CMS Price Transparency Data

X-ray, chest (two views)

Facility: Shirley Ryan Abilitylab

Billing Code: 71046 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 71046
  • Insurance Median: $547
  • Cash Discount Price: $505
  • vs. Medicare Baseline: 6.15x Medicare
The contracted insurance negotiated median rate for a X-ray, chest (two views) at Shirley Ryan Abilitylab is $547. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $505. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.15x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.
Cash / Self-Pay
$505

Average discount available for prompt cash payment at this facility.

Insurance Median
$547

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $505 (568%)
Insurance Median: $547 (615%)
Cash: $505 (568% of Medicare)
Ins. Median: $547 (615% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 615% of the Medicare baseline (a markup of 515%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Health Care Services Corporation $23 - $404 26%
Aetna $23 - $448 26%
Humana $92 103%
Wellcare Meridian Fide $92 103%
UnitedHealthcare $92 - $412 103%
Tricare $92 103%
Advocate Health Partners $93 - $841 105%
County Care $118 133%
Meridian Health Plan $118 133%
Blue Cross Blue Shield $118 - $391 133%
Paradigm Health Corporation $170 - $547 191%
Uic Physician Group-Campuscare $420 - $482 472%
Hfn $425 - $867 478%
Corvel Corporation $438 493%
Coventry Workers Comp $438 493%
Multiplan $438 493%
Personalcare Insurance of Il/Firsthealth Grp Corp/Coventryhealth and Life Insurance Co $447 - $819 503%
State of Illinois $447 - $512 503%
Uic Physician Group $463 - $780 521%
Endeavor Health Sites 243/447 Northshore and Edwards $463 521%
Union Health Service $471 530%
Cigna $473 - $516 532%
Affordable Health Care Concepts $505 - $579 568%
University of Chicago Practice Plan $505 - $626 568%
Loyola University Physician Foundation $547 615%
Health Care Services Corporation DBA Managed Care Network Preferred $573 - $748 644%
Advocate and Advocate Health Partners $589 662%
Resurrection Health Care Preferred $631 - $770 710%
Gallagher Benefit Administrators $631 - $722 710%
Health Care Services Corporation D/B/A HMO Illinois $656 738%
Unicare Life and Health Insurance $656 - $751 738%
Private Healthcare Systems $673 - $770 757%
Health Payors Organization $715 - $819 804%
Cofinity Aka Ppom $715 - $819 804%
Healthnetwork $740 - $847 832%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 355 E Erie St, Chicago, IL 60611
  • CMS Rating: No CMS Rating
  • Ownership Type: N/A
  • Hospital Type: PART A PROVIDER - HOSPITAL