CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Sarah Bush Lincoln Health Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72040
  • Insurance Median: $70
  • Cash Discount Price: $450
  • vs. Medicare Baseline: 0.79x Medicare
The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Sarah Bush Lincoln Health Center is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $450. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.79x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$450

Average discount available for prompt cash payment at this facility.

Insurance Median
$70

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: $450 (506%)
Insurance Median: $70 (79%)
Cash: $450 (506% of Medicare)
Ins. Median: $70 (79% 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 $10 - $755 11%
Bc Comm Mmai $10 - $100 11%
Beacon Health Options Behav-All Plans $10 - $100 11%
Hlth Alliance Mcr Adv $10 - $100 11%
Humana $10 - $102 11%
Meridian Mcaid $10 - $70 11%
Meridian Mmai-All Other Plans $10 - $100 11%
Molina Mmai-All Other Plans $10 - $100 11%
Tricare $10 - $100 11%
UnitedHealthcare $10 - $696 11%
Va Ccn-All Plans $10 - $100 11%
Wellcare Med Adv-All Plans $10 - $100 11%
Bc Med Adv Ppo/Hmo $11 - $103 12%
Blue Cross Blue Shield $13 - $671 15%
First Health-All Plans $15 - $713 17%
Multiplan-All Plans $19 - $722 21%
Plain Church Mg-All Plans $24 - $336 27%
Mennonite-All Plans $27 - $378 30%
Eiu Athlete-All Other Plans $43 - $587 48%
Healthscope-All Plans $45 - $621 51%
Rural King-All Plans $45 - $621 51%
Hope Trust-All Plans $49 - $671 55%
Eiu Student $50 - $688 56%
Allied National-All Plans $51 - $705 57%
Companion Life-All Plans $51 - $705 57%
Healthlink Hmo $52 - $722 58%
Healthlink Ppo - All Other Plans $52 - $722 58%
Innovative Hlthware-All Plans $52 - $713 58%
Cigna $55 - $755 62%
Consociate-All Plans $55 - $671 62%
Cphp-All Plans $55 - $755 62%
Beech Street-All Plans $56 - $772 63%
Hfn-All Plans $56 - $772 63%
Bc Comm Care Mcaid $70 - $89 79%
Hlth Alliance Mcaid $70 - $89 79%
Molina Mcaid $70 - $89 79%
Hlth Alliance-All Other Plans $705 793%

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