CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Shirley Ryan Abilitylab

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $5,522
Cash Discount Price: $4,463
vs. Medicare Baseline: 22.65x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Shirley Ryan Abilitylab is $5,522. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,463. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 22.65x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.

Cash / Self-Pay

$4,463

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,522

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $4,463 (1831%)

Insurance Median: $5,522 (2265%)

Cash: $4,463 (1831% of Medicare)

Ins. Median: $5,522 (2265% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 2265% of the Medicare baseline (a markup of 2165%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

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

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Uic Physician Group-Campuscare	$3,430 - $4,009	1407%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co	$3,650 - $6,815	1497%
State Of Illinois	$3,650 - $4,266	1497%
Affordable Health Care Concepts	$4,123 - $4,819	1691%
University Of Chicago Practice Plan	$4,459 - $5,212	1829%
Health Care Services Corporation Dba Managed Care Network Preferred	$4,672 - $5,460	1917%
Gallagher Benefit Administrators	$5,145 - $6,014	2111%
Unicare Life And Health Insurance	$5,351 - $6,254	2195%
Private Healthcare Systems	$5,488 - $6,414	2251%
Resurrection Health Care Preferred	$5,488 - $6,414	2251%
Uic Physician Group	$5,557 - $6,495	2280%
Cofinity Aka Ppom	$5,831 - $6,815	2392%
Health Payors Organization	$5,831 - $6,815	2392%
Healthnetwork	$6,037 - $7,056	2477%
Hfn	$6,174 - $7,216	2533%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $4,463.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Shirley Ryan Abilitylab is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.