Florida Community Care ER Visit Rates in Jacksonville

Published Florida Community Care negotiated rates for ER Visit at 6 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$290.73

Baptist Medical Center Clay

all plan types

Highest Rate

$646.19

Baptist Medical Center Nassau

all plan types

Rate Spread

2x

across all plan types

Hospitals

6

with Florida Community Care data

Florida Community Care negotiated ER visit rates in Jacksonville span a 2x range, from $290.73 at Baptist Medical Center Clay to $646.19 at Baptist Medical Center Nassau. The median across six hospitals is $447.96. The lowest rate is for a Medicare Advantage plan, and rates tied to Medicaid or Medicare plans often run below commercial ones.

Why the range is so wide: Florida Community Care 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.

Florida Community Care ER Visit Rates by Hospital

Hospital Lowest Florida Community Care Rate
Baptist Medical Center Clay $290.73
Baptist Medical Center South $290.73
Wolfson Children's Hospital $290.73
Baptist Medical Center Beaches $291.83
Baptist Medical Center Jacksonville $291.83
Baptist Medical Center Nassau $291.83

Median of all 18 published Florida Community Care rates for ER Visit at these hospitals: $447.96

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

A negotiated rate is the price Florida Community Care 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 Florida Community Care 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 Florida Community Care ER Visit in Jacksonville?

The lowest Florida Community Care negotiated rate for ER Visit in Jacksonville is $290.73 at Baptist Medical Center Clay, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $646.19 at Baptist Medical Center Nassau, a 2x difference. Commercial plan rates typically fall between these extremes.

Is the Florida Community Care negotiated rate what I'll pay?

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

How many Jacksonville hospitals have published Florida Community Care rates?

6 hospitals in the Jacksonville area have published Florida Community Care 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 Florida Community Care directly.

Will Florida Community Care cover an out-of-network ER visit?

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