CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71250
  • Insurance Median: $583
  • Cash Discount Price: $1,366
  • vs. Medicare Baseline: 5.46x Medicare
The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at Baptist Health Medical Center - Jacksonville is $583. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,366. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.46x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$1,366

Average discount available for prompt cash payment at this facility.

Insurance Median
$583

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,366 (1279%)
Insurance Median: $583 (546%)
Cash: $1,366 (1279% of Medicare)
Ins. Median: $583 (546% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 546% of the Medicare baseline (a markup of 446%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Amerigroup Of Georgia $67 63%
Caresource Of Georgia $67 - $1,306 63%
Daniel Memorial $67 63%
Humana $67 - $74 63%
Peach State Health Plan $67 - $1,306 63%
Simply Healthcare Plans $71 - $81 66%
Simply Healthcare Plans - Cha $71 66%
Amerihealth Caritas $74 69%
Florida Community Care $74 - $112 69%
Sunshine State Health Plan $74 69%
United Community Plan $74 69%
Vivida Health $74 69%
Molina Healthcare Of Florida $80 75%
Aetna $81 - $1,607 76%
Corvel $104 - $1,969 97%
Coventry Workers Comp $104 - $1,969 97%
Community Hospice Of Northeast Florida $106 - $107 99%
Pace $106 - $107 99%
Tomorrow'S Rainbow $106 - $107 99%
Va Ccn $106 - $107 99%
UnitedHealthcare $107 - $2,597 100%
Devoted $113 106%
Upmc $117 110%
Non-Contracted $220 - $301 206%
Ambetter / Centene $255 - $256 239%
Blue Cross Blue Shield $453 - $1,306 424%
Avmed $549 - $656 514%
Centivo $595 - $1,708 557%
Cigna $784 - $1,225 734%
Borland Groover $804 753%
Occunet $804 - $1,004 753%
Northeast Florida State Hospital $844 - $944 790%
Capital Health Plan $924 865%
Innovative Healthware Services $944 884%
Nemours Research $983 920%
Geo Group $1,004 940%
Volusia Health Network $1,105 1035%
Watchtower $1,105 1035%
Fscj Student Insurance $1,205 1128%
Suddath Company $1,266 1185%
Medicaid / KanCare $1,306 1223%
Uf Health Proton Therapy Institute $1,406 1316%
Phcs $1,507 - $1,607 1411%
Evolutions Healthcare $1,808 1693%
Multiplan $1,808 1693%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals