CMS Price Transparency Data

X-ray, ankle

Facility: Shirley Ryan Abilitylab

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $439
  • Cash Discount Price: $406
  • vs. Medicare Baseline: 4.94x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Shirley Ryan Abilitylab is $439. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $406. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.94x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.
Cash / Self-Pay
$406

Average discount available for prompt cash payment at this facility.

Insurance Median
$439

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $406 (457%)
Insurance Median: $439 (494%)
Cash: $406 (457% of Medicare)
Ins. Median: $439 (494% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 494% of the Medicare baseline (a markup of 394%). 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 $92 - $360 103%
Health Care Services Corporation $92 - $324 103%
Humana $92 103%
Tricare $92 103%
UnitedHealthcare $92 - $412 103%
Wellcare Meridian Fide $92 103%
Advocate Health Partners $93 105%
Blue Cross Blue Shield $118 - $314 133%
County Care $118 133%
Meridian Health Plan $118 133%
Hfn $217 - $697 244%
Corvel Corporation $224 252%
Coventry Workers Comp $224 252%
Multiplan $224 252%
Paradigm Health Corporation $229 258%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co $229 - $658 258%
State Of Illinois $229 - $412 258%
Uic Physician Group-Campuscare $338 - $387 380%
Uic Physician Group $372 - $627 418%
Union Health Service $379 426%
Cigna $388 - $415 436%
Affordable Health Care Concepts $406 - $465 457%
Loyola University Physician Foundation $439 494%
University Of Chicago Practice Plan $439 - $503 494%
Health Care Services Corporation Dba Managed Care Network Preferred $460 - $602 517%
Advocate And Advocate Health Partners $473 532%
Gallagher Benefit Administrators $507 - $580 570%
Health Care Services Corporation D/B/A Hmo Illinois $527 593%
Unicare Life And Health Insurance $527 - $604 593%
Private Healthcare Systems $541 - $619 608%
Resurrection Health Care Preferred $541 - $619 608%
Cofinity Aka Ppom $575 - $658 647%
Health Payors Organization $575 - $658 647%
Healthnetwork $595 - $681 669%

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