Cigna ER Visit Rates in Jacksonville

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

Lowest Rate

$280.72

Ascension St. Vincent's Clay County

all plan types

Highest Rate

$12,262.94

HCA Florida Orange Park Hospital

all plan types

Rate Spread

44x

across all plan types

Hospitals

13

with Cigna data

Cigna's negotiated ER visit rates in Jacksonville span a 44x gap, from $280.72 at Ascension St. Vincent's Clay County to $12,262.94 at HCA Florida Orange Park Hospital. Across 13 hospitals, the median rate is $2,680. The lowest figure comes from a Cigna HealthSpring outpatient listing, so it may reflect a Medicare plan rather than a commercial one.

Why the range is so wide: Cigna 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.

Cigna ER Visit Rates by Hospital

Hospital Lowest Cigna Rate
Ascension St. Vincent's Clay County $280.72
Ascension St. Vincent's Riverside $280.72
Ascension St. Vincent's Southside $280.72
Ascension St. Vincent's St. Johns County $280.72
UF Health Jacksonville $1,047.07
Baptist Medical Center Beaches $1,104.60
Baptist Medical Center Clay $1,104.60
Baptist Medical Center Jacksonville $1,104.60
Baptist Medical Center South $1,104.60
Wolfson Children's Hospital $1,104.60
Baptist Medical Center Nassau $1,630.60
HCA Florida Memorial Hospital $2,029
HCA Florida Orange Park Hospital $2,029

Median of all 330 published Cigna rates for ER Visit at these hospitals: $2,680

Rates shown are Cigna's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Cigna 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 Cigna ER Visit Rates in Jacksonville

Where Jacksonville ER visit rates start for Cigna. The lowest published rate is $280.72, shared by four Ascension St. Vincent's hospitals: Clay County, Riverside, Southside and St. Johns County. At the other end, HCA Florida Orange Park Hospital shows $12,262.94, and HCA Florida Memorial Hospital lists a highest rate of $11,711.20.

How wide Cigna's ER visit spread runs. Across 13 hospitals the spread is 44x, and the median of all 330 published Cigna rates is $2,680. The plan types beside the $280.72 rates are labeled Cigna HealthSpring outpatient plans, which suggests the low end likely reflects Medicare Advantage-type plans rather than commercial plans. Other rows show HMO, Gatekeeper New Business or NBN labels, and the plan behind a rate is not always clear.

What a Cigna member can ask about a Jacksonville ER visit. These are facility rates, and professional fees are billed separately. Questions to put to the right party:

  • Ask Cigna for your own plan's negotiated rate and estimated cost share at a named hospital, such as UF Health Jacksonville.
  • Ask Cigna whether that hospital is in network for your plan.
  • Ask the hospital for an estimate.

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

Understanding Cigna Negotiated Rates

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

The lowest Cigna negotiated rate for ER Visit in Jacksonville is $280.72 at Ascension St. Vincent's Clay County, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $12,262.94 at HCA Florida Orange Park Hospital, a 44x difference. Commercial plan rates typically fall between these extremes.

Is the Cigna negotiated rate what I'll pay?

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

How many Jacksonville hospitals have published Cigna rates?

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

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

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

Visit the official Cigna website: www.cigna.com