CMS Price Transparency Data

Blood test, liver function panel

Facility: Jacksonville Memorial Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 80076
Insurance Median: $191
Cash Discount Price: $332
vs. Medicare Baseline: 23.38x Medicare

The contracted insurance negotiated median rate for a Blood test, liver function panel at Jacksonville Memorial Hospital is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $332. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 23.38x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$332

Average discount available for prompt cash payment at this facility.

Insurance Median

$191

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)

Cash / Self-Pay: $332 (4064%)

Insurance Median: $191 (2338%)

Cash: $332 (4064% of Medicare)

Ins. Median: $191 (2338% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 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 2338% of the Medicare baseline (a markup of 2238%). 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 - $332	98%
Coventry	$8 - $52	98%
Health Alliance	$8 - $226	98%
Humana	$8 - $283	98%
Medicare (plans)	$8 - $52	98%
Tricare	$8 - $61	98%
UnitedHealthcare	$8 - $239	98%
Medicaid / KanCare	$14	171%
Molina Healthcare	$14	171%
Corvel/Corcare	$45 - $89	551%
Illinois Workers Compensation	$48 - $126	588%
Commercial Workers Compensation	$120	1469%
Health Alliance Mh Employee Plan	$153	1873%
Current Health Network	$183 - $249	2240%
6 Degrees Health	$199	2436%
Hope Trust	$199	2436%
Hst	$199	2436%
Cigna	$230	2815%
Aetna	$232 - $266	2840%
Healthlink	$282	3452%
Phcs/Multiplan	$299	3660%
Hfn	$315	3856%
Liability	$332	4064%

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 $332.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 80076.

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 80076.
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.