CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Jacksonville Memorial Hospital

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80048
Insurance Median: $156
Cash Discount Price: $272
vs. Medicare Baseline: 18.44x Medicare

The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Jacksonville Memorial Hospital is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $272. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 18.44x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$272

Average discount available for prompt cash payment at this facility.

Insurance Median

$156

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$8.46

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.46 (100%)

Cash / Self-Pay: $272 (3215%)

Insurance Median: $156 (1844%)

Cash: $272 (3215% of Medicare)

Ins. Median: $156 (1844% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.46 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 1844% of the Medicare baseline (a markup of 1744%). 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	$8 - $272	95%
Coventry	$8 - $43	95%
Health Alliance	$8 - $185	95%
Humana	$8 - $232	95%
Medicare (plans)	$8 - $43	95%
Tricare	$8 - $50	95%
UnitedHealthcare	$9 - $196	106%
Medicaid / KanCare	$14	165%
Molina Healthcare	$14	165%
Corvel/Corcare	$43 - $87	508%
Illinois Workers Compensation	$46 - $112	544%
Commercial Workers Compensation	$106	1253%
Health Alliance Mh Employee Plan	$125	1478%
Current Health Network	$150 - $204	1773%
6 Degrees Health	$163	1927%
Hope Trust	$163	1927%
Hst	$163	1927%
Cigna	$188	2222%
Aetna	$190 - $218	2246%
Healthlink	$231	2730%
Phcs/Multiplan	$245	2896%
Hfn	$258	3050%
Liability	$272	3215%

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 $272.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80048.

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 80048.
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.