CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Baptist Medical Center Beaches

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $1,022
  • Cash Discount Price: $1,853
  • vs. Medicare Baseline: 4.19x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Baptist Medical Center Beaches is $1,022. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,853. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 4.19x the Medicare baseline. Located in 1350 13Th Ave S, Jacksonville Beach, FL.
Cash / Self-Pay
$1,853

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,022

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: $1,853 (760%)
Insurance Median: $1,022 (419%)
Cash: $1,853 (760% of Medicare)
Ins. Median: $1,022 (419% 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 419% of the Medicare baseline (a markup of 319%). 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 $148 - $2,929 61%
Coventry Workers Comp $148 - $2,929 61%
Amerigroup Of Georgia $153 63%
Daniel Memorial $153 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 - $2,391 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 - $1,943 329%
Avmed $932 - $1,099 382%
Centivo $1,040 - $2,541 427%
Borland Groover $1,196 491%
Occunet $1,196 491%
Fscj Student Insurance $1,200 492%
Cigna $1,255 - $1,823 515%
Northeast Florida State Hospital $1,255 515%
Capital Health Plan $1,375 564%
Geo Group $1,494 613%
Watchtower $1,644 674%
Suddath Company $1,883 772%
Caresource Of Georgia $1,943 797%
Medicaid / KanCare $1,943 797%
Peach State Health Plan $1,943 797%
Phcs $2,242 920%
Evolutions Healthcare $2,690 1103%
Multiplan $2,690 1103%

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