How many shoppable procedure prices are published for PAM Health Specialty Hospital of Jacksonville?

PAM Health Specialty Hospital of Jacksonville in Jacksonville, FL currently has 83 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do PAM Health Specialty Hospital of Jacksonville's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, PAM Health Specialty Hospital of Jacksonville's median negotiated commercial rate is 4.5× the regionally adjusted fair BaseRate benchmark.

Hospital Profile General Acute Care Hospital Updated: 2025-09-11

PAM Health Specialty Hospital of Jacksonville

4901 Richard St, Jacksonville, FL 32207 · 83 Priced Procedures

CMS Overall Rating No CMS Rating

High Markup · Shop Alternatives

4.50×vs. Fair Market Price

Typical commercial prices here are +350% above the fair benchmark (4.50×) even after accounting for local nurse/doctor wages and patient complexity.

62/100 · Caution

62/100Self-Pay Cash Beats Insurance 0% of the Time

File Completeness66

Price Logic98

Peer Alignment70

Clean Billing50

Real Cash Discount6

High-Markup · Check Safety

Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.

Behavioral Pricing FingerprintMedian-Gamed · High Captive Markup

Loss-Leader / Captive Ancillary Cross-Subsidizer

PAM Health Specialty Hospital of Jacksonville prices routine shoppable procedures near 4.0× Medicare (p50 3.27×) while skewing captive emergency, lab, and upper-quartile codes to 7.8× Medicare (p75 7.20×, +120% upper-tail jump). Patients scheduling elective outpatient care can capture competitive rates, but emergency and ancillary bills require strict line-item auditing.

#165 of 165 in FL · 99th State Percentile#3,383 of 3,385 in U.S. · 99th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 2.81× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 0% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (54/100 safety score) with 72% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.5× markup over Medicare rates
Captive ER (5.8×) & laboratory (6.7×) services average 1.95× higher multiples than routine shoppable care (4.0×)
Upper-quartile procedures (Q75 7.20×) jump +120% above the median procedure ratio (Q50 3.27×)
Unnegotiated chargemaster list prices average 7.4× Medicare (30¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

4.0× Medicare

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

Back-Door Captive & ER1.95× Divergence

7.8× Medicare

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

Quantile Tail Spread+120% Upper Tail

Q25 2.81× · Q50 3.27× · Q75 7.20×

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

4.0× MedicareElevated

Outpatient Surgery & ORBack-Door Captive

2.5× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

3.2× MedicareElevated

Back-Door Captive ER VisitsBack-Door Captive

5.8× MedicareWatchout

Inpatient Lab & PathologyBack-Door Captive

6.7× MedicareWatchout

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

0.9× MedicareGood

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

0% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 54/100Elevated

Procedure Prices at PAM Health Specialty Hospital of Jacksonville

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 83 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`	—	$33,669	$30,775	1.1×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$159	$28,051	$19,432	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$27,944	$8,223	3.4×
Colonoscopy with biopsy CPT Code: `45380`	$4,872	$3,654	$1,256	unverified
Upper endoscopy with biopsy CPT Code: `43239`	$3,801	$2,851	$987	unverified
Colonoscopy (diagnostic) CPT Code: `45378`	$3,728	$2,796	$981	unverified
CT scan, head (with and without contrast) CPT Code: `70470`	$3,380	$2,535	$258	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$2,926	$2,195	$167	unverified
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$2,864	$2,148	$303	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$1,693	$1,693	$17,936	0.1×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,693	$1,270	$448	2.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,693	$1,270	$511	2.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,211	$908	$583	1.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,221	$916	$272	unverified
MRI, lower back (no contrast) CPT Code: `72148`	$1,059	$794	$338	2.3×
MRI, brain (no contrast) CPT Code: `70551`	$1,059	$794	$343	2.3×
MRI, knee or other leg joint CPT Code: `73721`	$1,059	$794	$369	2.2×
CT scan, head (with contrast) CPT Code: `70460`	$821	$616	$242	2.5×
X-ray, lower back CPT Code: `72110`	$501	$376	$112	3.4×
Ultrasound, abdomen (limited) CPT Code: `76705`	$501	$376	$126	3.0×
Ultrasound, pelvis CPT Code: `76856`	$501	$376	$130	2.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$501	$376	$132	2.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$501	$376	$134	2.8×
CT scan, head (no contrast) CPT Code: `70450`	$501	$376	$160	2.4×
CT scan, pelvis CPT Code: `72192`	$501	$376	$163	2.3×
CT scan, sinuses CPT Code: `70486`	$501	$376	$166	2.3×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$501	$376	$168	2.2×
CT scan, neck (cervical spine) CPT Code: `72125`	$501	$376	$169	2.2×
X-ray, pelvis CPT Code: `72170`	$501	$376	$110	unverified
X-ray, ankle CPT Code: `73610`	$444	$333	$93	3.6×
X-ray, chest (two views) CPT Code: `71046`	$432	$324	$93	3.5×
Screening mammogram (both breasts) CPT Code: `77067`	$445	$333	$123	2.7×
X-ray, shoulder CPT Code: `73030`	$372	$279	$92	3.0×
X-ray, foot CPT Code: `73630`	$372	$279	$92	3.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$372	$279	$93	3.0×
X-ray, hand CPT Code: `73130`	$372	$279	$93	3.0×
X-ray, hip CPT Code: `73502`	$372	$279	$93	3.0×
X-ray, chest (single view) CPT Code: `71045`	$357	$268	$92	2.9×
Blood transfusion CPT Code: `36430`	$350	$263	$498	0.5×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$307	$230	$64	3.6×
Orthotic fitting and training CPT Code: `97760`	$229	$172	$51	3.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$175	$131	$40	3.3×
Prosthetic fitting and training CPT Code: `97761`	$196	$147	$45	3.3×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$161	$121	$38	3.2×
Physical therapy (gait training) CPT Code: `97116`	$138	$104	$33	3.2×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$138	$104	$35	3.0×
Physical therapy (manual therapy) CPT Code: `97140`	$127	$96	$34	2.8×
Occupational therapy (self-care training) CPT Code: `97535`	$123	$92	$38	2.4×
Speech therapy (language evaluation) CPT Code: `92507`	$146	$110	$86	1.3×
Speech therapy (group session) CPT Code: `92508`	$111	$84	$27	3.1×
Drug screening test HCPCS Code: `G0480`	$1,144	$858	$116	unverified
Pneumococcal vaccine HCPCS Code: `90732`	$435	$327	$140	2.3×
Blood test, vitamin D CPT Code: `82306`	$323	$242	$31	unverified
Blood test, basic metabolic panel CPT Code: `80048`	$184	$138	$9	unverified
Blood test, PSA (prostate screen) CPT Code: `84153`	$184	$138	$19	unverified
Blood antibody screen CPT Code: `86850`	$217	$163	$46	unverified
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$193	$145	$20	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$106	$79	$11	7.2×
Blood test, vitamin B12 CPT Code: `82607`	$138	$104	$16	unverified
Culture, blood CPT Code: `87040`	$103	$77	$11	7.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$134	$100	$14	unverified
Blood test, ferritin (iron stores) CPT Code: `82728`	$136	$102	$14	unverified
Physical therapy (functional capacity test) CPT Code: `97750`	$72	$52	$38	1.4×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$103	$77	$10	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$132	$99	$18	unverified
Hepatitis C antibody test CPT Code: `86803`	$143	$107	$15	unverified
Culture, bacterial CPT Code: `87070`	$91	$66	$9	7.3×
Blood test, liver function panel CPT Code: `80076`	$82	$61	$9	6.8×
Blood test, magnesium CPT Code: `83735`	$95	$71	$7	unverified
Blood test, complete blood count (CBC) CPT Code: `85025`	$78	$58	$8	unverified
Blood test, clotting time (PT/INR) CPT Code: `85610`	$95	$71	$5	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$40	$30	$4	7.5×
Blood test, glucose (blood sugar) CPT Code: `82947`	$39	$29	$4	7.3×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$59	$44	$3	unverified
Blood test, amylase CPT Code: `82150`	$91	$68	$7	unverified
Blood test, hemoglobin CPT Code: `85018`	$24	$18	$3	6.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$57	$43	$14	3.1×
Blood test, calcium CPT Code: `82310`	$52	$39	$5	unverified
Blood test, creatinine (kidney) CPT Code: `82565`	$51	$38	$5	unverified
Blood test, lipase CPT Code: `83690`	$69	$52	$7	unverified
Blood test, potassium CPT Code: `84132`	$48	$36	$5	unverified
Blood test, sodium CPT Code: `84295`	$48	$36	$5	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$60	$45	$6	unverified

Showing top 25 high-impact procedures of 83 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at PAM Health Specialty Hospital of Jacksonville (Zero PHI Required)

CMS CCN: 102012

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $33,669

1. Amount on Your Bill or Quote ($) Pre-filled with PAM Health Specialty Hospital of Jacksonville’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 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

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

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask PAM Health Specialty Hospital of Jacksonville'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 +$50,031 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($80,806) is $50,031 above the denoised Fair BaseRate ($30,775) and 3.4× 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) For-Profit / Non-501(c)(3)

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

Public IRS & CMS ownership records classify PAM Health Specialty Hospital of Jacksonville as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

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

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 PAM Health Specialty Hospital of Jacksonville.

Price Index: 1.66× regional baseline

Quality: 54/100 CMS composite

Median Household Income$60,875U.S. Census ACS

Local Uninsured Share10.5%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 62/100 · Caution CMS CCN 102012

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 102012) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2025-09-11

Validated Rate Rows524 (CMS v3.0.0)

File Integrity DigestVerified · CCN 102012

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