CMS Price Transparency Data

CT scan, pelvis

Facility: Sarah Bush Lincoln Health Center

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72192
  • Insurance Median: $212
  • Cash Discount Price: $1,618
  • vs. Medicare Baseline: 1.98x Medicare
The contracted insurance negotiated median rate for a CT scan, pelvis at Sarah Bush Lincoln Health Center is $212. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,618. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.98x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$1,618

Average discount available for prompt cash payment at this facility.

Insurance Median
$212

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $1,618 (1515%)
Insurance Median: $212 (198%)
Cash: $1,618 (1515% of Medicare)
Ins. Median: $212 (198% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 $20 - $2,647 19%
Bc Comm Care Mcaid $20 - $134 19%
Hlth Alliance Mcaid $20 - $134 19%
Molina Mcaid $20 - $134 19%
Bc Comm Mmai $50 - $120 47%
Beacon Health Options Behav-All Plans $50 - $120 47%
Hlth Alliance Mcr Adv $50 - $120 47%
Humana $50 - $122 47%
Meridian Mcaid $50 - $134 47%
Meridian Mmai-All Other Plans $50 - $120 47%
Molina Mmai-All Other Plans $50 - $120 47%
Tricare $50 - $120 47%
UnitedHealthcare $50 - $2,441 47%
Va Ccn-All Plans $50 - $120 47%
Wellcare Med Adv-All Plans $50 - $120 47%
Bc Med Adv Ppo/Hmo $51 - $124 48%
Blue Cross Blue Shield $65 - $2,353 61%
First Health-All Plans $74 - $2,500 69%
Multiplan-All Plans $92 - $2,529 86%
Plain Church Mg-All Plans $118 - $1,176 110%
Mennonite-All Plans $132 - $1,323 124%
Eiu Athlete-All Other Plans $206 - $2,059 193%
Healthscope-All Plans $218 - $2,176 204%
Rural King-All Plans $218 - $2,176 204%
Hope Trust-All Plans $235 - $2,353 220%
Eiu Student $241 - $2,412 226%
Allied National-All Plans $247 - $2,470 231%
Companion Life-All Plans $247 - $2,470 231%
Innovative Hlthware-All Plans $250 - $2,500 234%
Healthlink Hmo $253 - $2,529 237%
Healthlink Ppo - All Other Plans $253 - $2,529 237%
Cigna $265 - $2,647 248%
Consociate-All Plans $265 - $2,353 248%
Cphp-All Plans $265 - $2,647 248%
Beech Street-All Plans $270 - $2,706 253%
Hfn-All Plans $270 - $2,706 253%
Hlth Alliance-All Other Plans $2,470 2313%

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