CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $400
  • Cash Discount Price: $3,649
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Sarah Bush Lincoln Health Center is $400. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,649. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.12x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$3,649

Average discount available for prompt cash payment at this facility.

Insurance Median
$400

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $3,649 (1024%)
Insurance Median: $400 (112%)
Cash: $3,649 (1024% of Medicare)
Ins. Median: $400 (112% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 $84 - $6,120 24%
Bc Comm Mmai $84 - $400 24%
Beacon Health Options Behav-All Plans $84 - $400 24%
Hlth Alliance Mcr Adv $84 - $400 24%
Humana $84 - $408 24%
Meridian Mcaid $84 - $382 24%
Meridian Mmai-All Other Plans $84 - $400 24%
Molina Mmai-All Other Plans $84 - $400 24%
Tricare $84 - $400 24%
UnitedHealthcare $84 - $5,644 24%
Va Ccn-All Plans $84 - $400 24%
Wellcare Med Adv-All Plans $84 - $400 24%
Bc Med Adv Ppo/Hmo $87 - $412 24%
Blue Cross Blue Shield $109 - $5,440 31%
First Health-All Plans $124 - $5,780 35%
Multiplan-All Plans $156 - $5,848 44%
Bc Comm Care Mcaid $165 - $382 46%
Hlth Alliance Mcaid $165 - $382 46%
Molina Mcaid $165 - $382 46%
Plain Church Mg-All Plans $199 - $2,720 56%
Mennonite-All Plans $224 - $3,060 63%
Eiu Athlete-All Other Plans $348 - $4,760 98%
Healthscope-All Plans $368 - $5,032 103%
Rural King-All Plans $368 - $5,032 103%
Hope Trust-All Plans $398 - $5,440 112%
Eiu Student $408 - $5,576 114%
Allied National-All Plans $417 - $5,712 117%
Companion Life-All Plans $417 - $5,712 117%
Innovative Hlthware-All Plans $422 - $5,780 118%
Healthlink Hmo $427 - $5,848 120%
Healthlink Ppo - All Other Plans $427 - $5,848 120%
Cigna $447 - $6,120 125%
Consociate-All Plans $447 - $5,440 125%
Cphp-All Plans $447 - $6,120 125%
Beech Street-All Plans $457 - $6,256 128%
Hfn-All Plans $457 - $6,256 128%
Hlth Alliance-All Other Plans $5,712 1603%

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