CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Shirley Ryan Abilitylab

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $3,327
  • Cash Discount Price: $3,071
  • vs. Medicare Baseline: 18.57x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Shirley Ryan Abilitylab is $3,327. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,071. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 18.57x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.
Cash / Self-Pay
$3,071

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,327

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $3,071 (1714%)
Insurance Median: $3,327 (1857%)
Cash: $3,071 (1714% of Medicare)
Ins. Median: $3,327 (1857% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 1857% of the Medicare baseline (a markup of 1757%). 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
Aetna $185 - $787 103%
Health Care Services Corporation $185 - $2,457 103%
Humana $185 103%
Tricare $185 103%
UnitedHealthcare $185 - $2,948 103%
Wellcare Meridian Fide $185 103%
Advocate Health Partners $188 105%
Blue Cross Blue Shield $571 - $638 319%
County Care $638 356%
Meridian Health Plan $638 356%
Cigna $1,477 824%
Hfn $1,831 - $4,830 1022%
Corvel Corporation $1,888 1054%
Coventry Workers Comp $1,888 1054%
Multiplan $1,888 1054%
Paradigm Health Corporation $1,927 1075%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co $1,927 - $4,562 1075%
State Of Illinois $1,927 - $2,855 1075%
Uic Physician Group-Campuscare $2,559 - $2,815 1428%
Uic Physician Group $2,815 - $4,347 1571%
Union Health Service $2,866 1599%
Affordable Health Care Concepts $3,076 - $3,226 1717%
Loyola University Physician Foundation $3,327 1857%
University Of Chicago Practice Plan $3,327 - $3,489 1857%
Health Care Services Corporation Dba Managed Care Network Preferred $3,485 - $4,555 1945%
Advocate And Advocate Health Partners $3,583 1999%
Gallagher Benefit Administrators $3,838 - $4,025 2142%
Health Care Services Corporation D/B/A Hmo Illinois $3,992 2228%
Unicare Life And Health Insurance $3,992 - $4,186 2228%
Private Healthcare Systems $4,094 - $4,294 2285%
Resurrection Health Care Preferred $4,094 - $4,294 2285%
Cofinity Aka Ppom $4,350 - $4,562 2427%
Health Payors Organization $4,350 - $4,562 2427%
Healthnetwork $4,504 - $4,862 2513%

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