CMS Price Transparency Data

X-ray, lower back

Facility: Shirley Ryan Abilitylab

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $738
  • Cash Discount Price: $681
  • vs. Medicare Baseline: 6.91x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Shirley Ryan Abilitylab is $738. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $681. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 6.91x the Medicare baseline. Located in 355 E Erie St, Chicago, IL.
Cash / Self-Pay
$681

Average discount available for prompt cash payment at this facility.

Insurance Median
$738

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $681 (638%)
Insurance Median: $738 (691%)
Cash: $681 (638% of Medicare)
Ins. Median: $738 (691% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 691% of the Medicare baseline (a markup of 591%). 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 $110 - $605 103%
Health Care Services Corporation $110 - $545 103%
Humana $110 103%
Tricare $110 103%
UnitedHealthcare $110 - $412 103%
Wellcare Meridian Fide $110 103%
Advocate Health Partners $112 105%
Blue Cross Blue Shield $118 - $528 110%
County Care $118 110%
Meridian Health Plan $118 110%
Hfn $446 - $1,169 418%
Corvel Corporation $460 431%
Coventry Workers Comp $460 431%
Multiplan $460 431%
Paradigm Health Corporation $469 439%
Personalcare Insurance Of Il/Firsthealth Grp Corp/Coventryhealth And Life Insurance Co $469 - $1,104 439%
State Of Illinois $469 - $691 439%
Uic Physician Group-Campuscare $568 - $650 532%
Uic Physician Group $624 - $1,052 584%
Union Health Service $636 595%
Cigna $651 - $697 609%
Affordable Health Care Concepts $682 - $781 639%
Loyola University Physician Foundation $738 691%
University Of Chicago Practice Plan $738 - $844 691%
Health Care Services Corporation Dba Managed Care Network Preferred $773 - $1,010 724%
Advocate And Advocate Health Partners $794 743%
Gallagher Benefit Administrators $851 - $974 797%
Health Care Services Corporation D/B/A Hmo Illinois $885 829%
Unicare Life And Health Insurance $885 - $1,013 829%
Private Healthcare Systems $908 - $1,039 850%
Resurrection Health Care Preferred $908 - $1,039 850%
Cofinity Aka Ppom $965 - $1,104 903%
Health Payors Organization $965 - $1,104 903%
Healthnetwork $999 - $1,143 935%

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