Molina Healthcare CT Scan Rates in Jacksonville

Published Molina Healthcare negotiated rates for CT Scan at 13 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$246.21

Baptist Medical Center Beaches

all plan types

Highest Rate

$4,160.43

HCA Florida Memorial Hospital

all plan types

Rate Spread

17x

across all plan types

Hospitals

13

with Molina Healthcare data

Molina Healthcare's negotiated CT scan rates in Jacksonville span a 17x range across 13 hospitals, from $246.21 at Baptist Medical Center Beaches to $4,160.43 at HCA Florida Memorial Hospital. The median rate is $448.87. The lowest figure applies to a Managed Medicaid plan, and rates under government-funded plans often run below commercial ones.

Why the range is so wide: Molina Healthcare 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.

Molina Healthcare CT Scan Rates by Hospital

Hospital Lowest Molina Healthcare Rate
Baptist Medical Center Beaches $246.21
Baptist Medical Center Clay $246.21
Baptist Medical Center Jacksonville $246.21
Baptist Medical Center Nassau $246.21
Baptist Medical Center South $246.21
Wolfson Children's Hospital $246.21
UF Health Jacksonville $248.28
Ascension St. Vincent's Clay County $448.87
Ascension St. Vincent's Riverside $448.87
Ascension St. Vincent's Southside $448.87
Ascension St. Vincent's St. Johns County $448.87
HCA Florida Orange Park Hospital $3,589.57
HCA Florida Memorial Hospital $3,963.87

Median of all 44 published Molina Healthcare rates for CT Scan at these hospitals: $448.87

Rates shown are Molina Healthcare's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Molina Healthcare 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 Molina Healthcare CT Scan Rates in Jacksonville

Where Jacksonville CT scan rates start for Molina Healthcare. The lowest published rate is $246.21, shared by six hospitals: Baptist Medical Center Beaches, Baptist Medical Center Clay and Baptist Medical Center Jacksonville, along with others in the Baptist and Wolfson Children's group. At the other end, HCA Florida Orange Park Hospital starts at $3,589.57 and HCA Florida Memorial Hospital reaches $4,160.43.

How wide the Molina Healthcare spread runs in Jacksonville. The page shows a 17x spread across 13 hospitals, and the median of all 44 published rates is $448.87. The plan types beside the lowest rates are labeled Managed Medicaid and MEDICAID HMO, so the low end likely reflects those plans rather than commercial plans. Plan names such as HIX and the Molina exchange codes appear higher up the table.

What Molina Healthcare members can ask about a Jacksonville CT scan. These are facility rates, and professional fees such as the radiologist's reading are billed separately. Members can ask:

  • Molina Healthcare for their own plan's negotiated rate and estimated cost share at a named hospital.
  • Molina Healthcare whether that hospital is in network for their plan.
  • The hospital for an estimate before the scan.

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

Understanding Molina Healthcare Negotiated Rates

A negotiated rate is the price Molina Healthcare 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 Molina Healthcare 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 CT Scan in Jacksonville

View all CT Scan prices in Jacksonville (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Molina Healthcare CT Scan in Jacksonville?

The lowest Molina Healthcare negotiated rate for CT Scan in Jacksonville is $246.21 at Baptist Medical Center Beaches, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,160.43 at HCA Florida Memorial Hospital, a 17x difference. Commercial plan rates typically fall between these extremes.

Is the Molina Healthcare negotiated rate what I'll pay?

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

How many Jacksonville hospitals have published Molina Healthcare rates?

13 hospitals in the Jacksonville area have published Molina Healthcare negotiated rates for CT Scan in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Molina Healthcare directly.

How does Molina Healthcare classify CT scan charges?

CT scans may be billed differently depending on how Molina Healthcare classifies the visit. Your share of the cost also varies by whether the facility is in-network. Confirm with Molina Healthcare how the scan will be billed and what your cost-sharing will be before your appointment.

We are not affiliated with Molina Healthcare 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 Molina Healthcare 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 Molina Healthcare website: www.molinahealthcare.com