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Short Term Acute Care HospitalVoluntary Non-Profit - Private

Sarah Bush Lincoln Health Center

Sarah Bush Lincoln Health System · Mattoon, IL

1000 Health Center Drive, Mattoon, IL 61938(217) 258-2572

3 of 5

CMS star rating

120

Beds

7,833

Inpatient discharges a year

$809M

Net patient revenue a year

34

In-network payers

About this hospital

Sarah Bush Lincoln Health Center is a 120-bed voluntary non-profit - private hospital in Mattoon, IL, affiliated with Sarah Bush Lincoln Health System. Below you'll find publicly disclosed negotiated rates and facility details, including 34 in-network payers and 352 disclosed rate categories.

  • Sole community hospital
  • Disproportionate share hospital
  • 340B participant
  • ACO participant
CCN
140189
NPI
1669564662
Health system
Sarah Bush Lincoln Health System
Teaching
No Medicare-funded residents
County
Coles County
Metro area
Charleston-Mattoon, IL MicroSA
Medicare contractor
Jurisdiction 6, National Government Services (06101)
In Medicare since
1973
Last CMS survey
2016

Prices for common services

The 24 services Sarah Bush Lincoln Health Center most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$319 - $5,644

from 4 insurers · median $3,900

Aetna$4,516
Insurer A*$319
Insurer B*$3,284
Insurer C*$5,644
Medicare $365Nearby hospitals $2,33967% above nearby hospitals

Common here, based on CMS Medicare volume

Medicine & Surgery · Inpatient

Major lower-extremity joint replacement without MCC

MS-DRG 470

$15,629 - $48,210

from 4 insurers · median $40,272

UnitedHealthcare$15,629
Insurer A*$35,816
Insurer B*$44,728
Insurer C*$48,210
Medicare $10,763Nearby hospitals $24,94261% above nearby hospitals

96 Medicare discharges for this DRG in CMS hospital data

Childbirth · Inpatient

Vaginal delivery, hospital stay

MS-DRG 807

$5,927 - $14,777

from 4 insurers · median $13,002

Aetna$12,294
Insurer A*$5,927
Insurer B*$13,710
Insurer C*$14,777

CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.

Hospital reports neonatal nursery services to CMS

CT imaging

CT head or brain without contrast

CPT 70450

$96 - $1,881

from 3 insurers · median $1,447

Aetna$1,881
Insurer A*$96
Insurer B*$1,447
Medicare $109Nearby hospitals $548164% above nearby hospitals

Common here, based on CMS Medicare volume

How the insurers pay at Sarah Bush Lincoln Health Center

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*19
1059%
152
Insurer B*24
867%
163
Insurer C*21
752%
77
Insurer D*24
89%
117

How we chose these services: 5 appear in this hospital's own Medicare claims, 17 are common here based on CMS Medicare volume, and 2 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Sarah Bush Lincoln Health Center, or start a free trial.

Insurance Accepted

Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.

Medicare
Aetna
BCBS
Cigna
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
Ameri HealthAspirus Health PlanAvera Health PlansBanner HealthCenteneEMI Health

More about this hospital

  • Quality

    3 of 5 stars

    • 210 min in the ER before going home (US median 148)
    • Medicare readmissions penalty (-1.25%)
    See quality ratings
  • Doctors and services

    Accredited by The Joint Commission

    • No Medicare-funded residents
    • 24 services
    • 635 affiliated clinicians
    See doctors and services
  • Finances

    $809M net patient revenue

    • Operating margin on patient care 6.9%
    • $12.9M unreimbursed and uncompensated care
    • $170M net income
    See finances
  • Ownership and leadership

    Owned by Sarah Bush Lincoln Health System

    • Private (not for profit)
    • Kim Uphoff, chief executive
    • 340B drug pricing program participant
    See ownership and leadership

Tax IDs and NPIs insurers list

The employer identification numbers (EINs) health plans and networks list for Sarah Bush Lincoln Health Center in the in-network rate files they publish, with the organization NPIs billed under each.

Tax ID (EIN)Plans and networks listing itOrganization NPIs
23-7098532(multi-state) Sarah Bush Lincoln Health Center63Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 58 more1669564662 Sarah Bush Lincoln Health Center1992889109 Sarah Bush Lincoln Health Center1922190024 Sarah Bush Lincoln Health Centerand 22 more

Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.

Location

1000 Health Center Drive, Mattoon, IL 61938

(217) 258-2572

Get directions

Frequently asked questions

About Sarah Bush Lincoln Health Center's rates and hospital price transparency.

How much does an MRI cost at Sarah Bush Lincoln Health Center?

For MRI of the abdomen, before and after contrast (CPT 74183), published negotiated rates at Sarah Bush Lincoln Health Center range from $319 to $6,683 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $6,163. The median at nearby comparable hospitals is $2,290. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Sarah Bush Lincoln Health Center?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sarah Bush Lincoln Health Center range from $319 to $5,644 across 4 insurers. Aetna's rate is $4,516. The median at nearby comparable hospitals is $2,339. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Sarah Bush Lincoln Health Center?

For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Sarah Bush Lincoln Health Center range from $691 to $2,007 across 4 insurers. UnitedHealthcare's rate is $1,093. The median at nearby comparable hospitals is $3,699. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does giving birth cost at Sarah Bush Lincoln Health Center?

For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Sarah Bush Lincoln Health Center range from $5,927 to $14,777 across 4 insurers. Aetna's rate is $12,294. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Sarah Bush Lincoln Health Center?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sarah Bush Lincoln Health Center range from $83 to $505 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $505. The median at nearby comparable hospitals is $237. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does hip or knee replacement cost at Sarah Bush Lincoln Health Center?

For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Sarah Bush Lincoln Health Center range from $15,629 to $48,210 across 4 insurers. UnitedHealthcare's rate is $15,629. The median at nearby comparable hospitals is $24,942. What a patient pays depends on their plan's deductible, coinsurance and network status.

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

Sarah Bush Lincoln Health Center has a CMS overall hospital star rating of 3 out of 5 on Medicare Care Compare (CMS data released 2026-08-13). That is lower than 42% of US hospitals.

Is Sarah Bush Lincoln Health Center a teaching hospital?

CMS reports no Medicare-funded interns or residents at Sarah Bush Lincoln Health Center for fiscal year 2027.

Does Medicare penalize Sarah Bush Lincoln Health Center for readmissions?

Yes. Under the Hospital Readmissions Reduction Program, Medicare cuts Sarah Bush Lincoln Health Center's base inpatient payments by an estimated 1.25% in fiscal year 2027 for more readmissions than expected.

What are the most common Medicare inpatient stays at Sarah Bush Lincoln Health Center?

In 2024, the most common were heart failure and shock with mcc (238 discharges), septicemia or severe sepsis without mv >96 hours with mcc (136 discharges), major hip and knee joint replacement or reattachment of lower extremity without mcc (114 discharges).

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

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Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
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  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
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Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

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