CMS Price Transparency Data

Psychological testing evaluation

Facility: Sarah Bush Lincoln Health Center

Billing Code: 96136 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 96136
  • Insurance Median: $8
  • Cash Discount Price: $9
  • vs. Medicare Baseline: 0.06x Medicare
The contracted insurance negotiated median rate for a Psychological testing evaluation at Sarah Bush Lincoln Health Center is $8. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9. Compared to the federal Medicare reimbursement reference rate of $135.93, this hospital’s rate is 0.06x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$9

Average discount available for prompt cash payment at this facility.

Insurance Median
$8

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$135.93

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $135.93 (100%)
Cash / Self-Pay: $9 (7%)
Insurance Median: $8 (6%)
Cash: $9 (7% of Medicare)
Ins. Median: $8 (6% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $135.93 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
Eiu Athlete-All Other Plans $6 4%
Aetna $7 - $733 5%
Blue Cross Blue Shield $7 5%
Consociate-All Plans $7 5%
Eiu Student $7 5%
Healthscope-All Plans $7 5%
Hope Trust-All Plans $7 5%
Rural King-All Plans $7 5%
UnitedHealthcare $7 - $153 5%
Allied National-All Plans $8 6%
Beech Street-All Plans $8 6%
Cigna $8 6%
Companion Life-All Plans $8 6%
Cphp-All Plans $8 6%
First Health-All Plans $8 6%
Healthlink Hmo $8 6%
Healthlink Ppo - All Other Plans $8 6%
Hfn-All Plans $8 6%
Hlth Alliance-All Other Plans $8 6%
Innovative Hlthware-All Plans $8 6%
Multiplan-All Plans $8 6%
Bc Comm Mmai $153 113%
Beacon Health Options Behav-All Plans $153 113%
Hlth Alliance Mcr Adv $153 113%
Humana $153 - $156 113%
Meridian Mmai-All Other Plans $153 113%
Molina Mmai-All Other Plans $153 113%
Tricare $153 113%
Va Ccn-All Plans $153 113%
Wellcare Med Adv-All Plans $153 113%
Bc Med Adv Ppo/Hmo $157 116%
Bc Comm Care Mcaid $733 539%
Hlth Alliance Mcaid $733 539%
Meridian Mcaid $733 539%
Molina Mcaid $733 539%

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