CMS Price Transparency Data

CT scan, sinuses

Facility: Shirley Ryan Abilitylab

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,941
Cash Discount Price: $2,270
vs. Medicare Baseline: 27.53x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at Shirley Ryan Abilitylab is $2,941. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,270. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 27.53x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.

Cash / Self-Pay

$2,270

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,941

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,270 (2125%)

Insurance Median: $2,941 (2753%)

Cash: $2,270 (2125% of Medicare)

Ins. Median: $2,941 (2753% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 2753% of the Medicare baseline (a markup of 2653%). 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	$1,862 - $1,922	1743%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co	$1,981 - $3,267	1855%
State Of Illinois	$1,981 - $2,044	1855%
Affordable Health Care Concepts	$2,238 - $2,310	2095%
University Of Chicago Practice Plan	$2,420 - $2,498	2266%
Health Care Services Corporation Dba Managed Care Network Preferred	$2,535 - $2,617	2373%
Gallagher Benefit Administrators	$2,792 - $2,882	2614%
Unicare Life And Health Insurance	$2,904 - $2,998	2719%
Private Healthcare Systems	$2,978 - $3,074	2788%
Resurrection Health Care Preferred	$2,978 - $3,074	2788%
Uic Physician Group	$3,016 - $3,113	2824%
Cofinity Aka Ppom	$3,165 - $3,267	2963%
Health Payors Organization	$3,165 - $3,267	2963%
Healthnetwork	$3,276 - $3,382	3067%
Hfn	$3,351 - $3,459	3137%

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 $2,270.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

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 70486.
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.