CMS Price Transparency Data

X-ray, hip

Facility: Sarah Bush Lincoln Health Center

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $55
  • Cash Discount Price: $64
  • vs. Medicare Baseline: 0.62x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Sarah Bush Lincoln Health Center is $55. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $64. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.62x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$64

Average discount available for prompt cash payment at this facility.

Insurance Median
$55

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: $64 (72%)
Insurance Median: $55 (62%)
Cash: $64 (72% of Medicare)
Ins. Median: $55 (62% 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 $11 - $594 12%
Bc Comm Mmai $11 - $100 12%
Bc Med Adv Ppo/Hmo $11 - $103 12%
Beacon Health Options Behav-All Plans $11 - $100 12%
Hlth Alliance Mcr Adv $11 - $100 12%
Humana $11 - $102 12%
Meridian Mcaid $11 - $70 12%
Meridian Mmai-All Other Plans $11 - $100 12%
Molina Mmai-All Other Plans $11 - $100 12%
Tricare $11 - $100 12%
UnitedHealthcare $11 - $548 12%
Va Ccn-All Plans $11 - $100 12%
Wellcare Med Adv-All Plans $11 - $100 12%
Blue Cross Blue Shield $13 - $528 15%
First Health-All Plans $16 - $561 18%
Bc Comm Care Mcaid $19 - $70 21%
Hlth Alliance Mcaid $19 - $70 21%
Molina Mcaid $19 - $70 21%
Multiplan-All Plans $20 - $568 22%
Plain Church Mg-All Plans $24 - $264 27%
Mennonite-All Plans $27 - $297 30%
Eiu Athlete-All Other Plans $43 - $462 48%
Healthscope-All Plans $45 - $488 51%
Rural King-All Plans $45 - $488 51%
Hope Trust-All Plans $49 - $528 55%
Eiu Student $50 - $541 56%
Allied National-All Plans $51 - $554 57%
Companion Life-All Plans $51 - $554 57%
Consociate-All Plans $51 - $528 57%
Healthlink Hmo $52 - $568 58%
Healthlink Ppo - All Other Plans $52 - $568 58%
Innovative Hlthware-All Plans $52 - $561 58%
Hlth Alliance-All Other Plans $54 - $554 61%
Cigna $55 - $594 62%
Cphp-All Plans $55 - $594 62%
Beech Street-All Plans $56 - $607 63%
Hfn-All Plans $56 - $607 63%

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