CMS Price Transparency Data

X-ray, ankle

Facility: Sarah Bush Lincoln Health Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $91
  • Cash Discount Price: $371
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Sarah Bush Lincoln Health Center is $91. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $371. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.02x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$371

Average discount available for prompt cash payment at this facility.

Insurance Median
$91

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $371 (417%)
Insurance Median: $91 (102%)
Cash: $371 (417% of Medicare)
Ins. Median: $91 (102% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 $8 - $902 9%
Bc Comm Mmai $8 - $100 9%
Beacon Health Options Behav-All Plans $8 - $100 9%
Hlth Alliance Mcr Adv $8 - $100 9%
Humana $8 - $102 9%
Meridian Mcaid $8 - $70 9%
Meridian Mmai-All Other Plans $8 - $100 9%
Molina Mmai-All Other Plans $8 - $100 9%
Tricare $8 - $100 9%
UnitedHealthcare $8 - $832 9%
Va Ccn-All Plans $8 - $100 9%
Wellcare Med Adv-All Plans $8 - $100 9%
Bc Med Adv Ppo/Hmo $9 - $103 10%
Blue Cross Blue Shield $11 - $802 12%
First Health-All Plans $12 - $852 13%
Multiplan-All Plans $15 - $862 17%
Plain Church Mg-All Plans $19 - $401 21%
Mennonite-All Plans $22 - $451 25%
Eiu Athlete-All Other Plans $34 - $701 38%
Healthscope-All Plans $36 - $741 40%
Rural King-All Plans $36 - $741 40%
Hope Trust-All Plans $38 - $802 43%
Eiu Student $39 - $822 44%
Allied National-All Plans $40 - $842 45%
Companion Life-All Plans $40 - $842 45%
Healthlink Hmo $41 - $862 46%
Healthlink Ppo - All Other Plans $41 - $862 46%
Innovative Hlthware-All Plans $41 - $852 46%
Cigna $43 - $902 48%
Consociate-All Plans $43 - $802 48%
Cphp-All Plans $43 - $902 48%
Beech Street-All Plans $44 - $922 49%
Hfn-All Plans $44 - $922 49%
Bc Comm Care Mcaid $70 - $91 79%
Hlth Alliance Mcaid $70 - $91 79%
Molina Mcaid $70 - $91 79%
Hlth Alliance-All Other Plans $561 - $842 631%

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