Illinois / Sarah Bush Lincoln Health Center
CMS certification 140189 · Mattoon, IL · 4 entries in CMS's price-transparency list
Sarah Bush Lincoln Health Center: charges and Medicare payments
Sarah Bush Lincoln Health Center reported 1,924 Medicare inpatient stays across 59 DRGs in 2024. Across them it charged 4.35 times what it was paid — mid-range in Illinois, number 46 of 106 hospitals with at least 100 stays (state median 4.06×, national 4.15×). Its most frequent stay was DRG 291, Heart Failure and Shock with MCC: 238 stays at an average charge of $35,970, 36% below the national average. It also billed 4,246 outpatient services, charging 6.83 times what Medicare paid.
- 1Medicare inpatient stays 1,924
- 2Charge ÷ paid, inpatient 4.35×
- 3Rank in IL (highest ratio = 1) 46 of 106
- 4CMS price-transparency actions 4
Inpatient stays
For the 59 DRGs that can be compared with the national average, Sarah Bush Lincoln Health Center charged more than the national average in 1 (2%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 291 Heart Failure and Shock with MCC | 238 | $35,970 | -36% | $9,399 |
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 136 | $54,999 | -39% | $14,487 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 114 | $75,821 | -19% | $14,205 |
| 177 Respiratory Infections and Inflammations with MCC | 80 | $54,889 | -22% | $12,799 |
| 189 Pulmonary Edema and Respiratory Failure | 66 | $38,432 | -33% | $9,250 |
| 690 Kidney and Urinary Tract Infections without MCC | 65 | $25,839 | -32% | $5,935 |
| 194 Simple Pneumonia and Pleurisy with CC | 55 | $29,873 | -22% | $6,971 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 50 | $30,148 | -25% | $5,878 |
| 193 Simple Pneumonia and Pleurisy with MCC | 45 | $41,590 | -30% | $9,548 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 42 | $40,861 | -17% | $8,050 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 40 | $49,006 | -35% | $11,406 |
| 683 Renal Failure with CC | 40 | $28,008 | -31% | $6,611 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 36 | $28,642 | -23% | $5,789 |
| 689 Kidney and Urinary Tract Infections with MCC | 36 | $38,366 | -25% | $8,794 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 35 | $26,374 | -33% | $6,284 |
| 603 Cellulitis without MCC | 35 | $30,530 | -18% | $6,513 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 33 | $29,352 | -42% | $8,452 |
| 178 Respiratory Infections and Inflammations with CC | 30 | $40,464 | -11% | $8,120 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 28 | $39,990 | -28% | $8,055 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 28 | $44,337 | -40% | $11,722 |
| 682 Renal Failure with MCC | 27 | $42,065 | -36% | $10,745 |
| 638 Diabetes with CC | 26 | $31,056 | -25% | $6,642 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 25 | $27,927 | -23% | $5,559 |
| 378 Gastrointestinal Hemorrhage with CC | 25 | $33,483 | -31% | $7,283 |
| 884 Organic Disturbances and Intellectual Disability | 25 | $29,549 | -53% | $12,288 |
| 481 Hip and Femur Procedures except Major Joint with CC | 24 | $80,211 | -20% | $17,769 |
| 552 Medical Back Problems without MCC | 24 | $32,691 | -33% | $7,000 |
| 305 Hypertension without MCC | 23 | $27,102 | -32% | $5,613 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 23 | $79,330 | -22% | $15,107 |
| 330 Major Small and Large Bowel Procedures with CC | 20 | $84,462 | -29% | $17,876 |
| 467 Revision of Hip or Knee Replacement with CC | 20 | $148,895 | -6% | $49,010 |
| 468 Revision of Hip or Knee Replacement without CC/MCC | 20 | $114,602 | -7% | $20,633 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 20 | $32,136 | -47% | $9,497 |
| 039 Extracranial Procedures without CC/MCC | 19 | $48,032 | -25% | $10,553 |
| 057 Degenerative Nervous System Disorders without MCC | 19 | $46,603 | -18% | $9,789 |
| 071 Other Cerebrovascular Disorders with CC | 19 | $46,522 | -8% | $7,700 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 19 | $34,698 | -39% | $8,702 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 18 | $55,759 | -44% | $17,806 |
| 070 Other Cerebrovascular Disorders with MCC | 17 | $39,468 | -48% | $12,622 |
| 483 Major Joint or Limb Reattachment Procedures of Upper... | 17 | $98,428 | -22% | $18,083 |
| 699 Other Kidney and Urinary Tract Diagnoses with CC | 17 | $33,072 | -30% | $7,233 |
| 389 Gastrointestinal Obstruction with CC | 16 | $29,816 | -23% | $6,439 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 16 | $45,893 | -25% | $9,143 |
| 480 Hip and Femur Procedures except Major Joint with MCC | 16 | $125,008 | -10% | $20,838 |
| 489 Knee Procedures without Principal Diagnosis of Infection... | 16 | $49,716 | -19% | $9,032 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 15 | $38,113 | -25% | $6,559 |
| 312 Syncope and Collapse | 15 | $27,836 | -39% | $6,451 |
| 377 Gastrointestinal Hemorrhage with MCC | 15 | $52,550 | -38% | $14,674 |
| 811 Red Blood Cell Disorders with MCC | 15 | $63,926 | -6% | $10,657 |
| 101 Seizures without MCC | 13 | $35,815 | -27% | $6,661 |
| 394 Other Digestive System Diagnoses with CC | 13 | $34,391 | -27% | $9,296 |
| 812 Red Blood Cell Disorders without MCC | 13 | $33,746 | -24% | $6,850 |
| 175 Pulmonary Embolism with MCC or Acute Cor Pulmonale | 12 | $75,477 | +16% | $14,019 |
| 195 Simple Pneumonia and Pleurisy without CC/MCC | 12 | $20,774 | -31% | $4,752 |
| 469 Major Hip and Knee Joint Replacement or Reattachment of... | 12 | $104,271 | -30% | $23,699 |
| 563 Fracture, Sprain, Strain and Dislocation except Femur, Hip,... | 12 | $31,969 | -25% | $6,517 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 12 | $143,259 | -37% | $36,386 |
| 038 Extracranial Procedures with CC | 11 | $48,560 | -44% | $12,599 |
| 176 Pulmonary Embolism without MCC | 11 | $30,693 | -26% | $6,071 |
Outpatient services
Against the Illinois average
For Heart Failure and Shock with MCC (DRG 291), Sarah Bush Lincoln Health Center charged $35,970 on average, 22% less than the Illinois average of $46,293, and was paid $9,399 against a state average of $11,813. For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Sarah Bush Lincoln Health Center charged $54,999 on average, 26% less than the Illinois average of $73,987, and was paid $14,487 against a state average of $17,651. For Major Hip and Knee Joint Replacement or Reattachment of Lower Extremity without MCC (DRG 470), Sarah Bush Lincoln Health Center charged $75,821 on average, 5% less than the Illinois average of $79,993, and was paid $14,205 against a state average of $16,670. For Respiratory Infections and Inflammations with MCC (DRG 177), Sarah Bush Lincoln Health Center charged $54,889 on average, 8% less than the Illinois average of $59,769, and was paid $12,799 against a state average of $14,404. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $20,877 was 3% below the state average of $21,498. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $7,451 was 50% below the state average of $14,917. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $62,887 was 6% below the state average of $67,146. For Level 2 Urology and Related Services (outpatient APC 5372), its average charge of $695 was 83% below the state average of $4,013.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Sarah Bush Lincoln Health Center in Mattoon, IL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Warning Notice — 2024-01-31 (CMS case 907)
- CAP Request — 2024-06-26 (CMS case 907)
- Closure Notice — 2024-08-15 (CMS case 907)
- Met Requirements — 2026-03-05 (CMS case 7186)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.