CMS Price Transparency Data

X-ray, foot

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $389
  • Cash Discount Price: $661
  • vs. Medicare Baseline: 4.38x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Baptist Health Medical Center - Jacksonville is $389. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $661. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.38x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$661

Average discount available for prompt cash payment at this facility.

Insurance Median
$389

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: $661 (743%)
Insurance Median: $389 (438%)
Cash: $661 (743% of Medicare)
Ins. Median: $389 (438% 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 438% of the Medicare baseline (a markup of 338%). 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 - $953 21%
Coventry Workers Comp $19 - $953 21%
Non-Contracted $19 - $146 21%
Amerigroup Of Georgia $36 40%
Caresource Of Georgia $36 - $632 40%
Daniel Memorial $36 40%
Humana $36 - $39 40%
Peach State Health Plan $36 - $632 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 - $778 48%
Community Hospice Of Northeast Florida $88 99%
Pace $88 99%
Tomorrow'S Rainbow $88 99%
Va Ccn $88 99%
UnitedHealthcare $89 - $509 100%
Devoted $93 - $94 105%
Upmc $97 109%
Ambetter / Centene $211 - $212 237%
Blue Cross Blue Shield $282 - $26,575 317%
Avmed $311 - $505 350%
Cigna $379 - $593 426%
Borland Groover $389 438%
Occunet $389 - $486 438%
Northeast Florida State Hospital $408 - $457 459%
Centivo $428 - $826 481%
Capital Health Plan $447 503%
Innovative Healthware Services $457 514%
Geo Group $486 547%
Volusia Health Network $535 602%
Watchtower $535 602%
Fscj Student Insurance $583 656%
Suddath Company $612 688%
Medicaid / KanCare $632 711%
Uf Health Proton Therapy Institute $680 765%
Phcs $729 - $778 820%
Evolutions Healthcare $875 984%
Multiplan $875 984%
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