First Health/Coventry ER Visit Rates in Jacksonville
Published First Health/Coventry negotiated rates for ER Visit at 4 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.
If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
Do not delay emergency care based on cost.
Lowest Rate
$277.94
Ascension St. Vincent's Clay County
all plan types
Highest Rate
$7,117.36
UF Health Jacksonville
all plan types
Rate Spread
26x
across all plan types
Hospitals
4
with First Health/Coventry data
ER-visit negotiated rates for First Health/Coventry in Jacksonville span a 26x gap, from $277.94 at Ascension St. Vincent's Clay County to $7,117.36 at UF Health Jacksonville. The median across four hospitals is $521.42. The lowest rate is tied to a Medicare Advantage HMO plan, which often prices below commercial plans.
First Health/Coventry ER Visit Rates by Hospital
| Hospital | Lowest First Health/Coventry Rate |
|---|---|
| Ascension St. Vincent's Clay County | $277.94 |
| Ascension St. Vincent's Riverside | $277.94 |
| Ascension St. Vincent's Southside | $277.94 |
| UF Health Jacksonville | $1,695.26 |
Median of all 24 published First Health/Coventry rates for ER Visit at these hospitals: $521.42
Rates shown are First Health/Coventry's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all First Health/Coventry 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 First Health/Coventry ER Visit Rates in Jacksonville
Where Jacksonville ER visit rates begin and end for First Health/Coventry. Among the 4 hospitals with published First Health/Coventry rates, the lowest figure is $277.94, listed at Ascension St. Vincent's Clay County, Ascension St. Vincent's Riverside and Ascension St. Vincent's Southside. At the other end, UF Health Jacksonville lists $7,117.36 as its highest rate, with its lowest at $1,695.26.
How far apart the ER visit rates sit, and what the plan type tells you. The page shows a 26x spread, and the median of all 24 published rates is $521.42. The plan type beside each $277.94 rate reads Medicare Advantage Coventry HMO, so the low end likely reflects those plans rather than commercial plans. The lowest UF Health Jacksonville rate is listed as PPO.
Questions a First Health/Coventry member can bring to a Jacksonville ER visit. Rates differ by plan, so these questions may help:
- Ask First Health/Coventry for your own plan's negotiated rate and estimated cost share at a named hospital.
- Ask whether that hospital is in network for your plan.
- Ask the hospital for an estimate.
These 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 First Health/Coventry Negotiated Rates
A negotiated rate is the price First Health/Coventry 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 First Health/Coventry 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
Frequently Asked Questions
Where is the lowest-cost First Health/Coventry ER Visit in Jacksonville?
The lowest First Health/Coventry negotiated rate for ER Visit in Jacksonville is $277.94 at Ascension St. Vincent's Clay County, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $7,117.36 at UF Health Jacksonville, a 26x difference. Commercial plan rates typically fall between these extremes.
Is the First Health/Coventry negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what First Health/Coventry 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 First Health/Coventry for a pre-service cost estimate specific to your plan.
How many Jacksonville hospitals have published First Health/Coventry rates?
4 hospitals in the Jacksonville area have published First Health/Coventry 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 First Health/Coventry directly.
Will First Health/Coventry cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. First Health/Coventry 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 First Health/Coventry 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 First Health/Coventry 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 First Health/Coventry website: www.firsthealth.com