CMS Price Transparency Data

Blood test, liver function panel

Facility: Sarah Bush Lincoln Health Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $90
  • Cash Discount Price: $121
  • vs. Medicare Baseline: 11.02x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Sarah Bush Lincoln Health Center is $90. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $121. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 11.02x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$121

Average discount available for prompt cash payment at this facility.

Insurance Median
$90

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: $121 (1481%)
Insurance Median: $90 (1102%)
Cash: $121 (1481% of Medicare)
Ins. Median: $90 (1102% 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 1102% of the Medicare baseline (a markup of 1002%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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 $8 - $109 98%
Bc Comm Mmai $8 98%
Bc Med Adv Ppo/Hmo $8 98%
Beacon Health Options Behav-All Plans $8 98%
Hlth Alliance Mcr Adv $8 98%
Humana $8 98%
Meridian Mmai-All Other Plans $8 98%
Molina Mmai-All Other Plans $8 98%
Tricare $8 98%
UnitedHealthcare $8 - $100 98%
Va Ccn-All Plans $8 98%
Wellcare Med Adv-All Plans $8 98%
Bc Comm Care Mcaid $9 110%
Hlth Alliance Mcaid $9 110%
Meridian Mcaid $9 110%
Molina Mcaid $9 110%
Plain Church Mg-All Plans $48 588%
Mennonite-All Plans $54 661%
Eiu Athlete-All Other Plans $85 1040%
Healthscope-All Plans $90 1102%
Rural King-All Plans $90 1102%
Blue Cross Blue Shield $96 - $97 1175%
Consociate-All Plans $97 1187%
Hope Trust-All Plans $97 1187%
Eiu Student $99 1212%
Allied National-All Plans $102 1248%
Companion Life-All Plans $102 1248%
Hlth Alliance-All Other Plans $102 1248%
First Health-All Plans $103 1261%
Innovative Hlthware-All Plans $103 1261%
Healthlink Hmo $104 1273%
Healthlink Ppo - All Other Plans $104 1273%
Multiplan-All Plans $104 1273%
Cigna $109 1334%
Cphp-All Plans $109 1334%
Beech Street-All Plans $111 1359%
Hfn-All Plans $111 1359%

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