CMS Price Transparency Data

Blood antibody screen

Facility: Sarah Bush Lincoln Health Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $92
  • Cash Discount Price: $128
  • vs. Medicare Baseline: 1.73x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Sarah Bush Lincoln Health Center is $92. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $128. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 1.73x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$128

Average discount available for prompt cash payment at this facility.

Insurance Median
$92

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$53.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $53.24 (100%)
Cash / Self-Pay: $128 (240%)
Insurance Median: $92 (173%)
Cash: $128 (240% of Medicare)
Ins. Median: $92 (173% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $53.24 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Aetna $5 - $136 9%
Bc Comm Care Mcaid $5 9%
Hlth Alliance Mcaid $5 9%
Meridian Mcaid $5 9%
Molina Mcaid $5 9%
Bc Comm Mmai $10 19%
Bc Med Adv Ppo/Hmo $10 19%
Beacon Health Options Behav-All Plans $10 19%
Hlth Alliance Mcr Adv $10 19%
Humana $10 19%
Meridian Mmai-All Other Plans $10 19%
Molina Mmai-All Other Plans $10 19%
Tricare $10 19%
UnitedHealthcare $10 - $125 19%
Va Ccn-All Plans $10 19%
Wellcare Med Adv-All Plans $10 19%
Plain Church Mg-All Plans $38 - $60 71%
Mennonite-All Plans $43 - $68 81%
Eiu Athlete-All Other Plans $66 - $106 124%
Healthscope-All Plans $70 - $112 131%
Rural King-All Plans $70 - $112 131%
Blue Cross Blue Shield $75 - $121 141%
Consociate-All Plans $76 - $121 143%
Hope Trust-All Plans $76 - $121 143%
Eiu Student $78 - $124 147%
Allied National-All Plans $80 - $127 150%
Companion Life-All Plans $80 - $127 150%
Hlth Alliance-All Other Plans $80 - $127 150%
First Health-All Plans $81 - $128 152%
Innovative Hlthware-All Plans $81 - $128 152%
Healthlink Hmo $82 - $130 154%
Healthlink Ppo - All Other Plans $82 - $130 154%
Multiplan-All Plans $82 - $130 154%
Cigna $86 - $136 162%
Cphp-All Plans $86 - $136 162%
Beech Street-All Plans $87 - $139 163%
Hfn-All Plans $87 - $139 163%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Health Center Drive P O Box 372, Mattoon, IL 61938
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals