CMS Price Transparency Data

X-ray, shoulder

Facility: Sarah Bush Lincoln Health Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73030
  • Insurance Median: $100
  • Cash Discount Price: $440
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a X-ray, shoulder at Sarah Bush Lincoln Health Center is $100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $440. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 1.12x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$440

Average discount available for prompt cash payment at this facility.

Insurance Median
$100

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: $440 (495%)
Insurance Median: $100 (112%)
Cash: $440 (495% of Medicare)
Ins. Median: $100 (112% 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 $9 - $1,069 10%
Bc Comm Mmai $9 - $100 10%
Bc Med Adv Ppo/Hmo $9 - $103 10%
Beacon Health Options Behav-All Plans $9 - $100 10%
Hlth Alliance Mcr Adv $9 - $100 10%
Humana $9 - $102 10%
Meridian Mcaid $9 - $70 10%
Meridian Mmai-All Other Plans $9 - $100 10%
Molina Mmai-All Other Plans $9 - $100 10%
Tricare $9 - $100 10%
UnitedHealthcare $9 - $986 10%
Va Ccn-All Plans $9 - $100 10%
Wellcare Med Adv-All Plans $9 - $100 10%
Blue Cross Blue Shield $11 - $950 12%
First Health-All Plans $13 - $1,010 15%
Multiplan-All Plans $17 - $1,022 19%
Plain Church Mg-All Plans $23 - $475 26%
Mennonite-All Plans $26 - $535 29%
Eiu Athlete-All Other Plans $40 - $832 45%
Healthscope-All Plans $42 - $879 47%
Rural King-All Plans $42 - $879 47%
Hope Trust-All Plans $46 - $950 52%
Eiu Student $47 - $974 53%
Allied National-All Plans $48 - $998 54%
Companion Life-All Plans $48 - $998 54%
Innovative Hlthware-All Plans $48 - $1,010 54%
Healthlink Hmo $49 - $1,022 55%
Healthlink Ppo - All Other Plans $49 - $1,022 55%
Cigna $51 - $1,069 57%
Consociate-All Plans $51 - $950 57%
Cphp-All Plans $51 - $1,069 57%
Beech Street-All Plans $52 - $1,093 58%
Hfn-All Plans $52 - $1,093 58%
Bc Comm Care Mcaid $70 - $297 79%
Hlth Alliance Mcaid $70 - $297 79%
Molina Mcaid $70 - $297 79%
Hlth Alliance-All Other Plans $665 - $998 748%

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