Molina Healthcare Lab Work Rates in Jacksonville

Published Molina Healthcare negotiated rates for Lab Work at 7 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$10.10

UF Health Jacksonville

all plan types

Highest Rate

$1,005.52

HCA Florida Orange Park Hospital

all plan types

Rate Spread

100x

across all plan types

Hospitals

7

with Molina Healthcare data

Molina Healthcare's negotiated lab-work rates in Jacksonville span a 100x range, from $10.10 at UF Health Jacksonville to $1,005.52 at HCA Florida Orange Park Hospital. The median across all 7 hospitals is $14.37. The lowest figure is an Exchange rate, and the lowest rates in this data are often tied to Medicaid or Medicare plan types rather than commercial coverage.

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 Lab Work Rates by Hospital

Hospital Lowest Molina Healthcare Rate
UF Health Jacksonville $10.10
Ascension St. Vincent's Clay County $14.37
Ascension St. Vincent's Riverside $14.37
Ascension St. Vincent's Southside $14.37
Ascension St. Vincent's St. Johns County $14.37
HCA Florida Memorial Hospital $659.61
HCA Florida Orange Park Hospital $1,005.52

Median of all 26 published Molina Healthcare rates for Lab Work at these hospitals: $14.37

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 Lab Work Rates in Jacksonville

Where Jacksonville lab work rates start for Molina Healthcare. The lowest published rate is $10.10 at UF Health Jacksonville, followed by $14.37 at Ascension St. Vincent's Clay County, Ascension St. Vincent's Riverside and Ascension St. Vincent's Southside. At the other end, HCA Florida Orange Park Hospital lists $1,005.52 and HCA Florida Memorial Hospital lists $659.61.

How wide the Molina Healthcare lab work spread runs in Jacksonville. Across the 7 hospitals, the spread shown is 100x, and the median of all 26 published rates is $14.37. The plan types beside the lowest rates are labeled Exchange, which are marketplace plans rather than the commercial employer plans, so the low end may reflect those plans. The plan behind a given rate is not always clearly stated, so a listed figure may not match your own plan.

What Molina Healthcare members can ask about Jacksonville lab work. These are facility rates, and professional fees are billed separately. Some questions to bring:

  • Ask Molina Healthcare 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 before the visit.

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 Lab Work in Jacksonville

View all Lab Work prices in Jacksonville (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Molina Healthcare Lab Work in Jacksonville?

The lowest Molina Healthcare negotiated rate for Lab Work in Jacksonville is $10.10 at UF Health Jacksonville, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,005.52 at HCA Florida Orange Park Hospital, a 100x 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?

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

Can I get lab work done at a cheaper location with Molina Healthcare?

Hospital-based labs typically charge several times more than independent labs for the same blood tests. If your Molina Healthcare plan covers independent labs like Quest or Labcorp, you may pay significantly less out of pocket. The rates on this page reflect hospital-based pricing only.

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