CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $261
  • Cash Discount Price: $1,869
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Sarah Bush Lincoln Health Center is $261. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,869. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 1.46x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$1,869

Average discount available for prompt cash payment at this facility.

Insurance Median
$261

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: $1,869 (1043%)
Insurance Median: $261 (146%)
Cash: $1,869 (1043% of Medicare)
Ins. Median: $261 (146% 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 $52 - $3,089 29%
Bc Comm Mmai $52 - $201 29%
Beacon Health Options Behav-All Plans $52 - $201 29%
Hlth Alliance Mcr Adv $52 - $201 29%
Humana $52 - $205 29%
Meridian Mcaid $52 - $382 29%
Meridian Mmai-All Other Plans $52 - $201 29%
Molina Mmai-All Other Plans $52 - $201 29%
Tricare $52 - $201 29%
UnitedHealthcare $52 - $2,849 29%
Va Ccn-All Plans $52 - $201 29%
Wellcare Med Adv-All Plans $52 - $201 29%
Bc Med Adv Ppo/Hmo $54 - $207 30%
Blue Cross Blue Shield $67 - $2,746 37%
First Health-All Plans $77 - $2,917 43%
Multiplan-All Plans $97 - $2,952 54%
Plain Church Mg-All Plans $122 - $1,373 68%
Mennonite-All Plans $137 - $1,544 76%
Eiu Athlete-All Other Plans $214 - $2,402 119%
Healthscope-All Plans $226 - $2,540 126%
Rural King-All Plans $226 - $2,540 126%
Hope Trust-All Plans $244 - $2,746 136%
Eiu Student $250 - $2,814 140%
Allied National-All Plans $256 - $2,883 143%
Companion Life-All Plans $256 - $2,883 143%
Innovative Hlthware-All Plans $259 - $2,917 145%
Healthlink Hmo $262 - $2,952 146%
Healthlink Ppo - All Other Plans $262 - $2,952 146%
Cigna $274 - $3,089 153%
Consociate-All Plans $274 - $2,746 153%
Cphp-All Plans $274 - $3,089 153%
Beech Street-All Plans $281 - $3,157 157%
Hfn-All Plans $281 - $3,157 157%
Bc Comm Care Mcaid $326 - $382 182%
Hlth Alliance Mcaid $326 - $382 182%
Molina Mcaid $326 - $382 182%
Hlth Alliance-All Other Plans $2,883 1609%

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