CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $284
  • Cash Discount Price: $2,201
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Sarah Bush Lincoln Health Center is $284. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,201. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.58x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$2,201

Average discount available for prompt cash payment at this facility.

Insurance Median
$284

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $2,201 (1228%)
Insurance Median: $284 (158%)
Cash: $2,201 (1228% of Medicare)
Ins. Median: $284 (158% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 $58 - $3,651 32%
Bc Comm Mmai $58 - $201 32%
Beacon Health Options Behav-All Plans $58 - $201 32%
Hlth Alliance Mcr Adv $58 - $201 32%
Humana $58 - $205 32%
Meridian Mcaid $58 - $382 32%
Meridian Mmai-All Other Plans $58 - $201 32%
Molina Mmai-All Other Plans $58 - $201 32%
Tricare $58 - $201 32%
UnitedHealthcare $58 - $3,367 32%
Va Ccn-All Plans $58 - $201 32%
Wellcare Med Adv-All Plans $58 - $201 32%
Bc Med Adv Ppo/Hmo $60 - $207 33%
Blue Cross Blue Shield $76 - $3,246 42%
First Health-All Plans $87 - $3,448 49%
Multiplan-All Plans $108 - $3,489 60%
Plain Church Mg-All Plans $138 - $1,623 77%
Mennonite-All Plans $155 - $1,826 86%
Bc Comm Care Mcaid $186 - $382 104%
Hlth Alliance Mcaid $186 - $382 104%
Molina Mcaid $186 - $382 104%
Eiu Athlete-All Other Plans $241 - $2,840 134%
Healthscope-All Plans $255 - $3,002 142%
Rural King-All Plans $255 - $3,002 142%
Hope Trust-All Plans $275 - $3,246 153%
Eiu Student $282 - $3,327 157%
Allied National-All Plans $289 - $3,408 161%
Companion Life-All Plans $289 - $3,408 161%
Innovative Hlthware-All Plans $292 - $3,448 163%
Healthlink Hmo $296 - $3,489 165%
Healthlink Ppo - All Other Plans $296 - $3,489 165%
Cigna $310 - $3,651 173%
Consociate-All Plans $310 - $3,246 173%
Cphp-All Plans $310 - $3,651 173%
Beech Street-All Plans $316 - $3,732 176%
Hfn-All Plans $316 - $3,732 176%
Hlth Alliance-All Other Plans $3,408 1902%

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