CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: Shirley Ryan Abilitylab

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $3,461
  • Cash Discount Price: $3,194
  • vs. Medicare Baseline: 14.20x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at Shirley Ryan Abilitylab is $3,461. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,194. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 14.20x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.
Cash / Self-Pay
$3,194

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,461

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: $3,194 (1310%)
Insurance Median: $3,461 (1420%)
Cash: $3,194 (1310% of Medicare)
Ins. Median: $3,461 (1420% 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 1420% of the Medicare baseline (a markup of 1320%). 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 - $2,556 103%
Humana $252 103%
Tricare $252 103%
UnitedHealthcare $252 - $3,067 103%
Wellcare Meridian Fide $252 103%
Advocate Health Partners $256 105%
Blue Cross Blue Shield $506 - $928 208%
County Care $506 208%
Meridian Health Plan $506 208%
Cigna $1,477 606%
Hfn $2,075 - $4,934 851%
Corvel Corporation $2,140 878%
Coventry Workers Comp $2,140 878%
Multiplan $2,140 878%
Paradigm Health Corporation $2,184 896%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co $2,184 - $4,660 896%
State Of Illinois $2,184 - $2,916 896%
Uic Physician Group-Campuscare $2,662 - $2,928 1092%
Uic Physician Group $2,928 - $4,440 1201%
Union Health Service $2,981 1223%
Affordable Health Care Concepts $3,200 - $3,295 1313%
Loyola University Physician Foundation $3,461 1420%
University Of Chicago Practice Plan $3,461 - $3,563 1420%
Health Care Services Corporation Dba Managed Care Network Preferred $3,626 - $4,738 1487%
Advocate And Advocate Health Partners $3,727 1529%
Gallagher Benefit Administrators $3,993 - $4,112 1638%
Health Care Services Corporation D/B/A Hmo Illinois $4,153 1704%
Unicare Life And Health Insurance $4,153 - $4,276 1704%
Private Healthcare Systems $4,259 - $4,386 1747%
Resurrection Health Care Preferred $4,259 - $4,386 1747%
Cofinity Aka Ppom $4,525 - $4,660 1856%
Health Payors Organization $4,525 - $4,660 1856%
Healthnetwork $4,685 - $5,058 1922%

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