CMS Price Transparency Data

MRI, brain (no contrast)

Facility: Shirley Ryan Abilitylab

Billing Code: 70551 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70551
  • Insurance Median: $2,563
  • Cash Discount Price: $2,197
  • vs. Medicare Baseline: 10.51x Medicare
The contracted insurance negotiated median rate for a MRI, brain (no contrast) at Shirley Ryan Abilitylab is $2,563. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,197. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 10.51x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.
Cash / Self-Pay
$2,197

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,563

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: $2,197 (901%)
Insurance Median: $2,563 (1051%)
Cash: $2,197 (901% of Medicare)
Ins. Median: $2,563 (1051% 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 1051% of the Medicare baseline (a markup of 951%). 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 $252 - $1,125 103%
Health Care Services Corporation $252 - $1,758 103%
Humana $252 103%
Tricare $252 103%
UnitedHealthcare $252 - $2,109 103%
Wellcare Meridian Fide $252 103%
Advocate Health Partners $256 105%
Blue Cross Blue Shield $506 - $951 208%
County Care $506 208%
Meridian Health Plan $506 208%
Cigna $1,477 606%
Uic Physician Group-Campuscare $1,831 - $2,776 751%
Hfn $1,925 - $4,998 790%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co $1,948 - $4,720 799%
State Of Illinois $1,948 - $2,954 799%
Corvel Corporation $1,985 814%
Coventry Workers Comp $1,985 814%
Multiplan $1,985 814%
Uic Physician Group $2,014 - $4,498 826%
Paradigm Health Corporation $2,026 831%
Union Health Service $2,051 841%
Affordable Health Care Concepts $2,201 - $3,337 903%
Loyola University Physician Foundation $2,380 976%
University Of Chicago Practice Plan $2,380 - $3,609 976%
Health Care Services Corporation Dba Managed Care Network Preferred $2,494 - $3,782 1023%
Advocate And Advocate Health Partners $2,563 1051%
Gallagher Benefit Administrators $2,746 - $4,165 1126%
Health Care Services Corporation D/B/A Hmo Illinois $2,856 1172%
Unicare Life And Health Insurance $2,856 - $4,331 1172%
Private Healthcare Systems $2,930 - $4,442 1202%
Resurrection Health Care Preferred $2,930 - $4,442 1202%
Cofinity Aka Ppom $3,113 - $4,720 1277%
Health Payors Organization $3,113 - $4,720 1277%
Healthnetwork $3,223 - $4,887 1322%

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