CMS Price Transparency Data

Blood test, cholesterol (lipid panel)

Facility: Jacksonville Memorial Hospital

Billing Code: 80061 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80061
Insurance Median: $181
Cash Discount Price: $315
vs. Medicare Baseline: 13.52x Medicare

The contracted insurance negotiated median rate for a Blood test, cholesterol (lipid panel) at Jacksonville Memorial Hospital is $181. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $315. Compared to the federal Medicare reimbursement reference rate of $13.39, this hospital’s rate is 13.52x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$315

Average discount available for prompt cash payment at this facility.

Insurance Median

$181

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$13.39

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $13.39 (100%)

Cash / Self-Pay: $315 (2353%)

Insurance Median: $181 (1352%)

Cash: $315 (2353% of Medicare)

Ins. Median: $181 (1352% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $13.39 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 1352% of the Medicare baseline (a markup of 1252%). 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	$12 - $315	90%
Coventry	$13 - $49	97%
Health Alliance	$13 - $214	97%
Humana	$13 - $269	97%
Medicare (plans)	$13 - $49	97%
Tricare	$13 - $57	97%
Medicaid / KanCare	$14	105%
Molina Healthcare	$14	105%
UnitedHealthcare	$14 - $227	105%
Corvel/Corcare	$68 - $89	508%
Illinois Workers Compensation	$73 - $127	545%
Commercial Workers Compensation	$121	904%
Health Alliance Mh Employee Plan	$145	1083%
Current Health Network	$173 - $236	1292%
6 Degrees Health	$189	1412%
Hope Trust	$189	1412%
Hst	$189	1412%
Cigna	$218	1628%
Aetna	$220 - $252	1643%
Healthlink	$268	2001%
Phcs/Multiplan	$284	2121%
Hfn	$299	2233%
Liability	$315	2353%

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 $315.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80061.

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 80061.
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.