CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $191
  • Cash Discount Price: $456
  • vs. Medicare Baseline: 1.51x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Sarah Bush Lincoln Health Center is $191. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $456. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.51x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$456

Average discount available for prompt cash payment at this facility.

Insurance Median
$191

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $456 (361%)
Insurance Median: $191 (151%)
Cash: $456 (361% of Medicare)
Ins. Median: $191 (151% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 $35 - $547 28%
Bc Comm Mmai $35 - $119 28%
Beacon Health Options Behav-All Plans $35 - $119 28%
Hlth Alliance Mcr Adv $35 - $119 28%
Humana $35 - $121 28%
Meridian Mcaid $35 - $60 28%
Meridian Mmai-All Other Plans $35 - $119 28%
Molina Mmai-All Other Plans $35 - $119 28%
Tricare $35 - $119 28%
UnitedHealthcare $35 - $505 28%
Va Ccn-All Plans $35 - $119 28%
Wellcare Med Adv-All Plans $35 - $119 28%
Bc Med Adv Ppo/Hmo $36 - $122 29%
Blue Cross Blue Shield $46 - $486 36%
First Health-All Plans $52 - $517 41%
Bc Comm Care Mcaid $60 - $208 48%
Hlth Alliance Mcaid $60 - $208 48%
Molina Mcaid $60 - $208 48%
Multiplan-All Plans $65 - $523 51%
Plain Church Mg-All Plans $83 - $243 66%
Mennonite-All Plans $94 - $274 74%
Eiu Athlete-All Other Plans $146 - $426 116%
Healthscope-All Plans $154 - $450 122%
Rural King-All Plans $154 - $450 122%
Hope Trust-All Plans $166 - $486 131%
Eiu Student $171 - $499 135%
Allied National-All Plans $175 - $511 139%
Companion Life-All Plans $175 - $511 139%
Innovative Hlthware-All Plans $177 - $517 140%
Healthlink Hmo $179 - $523 142%
Healthlink Ppo - All Other Plans $179 - $523 142%
Cigna $187 - $547 148%
Consociate-All Plans $187 - $486 148%
Cphp-All Plans $187 - $547 148%
Beech Street-All Plans $191 - $559 151%
Hfn-All Plans $191 - $559 151%
Hlth Alliance-All Other Plans $383 - $511 303%

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