CMS Price Transparency Data

Blood test, hemoglobin

Facility: Jacksonville Memorial Hospital

Billing Code: 85018 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 85018
Insurance Median: $34
Cash Discount Price: $65
vs. Medicare Baseline: 14.35x Medicare

The contracted insurance negotiated median rate for a Blood test, hemoglobin at Jacksonville Memorial Hospital is $34. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $65. Compared to the federal Medicare reimbursement reference rate of $2.37, this hospital’s rate is 14.35x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$65

Average discount available for prompt cash payment at this facility.

Insurance Median

$34

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$2.37

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2.37 (100%)

Cash / Self-Pay: $65 (2743%)

Insurance Median: $34 (1435%)

Cash: $65 (2743% of Medicare)

Ins. Median: $34 (1435% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2.37 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 1435% of the Medicare baseline (a markup of 1335%). 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	$2 - $82	84%
Coventry	$2 - $13	84%
Health Alliance	$2 - $56	84%
Humana	$2 - $70	84%
Medicare (plans)	$2 - $13	84%
Tricare	$2 - $15	84%
UnitedHealthcare	$2 - $59	84%
Medicaid / KanCare	$9	380%
Molina Healthcare	$9	380%
Corvel/Corcare	$17 - $23	717%
Illinois Workers Compensation	$18 - $32	759%
Health Alliance Mh Employee Plan	$22 - $38	928%
Current Health Network	$26 - $62	1097%
6 Degrees Health	$29 - $49	1224%
Hope Trust	$29 - $49	1224%
Hst	$29 - $49	1224%
Commercial Workers Compensation	$31	1308%
Cigna	$33 - $57	1392%
Aetna	$34 - $66	1435%
Healthlink	$41 - $70	1730%
Phcs/Multiplan	$43 - $74	1814%
Hfn	$46 - $78	1941%
Liability	$48 - $82	2025%

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 $65.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 85018.

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 85018.
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.