CMS Price Transparency Data

Blood test, vitamin B12

Facility: Jacksonville Memorial Hospital

Billing Code: 82607 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82607
Insurance Median: $184
Cash Discount Price: $320
vs. Medicare Baseline: 12.20x Medicare

The contracted insurance negotiated median rate for a Blood test, vitamin B12 at Jacksonville Memorial Hospital is $184. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $320. Compared to the federal Medicare reimbursement reference rate of $15.08, this hospital’s rate is 12.20x the Medicare baseline. Located in 1600 W Walnut St, Jacksonville, IL.

Cash / Self-Pay

$320

Average discount available for prompt cash payment at this facility.

Insurance Median

$184

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$15.08

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $15.08 (100%)

Cash / Self-Pay: $320 (2122%)

Insurance Median: $184 (1220%)

Cash: $320 (2122% of Medicare)

Ins. Median: $184 (1220% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $15.08 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 1220% of the Medicare baseline (a markup of 1120%). 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	$14 - $320	93%
Coventry	$15 - $50	99%
Health Alliance	$15 - $218	99%
Humana	$15 - $273	99%
Medicare (plans)	$15 - $50	99%
Tricare	$15 - $58	99%
UnitedHealthcare	$16 - $230	106%
Medicaid / KanCare	$21	139%
Molina Healthcare	$21	139%
Corvel/Corcare	$68 - $71	451%
Illinois Workers Compensation	$73 - $118	484%
Commercial Workers Compensation	$113	749%
Health Alliance Mh Employee Plan	$147	975%
Current Health Network	$176 - $240	1167%
6 Degrees Health	$192	1273%
Hope Trust	$192	1273%
Hst	$192	1273%
Cigna	$222	1472%
Aetna	$224 - $256	1485%
Healthlink	$272	1804%
Phcs/Multiplan	$288	1910%
Hfn	$304	2016%
Liability	$320	2122%

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 $320.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82607.

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 82607.
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.