CMS Price Transparency Data

Blood test, potassium

Facility: Sarah Bush Lincoln Health Center

Billing Code: 84132 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84132
  • Insurance Median: $55
  • Cash Discount Price: $73
  • vs. Medicare Baseline: 11.55x Medicare
The contracted insurance negotiated median rate for a Blood test, potassium at Sarah Bush Lincoln Health Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $73. Compared to the federal Medicare reimbursement reference rate of $4.76, this hospital’s rate is 11.55x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$73

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.76

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.76 (100%)
Cash / Self-Pay: $73 (1534%)
Insurance Median: $55 (1155%)
Cash: $73 (1534% of Medicare)
Ins. Median: $55 (1155% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.76 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 1155% of the Medicare baseline (a markup of 1055%). 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.

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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 - $154 105%
Bc Comm Mmai $5 105%
Bc Med Adv Ppo/Hmo $5 105%
Beacon Health Options Behav-All Plans $5 105%
Hlth Alliance Mcr Adv $5 105%
Humana $5 105%
Meridian Mmai-All Other Plans $5 105%
Molina Mmai-All Other Plans $5 105%
Tricare $5 105%
UnitedHealthcare $5 - $142 105%
Va Ccn-All Plans $5 105%
Wellcare Med Adv-All Plans $5 105%
Bc Comm Care Mcaid $6 126%
Hlth Alliance Mcaid $6 126%
Meridian Mcaid $6 126%
Molina Mcaid $6 126%
Plain Church Mg-All Plans $24 - $68 504%
Mennonite-All Plans $27 - $77 567%
Eiu Athlete-All Other Plans $42 - $120 882%
Healthscope-All Plans $44 - $127 924%
Rural King-All Plans $44 - $127 924%
Blue Cross Blue Shield $47 - $137 987%
Consociate-All Plans $48 - $137 1008%
Hope Trust-All Plans $48 - $137 1008%
Eiu Student $49 - $140 1029%
Allied National-All Plans $50 - $144 1050%
Companion Life-All Plans $50 - $144 1050%
Hlth Alliance-All Other Plans $50 - $144 1050%
First Health-All Plans $51 - $145 1071%
Innovative Hlthware-All Plans $51 - $145 1071%
Healthlink Hmo $52 - $147 1092%
Healthlink Ppo - All Other Plans $52 - $147 1092%
Multiplan-All Plans $52 - $147 1092%
Cigna $54 - $154 1134%
Cphp-All Plans $54 - $154 1134%
Beech Street-All Plans $55 - $157 1155%
Hfn-All Plans $55 - $157 1155%

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