CMS Price Transparency Data

X-ray, ankle

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $400
  • Cash Discount Price: $681
  • vs. Medicare Baseline: 4.50x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Baptist Health Medical Center - Jacksonville is $400. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $681. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.50x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$681

Average discount available for prompt cash payment at this facility.

Insurance Median
$400

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $681 (766%)
Insurance Median: $400 (450%)
Cash: $681 (766% of Medicare)
Ins. Median: $400 (450% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 450% of the Medicare baseline (a markup of 350%). 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
Corvel $19 - $981 21%
Coventry Workers Comp $19 - $981 21%
Non-Contracted $19 - $150 21%
Amerigroup Of Georgia $36 40%
Caresource Of Georgia $36 - $651 40%
Daniel Memorial $36 40%
Humana $36 - $39 40%
Peach State Health Plan $36 - $651 40%
Simply Healthcare Plans $37 - $43 42%
Simply Healthcare Plans - Cha $37 42%
Amerihealth Caritas $39 44%
Florida Community Care $39 - $93 44%
Sunshine State Health Plan $39 44%
United Community Plan $39 44%
Vivida Health $39 44%
Molina Healthcare Of Florida $42 47%
Aetna $43 - $801 48%
Community Hospice Of Northeast Florida $88 99%
Pace $88 99%
Tomorrow'S Rainbow $88 99%
Va Ccn $88 99%
UnitedHealthcare $89 - $525 100%
Devoted $93 - $94 105%
Upmc $97 109%
Ambetter / Centene $211 - $212 237%
Blue Cross Blue Shield $290 - $26,575 326%
Avmed $320 - $521 360%
Cigna $390 - $611 439%
Borland Groover $400 450%
Occunet $400 - $500 450%
Northeast Florida State Hospital $420 - $470 472%
Centivo $440 - $851 495%
Capital Health Plan $460 517%
Innovative Healthware Services $470 529%
Geo Group $500 562%
Volusia Health Network $551 620%
Watchtower $551 620%
Fscj Student Insurance $601 676%
Suddath Company $631 710%
Medicaid / KanCare $651 732%
Uf Health Proton Therapy Institute $701 788%
Phcs $751 - $801 845%
Evolutions Healthcare $901 1013%
Multiplan $901 1013%
Nemours Research $983 1106%

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