Sarah Bush Lincoln Health Center
Sarah Bush Lincoln Health Center in Mattoon, Illinois charges 5.4x the Medicare reimbursement rate across 55 analyzed procedures, according to our data analysis of this nonprofit-private hospital's pricing.
Mattoon, IL 61938 · Acute Care Hospitals · CMS Rating: 2/5
About the analyst
Priya Iyengar leads the billing code review team at BillRazor Research. She analyzes NCCI bundling edits, DRG coding, and regional rate variation. Expertise: NCCI bundling, DRG analysis, regional pricing.
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Pricing grade
D
High
Avg markup vs Medicare
5.41x
Charge / Medicare rate
Max markup
13.18x
Worst procedure
Procedures analyzed
55
With pricing data
Outlier procedures
0%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 066 | $39,104 | $19,552 | — | 13.2x |
| PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC | 247 | $96,809 | $48,405 | — | 8.4x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $27,884 | $13,942 | — | 7.7x |
| MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES | 483 | $104,387 | $52,193 | — | 7.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC | 331 | $64,341 | $32,170 | — | 7x |
| KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC | 489 | $47,522 | $23,761 | — | 7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $27,716 | $13,858 | — | 6.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $39,657 | $19,828 | — | 6.8x |
| EXTRACRANIAL PROCEDURES WITHOUT CC/MCC | 039 | $45,715 | $22,858 | — | 6.7x |
| GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC | 390 | $20,809 | $10,404 | — | 6.6x |
| MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | 470 | $71,721 | $35,861 | — | 6.4x |
| SYNCOPE AND COLLAPSE | 312 | $29,767 | $14,883 | — | 6.3x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $26,130 | $13,065 | — | 6.3x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC | 179 | $26,309 | $13,154 | — | 6.2x |
| CELLULITIS WITHOUT MCC | 603 | $29,709 | $14,855 | — | 6.2x |
| SEIZURES WITHOUT MCC | 101 | $32,468 | $16,234 | — | 6.1x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $26,210 | $13,105 | — | 6x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $26,928 | $13,464 | — | 6x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $76,948 | $38,474 | — | 5.8x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $23,626 | $11,813 | — | 5.6x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 480 | $114,698 | $57,349 | — | 5.6x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $31,282 | $15,641 | — | 5.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $39,356 | $19,678 | — | 5.5x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $70,811 | $35,406 | — | 5.4x |
| RED BLOOD CELL DISORDERS WITHOUT MCC | 812 | $27,815 | $13,907 | — | 5.4x |
| DIABETES WITH CC | 638 | $26,058 | $13,029 | — | 5.3x |
| MEDICAL BACK PROBLEMS WITHOUT MCC | 552 | $28,313 | $14,156 | — | 5.3x |
| MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC | 372 | $30,355 | $15,177 | — | 5.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $30,355 | $15,178 | — | 5.2x |
| REVISION OF HIP OR KNEE REPLACEMENT WITH CC | 467 | $120,719 | $60,359 | — | 5.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $39,381 | $19,690 | — | 5.1x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC | 330 | $79,183 | $39,591 | — | 5.1x |
| COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC | 454 | $207,543 | $103,771 | — | 5x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | 191 | $23,221 | $11,611 | — | 5x |
| RENAL FAILURE WITH MCC | 682 | $46,016 | $23,008 | — | 4.9x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $36,523 | $18,262 | — | 4.9x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 064 | $60,743 | $30,372 | — | 4.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC | 071 | $29,575 | $14,787 | — | 4.7x |
| RENAL FAILURE WITH CC | 683 | $24,265 | $12,132 | — | 4.5x |
| MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC | 329 | $163,526 | $81,763 | — | 4.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC | 178 | $30,615 | $15,308 | — | 4.4x |
| REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC | 468 | $75,617 | $37,809 | — | 4.3x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $52,777 | $26,388 | — | 4.3x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $26,753 | $13,376 | — | 4.3x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $30,390 | $15,195 | — | 4.3x |
| DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC | 057 | $31,867 | $15,934 | — | 4x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $31,787 | $15,893 | — | 4x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $39,173 | $19,587 | — | 3.9x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $45,591 | $22,795 | — | 3.8x |
| NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC | 070 | $42,840 | $21,420 | — | 3.7x |
Showing 50 of 55 procedures
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use