CMS Price Transparency Data

MRI, knee or other leg joint

Facility: Sarah Bush Lincoln Health Center

Billing Code: 73721 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73721
  • Insurance Median: $458
  • Cash Discount Price: $554
  • vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Sarah Bush Lincoln Health Center is $458. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $554. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.88x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$554

Average discount available for prompt cash payment at this facility.

Insurance Median
$458

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: $554 (227%)
Insurance Median: $458 (188%)
Cash: $554 (227% of Medicare)
Ins. Median: $458 (188% 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 $61 - $6,984 25%
Bc Comm Care Mcaid $61 - $303 25%
Hlth Alliance Mcaid $61 - $303 25%
Molina Mcaid $61 - $303 25%
Bc Comm Mmai $63 - $274 26%
Beacon Health Options Behav-All Plans $63 - $274 26%
Hlth Alliance Mcr Adv $63 - $274 26%
Humana $63 - $279 26%
Meridian Mcaid $63 - $303 26%
Meridian Mmai-All Other Plans $63 - $274 26%
Molina Mmai-All Other Plans $63 - $274 26%
Tricare $63 - $274 26%
UnitedHealthcare $63 - $6,441 26%
Va Ccn-All Plans $63 - $274 26%
Wellcare Med Adv-All Plans $63 - $274 26%
Bc Med Adv Ppo/Hmo $65 - $282 27%
Blue Cross Blue Shield $81 - $6,208 33%
First Health-All Plans $93 - $6,596 38%
Multiplan-All Plans $116 - $6,674 48%
Plain Church Mg-All Plans $147 - $3,104 60%
Mennonite-All Plans $165 - $3,492 68%
Eiu Athlete-All Other Plans $257 - $5,432 105%
Healthscope-All Plans $272 - $5,742 112%
Rural King-All Plans $272 - $5,742 112%
Hope Trust-All Plans $294 - $6,208 121%
Eiu Student $301 - $6,363 123%
Allied National-All Plans $308 - $6,518 126%
Companion Life-All Plans $308 - $6,518 126%
Innovative Hlthware-All Plans $312 - $6,596 128%
Healthlink Hmo $316 - $6,674 130%
Healthlink Ppo - All Other Plans $316 - $6,674 130%
Cigna $330 - $6,984 135%
Consociate-All Plans $330 - $6,208 135%
Cphp-All Plans $330 - $6,984 135%
Beech Street-All Plans $338 - $7,139 139%
Hfn-All Plans $338 - $7,139 139%
Hlth Alliance-All Other Plans $4,345 - $6,518 1782%

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