CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $1,004
  • Cash Discount Price: $2,362
  • vs. Medicare Baseline: 4.12x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Baptist Health Medical Center - Jacksonville is $1,004. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,362. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.12x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$2,362

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,004

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $2,362 (969%)
Insurance Median: $1,004 (412%)
Cash: $2,362 (969% of Medicare)
Ins. Median: $1,004 (412% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 412% of the Medicare baseline (a markup of 312%). 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 $153 63%
Caresource Of Georgia $153 - $2,257 63%
Daniel Memorial $153 63%
Humana $153 - $168 63%
Peach State Health Plan $153 - $2,257 63%
Corvel $154 - $3,404 63%
Coventry Workers Comp $154 - $3,404 63%
Simply Healthcare Plans $161 - $184 66%
Simply Healthcare Plans - Cha $161 66%
Amerihealth Caritas $168 69%
Florida Community Care $168 - $255 69%
Sunshine State Health Plan $168 69%
United Community Plan $168 69%
Vivida Health $168 69%
Molina Healthcare Of Florida $182 75%
Aetna $184 - $2,778 75%
Community Hospice Of Northeast Florida $242 - $243 99%
Pace $242 - $243 99%
Tomorrow'S Rainbow $242 - $243 99%
Va Ccn $242 - $243 99%
UnitedHealthcare $244 - $5,861 100%
Devoted $256 - $257 105%
Upmc $266 - $267 109%
Non-Contracted $419 - $521 172%
Ambetter / Centene $580 - $582 238%
Blue Cross Blue Shield $790 - $2,257 324%
Avmed $932 - $1,099 382%
Nemours Research $983 403%
Centivo $1,040 - $2,952 427%
Fscj Student Insurance $1,200 492%
Cigna $1,354 - $2,119 555%
Borland Groover $1,389 570%
Occunet $1,389 - $1,736 570%
Northeast Florida State Hospital $1,459 - $1,632 599%
Capital Health Plan $1,598 656%
Innovative Healthware Services $1,632 669%
Geo Group $1,736 712%
Volusia Health Network $1,910 784%
Watchtower $1,910 784%
Suddath Company $2,188 898%
Medicaid / KanCare $2,257 926%
Uf Health Proton Therapy Institute $2,431 997%
Phcs $2,605 - $2,778 1069%
Evolutions Healthcare $3,126 1282%
Multiplan $3,126 1282%

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