CMS Price Transparency Data

Ultrasound, thyroid and neck

Facility: Sarah Bush Lincoln Health Center

Billing Code: 76536 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76536
  • Insurance Median: $127
  • Cash Discount Price: $759
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Ultrasound, thyroid and neck at Sarah Bush Lincoln Health Center is $127. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $759. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.19x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$759

Average discount available for prompt cash payment at this facility.

Insurance Median
$127

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: $759 (711%)
Insurance Median: $127 (119%)
Cash: $759 (711% of Medicare)
Ins. Median: $127 (119% 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 $26 - $1,227 24%
Bc Comm Mmai $26 - $120 24%
Beacon Health Options Behav-All Plans $26 - $120 24%
Hlth Alliance Mcr Adv $26 - $120 24%
Humana $26 - $122 24%
Meridian Mcaid $26 - $137 24%
Meridian Mmai-All Other Plans $26 - $120 24%
Molina Mmai-All Other Plans $26 - $120 24%
Tricare $26 - $120 24%
UnitedHealthcare $26 - $1,131 24%
Va Ccn-All Plans $26 - $120 24%
Wellcare Med Adv-All Plans $26 - $120 24%
Bc Med Adv Ppo/Hmo $27 - $124 25%
Blue Cross Blue Shield $34 - $1,090 32%
First Health-All Plans $39 - $1,159 37%
Multiplan-All Plans $49 - $1,172 46%
Plain Church Mg-All Plans $62 - $545 58%
Mennonite-All Plans $69 - $613 65%
Bc Comm Care Mcaid $72 - $137 67%
Hlth Alliance Mcaid $72 - $137 67%
Molina Mcaid $72 - $137 67%
Eiu Athlete-All Other Plans $108 - $954 101%
Healthscope-All Plans $114 - $1,009 107%
Rural King-All Plans $114 - $1,009 107%
Hope Trust-All Plans $123 - $1,090 115%
Eiu Student $126 - $1,118 118%
Allied National-All Plans $129 - $1,145 121%
Companion Life-All Plans $129 - $1,145 121%
Innovative Hlthware-All Plans $131 - $1,159 123%
Healthlink Hmo $132 - $1,172 124%
Healthlink Ppo - All Other Plans $132 - $1,172 124%
Cigna $139 - $1,227 130%
Consociate-All Plans $139 - $1,090 130%
Cphp-All Plans $139 - $1,227 130%
Beech Street-All Plans $142 - $1,254 133%
Hfn-All Plans $142 - $1,254 133%
Hlth Alliance-All Other Plans $1,145 1072%

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