Capital Health Plan MRI Rates in Jacksonville
Published Capital Health Plan negotiated rates for MRI at 7 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$249.17
UF Health Jacksonville
all plan types
Highest Rate
$1,597.58
Wolfson Children's Hospital
all plan types
Rate Spread
6x
across all plan types
Hospitals
7
with Capital Health Plan data
Capital Health Plan MRI rates in Jacksonville span 6x, from $249.17 at UF Health Jacksonville to $1,597.58 at Wolfson Children's Hospital. The median across 7 hospitals is $1,486.26. The lowest rate applies to a Medicare HMO plan, and rates under government-linked plans often differ from commercial ones.
Capital Health Plan MRI Rates by Hospital
| Hospital | Lowest Capital Health Plan Rate |
|---|---|
| UF Health Jacksonville | $249.17 |
| Baptist Medical Center Beaches | $1,374.94 |
| Baptist Medical Center Clay | $1,374.94 |
| Baptist Medical Center Jacksonville | $1,374.94 |
| Baptist Medical Center Nassau | $1,374.94 |
| Baptist Medical Center South | $1,374.94 |
| Wolfson Children's Hospital | $1,374.94 |
Median of all 16 published Capital Health Plan rates for MRI at these hospitals: $1,486.26
Rates shown are Capital Health Plan's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Capital Health Plan 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 Capital Health Plan Negotiated Rates
A negotiated rate is the price Capital Health Plan 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 Capital Health Plan 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 MRI in Jacksonville
Frequently Asked Questions
Where is the lowest-cost Capital Health Plan MRI in Jacksonville?
The lowest Capital Health Plan negotiated rate for MRI in Jacksonville is $249.17 at UF Health Jacksonville, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,597.58 at Wolfson Children's Hospital, a 6x difference. Commercial plan rates typically fall between these extremes.
Is the Capital Health Plan negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Capital Health Plan 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 Capital Health Plan for a pre-service cost estimate specific to your plan.
How many Jacksonville hospitals have published Capital Health Plan rates?
7 hospitals in the Jacksonville area have published Capital Health Plan negotiated rates for MRI in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Capital Health Plan directly.
Do I need a referral for an MRI with Capital Health Plan?
Most Capital Health Plan plans require a referral or prior authorization for an MRI. Without it, the hospital may bill you at a higher rate or your claim could be denied. Contact Capital Health Plan before scheduling to confirm your plan's requirements.
We are not affiliated with Capital Health Plan 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 Capital Health Plan or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.