CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$354 - $4,381
from 4 insurers · median $2,485
Typical for a hospital with this service line
Rushville, IL
25
In-network payers
108
Disclosed rate categories
22
Beds
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 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.




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
CPT 74177
$354 - $4,381
from 4 insurers · median $2,485
Typical for a hospital with this service line
CT imaging
CPT 70450
$123 - $1,884
from 4 insurers · median $1,069
Typical for a hospital with this service line
CT imaging
CPT 74176
$214 - $3,555
from 4 insurers · median $2,017
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$182 - $2,238
from 4 insurers · median $1,459
Typical for a hospital with this service line
CT imaging
CPT 71260
$194 - $2,989
from 4 insurers · median $1,899
Typical for a hospital with this service line
MRI imaging
CPT 70553
$358 - $4,731
from 4 insurers · median $3,006
Typical for a hospital with this service line
MRI imaging
CPT 70551
$1,674 - $3,582
from 4 insurers · median $3,190
Typical for a hospital with this service line
MRI imaging
CPT 72148
$1,528 - $3,269
from 4 insurers · median $2,912
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$31 - $435
from 4 insurers · median $276
Typical for a hospital with this service line
Mammography
CPT 77067
$119 - $329
from 4 insurers · median $222
Typical for a hospital with this service line
Nuclear imaging
CPT 78452
$403 - $5,037
from 4 insurers · median $3,200
Hospital reports nuclear medicine services to CMS
MRI imaging
CPT 72197
$2,223 - $4,756
from 4 insurers · median $3,406
Typical for a hospital with this service line
Ultrasound
CPT 76705
$83 - $734
from 4 insurers · median $514
Typical for a hospital with this service line
Ultrasound
CPT 76830
$112 - $937
from 4 insurers · median $613
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$123 - $1,092
from 4 insurers · median $633
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$10 - $190
from 2 insurers · median $100
Typical for a hospital with this service line
Ultrasound
CPT 76700
$109 - $1,350
from 4 insurers · median $857
Typical for a hospital with this service line
Ultrasound
CPT 76770
$102 - $1,042
from 4 insurers · median $684
Typical for a hospital with this service line
Laboratory and pathology
CPT 85025
$7 - $125
from 4 insurers · median $95
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$32 - $450
from 4 insurers · median $286
Typical for a hospital with this service line
X-ray and bone density
CPT 73030
$32 - $474
from 4 insurers · median $301
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93970
$194 - $1,400
from 4 insurers · median $917
Typical for a hospital with this service line
X-ray and bone density
CPT 73562
$38 - $497
from 4 insurers · median $316
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93880
$703 - $1,271
from 4 insurers · median $894
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 784% | 9 | 9 |
| Insurer B* | 23 | 687% | 9 | 13 |
| Insurer C* | 24 | 544% | 1 | 20 |
| Insurer D* | 24 | 97% | 4 | 20 |
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.
238 South Congress Street, Rushville, IL 62681
(217) 322-4321
About Sarah D Culbertson's rates and hospital price transparency.
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.
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.
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.
Sarah D Culbertson has 22 beds. Facility type: Critical Access Hospital.
Sarah D Culbertson is located at 238 South Congress Street, Rushville, IL 62681. Its main phone number is (217) 322-4321.
Sarah D Culbertson's CMS Certification Number (CCN), also called its Medicare provider number, is 141333.
The National Provider Identifier (NPI) on file for Sarah D Culbertson is 1013969112.
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.
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.
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.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
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.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"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
}
]
}]
}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