CMS Price Transparency Data

Psychiatric evaluation (first visit)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 90791 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90791
  • Insurance Median: $220
  • Cash Discount Price: $275
  • vs. Medicare Baseline: 1.21x Medicare
The contracted insurance negotiated median rate for a Psychiatric evaluation (first visit) at Sarah Bush Lincoln Health Center is $220. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $275. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.21x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$275

Average discount available for prompt cash payment at this facility.

Insurance Median
$220

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$181.34

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $181.34 (100%)
Cash / Self-Pay: $275 (152%)
Insurance Median: $220 (121%)
Cash: $275 (152% of Medicare)
Ins. Median: $220 (121% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $181.34 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
Plain Church Mg-All Plans $20 - $200 11%
Mennonite-All Plans $22 - $225 12%
Eiu Athlete-All Other Plans $34 - $351 19%
Aetna $36 - $451 20%
Healthscope-All Plans $36 - $371 20%
Rural King-All Plans $36 - $371 20%
Blue Cross Blue Shield $39 - $401 22%
Consociate-All Plans $39 - $401 22%
Hope Trust-All Plans $39 - $401 22%
Eiu Student $40 - $411 22%
Allied National-All Plans $41 - $421 23%
Companion Life-All Plans $41 - $421 23%
Hlth Alliance-All Other Plans $41 - $421 23%
UnitedHealthcare $41 - $416 23%
First Health-All Plans $42 - $426 23%
Healthlink Hmo $42 - $431 23%
Healthlink Ppo - All Other Plans $42 - $431 23%
Innovative Hlthware-All Plans $42 - $426 23%
Multiplan-All Plans $42 - $431 23%
Cigna $44 - $451 24%
Cphp-All Plans $44 - $451 24%
Beech Street-All Plans $45 - $461 25%
Hfn-All Plans $45 - $461 25%
Bc Comm Mmai $204 112%
Beacon Health Options Behav-All Plans $204 112%
Hlth Alliance Mcr Adv $204 112%
Humana $204 - $208 112%
Meridian Mmai-All Other Plans $204 112%
Molina Mmai-All Other Plans $204 112%
Tricare $204 112%
Va Ccn-All Plans $204 112%
Wellcare Med Adv-All Plans $204 112%
Bc Med Adv Ppo/Hmo $210 116%
Bc Comm Care Mcaid $312 172%
Hlth Alliance Mcaid $312 172%
Meridian Mcaid $312 172%
Molina Mcaid $312 172%

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