CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Baptist Medical Center Beaches

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $1,024
  • Cash Discount Price: $2,153
  • vs. Medicare Baseline: 4.20x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Baptist Medical Center Beaches is $1,024. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,153. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.20x the Medicare baseline. Located in 1350 13Th Ave S, Jacksonville Beach, FL.
Cash / Self-Pay
$2,153

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,024

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $2,153 (883%)
Insurance Median: $1,024 (420%)
Cash: $2,153 (883% of Medicare)
Ins. Median: $1,024 (420% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 420% of the Medicare baseline (a markup of 320%). 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
Amerigroup Of Georgia $153 63%
Daniel Memorial $153 63%
Corvel $154 - $3,404 63%
Coventry Workers Comp $154 - $3,404 63%
Simply Healthcare Plans $161 - $184 66%
Simply Healthcare Plans - Cha $161 66%
Amerihealth Caritas $168 69%
Florida Community Care $168 - $255 69%
Sunshine State Health Plan $168 69%
United Community Plan $168 69%
Vivida Health $168 69%
Molina Healthcare Of Florida $182 75%
Aetna $184 - $2,778 75%
Community Hospice Of Northeast Florida $243 100%
Pace $243 100%
Tomorrow'S Rainbow $243 100%
Va Ccn $243 100%
UnitedHealthcare $245 - $5,861 101%
Devoted $257 105%
Upmc $267 110%
Ambetter / Centene $582 239%
Blue Cross Blue Shield $803 - $2,257 329%
Avmed $932 - $1,099 382%
Centivo $1,040 - $2,952 427%
Fscj Student Insurance $1,200 492%
Borland Groover $1,389 570%
Occunet $1,389 570%
Cigna $1,459 - $2,119 599%
Northeast Florida State Hospital $1,459 599%
Capital Health Plan $1,598 656%
Geo Group $1,736 712%
Watchtower $1,910 784%
Suddath Company $2,188 898%
Caresource Of Georgia $2,257 926%
Medicaid / KanCare $2,257 926%
Peach State Health Plan $2,257 926%
Phcs $2,605 1069%
Evolutions Healthcare $3,126 1282%
Multiplan $3,126 1282%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

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