CMS Price Transparency Data

X-ray, hip

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $186
  • Cash Discount Price: $292
  • vs. Medicare Baseline: 2.09x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Baptist Health Medical Center - Jacksonville is $186. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $292. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.09x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
$292

Average discount available for prompt cash payment at this facility.

Insurance Median
$186

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: $292 (328%)
Insurance Median: $186 (209%)
Cash: $292 (328% of Medicare)
Ins. Median: $186 (209% 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 209% of the Medicare baseline (a markup of 109%). 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 $35 - $420 39%
Coventry Workers Comp $35 - $420 39%
Amerigroup Of Georgia $36 40%
Caresource Of Georgia $36 - $279 40%
Daniel Memorial $36 40%
Humana $36 - $39 40%
Peach State Health Plan $36 - $279 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 - $343 48%
Non-Contracted $64 72%
Community Hospice Of Northeast Florida $88 99%
Pace $88 99%
Tomorrow'S Rainbow $88 99%
Va Ccn $88 99%
UnitedHealthcare $89 - $225 100%
Devoted $93 - $94 105%
Upmc $97 109%
Blue Cross Blue Shield $124 - $26,575 139%
Avmed $137 - $223 154%
Cigna $167 - $262 188%
Borland Groover $172 193%
Occunet $172 - $214 193%
Northeast Florida State Hospital $180 - $202 202%
Centivo $189 - $365 213%
Capital Health Plan $197 222%
Innovative Healthware Services $202 227%
Ambetter / Centene $211 - $212 237%
Geo Group $214 241%
Volusia Health Network $236 265%
Watchtower $236 265%
Fscj Student Insurance $257 289%
Suddath Company $270 304%
Medicaid / KanCare $279 314%
Uf Health Proton Therapy Institute $300 337%
Phcs $322 - $343 362%
Evolutions Healthcare $386 434%
Multiplan $386 434%
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