AvMed ER Visit Rates in Jacksonville

Published AvMed negotiated rates for ER Visit at 13 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$500.29

Ascension St. Vincent's Clay County

all plan types

Highest Rate

$12,833

HCA Florida Orange Park Hospital

all plan types

Rate Spread

26x

across all plan types

Hospitals

13

with AvMed data

AvMed ER visit rates in Jacksonville span a 26x gap, from $500.29 at Ascension St. Vincent's Clay County to $12,833 at HCA Florida Orange Park Hospital. The median across 13 hospitals is $1,341.30. Lower figures may reflect Medicaid or Medicare rates rather than commercial plans.

Why the range is so wide: AvMed 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.

AvMed ER Visit Rates by Hospital

Hospital Lowest AvMed Rate
Ascension St. Vincent's Clay County $500.29
Ascension St. Vincent's Riverside $500.29
Ascension St. Vincent's Southside $500.29
Ascension St. Vincent's St. Johns County $500.29
Baptist Medical Center Beaches $841.60
Baptist Medical Center Clay $841.60
Baptist Medical Center Jacksonville $841.60
Baptist Medical Center Nassau $841.60
Baptist Medical Center South $841.60
Wolfson Children's Hospital $841.60
UF Health Jacksonville $1,049.36
HCA Florida Memorial Hospital $2,292
HCA Florida Orange Park Hospital $2,292

Median of all 114 published AvMed rates for ER Visit at these hospitals: $1,341.30

Rates shown are AvMed's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all AvMed 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.

Reading AvMed ER Visit Rates in Jacksonville

Where AvMed ER visit rates start in Jacksonville. The lowest published rate is $500.29, shared by Ascension St. Vincent's Clay County, Ascension St. Vincent's Riverside and Ascension St. Vincent's Southside. At the other end, HCA Florida Orange Park Hospital and HCA Florida Memorial Hospital both list $12,833 as their highest, and Baptist Medical Center Nassau tops its own range at $3,532.50.

How wide the AvMed spread runs. Across the 13 hospitals, the spread shown is 26x, and the median of all 114 published AvMed rates is $1,341.30. The plan types beside the lowest rates are labeled as AvMed Exchange outpatient plans, not as Medicaid, CHIP or Medicare Advantage plans, but the plan behind any given rate is not always clearly described, so read the plan label in the table before comparing.

What an AvMed member can ask about a Jacksonville ER visit. Members can bring a few questions:

  • Ask AvMed for your own plan's negotiated rate and estimated cost share at a named hospital.
  • Ask AvMed whether that hospital is in network for your plan.
  • Ask the hospital for an estimate.

These figures are facility rates, and professional fees are billed separately.

Written from the rates in the table above. General information, not medical or insurance advice.

Understanding AvMed Negotiated Rates

A negotiated rate is the price AvMed 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 AvMed 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 AvMed ER Visit in Jacksonville?

The lowest AvMed negotiated rate for ER Visit in Jacksonville is $500.29 at Ascension St. Vincent's Clay County, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $12,833 at HCA Florida Orange Park Hospital, a 26x difference. Commercial plan rates typically fall between these extremes.

Is the AvMed negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what AvMed 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 AvMed for a pre-service cost estimate specific to your plan.

How many Jacksonville hospitals have published AvMed rates?

13 hospitals in the Jacksonville area have published AvMed 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 AvMed directly.

Will AvMed cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. AvMed 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 AvMed 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 AvMed or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.