CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $303
  • Cash Discount Price: $2,751
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (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 $2,751. 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
$2,751

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: $2,751 (1129%)
Insurance Median: $303 (124%)
Cash: $2,751 (1129% 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 - $4,589 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 - $4,232 28%
Va Ccn-All Plans $68 - $274 28%
Wellcare Med Adv-All Plans $68 - $274 28%
Bc Med Adv Ppo/Hmo $70 - $282 29%
Bc Comm Care Mcaid $71 - $303 29%
Hlth Alliance Mcaid $71 - $303 29%
Molina Mcaid $71 - $303 29%
Blue Cross Blue Shield $89 - $4,079 37%
First Health-All Plans $101 - $4,334 41%
Multiplan-All Plans $127 - $4,385 52%
Plain Church Mg-All Plans $161 - $2,040 66%
Mennonite-All Plans $181 - $2,295 74%
Eiu Athlete-All Other Plans $281 - $3,569 115%
Healthscope-All Plans $297 - $3,773 122%
Rural King-All Plans $297 - $3,773 122%
Hope Trust-All Plans $322 - $4,079 132%
Eiu Student $330 - $4,181 135%
Allied National-All Plans $338 - $4,283 139%
Companion Life-All Plans $338 - $4,283 139%
Innovative Hlthware-All Plans $342 - $4,334 140%
Healthlink Hmo $346 - $4,385 142%
Healthlink Ppo - All Other Plans $346 - $4,385 142%
Cigna $362 - $4,589 149%
Consociate-All Plans $362 - $4,079 149%
Cphp-All Plans $362 - $4,589 149%
Beech Street-All Plans $370 - $4,691 152%
Hfn-All Plans $370 - $4,691 152%
Hlth Alliance-All Other Plans $4,283 1757%

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