How many shoppable procedure prices are published for Sarah Bush Lincoln Health Center?

Sarah Bush Lincoln Health Center in Mattoon, IL currently has 113 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Sarah Bush Lincoln Health Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Sarah Bush Lincoln Health Center's median negotiated commercial rate is 0.8× the regionally adjusted fair BaseRate benchmark.

What is Sarah Bush Lincoln Health Center's CMS Care Compare overall star rating?

CMS Care Compare assigns Sarah Bush Lincoln Health Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 100 Beds · rural Updated: 2026-06-03

Sarah Bush Lincoln Health Center

1000 Health Center Drive P O Box 372, Mattoon, IL 61938 · 113 Priced Procedures · 73% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.80×vs. Fair Market Price

Typical commercial prices here are 20% below the fair benchmark (0.80×) after accounting for local nurse/doctor wages and patient complexity.

57/100 · Caution

57/100Self-Pay Cash Beats Insurance 20% of the Time

File Completeness45

Price Logic77

Peer Alignment63

Clean Billing88

Real Cash Discount6

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.80× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Sarah Bush Lincoln Health Center maintains low, disciplined commercial pricing across both routine shoppable procedures (0.7× Medicare, p50 0.81× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 0.95× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#19 of 126 in IL · 14th State Percentile#274 of 3,385 in U.S. · 8th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 20% below peer Fair BaseRate (0.80×)
Self-pay cash beats commercial insurance on 20% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 73% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (45.2% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.80× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Captive ER (0.7×) & laboratory (1.6×) services average 1.43× higher multiples than routine shoppable care (0.7×)
Upper-quartile procedures (Q75 0.95×) jump +17% above the median procedure ratio (Q50 0.81×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

0.7× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.43× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+17% Upper Tail

Q25 0.54× · Q50 0.81× · Q75 0.95×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

0.7× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.9× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.7× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.6× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.5× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

20% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at Sarah Bush Lincoln Health Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 113 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$49,873	$15,173	$19,087	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$53,566	$15,067	$19,432	0.8×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	$90,538	$13,771	$17,936	0.8×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$24,068	$6,089	$8,223	0.7×
C-section delivery (full package) CPT Code: `59510`	$8,403	$2,993	$2,975	1.0×
Vaginal delivery (full package) CPT Code: `59400`	$10,226	$2,358	$2,680	0.9×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$1,080	$1,080	$272	4.0×
Sleep study (overnight, in lab) CPT Code: `95810`	$5,820	$986	$1,021	unverified
Injection procedure for pain management HCPCS Code: `G0260`	$577	$577	$855	unverified
Echocardiogram (heart ultrasound) CPT Code: `93306`	$3,578	$544	$583	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$2,855	$521	$3,372	0.2×
Cataract surgery with lens implant CPT Code: `66984`	$4,920	$464	$2,540	0.2×
Breast lump removal CPT Code: `19120`	$1,370	$429	$3,875	0.1×
Blood transfusion CPT Code: `36430`	$822	$385	$498	0.8×
Rabies immune globulin HCPCS Code: `90375`	$1,863	$275	$322	0.9×
MRI, brain (with and without contrast) CPT Code: `70553`	$625	$297	$511	0.6×
Psychotherapy session (60 minutes) CPT Code: `90837`	$298	$189	$181	1.0×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,201	$186	$258	0.7×
Colonoscopy (diagnostic) CPT Code: `45378`	$839	$172	$981	0.2×
Colonoscopy with biopsy CPT Code: `45380`	$1,734	$181	$1,256	0.1×
CT scan, head (with contrast) CPT Code: `70460`	$1,869	$201	$242	unverified
Psychiatric evaluation (first visit) CPT Code: `90791`	$275	$204	$185	unverified
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$3,649	$165	$448	0.4×
Ultrasound, pelvis CPT Code: `76856`	$936	$120	$130	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	$284	$127	$166	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$1,608	$120	$160	0.8×
CT scan, neck (cervical spine) CPT Code: `72125`	$2,201	$120	$169	0.7×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,180	$141	$303	0.5×
Upper endoscopy with biopsy CPT Code: `43239`	$702	$128	$987	0.1×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,972	$120	$168	unverified
Ultrasound, abdomen (limited) CPT Code: `76705`	$893	$120	$126	unverified
Office visit, established patient (30-39 min) CPT Code: `99214`	$171	$86	$123	0.7×
MRI, lower back (no contrast) CPT Code: `72148`	$2,751	$92	$338	0.3×
MRI, brain (no contrast) CPT Code: `70551`	$2,400	$92	$343	0.3×
MRI, knee or other leg joint CPT Code: `73721`	$554	$85	$369	0.2×
Hospital observation (per hour) HCPCS Code: `G0378`	$90	$90	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$1,004	$315	$347	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$269	$269	$140	1.9×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$234	$141	$203	0.7×
Drug screening test HCPCS Code: `G0480`	$204	$114	$116	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$62	$51	$49	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$187	$74	$86	0.9×
X-ray, shoulder CPT Code: `73030`	$440	$70	$92	0.8×
X-ray, foot CPT Code: `73630`	$411	$70	$92	0.8×
X-ray, neck (cervical spine) CPT Code: `72040`	$450	$70	$93	0.8×
X-ray, ankle CPT Code: `73610`	$371	$70	$93	0.8×
X-ray, hip CPT Code: `73502`	$64	$64	$93	0.7×
Office visit, established patient (20-29 min) CPT Code: `99213`	$139	$58	$87	0.7×
New patient office visit (30-44 min) CPT Code: `99203`	$174	$73	$110	0.7×
X-ray, lower back CPT Code: `72110`	$626	$70	$112	0.6×
Ultrasound, thyroid and neck CPT Code: `76536`	$759	$72	$132	0.5×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,041	$72	$134	0.5×
Screening mammogram (both breasts) CPT Code: `77067`	$456	$60	$123	0.5×
CT scan, chest (no contrast) CPT Code: `71250`	$1,685	$69	$167	0.4×
CT scan, pelvis CPT Code: `72192`	$1,618	$67	$163	0.4×
Neurobehavioral status check CPT Code: `96116`	$71	$71	$231	0.3×
Blood test, vitamin D CPT Code: `82306`	$185	$30	$31	1.0×
Orthotic fitting and training CPT Code: `97760`	$241	$44	$51	0.9×
X-ray, chest (two views) CPT Code: `71046`	$185	$40	$93	0.4×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$515	$63	$148	0.4×
CT scan, sinuses CPT Code: `70486`	$1,906	$64	$166	0.4×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$211	$34	$40	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$230	$53	$201	0.3×
Flu vaccine injection HCPCS Code: `G0008`	$62	$54	$48	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$42	$27	$25	1.1×
Blood test, glucose (blood sugar) CPT Code: `82947`	$54	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$78	$10	$10	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$195	$13	$14	0.9×
Extended office visit (prolonged) HCPCS Code: `G2212`	$62	$28	$33	0.8×
X-ray, chest (single view) CPT Code: `71045`	$271	$35	$92	0.4×
X-ray, pelvis CPT Code: `72170`	$331	$40	$110	0.4×
Family therapy session CPT Code: `90847`	$49	$49	$173	unverified
Pneumonia vaccine injection HCPCS Code: `G0009`	$62	$51	$49	unverified
Blood test, comprehensive metabolic panel CPT Code: `80053`	$161	$11	$11	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$62	$3	$3	1.0×
Blood test, calcium CPT Code: `82310`	$84	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$74	$5	$5	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$213	$14	$14	1.0×
Blood test, lipase CPT Code: `83690`	$113	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$108	$7	$7	1.0×
Physical therapy (functional capacity test) CPT Code: `97750`	$177	$32	$38	0.8×
Blood test, potassium CPT Code: `84132`	$73	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$76	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$48	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$117	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$99	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$119	$9	$9	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$185	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$239	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$237	$15	$16	0.9×
Hepatitis C antibody test CPT Code: `86803`	$115	$14	$15	0.9×
Culture, blood CPT Code: `87040`	$159	$10	$11	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$122	$8	$9	0.9×
Blood test, liver function panel CPT Code: `80076`	$121	$8	$9	0.9×
Speech therapy (group session) CPT Code: `92508`	$70	$23	$27	0.9×
Physical therapy (gait training) CPT Code: `97116`	$181	$28	$33	0.8×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$252	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$198	$31	$38	0.8×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$236	$28	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$215	$27	$34	0.8×
Hepatitis B vaccine HCPCS Code: `90744`	$80	$27	$37	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$44	$27	$39	0.7×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$230	$32	$64	0.5×
Blood test, amylase CPT Code: `82150`	$103	$6	$7	0.9×
Blood test, hemoglobin CPT Code: `85018`	$30	$2	$3	0.7×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	$94	$15	$25	0.6×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$86	$27	$56	0.5×
X-ray, hand CPT Code: `73130`	$392	$23	$93	0.2×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$175	$27	$111	0.2×
Blood antibody screen CPT Code: `86850`	$128	$10	$46	0.2×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$68	$4	$5	unverified
Psychological testing evaluation CPT Code: `96136`	$9	$9	$128	unverified
Psychological testing by technician CPT Code: `96138`	$9	$9	$395	unverified

Showing top 25 high-impact procedures of 113 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 45.2%

Audit a Bill or Quote at Sarah Bush Lincoln Health Center (Zero PHI Required)

CMS CCN: 140189

CPT 871

Select Procedure to Audit:

Fair BaseRate™ $19,087

Medicare Rate $14,117

Self-Pay Cash $49,873

Insurer Median $15,173

1. Amount on Your Bill or Quote ($) Pre-filled with Sarah Bush Lincoln Health Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $22,523 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $22,523

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (45.2% of gross = $22,523).

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $49,873

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Sarah Bush Lincoln Health Center's published 45 CFR § 180 self-pay cash rate is $49,873 (vs. $15,173 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$30,786 Above Fair BaseRate

Negotiate Toward $19,087 Fair BaseRate ($14,117 Medicare)

Your bill ($49,873) is $30,786 above the denoised Fair BaseRate ($19,087) and 3.5× the $14,117 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 237098532

Filing Period: 197103

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (45.2% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite69/100

Would Recommend73%

Rated 9 or 10 (HCAHPS)76%

Median ER Wait210 min

Left ER Before Seen2%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate4.3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Sarah Bush Lincoln Health Center. Prior administrative notices do not necessarily reflect current compliance status.

2026-03-05·administrative_or_closure
Met Requirements
Recorded
2024-08-15·administrative_or_closure
Closure Notice
Recorded
2024-06-26·cap_corrective_action
CAP Request
Recorded
2024-01-31·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (1,311 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Sarah Bush Lincoln Health Center.

Price Index: 1.00× regional baseline

Quality: 70/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-56.1%

Median Household Income$56,040U.S. Census ACS

Local Uninsured Share6.3%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 57/100 · Caution CMS CCN 140189 EIN 237098532

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (Reports.aspx) Verify on CMS Medicare.gov (CCN 140189) ↗ Verify IRS Form 990 (EIN 237098532) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileReports.aspx

Publication / Vintage2026-06-03 · 518.49 MB

Validated Rate Rows9,133 (CMS v3.0.0)

File Integrity DigestVerified · CCN 140189

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy