CMS Price Transparency Data

Blood transfusion

Facility: Sarah Bush Lincoln Health Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $444
  • Cash Discount Price: $822
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Sarah Bush Lincoln Health Center is $444. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $822. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.99x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$822

Average discount available for prompt cash payment at this facility.

Insurance Median
$444

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$450.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $450.73 (100%)
Cash / Self-Pay: $822 (182%)
Insurance Median: $444 (99%)
Cash: $822 (182% of Medicare)
Ins. Median: $444 (99% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $450.73 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
Blue Cross Blue Shield $33 - $1,007 7%
Aetna $44 - $1,133 10%
Bc Comm Mmai $44 - $506 10%
Beacon Health Options Behav-All Plans $44 - $506 10%
Hlth Alliance Mcr Adv $44 - $506 10%
Humana $44 - $516 10%
Meridian Mcaid $44 - $507 10%
Meridian Mmai-All Other Plans $44 - $506 10%
Molina Mmai-All Other Plans $44 - $506 10%
Tricare $44 - $506 10%
UnitedHealthcare $44 - $1,045 10%
Va Ccn-All Plans $44 - $506 10%
Wellcare Med Adv-All Plans $44 - $506 10%
Bc Med Adv Ppo/Hmo $45 - $522 10%
First Health-All Plans $65 - $1,070 14%
Multiplan-All Plans $81 - $1,083 18%
Plain Church Mg-All Plans $154 - $504 34%
Mennonite-All Plans $173 - $567 38%
Eiu Athlete-All Other Plans $270 - $881 60%
Healthscope-All Plans $285 - $932 63%
Rural King-All Plans $285 - $932 63%
Hope Trust-All Plans $308 - $1,007 68%
Eiu Student $316 - $1,032 70%
Allied National-All Plans $323 - $1,058 72%
Companion Life-All Plans $323 - $1,058 72%
Innovative Hlthware-All Plans $327 - $1,070 73%
Healthlink Hmo $331 - $1,083 73%
Healthlink Ppo - All Other Plans $331 - $1,083 73%
Cigna $346 - $1,133 77%
Consociate-All Plans $346 - $1,007 77%
Cphp-All Plans $346 - $1,133 77%
Beech Street-All Plans $354 - $1,158 79%
Hfn-All Plans $354 - $1,158 79%
Bc Comm Care Mcaid $385 - $507 85%
Hlth Alliance Mcaid $385 - $507 85%
Molina Mcaid $385 - $507 85%
Hlth Alliance-All Other Plans $1,058 235%

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