CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Baptist Medical Center Beaches

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$19,091
about 1.4× the $14,044 Medicare rate · typically $15,048–$30,379
modeled estimate · not a bill or quote
What this hospital charges insurers
$27,756
Above the fair price
about $8,665 over the fair price · 2.0× Medicare
Medicare pays $14,044 Fair price $19,091 This hospital $27,756

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $9,376 Priciest $27,756

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

A fair price for a Hip or knee replacement (inpatient stay) is about $19,091 (about 1.4× the $14,044 Medicare rate). Baptist Medical Center Beaches charges insurers about $27,756 — above the fair price. Located in Jacksonville Beach, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $19,091. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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 $15,500 - $36,595 110%
Blue Cross Blue Shieldmajor $10,479 - $32,051 75%
Aetnamajor $15,653 - $58,110 111%
Ambetter (Centene) $33,762 240%
AvMed $32,083 - $48,109 228%
Devoted Health $16,267 116%
UPMC Health Plan $16,881 120%
+ 4 smaller / regional plans $13,812 - $31,804
Government programs also on file: Military & VA.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

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Facility Profile & Credentials

  • Address: 1350 13Th Ave S, Jacksonville Beach, FL 32250
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals