Molina Healthcare Ultrasound Rates in Jacksonville
Published Molina Healthcare negotiated rates for Ultrasound at 13 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$125.28
Baptist Medical Center Beaches
all plan types
Highest Rate
$1,265.22
HCA Florida Memorial Hospital
all plan types
Rate Spread
10x
across all plan types
Hospitals
13
with Molina Healthcare data
Molina Healthcare's negotiated ultrasound rates in Jacksonville span a 10x range, from $125.28 at Baptist Medical Center Beaches to $1,265.22 at HCA Florida Memorial Hospital. The median across 13 hospitals is $197.47. The lowest rate applies to a Managed Medicaid plan, and lower figures often reflect Medicaid or Medicare rather than commercial coverage.
Molina Healthcare Ultrasound Rates by Hospital
| Hospital | Lowest Molina Healthcare Rate |
|---|---|
| Baptist Medical Center Beaches | $125.28 |
| Baptist Medical Center Clay | $125.28 |
| Baptist Medical Center Jacksonville | $125.28 |
| Baptist Medical Center Nassau | $125.28 |
| Baptist Medical Center South | $125.28 |
| Wolfson Children's Hospital | $125.28 |
| UF Health Jacksonville | $126.34 |
| Ascension St. Vincent's Clay County | $197.47 |
| Ascension St. Vincent's Riverside | $197.47 |
| Ascension St. Vincent's Southside | $197.47 |
| Ascension St. Vincent's St. Johns County | $197.47 |
| HCA Florida Orange Park Hospital | $904.75 |
| HCA Florida Memorial Hospital | $984.15 |
Median of all 49 published Molina Healthcare rates for Ultrasound at these hospitals: $197.47
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 Ultrasound Rates in Jacksonville
Where Jacksonville ultrasound rates start for Molina Healthcare. The lowest published rate is $125.28, shown at Baptist Medical Center Beaches, Baptist Medical Center Clay and Baptist Medical Center Jacksonville, among others. At the other end, HCA Florida Memorial Hospital lists $1,265.22, and HCA Florida Orange Park Hospital lists a lowest rate of $904.75.
How wide the Molina Healthcare ultrasound spread runs in Jacksonville. The page shows a 10x spread across 13 hospitals, and the median of all 49 published rates is $197.47. 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. A rate may not match the plan you carry.
What Molina Healthcare members can ask about a Jacksonville ultrasound. These are facility rates, and professional fees are billed separately. Questions to bring:
- Ask Molina Healthcare for your own plan's negotiated rate and estimated cost share at a named hospital.
- Ask Molina Healthcare 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 Ultrasound in Jacksonville
Frequently Asked Questions
Where is the lowest-cost Molina Healthcare Ultrasound in Jacksonville?
The lowest Molina Healthcare negotiated rate for Ultrasound in Jacksonville is $125.28 at Baptist Medical Center Beaches, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,265.22 at HCA Florida Memorial Hospital, a 10x 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 Ultrasound in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Molina Healthcare directly.
Are prenatal ultrasounds covered differently by Molina Healthcare?
Molina Healthcare plans often apply different cost-sharing rules for prenatal ultrasounds compared to diagnostic ultrasounds. Some may be covered under maternity benefits with different deductible and copay structures. Check your Molina Healthcare plan documents for specifics on ultrasound coverage.
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