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Critical Access HospitalGovernment - Hospital District Or Authority

Sarah D Culbertson

Rushville, IL

238 South Congress Street, Rushville, IL 62681(217) 322-4321

25

In-network payers

108

Disclosed rate categories

22

Beds

About this hospital

Sarah D Culbertson is a 22-bed government - hospital district or authority hospital in Rushville, IL. Below you'll find publicly disclosed negotiated rates and facility details, including 25 in-network payers and 108 disclosed rate categories.

CCN (Medicare provider number)

141333

NPI

1013969112

Type

Critical Access Hospital

Ownership

Government - Hospital District Or Authority

Beds

22

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

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

Prices for common services

The 24 services Sarah D Culbertson 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.

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$354 - $4,381

from 4 insurers · median $2,485

Aetna$354
Insurer A*$2,422
Insurer B*$2,549
Insurer C*$4,381
Medicare $356Nearby hospitals $3,80835% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT head or brain without contrast

CPT 70450

$123 - $1,884

from 4 insurers · median $1,069

Aetna$123
Insurer A*$1,041
Insurer B*$1,096
Insurer C*$1,884
Medicare $107Nearby hospitals $1,058In line with nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$214 - $3,555

from 4 insurers · median $2,017

Aetna$214
Insurer A*$1,965
Insurer B*$2,068
Insurer C*$3,555
Medicare $244Nearby hospitals $2,1968% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete echocardiogram with Doppler and color flow

CPT 93306

$182 - $2,238

from 4 insurers · median $1,459

BCBS Illinois$1,484
Insurer A*$182
Insurer B*$1,433
Insurer C*$2,238
Medicare $558Nearby hospitals $2,35138% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the chest, with contrast

CPT 71260

$194 - $2,989

from 4 insurers · median $1,899

Aetna$194
Insurer A*$1,397
Insurer B*$2,401
Insurer C*$2,989
Medicare $179Nearby hospitals $1,58720% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$358 - $4,731

from 4 insurers · median $3,006

Cigna$3,800
Insurer A*$358
Insurer B*$2,211
Insurer C*$4,731
Medicare $356Nearby hospitals $4,70436% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$1,674 - $3,582

from 4 insurers · median $3,190

Cigna$2,877
Insurer A*$1,674
Insurer B*$3,504
Insurer C*$3,582
Medicare $244Nearby hospitals $2,38834% above nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$1,528 - $3,269

from 4 insurers · median $2,912

Cigna$2,626
Insurer A*$1,528
Insurer B*$3,198
Insurer C*$3,269
Medicare $244Nearby hospitals $2,33325% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$31 - $435

from 4 insurers · median $276

UnitedHealthcare$203
Insurer A*$31
Insurer B*$350
Insurer C*$435
Medicare $89Nearby hospitals $36424% below nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$119 - $329

from 4 insurers · median $222

BCBS Illinois$329
Insurer A*$119
Insurer B*$179
Insurer C*$265
Medicare $92Nearby hospitals $27620% below nearby hospitals

Typical for a hospital with this service line

Nuclear imaging

Nuclear imaging of blood flow to the heart, multiple studies

CPT 78452

$403 - $5,037

from 4 insurers · median $3,200

Cigna$4,046
Insurer A*$403
Insurer B*$2,354
Insurer C*$5,037
Medicare $1,323Nearby hospitals $4,66631% below nearby hospitals

Hospital reports nuclear medicine services to CMS

MRI imaging

MRI of the pelvis, before and after contrast

CPT 72197

$2,223 - $4,756

from 4 insurers · median $3,406

Cigna$3,821
Insurer A*$2,223
Insurer B*$2,991
Insurer C*$4,756
Medicare $356Nearby hospitals $4,78329% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$83 - $734

from 4 insurers · median $514

Aetna$83
Insurer A*$438
Insurer B*$590
Insurer C*$734
Medicare $107Nearby hospitals $1,00349% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Transvaginal pelvic ultrasound

CPT 76830

$112 - $937

from 4 insurers · median $613

Aetna$112
Insurer A*$474
Insurer B*$753
Insurer C*$937
Medicare $107Nearby hospitals $89632% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$123 - $1,092

from 4 insurers · median $633

BCBS Illinois$631
Insurer A*$123
Insurer B*$636
Insurer C*$1,092
Medicare $107Nearby hospitals $1,29651% below nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Comprehensive metabolic panel

CPT 80053

$10 - $190

from 2 insurers · median $100

UnitedHealthcare$190
Insurer A*$10
Medicare $11Nearby hospitals $14629% above nearby hospitals

Typical for a hospital with this service line

Ultrasound

Complete abdominal ultrasound

CPT 76700

$109 - $1,350

from 4 insurers · median $857

Aetna$109
Insurer A*$631
Insurer B*$1,084
Insurer C*$1,350
Medicare $107Nearby hospitals $1,00615% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Complete ultrasound of kidneys and nearby structures

CPT 76770

$102 - $1,042

from 4 insurers · median $684

Aetna$102
Insurer A*$531
Insurer B*$837
Insurer C*$1,042
Medicare $107Nearby hospitals $1,03834% below nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Complete blood count with differential

CPT 85025

$7 - $125

from 4 insurers · median $95

UnitedHealthcare$90
Insurer A*$7
Insurer B*$101
Insurer C*$125
Medicare $8Nearby hospitals $8216% above nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Foot X-ray, at least three views

CPT 73630

$32 - $450

from 4 insurers · median $286

UnitedHealthcare$210
Insurer A*$32
Insurer B*$361
Insurer C*$450
Medicare $89Nearby hospitals $34016% below nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Shoulder X-ray, at least two views

CPT 73030

$32 - $474

from 4 insurers · median $301

UnitedHealthcare$221
Insurer A*$32
Insurer B*$381
Insurer C*$474
Medicare $89Nearby hospitals $42128% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete ultrasound of veins in both arms or both legs

CPT 93970

$194 - $1,400

from 4 insurers · median $917

BCBS Illinois$1,020
Insurer A*$194
Insurer B*$815
Insurer C*$1,400
Medicare $244Nearby hospitals $1,98554% below nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Knee X-ray, three views

CPT 73562

$38 - $497

from 4 insurers · median $316

UnitedHealthcare$232
Insurer A*$38
Insurer B*$399
Insurer C*$497
Medicare $89Nearby hospitals $328In line with nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Complete ultrasound of blood vessels in both sides of the neck

CPT 93880

$703 - $1,271

from 4 insurers · median $894

BCBS Illinois$703
Insurer A*$740
Insurer B*$1,049
Insurer C*$1,271
Medicare $244Nearby hospitals $1,72948% below nearby hospitals

Typical for a hospital with this service line

How the insurers pay at Sarah D Culbertson

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*23
784%
99
Insurer B*23
687%
913
Insurer C*24
544%
120
Insurer D*24
97%
420

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 D Culbertson.

Location

238 South Congress Street, Rushville, IL 62681

(217) 322-4321

Get directions

Frequently asked questions

About Sarah D Culbertson's rates and hospital price transparency.

How much does an MRI cost at Sarah D Culbertson?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Sarah D Culbertson range from $358 to $4,731 across 4 insurers. Cigna's rate is $3,800. The median at nearby comparable hospitals is $4,704. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Sarah D Culbertson?

For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Sarah D Culbertson range from $354 to $4,381 across 4 insurers. Aetna's rate is $354. The median at nearby comparable hospitals is $3,808. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Sarah D Culbertson?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Sarah D Culbertson range from $119 to $329 across 4 insurers. Blue Cross Blue Shield of Illinois's rate is $329. The median at nearby comparable hospitals is $276. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Sarah D Culbertson have?

Sarah D Culbertson has 22 beds. Facility type: Critical Access Hospital.

Where is Sarah D Culbertson and what is its phone number?

Sarah D Culbertson is located at 238 South Congress Street, Rushville, IL 62681. Its main phone number is (217) 322-4321.

What is Sarah D Culbertson's CCN (Medicare provider number)?

Sarah D Culbertson's CMS Certification Number (CCN), also called its Medicare provider number, is 141333.

What is Sarah D Culbertson's NPI number?

The National Provider Identifier (NPI) on file for Sarah D Culbertson is 1013969112.

Which insurance plans are in network at Sarah D Culbertson?

Sarah D Culbertson lists 25 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Sarah D Culbertson?

108 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

What is a hospital price transparency MRF?

Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.

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.

Compliance MRF

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
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

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.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster