CMS Price Transparency Data

X-ray, foot

Facility: Shirley Ryan Abilitylab

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73630
  • Insurance Median: $429
  • Cash Discount Price: $368
  • vs. Medicare Baseline: 4.83x Medicare
The contracted insurance negotiated median rate for a X-ray, foot at Shirley Ryan Abilitylab is $429. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $368. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.83x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.
Cash / Self-Pay
$368

Average discount available for prompt cash payment at this facility.

Insurance Median
$429

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: $368 (414%)
Insurance Median: $429 (483%)
Cash: $368 (414% of Medicare)
Ins. Median: $429 (483% 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 483% of the Medicare baseline (a markup of 383%). 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 - $327 103%
Health Care Services Corporation $92 - $294 103%
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 - $285 133%
County Care $118 133%
Meridian Health Plan $118 133%
Hfn $212 - $764 238%
Corvel Corporation $218 245%
Coventry Workers Comp $218 245%
Multiplan $218 245%
Paradigm Health Corporation $223 251%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co $223 - $722 251%
State Of Illinois $223 - $452 251%
Uic Physician Group-Campuscare $306 - $424 344%
Uic Physician Group $337 - $688 379%
Union Health Service $343 386%
Cigna $352 - $376 396%
Affordable Health Care Concepts $368 - $510 414%
Loyola University Physician Foundation $398 448%
University Of Chicago Practice Plan $398 - $552 448%
Health Care Services Corporation Dba Managed Care Network Preferred $417 - $578 469%
Advocate And Advocate Health Partners $429 483%
Gallagher Benefit Administrators $460 - $637 517%
Health Care Services Corporation D/B/A Hmo Illinois $478 538%
Unicare Life And Health Insurance $478 - $662 538%
Private Healthcare Systems $490 - $679 551%
Resurrection Health Care Preferred $490 - $679 551%
Cofinity Aka Ppom $521 - $722 586%
Health Payors Organization $521 - $722 586%
Healthnetwork $539 - $747 606%

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