AmeriHealth Caritas ER Visit Rates in Jacksonville

Published AmeriHealth Caritas negotiated rates for ER Visit at 3 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$897.49

UF Health Jacksonville

all plan types

Highest Rate

$6,441.16

HCA Florida Memorial Hospital

all plan types

Rate Spread

7x

across all plan types

Hospitals

3

with AmeriHealth Caritas data

Negotiated ER visit rates for AmeriHealth Caritas in Jacksonville span a 7x range, from $897.49 at UF Health Jacksonville to $6,441.16 at HCA Florida Memorial Hospital. The median across the three hospitals is $3,637.48. The lowest rate reflects a Medicaid HMO plan, and rates on commercial plans often run higher.

Why the range is so wide: AmeriHealth Caritas negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

AmeriHealth Caritas ER Visit Rates by Hospital

Hospital Lowest AmeriHealth Caritas Rate
UF Health Jacksonville $897.49
HCA Florida Orange Park Hospital $2,005.88
HCA Florida Memorial Hospital $2,608.32

Median of all 52 published AmeriHealth Caritas rates for ER Visit at these hospitals: $3,637.48

Rates shown are AmeriHealth Caritas's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all AmeriHealth Caritas plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Understanding AmeriHealth Caritas Negotiated Rates

A negotiated rate is the price AmeriHealth Caritas has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all AmeriHealth Caritas plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for ER Visit in Jacksonville

View all ER Visit prices in Jacksonville (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost AmeriHealth Caritas ER Visit in Jacksonville?

The lowest AmeriHealth Caritas negotiated rate for ER Visit in Jacksonville is $897.49 at UF Health Jacksonville, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $6,441.16 at HCA Florida Memorial Hospital, a 7x difference. Commercial plan rates typically fall between these extremes.

Is the AmeriHealth Caritas negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what AmeriHealth Caritas has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact AmeriHealth Caritas for a pre-service cost estimate specific to your plan.

How many Jacksonville hospitals have published AmeriHealth Caritas rates?

3 hospitals in the Jacksonville area have published AmeriHealth Caritas negotiated rates for ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with AmeriHealth Caritas directly.

Will AmeriHealth Caritas cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. AmeriHealth Caritas cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.

We are not affiliated with AmeriHealth Caritas or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact AmeriHealth Caritas or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.