY ROOM LEVEL 3 $1,184 $1,184 $176.41 – $947.20
Emergency room visit (moderate): rates for 1 insurance plan
  • WellMed Medical Management, Inc. - Medicare-HMO — Medicare Advantage: $294.52
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL 4 $2,136 $2,136 $176.41 – $2,136
Emergency room visit (moderately high): 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $2,136
  • AETNA - Commercial-POS — Aetna: $1,599.86
  • AETNA - Commercial-PPO — Aetna: $1,599.86
  • AMBETTER - Medicaid — Medicaid Managed Care: $823.99
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $450.45
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,055.18
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $450.45
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $450.45
  • FLORIDA BLUE - Commercial-HMO — Florida Blue: $450.46
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $1,708.80
Emergency room visit (moderately high) CPT 99284 · Inpatient or outpatient · Doctor (professional) fee In the file: EMERGENCY ROOM LEVEL 4 $2,136 $2,136 $176.41 – $2,136
Emergency room visit (moderately high): rates for 1 insurance plan
  • WellMed Medical Management, Inc. - Medicare-HMO — Medicare Advantage: $451.41
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Hospital (facility) fee In the file: EMERGENCY ROOM LEVEL 5 $3,030 $3,030 $408.72 – $2,649.90
Emergency room visit (high): 10 of 20 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $2,269.47
  • AETNA - Commercial-POS — Aetna: $2,269.47
  • AETNA - Commercial-PPO — Aetna: $645.93
  • AMBETTER - Medicaid — Medicaid Managed Care: $1,186.40
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $648.56
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,496.82
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $648.56
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $648.56
  • FLORIDA BLUE - Commercial-HMO — Florida Blue: $648.56
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $2,424
Emergency room visit (high) CPT 99285 · Inpatient or outpatient · Doctor (professional) fee In the file: EMERGENCY ROOM LEVEL 5 $3,030 $3,030 $408.72 – $2,649.90
Emergency room visit (high): rates for 2 insurance plans
  • AETNA - Commercial-PPO — Aetna: $2,649.90
  • WellMed Medical Management, Inc. - Medicare-HMO — Medicare Advantage: $648.43

Lab tests

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Hospital (facility) fee In the file: BASIC METABOLIC PANEL $303 $303 $8.29 – $303
Basic metabolic panel (blood test): 10 of 13 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $226.95
  • AETNA - Commercial-POS — Aetna: $226.95
  • AETNA - Commercial-PPO — Aetna: $303
  • AMBETTER - Medicaid — Medicaid Managed Care: $303
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $149.68
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $8.29
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $242.40
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $242.40
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $8.46
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $216.34
Basic metabolic panel (blood test) CPT 80048 · Inpatient or outpatient · Doctor (professional) fee In the file: BASIC METABOLIC PANEL $303 $303 $8.29 – $303
Basic metabolic panel (blood test): rates for 1 insurance plan
  • WellMed Medical Management, Inc. - Medicare-HMO — Medicare Advantage: $8.29
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Hospital (facility) fee In the file: COMPREHENSIVE METABOLIC PANEL $308 $308 $7.35 – $308
Comprehensive metabolic panel (blood test): 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $230.69
  • AETNA - Commercial-POS — Aetna: $230.69
  • AETNA - Commercial-PPO — Aetna: $308
  • AMBETTER - Medicaid — Medicaid Managed Care: $308
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $152.15
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $10.35
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $246.40
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $152.15
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $246.40
  • HEALTH OPTIONS, INC. - Commercial-PPO — Health Options: $246.40
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient or outpatient · Doctor (professional) fee In the file: COMPREHENSIVE METABOLIC PANEL $308 $308 $7.35 – $308
Comprehensive metabolic panel (blood test): rates for 1 insurance plan
  • WellMed Medical Management, Inc. - Medicare-HMO — Medicare Advantage: $10.35
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Hospital (facility) fee In the file: LIPID PANEL $209 $209 $3.68 – $209
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
  • AETNA - Commercial-PPO — Aetna: $209
  • AMBETTER - Medicaid — Medicaid Managed Care: $24.10
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $13.12
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $13.12
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $13.12
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $167.20
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $103.25
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $167.20
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $13.12
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $149.23
Cholesterol panel (lipid panel) CPT 80061 · Inpatient or outpatient · Doctor (professional) fee In the file: LIPID PANEL $209 $209 $3.68 – $209
Cholesterol panel (lipid panel): rates for 2 insurance plans
  • AETNA - Commercial-PPO — Aetna: $13.39
  • WellMed Medical Management, Inc. - Medicare-HMO — Medicare Advantage: $13.12
Kidney function panel CPT 80069 · Inpatient or outpatient · Hospital (facility) fee In the file: RENAL FUNCTION PANEL $303 $303 $8.51 – $303
Kidney function panel: rates for 3 insurance plans
  • AETNA - Commercial-PPO — Aetna: $303
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $8.51
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $242.40
Kidney function panel CPT 80069 · Inpatient or outpatient · Doctor (professional) fee In the file: RENAL FUNCTION PANEL $303 $303 $8.51 – $303
Kidney function panel: rates for 1 insurance plan
  • WellMed Medical Management, Inc. - Medicare-HMO — Medicare Advantage: $8.51
Liver function panel CPT 80076 · Inpatient or outpatient · Hospital (facility) fee In the file: LIVER PROFILE $368 $368 $8.01 – $368
Liver function panel: rates for 3 insurance plans
  • AETNA - Commercial-PPO — Aetna: $368
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $8.01
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $294.40
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Hospital (facility) fee In the file: URINALYSIS WITH REFLEX TO CULT $118 $118 $3.11 – $118
Urine test (automated, with microscope): 10 of 15 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $88.38
  • AETNA - Commercial-POS — Aetna: $88.38
  • AETNA - Commercial-PPO — Aetna: $88.38
  • AMBETTER - Medicaid — Medicaid Managed Care: $118
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $58.29
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $3.11
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $94.40
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $94.40
  • HEALTH OPTIONS, INC. - Commercial-PPO — Health Options: $94.40
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $118
Urine test (automated, with microscope) CPT 81001 · Inpatient or outpatient · Doctor (professional) fee In the file: URINALYSIS WITH REFLEX TO CULT $118 $118 $3.11 – $118
Urine test (automated, with microscope): rates for 1 insurance plan
  • WellMed Medical Management, Inc. - Medicare-HMO — Medicare Advantage: $3.14
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient or outpatient · Hospital (facility) fee In the file: PSA $125 $125 $18.02 – $125
PSA (prostate specific antigen) blood test: rates for 2 insurance plans
  • AETNA - Commercial-PPO — Aetna: $125
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $18.02
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient or outpatient · Hospital (facility) fee In the file: TSH $126 $126 $16.46 – $126
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $94.37
  • AETNA - Commercial-PPO — Aetna: $126
  • AMBETTER - Medicaid — Medicaid Managed Care: $30.24
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $62.24
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $16.46
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $100.80
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $62.24
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $100.80
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $16.80
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $89.96
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC W/ DIFF $130 $130 $4.84 – $130
Complete blood count (CBC) with differential: 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $97.37
  • AETNA - Commercial-POS — Aetna: $97.37
  • AETNA - Commercial-PPO — Aetna: $130
  • AMBETTER - Medicaid — Medicaid Managed Care: $130
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $64.22
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $7.61
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $104
  • GREATWESTHEALTHCARE-CIGNA - Commercial-POS — Cigna: $64.22
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $104
  • HEALTH OPTIONS, INC. - Commercial-PPO — Health Options: $104
Complete blood count (CBC) with differential CPT 85025 · Inpatient or outpatient · Doctor (professional) fee In the file: CBC W/ DIFF $130 $130 $4.84 – $130
Complete blood count (CBC) with differential: rates for 1 insurance plan
  • WellMed Medical Management, Inc. - Medicare-HMO — Medicare Advantage: $7.61
Complete blood count (CBC), automated CPT 85027 · Inpatient or outpatient · Hospital (facility) fee In the file: CBC W/O DIFF $117 $117 $6.34 – $117
Complete blood count (CBC), automated: rates for 3 insurance plans
  • AETNA - Commercial-PPO — Aetna: $117
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $6.34
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $93.60
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient or outpatient · Hospital (facility) fee In the file: PT $118 $118 $4.20 – $118
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $88.38
  • AETNA - Commercial-POS — Aetna: $88.38
  • AETNA - Commercial-PPO — Aetna: $118
  • AMBETTER - Medicaid — Medicaid Managed Care: $118
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $58.29
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $4.20
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $94.40
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $94.40
  • HEALTH OPTIONS, INC. - Commercial-PPO — Health Options: $94.40
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $4.29
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient or outpatient · Hospital (facility) fee In the file: PTT $134 $134 $5.89 – $134
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $100.37
  • AETNA - Commercial-POS — Aetna: $100.37
  • AETNA - Commercial-PPO — Aetna: $134
  • AMBETTER - Medicaid — Medicaid Managed Care: $134
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $66.20
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $5.89
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $107.20
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $107.20
  • HEALTH OPTIONS, INC. - Commercial-PPO — Health Options: $107.20
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $6.01

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

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MR femur RT w/wo con $4,801 $4,801 $255.70 – $2,916
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • AETNA - Commercial-PPO — Aetna: $2,730.11
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $255.70
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,800.63
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $255.70
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $255.70
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $2,916
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $2,916
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $2,602.53
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $2,602.53
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $2,602.53
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MR foot LT w/wo con $4,801 $4,801 $255.70 – $2,916
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • AETNA - Commercial-PPO — Aetna: $2,730.11
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $255.70
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,800.63
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $255.70
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $255.70
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $2,916
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $2,916
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $2,602.53
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $2,602.53
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $2,602.53
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient or outpatient · Hospital (facility) fee In the file: MR foot RT w/wo con $4,801 $4,801 $255.70 – $2,916
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans
  • AETNA - Commercial-PPO — Aetna: $2,730.11
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $255.70
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,800.63
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $255.70
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $255.70
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $2,916
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $2,916
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $2,602.53
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $2,602.53
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $2,602.53
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Hospital (facility) fee In the file: CT angio chest PE protocol $2,897 $2,897 $315.52 – $4,533.60
CT scan of the abdomen and pelvis, with contrast: 10 of 19 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $4,244.58
  • AETNA - Commercial-POS — Aetna: $4,244.58
  • AETNA - Commercial-PPO — Aetna: $4,244.58
  • AMBETTER - Medicaid — Medicaid Managed Care: $691.09
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $377.80
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $2,799.50
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $377.80
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $377.80
  • FLORIDA BLUE - Commercial-HMO — Florida Blue: $373.09
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $4,533.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient or outpatient · Doctor (professional) fee In the file: CT angio chest PE protocol $2,897 $2,897 $315.52 – $4,533.60
CT scan of the abdomen and pelvis, with contrast: rates for 1 insurance plan
  • WellMed Medical Management, Inc. - Medicare-HMO — Medicare Advantage: $376.26
Ultrasound of the abdomen, complete CPT 76700 · Inpatient or outpatient · Hospital (facility) fee In the file: US thyroid $453 $453 $112.49 – $885
Ultrasound of the abdomen, complete: 10 of 17 insurance plan rates
  • AETNA - Commercial-HMO — Aetna: $885
  • AETNA - Commercial-POS — Aetna: $662.87
  • AETNA - Commercial-PPO — Aetna: $662.87
  • AMBETTER - Medicaid — Medicaid Managed Care: $205.78
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $112.49
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $437.19
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $112.49
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $112.49
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $708
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $708
Diagnostic mammogram, one breast CPT 77065 · Inpatient or outpatient · Hospital (facility) fee In the file: MM tomosynthesis diagnostic BI $393 $393 $78.70 – $146.40
Diagnostic mammogram, one breast: rates for 10 insurance plans
  • AETNA - Commercial-POS — Aetna: $137.07
  • AETNA - Commercial-PPO — Aetna: $78.70
  • AMBETTER - Medicaid — Medicaid Managed Care: $144.56
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $90.40
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $80.31
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $80.85
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $146.40
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $146.40
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $130.66
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $130.66

Heart tests and sleep study

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient or outpatient · Hospital (facility) fee In the file: Sleep Study w/staging >/= 6yrs $3,985 $3,985 $754.61 – $3,188
Sleep study (overnight, in a sleep lab): rates for 6 insurance plans
  • AETNA - Commercial-PPO — Aetna: $1,073.37
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $1,014.32
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $1,076.24
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $1,014.32
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $3,188
  • UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid — Medicaid Managed Care: $754.61

Physical therapy and mental health

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: GAIT TRAINING W/CRUTCHES $82 $82 $20.99 – $117.10
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $46.76
  • AETNA - Commercial-PPO — Aetna: $24.69
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $20.99
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $40.51
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $21.69
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $21.22
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $65.60
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $65.60
  • HEALTH OPTIONS, INC. - Commercial-PPO — Health Options: $65.60
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $21.14
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: TRIGGER POINT RELEASE - MASSAG $115 $115 $20.99 – $117.10
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $46.76
  • AETNA - Commercial-PPO — Aetna: $24.69
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $20.99
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $40.51
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $21.69
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $21.22
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $65.60
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $65.60
  • HEALTH OPTIONS, INC. - Commercial-PPO — Health Options: $65.60
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $21.14
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient or outpatient · Hospital (facility) fee In the file: FINE MOTOR COORDINATION/OT $82 $82 $18.69 – $82
Physical therapy: therapeutic exercise (each 15 minutes): rates for 8 insurance plans
  • AETNA - Commercial-PPO — Aetna: $82
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $18.69
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $21.69
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $21.69
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $65.60
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $65.60
  • HEALTH OPTIONS, INC. - Commercial-PPO — Health Options: $65.60
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $58.55
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Hospital (facility) fee In the file: PT - EVAL MOD COMPLEX 30 MIN $185 $185 $72.29 – $171
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $171
  • AETNA - Commercial-PPO — Aetna: $73.76
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $94.27
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $84.47
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $94.27
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $94.27
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $136.80
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $136.80
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $93.88
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $122.09
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient or outpatient · Doctor (professional) fee In the file: PT - EVAL MOD COMPLEX 30 MIN $185 $185 $72.29 – $171
Physical therapy evaluation (low complexity): rates for 1 insurance plan
  • WellMed Medical Management, Inc. - Medicare-HMO — Medicare Advantage: $95.28
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Hospital (facility) fee In the file: PT - EVAL HIGH COMPLEX 45 MIN $200 $200 $74.08 – $172.44
Physical therapy evaluation (moderate complexity): 10 of 13 insurance plan rates
  • AETNA - Commercial-PPO — Aetna: $93.88
  • AMBETTER - Medicaid — Medicaid Managed Care: $172.44
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $94.27
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $98.79
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $94.27
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $94.27
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $148
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $148
  • HEALTH OPTIONS, INC. - Commercial-PPO — Health Options: $148
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $93.88
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient or outpatient · Doctor (professional) fee In the file: PT - EVAL HIGH COMPLEX 45 MIN $200 $200 $74.08 – $172.44
Physical therapy evaluation (moderate complexity): rates for 1 insurance plan
  • WellMed Medical Management, Inc. - Medicare-HMO — Medicare Advantage: $74.08

Procedures and surgery

ServiceHospital chargeCash priceInsurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient or outpatient · Hospital (facility) fee In the file: OR GI - EGD Flex transoral $3,455 $3,455 $992.78
Upper GI endoscopy (diagnostic): rates for 1 insurance plan
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $992.78
Upper GI endoscopy with biopsy CPT 43239 · Inpatient or outpatient · Hospital (facility) fee In the file: OR GI - EGD Flex w/bx $3,455 $3,455 $493.88 – $2,764
Upper GI endoscopy with biopsy: 10 of 17 insurance plan rates
  • AETNA - Commercial-POS — Aetna: $2,587.80
  • AETNA - Commercial-PPO — Aetna: $493.88
  • AMBETTER - Medicaid — Medicaid Managed Care: $1,814.27
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $991.80
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $1,706.77
  • COLONIAL PENN LIFE INSURANCE CO - Medicare Part A — Medicare Advantage: $991.80
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $495.90
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $2,764
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $2,764
  • HEALTH OPTIONS, INC. - Commercial-PPO — Health Options: $2,764
Colonoscopy (diagnostic) CPT 45378 · Inpatient or outpatient · Hospital (facility) fee In the file: OR GI - Colonoscopy $3,483 $3,483 $882.13 – $2,786.40
Colonoscopy (diagnostic): rates for 8 insurance plans
  • AETNA - Commercial-PPO — Aetna: $960.54
  • AMBETTER - Medicaid — Medicaid Managed Care: $882.13
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $964.45
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $2,786.40
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $2,786.40
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $2,486.86
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $2,486.86
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $2,486.86
Colonoscopy with biopsy CPT 45380 · Inpatient or outpatient · Hospital (facility) fee In the file: OR GI - Colonoscopy w/bx $4,497 $4,497 $982.26 – $4,497
Colonoscopy with biopsy: 10 of 11 insurance plan rates
  • AETNA - Commercial-PPO — Aetna: $1,242.22
  • AMBETTER - Medicaid — Medicaid Managed Care: $2,281.61
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $1,246.01
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $1,247.28
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $3,597.60
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $3,597.60
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $4,497
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $3,210.86
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $3,210.86
  • UNITED HEALTHCARE INSURANCE COMPANY - Medicare-HMO — Medicare Advantage: $1,242.21
Colonoscopy with removal of polyps (snare) CPT 45385 · Inpatient or outpatient · Hospital (facility) fee In the file: OR GI - Colon removal w/snare $4,497 $4,497 $621.11 – $4,497
Colonoscopy with removal of polyps (snare): rates for 10 insurance plans
  • AETNA - Commercial-PPO — Aetna: $621.11
  • AMBETTER - Medicaid — Medicaid Managed Care: $1,140.80
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $2,221.52
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $1,247.28
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $3,597.60
  • HEALTH OPTIONS, INC. - Commercial-HMO — Health Options: $3,597.60
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $4,497
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $3,210.86
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-HMO — United Healthcare: $3,210.86
  • UNITEDHEALTHCARE COMMUNITY PLAN - Medicaid — Medicaid Managed Care: $982.26
Screening colonoscopy (not high risk) HCPCS G0121 · Inpatient or outpatient · Hospital (facility) fee In the file: Colorectal Screen; High Risk $3,762 $3,762 $883.06 – $960.54
Screening colonoscopy (not high risk): rates for 2 insurance plans
  • AETNA - Commercial-PPO — Aetna: $960.54
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $883.06
Cataract removal with lens implant CPT 66984 · Inpatient or outpatient · Hospital (facility) fee In the file: OR - Xcapsl ctrc rmvl w/o ecp $8,881 $8,881 $2,412.66 – $7,104.80
Cataract removal with lens implant: rates for 8 insurance plans
  • AETNA - Commercial-PPO — Aetna: $5,992
  • BCBS OF FLORIDA - SUPP - Medicare Part A — Medicare Advantage: $2,412.66
  • CIGNA HEALTH AND LIFE INSURANCE COMPANY - Commercial-POS — Cigna: $4,387.21
  • FIRST COAST SERVICE OPTIONS, INC. - Medicare Part A — Medicare Advantage: $2,412.66
  • FLORIDA BLUE - Commercial-PPO — Florida Blue: $7,104.80
  • HUMANA INC. - Medicare-HMO — Medicare Advantage: $2,427.37
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-EPO — United Healthcare: $6,341.03
  • UNITED HEALTHCARE INSURANCE COMPANY - Commercial-POS — United Healthcare: $6,341.03

Source: Ed Fraser Memorial Hospital’s standard charges file (hospitalpricetransparencyfiles.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on November 12, 2025; retrieved November 1, 2026.

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

Hospital information

Hospital typeAcute Care Hospital
Address159 N 3rd St, Macclenny, FL 32063
CountyBaker County
StateFlorida
Phone(904) 259‑3151
Emergency servicesYes
OwnershipVoluntary non-profit - Private
Medicare overall rating1 of 5 stars
CMS Certification Number100134
Name in Medicare recordsED FRASER MEMORIAL HOSPITAL
Profile levelMedicare data + hospital website
Official websiteedfraserhospital.com
CorrectionsReport an error or suggest an update →

Sources

  1. Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-10-26, retrieved 2026-11-13
  2. Medicare Care Compare — official Medicare profile of this hospital
  3. U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

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

  1. Ed Fraser Memorial Hospital — edfraserhospital.com
  2. Emergency Services - Ed Fraser Memorial Hospital in Macclenny, FL — edfraserhospital.com
  3. Outpatient Services - Ed Fraser Memorial Hospital in Macclenny, FL — edfraserhospital.com
  4. Radiology - Ed Fraser Memorial Hospital in Macclenny, FL — edfraserhospital.com
  5. Inpatient Medical Services - Ed Fraser Memorial Hospital in Macclenny, FL — edfraserhospital.com
  6. Surgery - Ed Fraser Memorial Hospital in Macclenny, FL — edfraserhospital.com
  7. Ed Fraser Memorial Hospital Services - Hospital in Macclenny, FL — edfraserhospital.com
  8. Therapeutic Services at Ed Fraser Memorial Hospital - Ed Fraser Memorial Hospital — edfraserhospital.com