Humana ER Visit Rates in Jacksonville
Published Humana negotiated rates for ER Visit at 5 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
$174.98
Ascension St. Vincent's Clay County
all plan types
Highest Rate
$7,117.36
UF Health Jacksonville
all plan types
Rate Spread
41x
across all plan types
Hospitals
5
with Humana data
Humana's negotiated ER visit rates in Jacksonville span a 41x range, from $174.98 at Ascension St. Vincent's Clay County to $7,117.36 at UF Health Jacksonville. The median across the five hospitals is $440.10. The lowest rate is tied to an HMO plan code, and lower figures can reflect Medicaid or Medicare Advantage products rather than commercial coverage.
Humana ER Visit Rates by Hospital
| Hospital | Lowest Humana Rate |
|---|---|
| Ascension St. Vincent's Clay County | $174.98 |
| Ascension St. Vincent's St. Johns County | $174.98 |
| Ascension St. Vincent's Southside | $266.82 |
| Ascension St. Vincent's Riverside | $269.60 |
| UF Health Jacksonville | $270 |
Median of all 183 published Humana rates for ER Visit at these hospitals: $440.10
Rates shown are Humana's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Humana 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 Humana ER Visit Rates in Jacksonville
Where Humana ER visit rates start in Jacksonville. The lowest published rate is $174.98, listed at both Ascension St. Vincent's Clay County and Ascension St. Vincent's St. Johns County. Ascension St. Vincent's Southside follows at $266.82. At the top, UF Health Jacksonville shows $7,117.36, and Ascension St. Vincent's Southside and Ascension St. Vincent's Riverside each list a highest rate of $934.
How far the Jacksonville spread runs for Humana. This page shows a 41x spread across 5 hospitals, and the median of all 183 published Humana rates is $440.10. Some of the lowest rates are labeled Medicare Advantage plans, so the low end likely reflects those plans rather than commercial plans. Other low rates carry only an HMO label, and the plan behind a rate is not always stated.
What a Humana member can ask about a Jacksonville ER visit. These are facility rates, and professional fees are billed separately. Questions to bring:
- Ask Humana for your own plan's negotiated rate and estimated cost share at a named hospital, such as UF Health Jacksonville.
- Ask Humana 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 Humana Negotiated Rates
A negotiated rate is the price Humana 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 Humana 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 Humana ER Visit in Jacksonville?
The lowest Humana negotiated rate for ER Visit in Jacksonville is $174.98 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 41x difference. Commercial plan rates typically fall between these extremes.
Is the Humana negotiated rate what I'll pay?
Not necessarily. The negotiated rate is what Humana 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 Humana for a pre-service cost estimate specific to your plan.
How many Jacksonville hospitals have published Humana rates?
5 hospitals in the Jacksonville area have published Humana 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 Humana directly.
Will Humana cover an out-of-network ER visit?
Under the No Surprises Act, emergency services must be covered regardless of network status. Humana 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 Humana 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 Humana 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 Humana website: www.humana.com