CMS Price Transparency Data

Psychotherapy session (45 minutes)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 90834 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 90834
  • Insurance Median: $204
  • Cash Discount Price: $284
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Psychotherapy session (45 minutes) at Sarah Bush Lincoln Health Center is $204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $284. Compared to the federal Medicare reimbursement reference rate of $181.34, this hospital’s rate is 1.12x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$284

Average discount available for prompt cash payment at this facility.

Insurance Median
$204

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: $284 (157%)
Insurance Median: $204 (112%)
Cash: $284 (157% of Medicare)
Ins. Median: $204 (112% 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
Aetna $92 - $284 51%
Bc Comm Mmai $92 - $204 51%
Beacon Health Options Behav-All Plans $92 - $204 51%
Hlth Alliance Mcr Adv $92 - $204 51%
Humana $92 - $208 51%
Meridian Mcaid $92 - $194 51%
Meridian Mmai-All Other Plans $92 - $204 51%
Molina Mmai-All Other Plans $92 - $204 51%
Tricare $92 - $204 51%
UnitedHealthcare $92 - $262 51%
Va Ccn-All Plans $92 - $204 51%
Wellcare Med Adv-All Plans $92 - $204 51%
Bc Med Adv Ppo/Hmo $94 - $210 52%
Cigna $95 - $284 52%
Plain Church Mg-All Plans $100 - $126 55%
Mennonite-All Plans $113 - $142 62%
Bc Comm Care Mcaid $124 - $194 68%
Hlth Alliance Mcaid $124 - $194 68%
Molina Mcaid $124 - $194 68%
Blue Cross Blue Shield $131 - $253 72%
First Health-All Plans $136 - $269 75%
Multiplan-All Plans $170 - $272 94%
Eiu Athlete-All Other Plans $176 - $221 97%
Healthscope-All Plans $186 - $234 103%
Rural King-All Plans $186 - $234 103%
Consociate-All Plans $201 - $253 111%
Hope Trust-All Plans $201 - $253 111%
Eiu Student $206 - $259 114%
Allied National-All Plans $211 - $265 116%
Companion Life-All Plans $211 - $265 116%
Hlth Alliance-All Other Plans $211 - $265 116%
Innovative Hlthware-All Plans $213 - $269 117%
Healthlink Hmo $216 - $272 119%
Healthlink Ppo - All Other Plans $216 - $272 119%
Cphp-All Plans $226 - $284 125%
Beech Street-All Plans $231 - $291 127%
Hfn-All Plans $231 - $291 127%

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