CMS Price Transparency Data

X-ray, hip

Facility: Shirley Ryan Abilitylab

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $403
  • Cash Discount Price: $398
  • vs. Medicare Baseline: 4.53x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at Shirley Ryan Abilitylab is $403. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $398. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.53x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.
Cash / Self-Pay
$398

Average discount available for prompt cash payment at this facility.

Insurance Median
$403

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: $398 (448%)
Insurance Median: $403 (453%)
Cash: $398 (448% of Medicare)
Ins. Median: $403 (453% 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 453% of the Medicare baseline (a markup of 353%). 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 - $354 103%
Health Care Services Corporation $92 - $319 103%
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 - $309 133%
County Care $118 133%
Meridian Health Plan $118 133%
Uic Physician Group-Campuscare $332 - $365 373%
Hfn $336 - $598 378%
Corvel Corporation $346 389%
Coventry Workers Comp $346 389%
Multiplan $346 389%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co $353 - $564 397%
State Of Illinois $353 397%
Uic Physician Group $365 - $538 411%
Union Health Service $372 418%
Cigna $381 - $408 429%
Affordable Health Care Concepts $399 449%
Loyola University Physician Foundation $432 486%
Paradigm Health Corporation $432 486%
University Of Chicago Practice Plan $432 486%
Health Care Services Corporation Dba Managed Care Network Preferred $452 - $591 508%
Advocate And Advocate Health Partners $465 523%
Gallagher Benefit Administrators $498 560%
Health Care Services Corporation D/B/A Hmo Illinois $518 583%
Unicare Life And Health Insurance $518 583%
Private Healthcare Systems $531 597%
Resurrection Health Care Preferred $531 597%
Cofinity Aka Ppom $564 634%
Health Payors Organization $564 634%
Healthnetwork $584 - $631 657%

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