CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$11,514
about 0.8× the $14,044 Medicare rate · typically $7,789–$18,090
modeled estimate · not a bill or quote
What this hospital charges insurers
$15,067
Above the fair price
about $3,553 over the fair price · 1.1× Medicare
Medicare pays $14,044 Fair price $11,514 This hospital $15,067 Cash price $53,566 Hospital's list price $53,566

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $12,226 Priciest $15,067

Black dot = this hospital, among the 9 IL hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Hip or knee replacement (inpatient stay) is about $11,514 (about 0.8× the $14,044 Medicare rate). Sarah Bush Lincoln Health Center charges insurers about $15,067, or about $53,566 in cash — above the fair price. Located in Mattoon, IL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $11,514. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $15,067 - $44,460 107%
Blue Cross Blue Shieldmajor $42,317 - $42,853 301%
Aetnamajor $15,067 - $49,281 107%
Cignamajor $48,210 343%
Humanamajor $15,067 - $15,368 107%
HealthLink $46,067 328%
Meridian $15,067 107%
Molina $15,067 107%
WellCare $15,067 107%
+ 16 smaller / regional plans $15,067 - $48,210
Government programs also on file: Military & VA.
Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

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