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TRANSPARENCY AND ADDED VALUE FOR OUR COMMUNITY

At Flagler Health+, we believe the communities we serve, including both consumers and employers, deserve the highest level of care, the best possible experience and the best value in healthcare. To support this, it is our responsibility to provide easy-to-understand insights into healthcare pricing information, and ultimately to compete on price. As a leading health system, we are committed to helping consumers better understand healthcare costs and make more informed healthcare decisions. What many people don’t know is that insurance companies negotiate payment rates with healthcare providers. What does this mean for the consumer? It means higher out-of-pocket costs for commercially insured patients when they receive care at healthcare systems that are being paid at higher rates.

Below you’ll see a chart comparing the estimated average payments that Flagler Hospital receives from commercial insurers with other systems in our market, for some of the most common procedures performed. We think the data speaks for itself.



AVERAGE PAYMENTS

FIRST COAST HOSPITALS

Description Baptist Medical Center Beaches Baptist Medical Center Jacksonville Baptist Medical Center South Flagler Hospital; Inc. Florida Hospital Flagler Halifax Health Medical Center Mayo Clinic Hospital in Florida Memorial Hospital Jacksonville
Heart catheterization with a drug coated stent 30,881 30,566 25,270 40,062 26,451 43,197 39,448
Heart catheterization without a heart attack 17,387 23,066 18,885 16,715 17,436 13,229 20,094 22,373
Depression related to personality and drug use disorder 6,171 5,665 4,187 4,316
Surgery on female organs (uterus, ovaries, fallopian tubes) not related to cancer 18,718 20,468 18,524 13,088 22,402 14,489 29,794 27,281
Hernia repair, other than in the groin region 14,339 21,746 24,041 16,617 33,645 19,909 23,309 30,726
Fever due to a reaction to medication, blood, or after a procedure 7,376 9,400 13,911 5,864 13,926 6,220 15,296 12,253
Illness due to a viral infection 16,687 7,365 18,786 7,585 8,137 4,856 44,616 10,403
Heart pacemaker placement 36,319 33,181 20,221 34,942 36,759
Inflammatory bowel disease 8,321 13,319 10,031 9,287 12,548 9,875 10,893 10,227
Heart catheterization with a stent 33,051 34,871 23,919
Heart defibrillator placement 65,791 40,640 55,303 104,179 62,813
Kidney transplant 56,096 99,750
Stomach ulcer 7,093 9,754 11,647 16,773 10,114 5,797 4,768
Surgery on female organs (uterus, ovaries, fallopian tubes) related to cancer 17,503 21,631 21,777
Heart catheterization without a stent 65,788 19,983 25,315 38,536 17,893
Hernia repair in the groin region 33,893 19,448 22,002
Heart valve surgery 73,148 49,459 52,919 118,629
Non-cancerous disorders of the breast 6,736 7,594 9,318 5,994 19,132 16,050
Enlargement of the prostate gland 6,087 12,087
Procedures related to the foot 23,338 19,869 9,903 28,698
Breast biopsy 58,762 32,299 46,561 25,192 15,591 24,681 60,436 15,995
Procedures related to the thyroid 22,354 14,754 22,194 12,831 32,174
Bone infection 13,613 8,746
Nose bleed 8,157 6,551
Mild closed head injury 4,933 17,636
Cancer of infection-fighting cells or cancer of blood-forming tissue - slow growing 95,942 22,973 17,464 9,911 4,937
Cancer of the stomach, intestines or bowel 12,168 21,563
Weight loss surgery for complex patients 28,667 26,779 24,535 40,800 161,443
Bladder surgery 62,263 13,081 40,045
Surgery on the external female organs and cervix (vagina, vulva) 17,614 16,683 10,125 23,385
Description Orange Park Medical Center Putnam Community Medical Center St. Vincent's Medical Center Clay County St. Vincent's Medical Center Riverside St. Vincent's Medical Center Southside UF Health Jacksonville UF Health North
Heart catheterization with a drug coated stent 49,232 37,187 33,346 32,586 39,158 30,388 24,832
Heart catheterization without a heart attack 33,423 17,516 19,271 21,511 19,422 18,134 20,016
Depression related to personality and drug use disorder 9,306 4,964
Surgery on female organs (uterus, ovaries, fallopian tubes) not related to cancer 37,904 12,859 20,544 27,654 32,109 24,990 18,700
Hernia repair, other than in the groin region 38,935 16,042 25,670 28,181 20,062
Fever due to a reaction to medication, blood, or after a procedure 18,272 9,483 12,604 7,672 14,418
Illness due to a viral infection 16,459 10,884 9,421 10,444 5,366 9,714
Heart pacemaker placement 29,238 50,297 42,272
Inflammatory bowel disease 8,242 7,408 8,533 10,068 5,842
Heart catheterization with a stent 49,334
Heart defibrillator placement 82,661 90,829 86,156
Kidney transplant
Stomach ulcer 19,757 18,928 13,132 12,585
Surgery on female organs (uterus, ovaries, fallopian tubes) related to cancer 32,183
Heart catheterization without a stent 39,001 27,185 46,399 29,247
Hernia repair in the groin region 17,056 17,427 15,560 20,367
Heart valve surgery 76,155
Non-cancerous disorders of the breast 20,200 8,341 15,149 4,168 10,340
Enlargement of the prostate gland
Procedures related to the foot 37,622 27,764
Breast biopsy 42,959 51,403 33,473
Procedures related to the thyroid 45,211 34,333 24,517 28,513 23,222
Bone infection 5,786 15,740
Nose bleed 14,676 5,281
Mild closed head injury 27,251 3,988
Cancer of infection-fighting cells or cancer of blood-forming tissue - slow growing 6,170
Cancer of the stomach, intestines or bowel 11,737
Weight loss surgery for complex patients 46,428 47,491
Bladder surgery
Surgery on the external female organs and cervix (vagina, vulva) 8,702

*Estimated average payment by commercial payers, as calculated by the Florida Hospital Association based on publicly reported Agency for Healthcare Administration data.


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