CMS Price Transparency Data

Cataract surgery with lens implant

Facility: Sarah Bush Lincoln Health Center

Billing Code: 66984 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 66984
  • Insurance Median: $798
  • Cash Discount Price: $4,920
  • vs. Medicare Baseline: 0.34x Medicare
The contracted insurance negotiated median rate for a Cataract surgery with lens implant at Sarah Bush Lincoln Health Center is $798. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,920. Compared to the federal Medicare reimbursement reference rate of $2,357.81, this hospital’s rate is 0.34x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$4,920

Average discount available for prompt cash payment at this facility.

Insurance Median
$798

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2,357.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,357.81 (100%)
Cash / Self-Pay: $4,920 (209%)
Insurance Median: $798 (34%)
Cash: $4,920 (209% of Medicare)
Ins. Median: $798 (34% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,357.81 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 $455 - $4,428 19%
Bc Comm Mmai $455 19%
Beacon Health Options Behav-All Plans $455 19%
Hlth Alliance Mcr Adv $455 19%
Humana $455 - $464 19%
Meridian Mcaid $455 19%
Meridian Mmai-All Other Plans $455 19%
Molina Mmai-All Other Plans $455 19%
Tricare $455 19%
UnitedHealthcare $455 - $4,084 19%
Va Ccn-All Plans $455 19%
Wellcare Med Adv-All Plans $455 19%
Bc Med Adv Ppo/Hmo $469 20%
Blue Cross Blue Shield $540 - $1,152 23%
First Health-All Plans $673 29%
Bc Comm Care Mcaid $753 32%
Hlth Alliance Mcaid $753 32%
Molina Mcaid $753 32%
Multiplan-All Plans $842 36%
Plain Church Mg-All Plans $1,968 83%
Mennonite-All Plans $2,214 94%
Eiu Athlete-All Other Plans $3,444 146%
Healthscope-All Plans $3,641 154%
Rural King-All Plans $3,641 154%
Hope Trust-All Plans $3,936 167%
Eiu Student $4,034 171%
Allied National-All Plans $4,133 175%
Companion Life-All Plans $4,133 175%
Innovative Hlthware-All Plans $4,182 177%
Healthlink Hmo $4,231 179%
Healthlink Ppo - All Other Plans $4,231 179%
Cigna $4,428 188%
Consociate-All Plans $4,428 188%
Cphp-All Plans $4,428 188%
Beech Street-All Plans $4,526 192%
Hfn-All Plans $4,526 192%

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