CMS Price Transparency Data

Vaginal delivery (full package)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 59400 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 59400
  • Insurance Median: $3,524
  • Cash Discount Price: $10,226
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Vaginal delivery (full package) at Sarah Bush Lincoln Health Center is $3,524. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,226. Compared to the federal Medicare reimbursement reference rate of $2,214.42, this hospital’s rate is 1.59x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$10,226

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,524

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$2,214.42

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $2,214.42 (100%)
Cash / Self-Pay: $10,226 (462%)
Insurance Median: $3,524 (159%)
Cash: $10,226 (462% of Medicare)
Ins. Median: $3,524 (159% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $2,214.42 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 $1,920 - $9,203 87%
Bc Comm Care Mcaid $1,920 87%
Hlth Alliance Mcaid $1,920 87%
Molina Mcaid $1,920 87%
Blue Cross Blue Shield $2,222 - $3,557 100%
Bc Comm Mmai $2,358 106%
Beacon Health Options Behav-All Plans $2,358 106%
Hlth Alliance Mcr Adv $2,358 106%
Humana $2,358 - $2,405 106%
Meridian Mcaid $2,358 106%
Meridian Mmai-All Other Plans $2,358 106%
Molina Mmai-All Other Plans $2,358 106%
Tricare $2,358 106%
UnitedHealthcare $2,358 - $8,488 106%
Va Ccn-All Plans $2,358 106%
Wellcare Med Adv-All Plans $2,358 106%
Bc Med Adv Ppo/Hmo $2,429 110%
First Health-All Plans $3,490 158%
Plain Church Mg-All Plans $4,090 185%
Multiplan-All Plans $4,363 197%
Mennonite-All Plans $4,602 208%
Eiu Athlete-All Other Plans $7,158 323%
Healthscope-All Plans $7,567 342%
Rural King-All Plans $7,567 342%
Hope Trust-All Plans $8,181 369%
Eiu Student $8,385 379%
Allied National-All Plans $8,590 388%
Companion Life-All Plans $8,590 388%
Innovative Hlthware-All Plans $8,692 393%
Healthlink Hmo $8,794 397%
Healthlink Ppo - All Other Plans $8,794 397%
Cigna $9,203 416%
Consociate-All Plans $9,203 416%
Cphp-All Plans $9,203 416%
Beech Street-All Plans $9,408 425%
Hfn-All Plans $9,408 425%

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