CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Shirley Ryan Abilitylab

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $2,765
  • Cash Discount Price: $2,552
  • vs. Medicare Baseline: 15.43x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Shirley Ryan Abilitylab is $2,765. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,552. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 15.43x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.
Cash / Self-Pay
$2,552

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,765

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: $2,552 (1424%)
Insurance Median: $2,765 (1543%)
Cash: $2,552 (1424% of Medicare)
Ins. Median: $2,765 (1543% 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 1543% of the Medicare baseline (a markup of 1443%). 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 - $2,042 103%
Humana $185 103%
Tricare $185 103%
UnitedHealthcare $185 - $2,450 103%
Wellcare Meridian Fide $185 103%
Advocate Health Partners $188 105%
Blue Cross Blue Shield $472 - $638 263%
County Care $638 356%
Meridian Health Plan $638 356%
Hfn $1,425 - $3,829 795%
Corvel Corporation $1,470 820%
Coventry Workers Comp $1,470 820%
Multiplan $1,470 820%
Cigna $1,477 824%
Paradigm Health Corporation $1,500 837%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co $1,500 - $3,616 837%
State Of Illinois $1,500 - $2,263 837%
Uic Physician Group-Campuscare $2,087 - $2,340 1165%
Uic Physician Group $2,340 - $3,446 1306%
Union Health Service $2,382 1329%
Affordable Health Care Concepts $2,509 - $2,557 1400%
University Of Chicago Practice Plan $2,713 - $2,765 1514%
Loyola University Physician Foundation $2,765 1543%
Health Care Services Corporation Dba Managed Care Network Preferred $2,842 - $3,786 1586%
Advocate And Advocate Health Partners $2,978 1662%
Gallagher Benefit Administrators $3,130 - $3,190 1747%
Unicare Life And Health Insurance $3,256 - $3,318 1817%
Health Care Services Corporation D/B/A Hmo Illinois $3,318 1852%
Private Healthcare Systems $3,339 - $3,403 1863%
Resurrection Health Care Preferred $3,339 - $3,403 1863%
Cofinity Aka Ppom $3,548 - $3,616 1980%
Health Payors Organization $3,548 - $3,616 1980%
Healthnetwork $3,673 - $4,041 2050%

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