Hospital

Fayette County Hospital

Listed in its price file as “Sarah Bush Lincoln Health Center”.

Fayette County Hospital in Vandalia, IL publishes cash prices for 4 common procedures listed here, from its own machine-readable price file updated Oct 20, 2026. Compared with other hospitals in the state, its outpatient cash prices are below the Illinois median for 2 of 4 procedures and above it for 1. Select a procedure to compare it with other hospitals nearby.

650 W Taylor St Vandalia IL 62471 Collected Oct 22, 2026 Source price file Check a bill from this hospital (618) 283-1231

Critical access hospital (rural, 25 beds or fewer) Nonprofit hospital Emergency department CCN 141346 · CMS hospital register NPI 1912988734

Financial assistance

Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply

Fayette County Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.

You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.

Source: IRS, section 501(r) requirements for nonprofit hospitals.

State law

This state limits hospital bills for lower-income patients

Illinois law (Hospital Uninsured Patient Discount Act, 210 ILCS 89): an uninsured Illinois resident with family income up to 600% of the federal poverty level (300% at rural and critical access hospitals) can apply for a discount that brings the bill down to about 135% of the hospital's cost; up to 200% (125% at rural hospitals) medically necessary care is free. A hospital may collect no more than 25% of family income in 12 months. Ask the billing office for the application. Other states' laws.

Surgery and procedures

Procedure	Cash price	List price	Insurers pay	vs Illinois	Off list
Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess	$392.00	$392.00	$125.44–$333.20	at median	—
Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth	$213.00	$213.00	$39.07–$206.04	43% below	—
Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth	$665.00	$665.00	$212.80–$828.02	125% above	—
Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less	$378.50	$378.50	$25.57–$325.51	45% below	—

Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More

Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More

List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More

Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More

Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.

Off list How much lower the cash price is than the list price.

No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More

At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More

Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.

Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbFCHVANDALIAIL&type=CDMWithoutLabel&fileType=CSV