CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $382
  • Cash Discount Price: $3,180
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Sarah Bush Lincoln Health Center is $382. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,180. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.57x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$3,180

Average discount available for prompt cash payment at this facility.

Insurance Median
$382

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $3,180 (1305%)
Insurance Median: $382 (157%)
Cash: $3,180 (1305% of Medicare)
Ins. Median: $382 (157% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 $80 - $5,299 33%
Bc Comm Mmai $80 - $274 33%
Beacon Health Options Behav-All Plans $80 - $274 33%
Hlth Alliance Mcr Adv $80 - $274 33%
Humana $80 - $279 33%
Meridian Mcaid $80 - $382 33%
Meridian Mmai-All Other Plans $80 - $274 33%
Molina Mmai-All Other Plans $80 - $274 33%
Tricare $80 - $274 33%
UnitedHealthcare $80 - $4,887 33%
Va Ccn-All Plans $80 - $274 33%
Wellcare Med Adv-All Plans $80 - $274 33%
Bc Med Adv Ppo/Hmo $82 - $282 34%
Blue Cross Blue Shield $104 - $4,710 43%
First Health-All Plans $118 - $5,005 48%
Bc Comm Care Mcaid $141 - $382 58%
Hlth Alliance Mcaid $141 - $382 58%
Molina Mcaid $141 - $382 58%
Multiplan-All Plans $148 - $5,064 61%
Plain Church Mg-All Plans $188 - $2,355 77%
Mennonite-All Plans $212 - $2,650 87%
Eiu Athlete-All Other Plans $330 - $4,122 135%
Healthscope-All Plans $349 - $4,357 143%
Rural King-All Plans $349 - $4,357 143%
Hope Trust-All Plans $377 - $4,710 155%
Eiu Student $386 - $4,828 158%
Allied National-All Plans $396 - $4,946 162%
Companion Life-All Plans $396 - $4,946 162%
Innovative Hlthware-All Plans $400 - $5,005 164%
Healthlink Hmo $405 - $5,064 166%
Healthlink Ppo - All Other Plans $405 - $5,064 166%
Cigna $424 - $5,299 174%
Consociate-All Plans $424 - $4,710 174%
Cphp-All Plans $424 - $5,299 174%
Beech Street-All Plans $433 - $5,417 178%
Hfn-All Plans $433 - $5,417 178%
Hlth Alliance-All Other Plans $4,946 2029%

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