CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $218
  • Cash Discount Price: $515
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at Sarah Bush Lincoln Health Center is $218. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $515. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.39x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$515

Average discount available for prompt cash payment at this facility.

Insurance Median
$218

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $515 (328%)
Insurance Median: $218 (139%)
Cash: $515 (328% of Medicare)
Ins. Median: $218 (139% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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 $47 - $685 30%
Bc Comm Mmai $47 - $148 30%
Beacon Health Options Behav-All Plans $47 - $148 30%
Hlth Alliance Mcr Adv $47 - $148 30%
Humana $47 - $151 30%
Meridian Mcaid $47 - $60 30%
Meridian Mmai-All Other Plans $47 - $148 30%
Molina Mmai-All Other Plans $47 - $148 30%
Tricare $47 - $148 30%
UnitedHealthcare $47 - $632 30%
Va Ccn-All Plans $47 - $148 30%
Wellcare Med Adv-All Plans $47 - $148 30%
Bc Med Adv Ppo/Hmo $48 - $152 31%
Bc Comm Care Mcaid $60 - $269 38%
Blue Cross Blue Shield $60 - $609 38%
Hlth Alliance Mcaid $60 - $269 38%
Molina Mcaid $60 - $269 38%
First Health-All Plans $69 - $647 44%
Multiplan-All Plans $86 - $654 55%
Plain Church Mg-All Plans $108 - $304 69%
Mennonite-All Plans $121 - $342 77%
Eiu Athlete-All Other Plans $188 - $533 120%
Healthscope-All Plans $199 - $563 127%
Rural King-All Plans $199 - $563 127%
Hope Trust-All Plans $215 - $609 137%
Eiu Student $221 - $624 141%
Allied National-All Plans $226 - $639 144%
Companion Life-All Plans $226 - $639 144%
Innovative Hlthware-All Plans $229 - $647 146%
Healthlink Hmo $231 - $654 147%
Healthlink Ppo - All Other Plans $231 - $654 147%
Cigna $242 - $685 154%
Consociate-All Plans $242 - $609 154%
Cphp-All Plans $242 - $685 154%
Beech Street-All Plans $247 - $700 157%
Hfn-All Plans $247 - $700 157%
Hlth Alliance-All Other Plans $639 407%

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