CMS Price Transparency Data

X-ray, lower back

Facility: Sarah Bush Lincoln Health Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $82
  • Cash Discount Price: $626
  • vs. Medicare Baseline: 0.77x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Sarah Bush Lincoln Health Center is $82. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $626. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.77x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$626

Average discount available for prompt cash payment at this facility.

Insurance Median
$82

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: $626 (586%)
Insurance Median: $82 (77%)
Cash: $626 (586% of Medicare)
Ins. Median: $82 (77% 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 $13 - $1,046 12%
Bc Comm Mmai $13 - $120 12%
Bc Med Adv Ppo/Hmo $13 - $124 12%
Beacon Health Options Behav-All Plans $13 - $120 12%
Hlth Alliance Mcr Adv $13 - $120 12%
Humana $13 - $122 12%
Meridian Mcaid $13 - $70 12%
Meridian Mmai-All Other Plans $13 - $120 12%
Molina Mmai-All Other Plans $13 - $120 12%
Tricare $13 - $120 12%
UnitedHealthcare $13 - $964 12%
Va Ccn-All Plans $13 - $120 12%
Wellcare Med Adv-All Plans $13 - $120 12%
Blue Cross Blue Shield $16 - $930 15%
First Health-All Plans $19 - $988 18%
Multiplan-All Plans $24 - $999 22%
Plain Church Mg-All Plans $36 - $465 34%
Mennonite-All Plans $40 - $523 37%
Eiu Athlete-All Other Plans $62 - $813 58%
Healthscope-All Plans $66 - $860 62%
Rural King-All Plans $66 - $860 62%
Bc Comm Care Mcaid $70 - $297 66%
Hlth Alliance Mcaid $70 - $297 66%
Molina Mcaid $70 - $297 66%
Hope Trust-All Plans $71 - $930 66%
Eiu Student $73 - $953 68%
Allied National-All Plans $75 - $976 70%
Companion Life-All Plans $75 - $976 70%
Innovative Hlthware-All Plans $76 - $988 71%
Healthlink Hmo $77 - $999 72%
Healthlink Ppo - All Other Plans $77 - $999 72%
Cigna $80 - $1,046 75%
Consociate-All Plans $80 - $930 75%
Cphp-All Plans $80 - $1,046 75%
Beech Street-All Plans $82 - $1,069 77%
Hfn-All Plans $82 - $1,069 77%
Hlth Alliance-All Other Plans $976 914%

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