How many shoppable procedure prices are published for Baptist Medical Center Beaches?

Baptist Medical Center Beaches in Jacksonville Beach, FL currently has 131 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Baptist Medical Center Beaches's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Baptist Medical Center Beaches's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Baptist Medical Center Beaches's CMS Care Compare overall star rating?

CMS Care Compare assigns Baptist Medical Center Beaches an overall hospital quality rating of 4 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 135 Beds · urban Updated: 2026-02-06

Baptist Medical Center Beaches

1350 13Th Ave S, Jacksonville Beach, FL 32250 · 131 Priced Procedures · 83% Patient Recommendation

CMS Overall Rating 4 / 5 Stars

Good Deal · Below Fair Market

0.91×vs. Fair Market Price

Typical commercial prices here are 9% below the fair benchmark (0.91×) after accounting for local nurse/doctor wages and patient complexity.

74/100 · Corroborated

74/100Self-Pay Cash Beats Insurance 32% of the Time

File Completeness56

Price Logic73

Peer Alignment52

Clean Billing93

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.91× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Baptist Medical Center Beaches maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.84× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 1.03× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#23 of 165 in FL · 13th State Percentile#702 of 3,385 in U.S. · 20th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 9% below peer Fair BaseRate (0.91×)
Self-pay cash beats commercial insurance on 32% of shoppable procedures (99/100 Cash Honesty)
4-Star CMS clinical rating with 83% patient recommendation (74/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (37.0% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.2× markup over Medicare rates
Commercial insurance median sits at 0.84× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.03×) jump +23% above the median procedure ratio (Q50 0.84×)
Unnegotiated chargemaster list prices average 12.7× Medicare (16¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+23% Upper Tail

Q25 0.62× · Q50 0.84× · Q75 1.03×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.2× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.2× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.9× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

2.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.7× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

32% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

4 CMS · 74/100Fair

Procedure Prices at Baptist Medical Center Beaches

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 131 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$42,741	$30,775	1.4×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$27,756	$19,087	1.5×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$27,756	$19,432	1.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$27,231	$17,936	1.5×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,042	$8,223	1.5×
Total hip replacement CPT Code: `27130`	—	$7,150	$13,413	0.5×
Total knee replacement CPT Code: `27447`	—	$7,150	$13,523	0.5×
Bunion correction surgery CPT Code: `28296`	—	$3,994	$3,446	1.2×
Breast lump removal CPT Code: `19120`	$2,939	$3,844	$3,875	1.0×
Inguinal hernia repair CPT Code: `49505`	—	$3,002	$3,629	0.8×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$2,880	$6,109	0.5×
C-section delivery (full package) CPT Code: `59510`	—	$1,849	$2,975	0.6×
Vaginal delivery (full package) CPT Code: `59400`	—	$1,672	$2,680	0.6×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$1,656	$3,372	0.5×
Trauma team activation HCPCS Code: `G0390`	$10,149	$1,348	$1,453	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$1,335	$2,540	0.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,732	$1,021	$1,021	1.0×
Rabies immune globulin HCPCS Code: `90375`	—	$806	$322	2.5×
Upper endoscopy with biopsy CPT Code: `43239`	—	$779	$987	0.8×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$764	$981	0.8×
Colonoscopy with biopsy CPT Code: `45380`	—	$764	$1,256	0.6×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,348	$550	$583	0.9×
Psychological testing by technician CPT Code: `96138`	—	$423	$395	1.1×
Residential mental health treatment HCPCS Code: `H2036`	—	$422	$406	1.0×
Blood transfusion CPT Code: `36430`	$524	$439	$498	0.9×
Neurobehavioral status check CPT Code: `96116`	—	$404	$231	unverified
Behavioral health counseling (per session) HCPCS Code: `H0008`	—	$371	$257	1.4×
Behavioral health counseling (group) HCPCS Code: `H0009`	—	$371	$269	1.4×
Behavioral health day treatment HCPCS Code: `H0010`	—	$371	$343	1.1×
Behavioral health residential care HCPCS Code: `H0011`	—	$371	$364	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$2,682	$380	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,815	$387	$511	0.8×
Psychological testing evaluation CPT Code: `96136`	—	$394	$128	unverified
Injection procedure for pain management HCPCS Code: `G0260`	—	$348	$855	0.4×
CT scan, head (with contrast) CPT Code: `70460`	$1,270	$248	$242	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,530	$248	$258	1.0×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,918	$257	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,853	$262	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$2,153	$262	$343	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$1,849	$262	$369	0.7×
Behavioral health day program HCPCS Code: `H2012`	—	$225	$100	2.3×
CT scan, head (no contrast) CPT Code: `70450`	$968	$248	$160	unverified
Diagnostic mammogram (both breasts) CPT Code: `77066`	$821	$208	$148	unverified
Mental health services (assessment) HCPCS Code: `H0031`	—	$173	$140	1.2×
Behavioral health assessment HCPCS Code: `H0001`	—	$173	$157	1.1×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$170	$185	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$543	$169	$123	unverified
Speech therapy (language evaluation) CPT Code: `92507`	—	$193	$86	unverified
Group therapy session CPT Code: `90853`	$210	$160	$100	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$152	$152	$86	unverified
Care planning with family CPT Code: `90887`	—	$113	$107	1.1×
X-ray, pelvis CPT Code: `72170`	$275	$107	$110	1.0×
Ultrasound, pelvis CPT Code: `76856`	$1,363	$116	$130	0.9×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,541	$116	$134	0.9×
X-ray, chest (single view) CPT Code: `71045`	$185	$88	$92	1.0×
X-ray, shoulder CPT Code: `73030`	$735	$88	$92	1.0×
X-ray, foot CPT Code: `73630`	$603	$88	$92	1.0×
X-ray, lower back CPT Code: `72110`	$997	$107	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$512	$88	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$753	$88	$93	0.9×
X-ray, hand CPT Code: `73130`	$634	$88	$93	0.9×
X-ray, hip CPT Code: `73502`	$266	$88	$93	0.9×
X-ray, ankle CPT Code: `73610`	$621	$88	$93	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$1,127	$107	$126	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,176	$107	$132	0.8×
Family therapy session CPT Code: `90847`	$256	$124	$173	0.7×
CT scan, pelvis CPT Code: `72192`	$1,179	$113	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,383	$113	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,246	$113	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,127	$113	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,272	$113	$169	0.7×
Behavioral health living support HCPCS Code: `H2019`	—	$86	$34	2.5×
Residential substance abuse treatment HCPCS Code: `H2035`	—	$86	$88	1.0×
New patient office visit (30-44 min) CPT Code: `99203`	—	$84	$110	0.8×
Psychotherapy session (45 minutes) CPT Code: `90834`	$172	$103	$166	0.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$361	$104	$181	0.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	—	$126	$272	0.5×
Culture, blood CPT Code: `87040`	$317	$317	$11	28.8×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$244	$244	$14	17.4×
Blood test, thyroid (TSH) CPT Code: `84443`	$233	$233	$18	12.9×
Blood test, lipase CPT Code: `83690`	$173	$173	$7	24.7×
Blood test, amylase CPT Code: `82150`	$150	$150	$7	21.4×
Hepatitis C antibody test CPT Code: `86803`	$101	$101	$15	6.7×
Blood test, complete blood count (CBC) CPT Code: `85025`	$75	$75	$8	9.4×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$92	$203	0.5×
Blood test, clotting time (PTT) CPT Code: `85730`	$54	$54	$6	9.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$78	$78	$14	5.6×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$46	$46	$10	4.6×
Blood test, vitamin B12 CPT Code: `82607`	$69	$69	$16	4.3×
Mental health services (therapy) HCPCS Code: `H0032`	—	$57	$65	0.9×
Drug screening test HCPCS Code: `G0480`	$71	$71	$116	0.6×
Blood test, magnesium CPT Code: `83735`	$38	$38	$7	5.4×
Physical therapy (functional capacity test) CPT Code: `97750`	$141	$43	$38	1.1×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$155	$45	$40	1.1×
Review of medical records for care CPT Code: `90889`	—	$57	$114	0.5×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$19	$14	1.4×
Physical therapy (gait training) CPT Code: `97116`	$157	$37	$33	1.1×
Occupational therapy (self-care training) CPT Code: `97535`	$211	$41	$38	1.1×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$181	$37	$35	1.1×
Diagnostic procedure preparation HCPCS Code: `G0279`	—	$35	$35	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$172	$33	$49	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$57	$87	0.7×
Blood test, hemoglobin CPT Code: `85018`	$58	$3	$3	1.0×
Speech therapy (group session) CPT Code: `92508`	—	$26	$27	1.0×
Physical therapy (manual therapy) CPT Code: `97140`	—	$26	$34	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$172	$33	$48	0.7×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	—	$26	$38	0.7×
Colorectal cancer screening HCPCS Code: `G0010`	$172	$33	$49	0.7×
Prosthetic fitting and training CPT Code: `97761`	—	$26	$45	0.6×
Orthotic fitting and training CPT Code: `97760`	—	$26	$51	0.5×
Office visit, established patient (30-39 min) CPT Code: `99214`	$536	$44	$123	0.4×
Breathing treatment (nebulizer) CPT Code: `94640`	$443	$49	$201	0.2×
Flu vaccine (high dose) HCPCS Code: `90656`	—	$21	$25	0.8×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$19	$25	0.8×
Blood test, glucose (blood sugar) CPT Code: `82947`	—	$3	$4	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	—	$3	$4	0.8×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$2	$3	0.7×
Blood test, calcium CPT Code: `82310`	—	$3	$5	0.6×
Blood test, creatinine (kidney) CPT Code: `82565`	$15	$3	$5	0.6×
Blood test, potassium CPT Code: `84132`	—	$3	$5	0.6×
Blood test, sodium CPT Code: `84295`	$19	$3	$5	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$45	$3	$5	0.6×
Hepatitis B vaccine HCPCS Code: `90744`	$101	$21	$37	0.6×
Blood test, basic metabolic panel CPT Code: `80048`	$116	$5	$9	0.6×
Blood test, liver function panel CPT Code: `80076`	$88	$5	$9	0.6×
Culture, bacterial CPT Code: `87070`	—	$5	$9	0.6×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	—	$21	$39	0.5×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$502	$21	$56	0.4×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	—	$20	$64	0.3×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$21	$111	0.2×
Blood antibody screen CPT Code: `86850`	$37	$3	$46	0.1×

Showing top 25 high-impact procedures of 131 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 37.0%

Audit a Bill or Quote at Baptist Medical Center Beaches (Zero PHI Required)

CMS CCN: 100117

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $42,741

1. Amount on Your Bill or Quote ($) Pre-filled with Baptist Medical Center Beaches’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $37,954 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $37,954

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (37.0% of gross = $37,954).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Baptist Medical Center Beaches's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$71,803 Above Fair BaseRate

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.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (37.0% 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.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite74/100

Would Recommend83%

Rated 9 or 10 (HCAHPS)79%

Median ER Wait193 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.1%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Baptist Medical Center Beaches. Prior administrative notices do not necessarily reflect current compliance status.

2026-05-07·administrative_or_closure
Closure Notice
Recorded
2026-02-04·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (593 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baptist Medical Center Beaches.

Price Index: 1.06× regional baseline

Quality: 75/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Simply Healthcare

-45.6%

Median Household Income$68,447U.S. Census ACS

Local Uninsured Share11.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 74/100 · Corroborated CMS CCN 100117

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 100117) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-06

Validated Rate Rows5,448 (CMS v3.0.0)

File Integrity DigestVerified · CCN 100117

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.

Submit MRF Update Correction Policy