CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $137
  • Cash Discount Price: $893
  • vs. Medicare Baseline: 1.28x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Sarah Bush Lincoln Health Center is $137. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $893. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.28x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$893

Average discount available for prompt cash payment at this facility.

Insurance Median
$137

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $893 (836%)
Insurance Median: $137 (128%)
Cash: $893 (836% of Medicare)
Ins. Median: $137 (128% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 $27 - $1,462 25%
Bc Comm Mmai $27 - $120 25%
Beacon Health Options Behav-All Plans $27 - $120 25%
Hlth Alliance Mcr Adv $27 - $120 25%
Humana $27 - $122 25%
Meridian Mcaid $27 - $137 25%
Meridian Mmai-All Other Plans $27 - $120 25%
Molina Mmai-All Other Plans $27 - $120 25%
Tricare $27 - $120 25%
UnitedHealthcare $27 - $1,349 25%
Va Ccn-All Plans $27 - $120 25%
Wellcare Med Adv-All Plans $27 - $120 25%
Bc Med Adv Ppo/Hmo $28 - $124 26%
Blue Cross Blue Shield $35 - $1,300 33%
First Health-All Plans $40 - $1,381 37%
Multiplan-All Plans $51 - $1,398 48%
Plain Church Mg-All Plans $64 - $650 60%
Mennonite-All Plans $72 - $731 67%
Eiu Athlete-All Other Plans $112 - $1,138 105%
Healthscope-All Plans $118 - $1,202 110%
Rural King-All Plans $118 - $1,202 110%
Hope Trust-All Plans $128 - $1,300 120%
Eiu Student $131 - $1,332 123%
Allied National-All Plans $134 - $1,365 125%
Companion Life-All Plans $134 - $1,365 125%
Innovative Hlthware-All Plans $136 - $1,381 127%
Bc Comm Care Mcaid $137 - $168 128%
Hlth Alliance Mcaid $137 - $168 128%
Molina Mcaid $137 - $168 128%
Healthlink Hmo $138 - $1,398 129%
Healthlink Ppo - All Other Plans $138 - $1,398 129%
Cigna $144 - $1,462 135%
Consociate-All Plans $144 - $1,300 135%
Cphp-All Plans $144 - $1,462 135%
Beech Street-All Plans $147 - $1,495 138%
Hfn-All Plans $147 - $1,495 138%
Hlth Alliance-All Other Plans $1,365 1278%

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