CMS Price Transparency Data

Office visit, established patient (30-39 min)

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 99214 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$162

about 1.2× the $136 Medicare rate · typically $62–$240

modeled estimate · not a bill or quote

What this hospital charges insurers

$39

Below the fair price — a good deal

about $123 under the fair price · 0.3× Medicare

Medicare pays $136 Fair price $162 This hospital $39 Cash price $588 Hospital's list price $865

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Lowest price of the 9 FL hospitals we have prices for — a strong deal.

Cheapest $39 Priciest $87

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Office visit, established patient (30-39 min) is about $162 (about 1.2× the $136 Medicare rate). Baptist Health Medical Center - Jacksonville charges insurers about $39, or about $588 in cash — below the fair price — a good deal. Located in Jacksonville, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$208	153%
Blue Cross Blue Shieldmajor	$173 - $562	128%
Aetnamajor	$199 - $692	147%
Cignamajor	$337 - $528	249%
AvMed	$277 - $450	204%
CareSource	$562	414%
Health Net	$476	351%
+ 13 smaller / regional plans	$40 - $983

Government programs also on file: Medicaid.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 588), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 99214.

Insurance Before you use insurance

Call your insurance company to confirm Baptist Health Medical Center - Jacksonville is in-network.
Ask your insurer whether prior approval is required for CPT code 99214.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Baptist Health Medical Center - Jacksonville

Compare: Office visit, established patient (30-39 min) at other FL hospitals

Insurance negotiated median for the same procedure, sorted lowest first.