CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: PAM Health Specialty Hospital of Jacksonville

Billing Code: 392 (MS-DRG)

The BaseRate · fair price medium confidence
A fair price for this
$10,752
about 1.9× the $5,676 Medicare rate · typically $5,438–$36,942
modeled estimate · not a bill or quote
Medicare pays $5,676 Fair price $10,752

How we calculate the fair BaseRate →

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

✓ Blue Cross Blue Shield✓ Aetna✓ Humana UnitedHealthcareCignaKaiser 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
Blue Cross Blue Shieldmajor $28,094 495%
Aetnamajor $28,094 495%
Humanamajor $27,532 485%
Simply Healthcare $28,094 495%
+ 4 smaller / regional plans $27,251 - $28,094
Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Facility Profile & Credentials

  • Address: 4901 Richard St, Jacksonville, FL 32207
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL