CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $303
  • Cash Discount Price: $2,400
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Sarah Bush Lincoln Health Center is $303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,400. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.24x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$2,400

Average discount available for prompt cash payment at this facility.

Insurance Median
$303

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $2,400 (985%)
Insurance Median: $303 (124%)
Cash: $2,400 (985% of Medicare)
Ins. Median: $303 (124% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 $68 - $3,960 28%
Bc Comm Mmai $68 - $274 28%
Beacon Health Options Behav-All Plans $68 - $274 28%
Hlth Alliance Mcr Adv $68 - $274 28%
Humana $68 - $279 28%
Meridian Mcaid $68 - $303 28%
Meridian Mmai-All Other Plans $68 - $274 28%
Molina Mmai-All Other Plans $68 - $274 28%
Tricare $68 - $274 28%
UnitedHealthcare $68 - $3,652 28%
Va Ccn-All Plans $68 - $274 28%
Wellcare Med Adv-All Plans $68 - $274 28%
Bc Med Adv Ppo/Hmo $70 - $282 29%
Blue Cross Blue Shield $89 - $3,520 37%
Bc Comm Care Mcaid $91 - $303 37%
Hlth Alliance Mcaid $91 - $303 37%
Molina Mcaid $91 - $303 37%
First Health-All Plans $100 - $3,740 41%
Multiplan-All Plans $125 - $3,784 51%
Plain Church Mg-All Plans $160 - $1,760 66%
Mennonite-All Plans $180 - $1,980 74%
Eiu Athlete-All Other Plans $280 - $3,080 115%
Healthscope-All Plans $296 - $3,256 121%
Rural King-All Plans $296 - $3,256 121%
Hope Trust-All Plans $320 - $3,520 131%
Eiu Student $328 - $3,608 135%
Allied National-All Plans $336 - $3,696 138%
Companion Life-All Plans $336 - $3,696 138%
Innovative Hlthware-All Plans $340 - $3,740 139%
Healthlink Hmo $344 - $3,784 141%
Healthlink Ppo - All Other Plans $344 - $3,784 141%
Cigna $360 - $3,960 148%
Consociate-All Plans $360 - $3,520 148%
Cphp-All Plans $360 - $3,960 148%
Beech Street-All Plans $368 - $4,048 151%
Hfn-All Plans $368 - $4,048 151%
Hlth Alliance-All Other Plans $3,696 1516%

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