Baptist Health Medical Center - Jacksonville
800 Prudential Dr, Jacksonville, FL 32207 · 138 Priced Procedures · 77% Patient Recommendation
Typical commercial prices here are +15% above the fair benchmark (1.15×) even after accounting for local nurse/doctor wages and patient complexity.
3-Star CMS clinical quality rating paired with 1.15× fair market pricing.
Loss-Leader / Captive Ancillary Cross-Subsidizer
Baptist Health Medical Center - Jacksonville prices routine shoppable procedures near 2.7× Medicare (p50 1.00×) while skewing captive emergency, lab, and upper-quartile codes to 4.2× Medicare (p75 1.71×, +71% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 0.62× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 32% of shoppable procedures (99/100 Cash Honesty)
- 4-Star CMS clinical rating with 77% patient recommendation (67/100 safety score)
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (32.2% AGB cap)
Where You Can Get Burned (Markup Traps)
- Outpatient surgery & OR suites carry a 3.4× markup over Medicare rates
- Captive ER (1.4×) & laboratory (1.6×) services average 1.56× higher multiples than routine shoppable care (2.7×)
- Upper-quartile procedures (Q75 1.71×) jump +71% above the median procedure ratio (Q50 1.00×)
- Unnegotiated chargemaster list prices average 12.8× Medicare (14¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Baptist Health Medical Center - Jacksonville
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 138 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| Spinal fusion, single level (inpatient stay) MS-DRG Code: 451 | $42,741 | 1.4× |
| Sepsis treatment (inpatient stay) MS-DRG Code: 871 | $26,729 | 1.4× |
| Digestive disorders treatment (inpatient stay) MS-DRG Code: 392 | $11,260 | 1.4× |
| Trauma team activation HCPCS Code: G0390 | $7,891 | unverified |
| Total hip replacement CPT Code: 27130 | $7,150 | 0.5× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $4,073 | unverified |
| Bunion correction surgery CPT Code: 28296 | $3,804 | 1.1× |
| Inguinal hernia repair CPT Code: 49505 | $3,002 | 0.8× |
| Gallbladder removal (laparoscopic) CPT Code: 47562 | $2,880 | 0.5× |
| Breast lump removal CPT Code: 19120 | $2,664 | 0.7× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,322 | unverified |
| C-section delivery (full package) CPT Code: 59510 | $1,849 | 0.6× |
| Vaginal delivery (full package) CPT Code: 59400 | $1,672 | 0.6× |
| Knee arthroscopy with meniscus repair CPT Code: 29881 | $1,656 | unverified |
| Cataract surgery with lens implant CPT Code: 66984 | $1,335 | 0.5× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,069 | unverified |
| MRI, brain (with and without contrast) CPT Code: 70553 | $1,040 | unverified |
| MRI, brain (no contrast) CPT Code: 70551 | $1,007 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $1,004 | unverified |
| MRI, knee or other leg joint CPT Code: 73721 | $1,004 | unverified |
| Ultrasound, pelvis CPT Code: 76856 | $945 | unverified |
| Ultrasound, thyroid and neck CPT Code: 76536 | $816 | unverified |
| Rabies immune globulin HCPCS Code: 90375 | $786 | 2.4× |
| Upper endoscopy with biopsy CPT Code: 43239 | $779 | 0.8× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $764 | 0.8× |
Audit a Bill or Quote at Baptist Health Medical Center - Jacksonville (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $33,071
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (32.2% of gross = $33,071).
Compare Prompt-Pay Cash Rate Against Remaining Deductible
Ask Baptist Health Medical Center - Jacksonville's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.
Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)
Your bill ($102,578) is $71,803 above the denoised Fair BaseRate ($30,775) and 4.4× the $23,504 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (32.2% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
Clinical Quality, Patient Experience & Infection Benchmarks
Healthcare-Associated Infections (CDC NHSN / CMS HAI)
1.00 SIR = National Predicted Baseline (Lower Is Safer)Source: CMS Hospital Care Compare (651 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baptist Health Medical Center - Jacksonville.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.