CMS Price Transparency Data

X-ray, pelvis

Facility: Sarah Bush Lincoln Health Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $59
  • Cash Discount Price: $331
  • vs. Medicare Baseline: 0.55x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at Sarah Bush Lincoln Health Center is $59. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $331. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.55x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$331

Average discount available for prompt cash payment at this facility.

Insurance Median
$59

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: $331 (310%)
Insurance Median: $59 (55%)
Cash: $331 (310% of Medicare)
Ins. Median: $59 (55% 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 $8 - $548 7%
Bc Comm Mmai $8 - $120 7%
Beacon Health Options Behav-All Plans $8 - $120 7%
Hlth Alliance Mcr Adv $8 - $120 7%
Humana $8 - $122 7%
Meridian Mcaid $8 - $70 7%
Meridian Mmai-All Other Plans $8 - $120 7%
Molina Mmai-All Other Plans $8 - $120 7%
Tricare $8 - $120 7%
UnitedHealthcare $8 - $505 7%
Va Ccn-All Plans $8 - $120 7%
Wellcare Med Adv-All Plans $8 - $120 7%
Bc Med Adv Ppo/Hmo $9 - $124 8%
Blue Cross Blue Shield $11 - $487 10%
First Health-All Plans $12 - $518 11%
Multiplan-All Plans $15 - $524 14%
Plain Church Mg-All Plans $21 - $244 20%
Mennonite-All Plans $23 - $274 22%
Eiu Athlete-All Other Plans $36 - $426 34%
Healthscope-All Plans $38 - $451 36%
Rural King-All Plans $38 - $451 36%
Bc Comm Care Mcaid $40 - $70 37%
Hlth Alliance Mcaid $40 - $70 37%
Molina Mcaid $40 - $70 37%
Hope Trust-All Plans $42 - $487 39%
Eiu Student $43 - $499 40%
Allied National-All Plans $44 - $512 41%
Companion Life-All Plans $44 - $512 41%
Innovative Hlthware-All Plans $44 - $518 41%
Healthlink Hmo $45 - $524 42%
Healthlink Ppo - All Other Plans $45 - $524 42%
Cigna $47 - $548 44%
Consociate-All Plans $47 - $487 44%
Cphp-All Plans $47 - $548 44%
Beech Street-All Plans $48 - $560 45%
Hfn-All Plans $48 - $560 45%
Hlth Alliance-All Other Plans $512 479%

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