CMS Price Transparency Data

Blood test, amylase

Facility: Jacksonville Memorial Hospital

Billing Code: 82150 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82150
Insurance Median: $127
Cash Discount Price: $220
vs. Medicare Baseline: 19.60x Medicare

The contracted insurance negotiated median rate for a Blood test, amylase at Jacksonville Memorial Hospital is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $220. Compared to the federal Medicare reimbursement reference rate of $6.48, this hospital’s rate is 19.60x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$220

Average discount available for prompt cash payment at this facility.

Insurance Median

$127

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$6.48

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6.48 (100%)

Cash / Self-Pay: $220 (3395%)

Insurance Median: $127 (1960%)

Cash: $220 (3395% of Medicare)

Ins. Median: $127 (1960% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6.48 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1960% of the Medicare baseline (a markup of 1860%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$6 - $220	93%
Coventry	$6 - $34	93%
Health Alliance	$6 - $150	93%
Humana	$6 - $188	93%
Medicare (plans)	$6 - $34	93%
Tricare	$6 - $40	93%
UnitedHealthcare	$7 - $158	108%
Medicaid / KanCare	$9	139%
Molina Healthcare	$9	139%
Corvel/Corcare	$31 - $79	478%
Illinois Workers Compensation	$34 - $91	525%
Commercial Workers Compensation	$87	1343%
Health Alliance Mh Employee Plan	$101	1559%
Current Health Network	$121 - $165	1867%
6 Degrees Health	$132	2037%
Hope Trust	$132	2037%
Hst	$132	2037%
Cigna	$152	2346%
Aetna	$154 - $176	2377%
Healthlink	$187	2886%
Phcs/Multiplan	$198	3056%
Hfn	$209	3225%
Liability	$220	3395%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $220.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82150.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Jacksonville Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82150.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.