CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $988
  • Cash Discount Price: $2,028
  • vs. Medicare Baseline: 4.05x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Baptist Health Medical Center - Jacksonville is $988. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,028. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.05x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$2,028

Average discount available for prompt cash payment at this facility.

Insurance Median
$988

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: $2,028 (832%)
Insurance Median: $988 (405%)
Cash: $2,028 (832% of Medicare)
Ins. Median: $988 (405% 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 405% of the Medicare baseline (a markup of 305%). 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.

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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 - $1,939 63%
Daniel Memorial $153 63%
Humana $153 - $168 63%
Peach State Health Plan $153 - $1,939 63%
Simply Healthcare Plans $161 - $184 66%
Simply Healthcare Plans - Cha $161 66%
Corvel $167 - $2,923 69%
Coventry Workers Comp $167 - $2,923 69%
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 - $2,386 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 $413 - $447 169%
Ambetter / Centene $580 - $582 238%
Blue Cross Blue Shield $790 - $1,939 324%
Avmed $932 - $1,099 382%
Nemours Research $983 403%
Centivo $1,040 - $2,536 427%
Cigna $1,163 - $1,820 477%
Borland Groover $1,193 489%
Occunet $1,193 - $1,492 489%
Fscj Student Insurance $1,200 492%
Northeast Florida State Hospital $1,253 - $1,402 514%
Capital Health Plan $1,372 563%
Innovative Healthware Services $1,402 575%
Geo Group $1,492 612%
Volusia Health Network $1,641 673%
Watchtower $1,641 673%
Suddath Company $1,879 771%
Medicaid / KanCare $1,939 795%
Uf Health Proton Therapy Institute $2,088 857%
Phcs $2,237 - $2,386 918%
Evolutions Healthcare $2,685 1101%
Multiplan $2,685 1101%

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