Shirley Ryan Abilitylab
355 E Erie St, Chicago, IL 60611 · 86 Priced Procedures
Typical commercial prices here are +64% above the fair benchmark (1.64×) even after accounting for local nurse/doctor wages and patient complexity.
Balances commercial hospital prices against CMS clinical safety, infection control, and patient experience.
Wide Procedure Spread · Upper-Quartile Skew Pricer
Shirley Ryan Abilitylab prices routine shoppable procedures at 2.0× Medicare (median 1.45× Fair BaseRate) while upper-quartile commercial rates jump +44% to 2.09× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.
Where They're Good (Patient & Payer Edge)
- Bottom-quartile procedures (Q25) price at 1.27× the peer BaseRate benchmark
- Self-pay cash beats commercial insurance on 64% of shoppable procedures (99/100 Cash Honesty)
- CMS clinical safety score (54/100 safety score) with 72% patient recommendation
- IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (65.0% AGB cap)
Where You Can Get Burned (Markup Traps)
- Even at low-cost facilities (1.64× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
- Commercial insurance median sits at 1.45× Fair BaseRate (2.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
- Upper-quartile procedures (Q75 2.09×) jump +44% above the median procedure ratio (Q50 1.45×)
- Unnegotiated chargemaster list prices average 16.8× Medicare (22¢ true HCRIS cost per $1 gross)
Pre-scheduled outpatient procedures where patients can comparison-shop.
Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.
Detects median-gaming when upper-quartile codes spike above the p50 median.
Procedure Prices at Shirley Ryan Abilitylab
High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 86 published procedures.
| Procedure & Billing Code | This Hospital | vs. Fair |
|---|---|---|
| CT scan, abdomen and pelvis (with contrast) CPT Code: 74177 | $5,159 | 11.5× |
| CT scan, abdomen and pelvis (no contrast) CPT Code: 74176 | $4,463 | 14.7× |
| Colonoscopy with biopsy CPT Code: 45380 | $3,509 | 2.8× |
| Sleep study (overnight, in lab) CPT Code: 95810 | $3,420 | 3.3× |
| Echocardiogram (heart ultrasound) CPT Code: 93306 | $2,810 | 4.8× |
| Upper endoscopy with biopsy CPT Code: 43239 | $2,758 | 2.8× |
| CT scan, sinuses CPT Code: 70486 | $2,270 | 13.7× |
| Colonoscopy (diagnostic) CPT Code: 45378 | $2,164 | 2.2× |
| Ultrasound, abdomen (complete) CPT Code: 76700 | $1,519 | 11.3× |
| Ultrasound, abdomen (limited) CPT Code: 76705 | $1,375 | 10.9× |
| Ultrasound, pelvis CPT Code: 76856 | $1,294 | 10.0× |
| Ultrasound, thyroid and neck CPT Code: 76536 | $1,151 | 8.7× |
| MRI, brain (with and without contrast) CPT Code: 70553 | $854 | 1.7× |
| Blood transfusion CPT Code: 36430 | $726 | 1.5× |
| CT scan, head (no contrast) CPT Code: 70450 | $638 | unverified |
| CT scan, head (with contrast) CPT Code: 70460 | $638 | unverified |
| CT scan, head (with and without contrast) CPT Code: 70470 | $638 | unverified |
| MRI, lower back (no contrast) CPT Code: 72148 | $506 | 1.5× |
| MRI, brain (no contrast) CPT Code: 70551 | $506 | 1.5× |
| MRI, knee or other leg joint CPT Code: 73721 | $506 | 1.4× |
| Psychological testing by technician CPT Code: 96138 | $432 | 1.1× |
| New patient office visit (30-44 min) CPT Code: 99203 | $344 | unverified |
| Ultrasound, leg veins (duplex) CPT Code: 93970 | $252 | 0.9× |
| Electrocardiogram (EKG, tracing only) CPT Code: 93005 | $213 | 3.3× |
| Office visit, established patient (30-39 min) CPT Code: 99214 | $230 | 1.9× |
Audit a Bill or Quote at Shirley Ryan Abilitylab (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $5,589
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (65.0% of gross = $5,589).
Self-Pay Cash Rate ($5,159) Beats Your Bill
Shirley Ryan Abilitylab's published 45 CFR § 180 self-pay cash rate is $5,159 (vs. $5,159 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $448 Fair BaseRate ($356 Medicare)
Your bill ($8,598) is $8,150 above the denoised Fair BaseRate ($448) and 24.2× the $356 Medicare rate.
Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)
Hospital-Specific CMS HCRIS Benchmark (65.0% of gross charges)
Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Shirley Ryan Abilitylab.
Notable Payer Contract Outliers (SVD Matrix Anomalies)
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.