Where is Shirley Ryan Abilitylab?

355 E Erie St, Chicago, IL 60611, in Cook County, Illinois.

What is the phone number of Shirley Ryan Abilitylab?

(312) 238-3305, as listed by Medicare (CMS).

Shirley Ryan Abilitylab — Chicago, IL

Quick answers

Where is Shirley Ryan Abilitylab?: 355 E Erie St, Chicago, IL 60611, in Cook County, Illinois.
What is the phone number of Shirley Ryan Abilitylab?: (312) 238-3305, as listed by Medicare (CMS).

Specialties and care areas^[4][12][17]

Musculoskeletal Medicine
Occupational Therapy
Physical Therapy
Speech Language Therapy
Pain Management
Prosthetics and Orthotics
Pediatric Rehabilitation
Women's Health
Physical medicine and rehabilitation
Speech-language pathology

Conditions treated^[4][11]

Stroke
Spinal cord injury
Brain injury
Aphasia
Arthritis and joint conditions
Burn injury
Cancer
Cardiac dysfunction
Cerebral palsy
Concussion
COVID recovery
Guillain-Barre syndrome
Limb loss
Locked-in syndrome
Multiple sclerosis
Parkinson's disease and movement disorders
Pulmonary disorders
Spina bifida
Vestibular disorders
Pediatric and adolescent rehabilitation

Treatments^{[4][12][13][16][17]}

Ventilator weaning
Cancer rehabilitation
Neuropsychology and behavioral health services
Neuro-optometry and vision therapy
Vestibular therapy
Spasticity and movement disorders management
Neurogenic bowel and bladder management
Virtual-reality and multisensory stimulation therapy
Wound care
Vocational rehabilitation
Interdisciplinary chronic pain program
Swallow therapy
Assistive technology
Computerized motion analysis
Pulmonary rehabilitation
Wheelchair seating and positioning

Procedures^[12][14][16]

Fabrication, fitting and use of prosthesis or orthosis
Tuning clinic for ankle foot orthosis
Spinal injection

Programs and centers^{[4][10][11][15][16][17][18]}

Adaptive Sports and Fitness Program
Disorders of Consciousness Program
ExpertEval Second Opinion
DayRehab Center
Global Patient Services
Pain Management Center
Inner Strength Initiative
Center for Aphasia Research and Treatment
Stroke Support Group

Visiting and practical information

Visiting	Inpatient visiting hours are 8 a.m. to 8 p.m^[5]
Parking	Garage entrance on East Ontario St.; patient rate $8 per day with validation, visitors $12-$15^[5]
Interpreters and languages	Free interpreters for many languages, 24 hours a day for all patients; sign-language interpreters available^[9][20]

Nearest emergency rooms

Hospitals that list emergency services, by straight-line distance (not driving distance).

Northwestern Memorial Hospital0.1 mi · Chicago, IL · Acute Care Hospital
Ann & Robert H Lurie Childrens Hospital of Chicago0.3 mi · Chicago, IL · Children's Hospital
Presence Saint Joseph Hospital - Chicago2.9 mi · Chicago, IL · Acute Care Hospital
John H Stroger Jr Hospital3.2 mi · Chicago, IL · Acute Care Hospital
University of Illinois Hospital and Clinics3.2 mi · Chicago, IL · Acute Care Hospital

Other hospitals nearby

Rush Specialty Hospital, LLC2.3 mi · Chicago, IL · Long-Term Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Terraces at the Clare0.5 mi · Chicago, IL · 5 of 5 stars
Warren Barr Gold Coast0.8 mi · Chicago, IL · 4 of 5 stars
Warren Barr South Loop2.5 mi · Chicago, IL · 1 of 5 stars

All nursing homes in the state →

Outpatient surgery centers nearby

Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.

River North Same Day Surgery LLC0.2 mi · Chicago, IL
Surgery Ctr at 900 N Michigan0.2 mi · Chicago, IL
Gold Coast Surgicenter, LLC0.6 mi · Chicago, IL

All outpatient surgery centers in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Community health centers

Denny Community Health Center0.2 mi · Chicago, IL · Community health center
LCHC at Fourth Presbyterian - Chicago Lights0.4 mi · Chicago, IL · Community health center
Winfield Moody Health Center1.4 mi · Chicago, IL · Community health center

Clinics and urgent care

Midwest Express Care 2, Inc0.9 mi · Chicago, IL · Urgent care center
Medin Medical Services PLLC1.2 mi · Chicago, IL · Urgent care center
Midwest Express Care 2, Inc1.5 mi · Chicago, IL · Urgent care center

Pharmacies

Blue Fig LLC0.2 mi · Chicago, IL · Community/retail pharmacy
Highland Park CVS LLC0.2 mi · Chicago, IL · Pharmacy
Northwestern Memorial Hospital0.2 mi · Chicago, IL · Community/retail pharmacy

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Chicago Best hospitals in Chicago

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 48 common services exactly as Shirley Ryan Abilitylab lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 3 New Charge- 99203	$459	$275.40	$65 – $459
New patient office visit (about 30–44 minutes): 10 of 36 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $321.30 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $367.12 Aetna Illinois Preferred — Aetna Illinois Preferred: $244.65 Aetna US Healthcare of Illinois — Aetna: $175 Affordable Health Care Concepts — First Health: $275.86 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $367.12 Blue Cross Blue Shield of IL — Blue Choice PPO: $213.44 Cigna — Cigna Local Plus: $65 CIGNA HealthCare of Illinois — CIGNA: $65 Cofinity aka PPOM — Cofinity aka PPOM: $390.15
New patient office visit (about 30–44 minutes) CPT 99203 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Office Visit Level 3 New Charge- 99203	$459	$275.40	$229.50 – $459
New patient office visit (about 30–44 minutes): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $275.86 Cofinity aka PPOM — Cofinity aka PPOM: $390.15 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $344.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $312.58 Health Payors Organization — HPO: $390.15 HealthNetwork — Claritev: $403.92 HFN — HFN-Group Health: $413.10 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $244.19 Private Healthcare Systems — PHCS: $367.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $367.20
New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office Visit Level 3 New Charge- 99203	$459	$275.40	$123.16 – $459
New patient office visit (about 30–44 minutes): rates for 5 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $459 Aetna Medicare Advantage — Aetna Medicare Advantage: $123.16 Health Care Services Corporation — BC Medicare Select: $123.16 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $344.25
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 4 New Charge- 99204	$586	$351.60	$65 – $586
New patient office visit (about 45–59 minutes): 10 of 36 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $410.20 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $367.12 Aetna Illinois Preferred — Aetna Illinois Preferred: $312.34 Aetna US Healthcare of Illinois — Aetna: $175 Affordable Health Care Concepts — First Health: $352.19 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $367.12 Blue Cross Blue Shield of IL — Blue Choice PPO: $272.49 Cigna — Cigna Local Plus: $65 CIGNA HealthCare of Illinois — CIGNA: $65 Cofinity aka PPOM — Cofinity aka PPOM: $498.10
New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office Visit Level 4 New Charge- 99204	$586	$351.60	$170 – $586
New patient office visit (about 45–59 minutes): rates for 5 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $586 Aetna Medicare Advantage — Aetna Medicare Advantage: $185.74 Health Care Services Corporation — BC Medicare Select: $185.74 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $439.50
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 5 New Charge- 99205	$761	$456.60	$65 – $761
New patient office visit (about 60–74 minutes): 10 of 36 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $532.70 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $367.12 Aetna Illinois Preferred — Aetna Illinois Preferred: $405.61 Aetna US Healthcare of Illinois — Aetna: $175 Affordable Health Care Concepts — First Health: $457.36 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $367.12 Blue Cross Blue Shield of IL — Blue Choice PPO: $353.87 Cigna — Cigna Local Plus: $65 CIGNA HealthCare of Illinois — CIGNA: $65 Cofinity aka PPOM — Cofinity aka PPOM: $646.85
New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office Visit Level 5 New Charge- 99205	$761	$456.60	$170 – $761
New patient office visit (about 60–74 minutes): rates for 5 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $761 Aetna Medicare Advantage — Aetna Medicare Advantage: $249.68 Health Care Services Corporation — BC Medicare Select: $249.68 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $570.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Affiliates On Site Technical Charge	$255	$153	$65 – $255
Established patient office visit (about 20–29 minutes): 10 of 36 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $178.50 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $367.12 Aetna Illinois Preferred — Aetna Illinois Preferred: $135.92 Aetna US Healthcare of Illinois — Aetna: $175 Affordable Health Care Concepts — First Health: $153.26 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $367.12 Blue Cross Blue Shield of IL — Blue Choice PPO: $118.58 Cigna — Cigna Local Plus: $65 CIGNA HealthCare of Illinois — CIGNA: $65 Cofinity aka PPOM — Cofinity aka PPOM: $216.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 3 Est Charge- 99213	$255	$153	$65 – $255
Established patient office visit (about 20–29 minutes): 10 of 36 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $178.50 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $367.12 Aetna Illinois Preferred — Aetna Illinois Preferred: $135.92 Aetna US Healthcare of Illinois — Aetna: $175 Affordable Health Care Concepts — First Health: $153.26 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $367.12 Blue Cross Blue Shield of IL — Blue Choice PPO: $118.58 Cigna — Cigna Local Plus: $65 CIGNA HealthCare of Illinois — CIGNA: $65 Cofinity aka PPOM — Cofinity aka PPOM: $216.75
Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Affiliates On Site Technical Charge	$255	$153	$98.04 – $255
Established patient office visit (about 20–29 minutes): rates for 5 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $255 Aetna Medicare Advantage — Aetna Medicare Advantage: $98.04 Health Care Services Corporation — BC Medicare Select: $98.04 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $191.25
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Visit Level 4 Est Charge- 99214	$307	$184.20	$65 – $307
Established patient office visit (about 30–39 minutes): 10 of 36 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $214.90 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $367.12 Aetna Illinois Preferred — Aetna Illinois Preferred: $163.63 Aetna US Healthcare of Illinois — Aetna: $175 Affordable Health Care Concepts — First Health: $184.51 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $367.12 Blue Cross Blue Shield of IL — Blue Choice PPO: $142.75 Cigna — Cigna Local Plus: $65 CIGNA HealthCare of Illinois — CIGNA: $65 Cofinity aka PPOM — Cofinity aka PPOM: $260.95
Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office Visit Level 4 Est Charge- 99214	$307	$184.20	$140.17 – $307
Established patient office visit (about 30–39 minutes): rates for 5 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $307 Aetna Medicare Advantage — Aetna Medicare Advantage: $140.17 Health Care Services Corporation — BC Medicare Select: $140.17 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $230.25
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Consult Level 3 Charge- 99243	$163	$97.80	$65 – $175
Office consultation with a specialist (moderate): 10 of 36 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $114.10 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $367.12 Aetna Illinois Preferred — Aetna Illinois Preferred: $86.88 Aetna US Healthcare of Illinois — Aetna: $175 Affordable Health Care Concepts — First Health: $97.96 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $367.12 Blue Cross Blue Shield of IL — Blue Choice PPO: $75.80 Cigna — Cigna Local Plus: $65 CIGNA HealthCare of Illinois — CIGNA: $65 Cofinity aka PPOM — Cofinity aka PPOM: $138.55
Office consultation with a specialist (moderate) CPT 99243 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office Consult Level 3 Charge- 99243	$163	$97.80	$122.25 – $170
Office consultation with a specialist (moderate): rates for 3 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $163 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $122.25
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Office Consult Level 4 Charge- 99244	$229	$137.40	$65 – $229
Office consultation with a specialist (moderate to high): 10 of 36 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $160.30 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $367.12 Aetna Illinois Preferred — Aetna Illinois Preferred: $122.06 Aetna US Healthcare of Illinois — Aetna: $175 Affordable Health Care Concepts — First Health: $137.63 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $367.12 Blue Cross Blue Shield of IL — Blue Choice PPO: $106.48 Cigna — Cigna Local Plus: $65 CIGNA HealthCare of Illinois — CIGNA: $65 Cofinity aka PPOM — Cofinity aka PPOM: $194.65
Office consultation with a specialist (moderate to high) CPT 99244 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Office Consult Level 4 Charge- 99244	$229	$137.40	$170 – $229
Office consultation with a specialist (moderate to high): rates for 3 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $229 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $171.75
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 3 NMH	$1,924	$1,154.40	$962 – $1,924
Emergency room visit (moderate): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $1,156.32 Cofinity aka PPOM — Cofinity aka PPOM: $1,635.40 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $1,443 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $1,310.24 Health Payors Organization — HPO: $1,635.40 HealthNetwork — Claritev: $1,693.12 HFN — HFN-Group Health: $1,731.60 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $1,023.57 Private Healthcare Systems — PHCS: $1,539.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $1,539.20
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 4 NMH	$3,607	$2,164.20	$1,803.50 – $3,607
Emergency room visit (moderately high): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $2,167.81 Cofinity aka PPOM — Cofinity aka PPOM: $3,065.95 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $2,705.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $2,456.37 Health Payors Organization — HPO: $3,065.95 HealthNetwork — Claritev: $3,174.16 HFN — HFN-Group Health: $3,246.30 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $1,918.92 Private Healthcare Systems — PHCS: $2,885.60 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $2,885.60
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) · Hospital (facility) fee In the file: ED VISIT LEVEL 5 NMH	$5,049	$3,029.40	$2,524.50 – $5,049
Emergency room visit (high): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $3,034.45 Cofinity aka PPOM — Cofinity aka PPOM: $4,291.65 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $3,786.75 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $3,438.37 Health Payors Organization — HPO: $4,291.65 HealthNetwork — Claritev: $4,443.12 HFN — HFN-Group Health: $4,544.10 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $2,686.07 Private Healthcare Systems — PHCS: $4,039.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $4,039.20

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Basic Chemistry Panel Calcium total	$374	$224.40	$8.29 – $374
Basic metabolic panel (blood test): 10 of 43 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $261.80 Advocate Health Partners — Advocate Medicare Advantage: $8.46 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $15.37 Aetna FIDE — Aetna FIDE: $8.29 Aetna Illinois Preferred — Aetna Illinois Preferred: $9.89 Aetna Medicare Advantage — Aetna Medicare Advantage: $8.29 Aetna US Healthcare of Illinois — Aetna: $11.73 Affordable Health Care Concepts — First Health: $224.77 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $15.37 Blue Cross Blue Shield of IL — Blue Choice PPO: $173.91
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: BASIC METABOLIC PANEL NMH	$314	$188.40	$157 – $314
Basic metabolic panel (blood test): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $188.71 Cofinity aka PPOM — Cofinity aka PPOM: $266.90 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $235.50 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $213.83 Health Payors Organization — HPO: $266.90 HealthNetwork — Claritev: $276.32 HFN — HFN-Group Health: $282.60 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $167.05 Private Healthcare Systems — PHCS: $251.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $251.20
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Basic Chemistry Panel Calcium total	$374	$224.40	$187 – $374
Basic metabolic panel (blood test): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $224.77 Cofinity aka PPOM — Cofinity aka PPOM: $317.90 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $280.50 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $254.69 Health Payors Organization — HPO: $317.90 HealthNetwork — Claritev: $329.12 HFN — HFN-Group Health: $336.60 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $198.97 Private Healthcare Systems — PHCS: $299.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $299.20
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel	$437	$262.20	$10.35 – $437
Comprehensive metabolic panel (blood test): 10 of 43 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $305.90 Advocate Health Partners — Advocate Medicare Advantage: $10.56 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $15.37 Aetna FIDE — Aetna FIDE: $10.35 Aetna Illinois Preferred — Aetna Illinois Preferred: $12.34 Aetna Medicare Advantage — Aetna Medicare Advantage: $10.35 Aetna US Healthcare of Illinois — Aetna: $14.64 Affordable Health Care Concepts — First Health: $262.64 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $15.37 Blue Cross Blue Shield of IL — Blue Choice PPO: $203.21
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Comprehensive Metabolic Panel	$437	$262.20	$218.50 – $437
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $262.64 Cofinity aka PPOM — Cofinity aka PPOM: $371.45 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $327.75 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $297.60 Health Payors Organization — HPO: $371.45 HealthNetwork — Claritev: $384.56 HFN — HFN-Group Health: $393.30 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $232.48 Private Healthcare Systems — PHCS: $349.60 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $349.60
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Comprehensive Metabolic Panel	$437	$262.20	$10.35 – $437
Comprehensive metabolic panel (blood test): rates for 5 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $437 Aetna Medicare Advantage — Aetna Medicare Advantage: $10.35 Health Care Services Corporation — BC Medicare Select: $10.35 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $327.75
Cholesterol panel (lipid panel) CPT 80061 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Coronary Risk/Lipid Panel	$248	$148.80	$124 – $248
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $149.05 Cofinity aka PPOM — Cofinity aka PPOM: $210.80 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $186 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $168.89 Health Payors Organization — HPO: $210.80 HealthNetwork — Claritev: $218.24 HFN — HFN-Group Health: $223.20 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $131.94 Private Healthcare Systems — PHCS: $198.40 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $198.40
Kidney function panel CPT 80069 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Kidney Chemistry Panel	$354	$212.40	$8.51 – $354
Kidney function panel: 10 of 43 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $247.80 Advocate Health Partners — Advocate Medicare Advantage: $8.68 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $15.37 Aetna FIDE — Aetna FIDE: $8.51 Aetna Illinois Preferred — Aetna Illinois Preferred: $10.15 Aetna Medicare Advantage — Aetna Medicare Advantage: $8.51 Aetna US Healthcare of Illinois — Aetna: $12.03 Affordable Health Care Concepts — First Health: $212.75 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $15.37 Blue Cross Blue Shield of IL — Blue Choice PPO: $164.61
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: RENAL FUNCTION PANEL NMH	$223	$133.80	$111.50 – $223
Kidney function panel: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $134.02 Cofinity aka PPOM — Cofinity aka PPOM: $189.55 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $167.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $151.86 Health Payors Organization — HPO: $189.55 HealthNetwork — Claritev: $196.24 HFN — HFN-Group Health: $200.70 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $118.64 Private Healthcare Systems — PHCS: $178.40 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $178.40
Kidney function panel CPT 80069 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Kidney Chemistry Panel	$354	$212.40	$177 – $354
Kidney function panel: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $212.75 Cofinity aka PPOM — Cofinity aka PPOM: $300.90 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $265.50 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $241.07 Health Payors Organization — HPO: $300.90 HealthNetwork — Claritev: $311.52 HFN — HFN-Group Health: $318.60 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $188.33 Private Healthcare Systems — PHCS: $283.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $283.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Liver Chemistry Panel	$384	$230.40	$8.01 – $384
Liver function panel: 10 of 43 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $268.80 Advocate Health Partners — Advocate Medicare Advantage: $8.17 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $15.37 Aetna FIDE — Aetna FIDE: $8.01 Aetna Illinois Preferred — Aetna Illinois Preferred: $9.55 Aetna Medicare Advantage — Aetna Medicare Advantage: $8.01 Aetna US Healthcare of Illinois — Aetna: $11.32 Affordable Health Care Concepts — First Health: $230.78 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $15.37 Blue Cross Blue Shield of IL — Blue Choice PPO: $178.56
Liver function panel CPT 80076 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Liver Chemistry Panel	$384	$230.40	$192 – $384
Liver function panel: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $230.78 Cofinity aka PPOM — Cofinity aka PPOM: $326.40 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $288 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $261.50 Health Payors Organization — HPO: $326.40 HealthNetwork — Claritev: $337.92 HFN — HFN-Group Health: $345.60 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $204.29 Private Healthcare Systems — PHCS: $307.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $307.20
Liver function panel CPT 80076 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Liver Chemistry Panel	$384	$230.40	$8.01 – $384
Liver function panel: rates for 5 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $384 Aetna Medicare Advantage — Aetna Medicare Advantage: $8.01 Health Care Services Corporation — BC Medicare Select: $8.01 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $288
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis with Microscopic	$122	$73.20	$61 – $122
Urine test (automated, with microscope): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $73.32 Cofinity aka PPOM — Cofinity aka PPOM: $103.70 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $91.50 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $83.08 Health Payors Organization — HPO: $103.70 HealthNetwork — Claritev: $107.36 HFN — HFN-Group Health: $109.80 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $64.90 Private Healthcare Systems — PHCS: $97.60 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $97.60
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urine Ketone	$84	$50.40	$42 – $84
Urine test (automated, with microscope): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $50.48 Cofinity aka PPOM — Cofinity aka PPOM: $71.40 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $63 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $57.20 Health Payors Organization — HPO: $71.40 HealthNetwork — Claritev: $73.92 HFN — HFN-Group Health: $75.60 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $44.69 Private Healthcare Systems — PHCS: $67.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $67.20
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis NMH	$132	$79.20	$66 – $132
Urine test (automated, with microscope): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $79.33 Cofinity aka PPOM — Cofinity aka PPOM: $112.20 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $99 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $89.89 Health Payors Organization — HPO: $112.20 HealthNetwork — Claritev: $116.16 HFN — HFN-Group Health: $118.80 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $70.22 Private Healthcare Systems — PHCS: $105.60 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $105.60
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Urinalysis	$99	$59.40	$2.20 – $99
Urine test (automated, without microscope): 10 of 43 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $69.30 Advocate Health Partners — Advocate Medicare Advantage: $2.25 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $5.12 Aetna FIDE — Aetna FIDE: $2.20 Aetna Illinois Preferred — Aetna Illinois Preferred: $2.64 Aetna Medicare Advantage — Aetna Medicare Advantage: $2.20 Aetna US Healthcare of Illinois — Aetna: $3.13 Affordable Health Care Concepts — First Health: $59.50 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $5.12 Blue Cross Blue Shield of IL — Blue Choice PPO: $46.04
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Urinalysis	$99	$59.40	$49.50 – $99
Urine test (automated, without microscope): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $59.50 Cofinity aka PPOM — Cofinity aka PPOM: $84.15 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $74.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $67.42 Health Payors Organization — HPO: $84.15 HealthNetwork — Claritev: $87.12 HFN — HFN-Group Health: $89.10 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $52.67 Private Healthcare Systems — PHCS: $79.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $79.20
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Urinalysis	$99	$59.40	$2.21 – $170
Urine test (automated, without microscope): rates for 5 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $99 Aetna Medicare Advantage — Aetna Medicare Advantage: $2.21 Health Care Services Corporation — BC Medicare Select: $2.21 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $74.25
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Prostate Specific Antigen Diagnostic	$126	$75.60	$63 – $126
PSA (prostate specific antigen) blood test: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $75.73 Cofinity aka PPOM — Cofinity aka PPOM: $107.10 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $94.50 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $85.81 Health Payors Organization — HPO: $107.10 HealthNetwork — Claritev: $110.88 HFN — HFN-Group Health: $113.40 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $67.03 Private Healthcare Systems — PHCS: $100.80 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $100.80
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH w/Reflex to FT4	$263	$157.80	$16.46 – $263
Thyroid stimulating hormone (TSH) test: 10 of 43 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $184.10 Advocate Health Partners — Advocate Medicare Advantage: $16.80 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $22.46 Aetna FIDE — Aetna FIDE: $16.46 Aetna Illinois Preferred — Aetna Illinois Preferred: $19.64 Aetna Medicare Advantage — Aetna Medicare Advantage: $16.46 Aetna US Healthcare of Illinois — Aetna: $23.29 Affordable Health Care Concepts — First Health: $158.06 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $22.46 Blue Cross Blue Shield of IL — Blue Choice PPO: $122.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: TSH 3rd Generation	$263	$157.80	$16.46 – $263
Thyroid stimulating hormone (TSH) test: 10 of 43 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $184.10 Advocate Health Partners — Advocate Medicare Advantage: $16.80 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $22.46 Aetna FIDE — Aetna FIDE: $16.46 Aetna Illinois Preferred — Aetna Illinois Preferred: $19.64 Aetna Medicare Advantage — Aetna Medicare Advantage: $16.46 Aetna US Healthcare of Illinois — Aetna: $23.29 Affordable Health Care Concepts — First Health: $158.06 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $22.46 Blue Cross Blue Shield of IL — Blue Choice PPO: $122.30
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Thyroid Stimulating Immunogloblins w/TSH	$263	$157.80	$131.50 – $263
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $158.06 Cofinity aka PPOM — Cofinity aka PPOM: $223.55 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $197.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $179.10 Health Payors Organization — HPO: $223.55 HealthNetwork — Claritev: $231.44 HFN — HFN-Group Health: $236.70 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $139.92 Private Healthcare Systems — PHCS: $210.40 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $210.40
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC-Compete Blood Count with Differential and Plat	$198	$118.80	$7.61 – $198
Complete blood count (CBC) with differential: 10 of 43 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $138.60 Advocate Health Partners — Advocate Medicare Advantage: $7.77 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $10.10 Aetna FIDE — Aetna FIDE: $7.61 Aetna Illinois Preferred — Aetna Illinois Preferred: $9.08 Aetna Medicare Advantage — Aetna Medicare Advantage: $7.61 Aetna US Healthcare of Illinois — Aetna: $10.77 Affordable Health Care Concepts — First Health: $119 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $10.10 Blue Cross Blue Shield of IL — Blue Choice PPO: $92.07
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC WITH DIFFERENTIAL NMH	$162	$97.20	$81 – $162
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $97.36 Cofinity aka PPOM — Cofinity aka PPOM: $137.70 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $121.50 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $110.32 Health Payors Organization — HPO: $137.70 HealthNetwork — Claritev: $142.56 HFN — HFN-Group Health: $145.80 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $86.18 Private Healthcare Systems — PHCS: $129.60 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $129.60
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC-Compete Blood Count with Differential and Plat	$198	$118.80	$99 – $198
Complete blood count (CBC) with differential: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $119 Cofinity aka PPOM — Cofinity aka PPOM: $168.30 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $148.50 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $134.84 Health Payors Organization — HPO: $168.30 HealthNetwork — Claritev: $174.24 HFN — HFN-Group Health: $178.20 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $105.34 Private Healthcare Systems — PHCS: $158.40 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $158.40
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CBC with Platelets	$177	$106.20	$6.34 – $177
Complete blood count (CBC), automated: 10 of 43 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $123.90 Advocate Health Partners — Advocate Medicare Advantage: $6.47 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $10.10 Aetna FIDE — Aetna FIDE: $6.34 Aetna Illinois Preferred — Aetna Illinois Preferred: $7.57 Aetna Medicare Advantage — Aetna Medicare Advantage: $6.34 Aetna US Healthcare of Illinois — Aetna: $8.97 Affordable Health Care Concepts — First Health: $106.38 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $10.10 Blue Cross Blue Shield of IL — Blue Choice PPO: $82.31
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC with Manual Differential	$237	$142.20	$118.50 – $237
Complete blood count (CBC), automated: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $142.44 Cofinity aka PPOM — Cofinity aka PPOM: $201.45 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $177.75 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $161.40 Health Payors Organization — HPO: $201.45 HealthNetwork — Claritev: $208.56 HFN — HFN-Group Health: $213.30 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $126.08 Private Healthcare Systems — PHCS: $189.60 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $189.60
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CBC NMH	$123	$73.80	$61.50 – $123
Complete blood count (CBC), automated: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $73.92 Cofinity aka PPOM — Cofinity aka PPOM: $104.55 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $92.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $83.76 Health Payors Organization — HPO: $104.55 HealthNetwork — Claritev: $108.24 HFN — HFN-Group Health: $110.70 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $65.44 Private Healthcare Systems — PHCS: $98.40 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $98.40
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Prothrombin Time/PT	$121	$72.60	$4.20 – $121
Blood clotting time test (prothrombin time, PT): 10 of 43 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $84.70 Advocate Health Partners — Advocate Medicare Advantage: $4.29 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $7.54 Aetna FIDE — Aetna FIDE: $4.20 Aetna Illinois Preferred — Aetna Illinois Preferred: $5.02 Aetna Medicare Advantage — Aetna Medicare Advantage: $4.20 Aetna US Healthcare of Illinois — Aetna: $5.95 Affordable Health Care Concepts — First Health: $72.72 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $7.54 Blue Cross Blue Shield of IL — Blue Choice PPO: $56.27
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Mixing Studies	$151	$90.60	$75.50 – $151
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $90.75 Cofinity aka PPOM — Cofinity aka PPOM: $128.35 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $113.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $102.83 Health Payors Organization — HPO: $128.35 HealthNetwork — Claritev: $132.88 HFN — HFN-Group Health: $135.90 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $80.33 Private Healthcare Systems — PHCS: $120.80 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $120.80
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PT Mixing Study	$151	$90.60	$75.50 – $151
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $90.75 Cofinity aka PPOM — Cofinity aka PPOM: $128.35 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $113.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $102.83 Health Payors Organization — HPO: $128.35 HealthNetwork — Claritev: $132.88 HFN — HFN-Group Health: $135.90 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $80.33 Private Healthcare Systems — PHCS: $120.80 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $120.80
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Activated PTT/Partial Thromboplastin Time	$176	$105.60	$5.89 – $176
Blood clotting test (partial thromboplastin time, PTT): 10 of 43 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $123.20 Advocate Health Partners — Advocate Medicare Advantage: $6.01 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $7.54 Aetna FIDE — Aetna FIDE: $5.89 Aetna Illinois Preferred — Aetna Illinois Preferred: $7.03 Aetna Medicare Advantage — Aetna Medicare Advantage: $5.89 Aetna US Healthcare of Illinois — Aetna: $8.33 Affordable Health Care Concepts — First Health: $105.78 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $7.54 Blue Cross Blue Shield of IL — Blue Choice PPO: $81.84
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PTT Mixing Studies	$274	$164.40	$137 – $274
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $164.67 Cofinity aka PPOM — Cofinity aka PPOM: $232.90 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $205.50 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $186.59 Health Payors Organization — HPO: $232.90 HealthNetwork — Claritev: $241.12 HFN — HFN-Group Health: $246.60 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $145.77 Private Healthcare Systems — PHCS: $219.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $219.20
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) · Hospital (facility) fee In the file: PARTIAL THROMBOPLASTIN TIME NMH	$172	$103.20	$86 – $172
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $103.37 Cofinity aka PPOM — Cofinity aka PPOM: $146.20 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $129 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $117.13 Health Payors Organization — HPO: $146.20 HealthNetwork — Claritev: $151.36 HFN — HFN-Group Health: $154.80 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $91.50 Private Healthcare Systems — PHCS: $137.60 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $137.60

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Brain Scan Straight NMH	$3,535	$2,121	$1,767.50 – $3,535
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $2,124.54 Cofinity aka PPOM — Cofinity aka PPOM: $3,004.75 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $2,651.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $2,407.33 Health Payors Organization — HPO: $3,004.75 HealthNetwork — Claritev: $3,110.80 HFN — HFN-Group Health: $3,181.50 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $1,880.62 Private Healthcare Systems — PHCS: $2,828 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $2,828
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT Head/Brain W/O Contrast	$3,659	$2,195.40	$381.94 – $3,659
CT scan of the head or brain, without contrast: 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $2,561.30 Advocate Health Partners — Advocate Medicare Advantage: $112.03 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $637.93 Aetna FIDE — Aetna FIDE: $110.24 Aetna Illinois Preferred — Aetna Illinois Preferred: $665 Aetna Medicare Advantage — Aetna Medicare Advantage: $110.24 Aetna US Healthcare of Illinois — Aetna: $787 Affordable Health Care Concepts — First Health: $2,199.06 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $637.93 Blue Cross Blue Shield of IL — Blue Choice PPO: $381.94
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT Head/Brain W/O Contrast	$3,659	$2,195.40	$1,829.50 – $3,659
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $2,199.06 Cofinity aka PPOM — Cofinity aka PPOM: $3,110.15 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $2,744.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $2,491.78 Health Payors Organization — HPO: $3,110.15 HealthNetwork — Claritev: $3,219.92 HFN — HFN-Group Health: $3,293.10 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $1,946.59 Private Healthcare Systems — PHCS: $2,927.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $2,927.20
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain IAC/Cranial Nerve W W/O Cont	$6,998	$4,198.80	$950 – $6,998
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $4,898.60 Advocate Health Partners — Advocate Medicare Advantage: $373.86 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $854.35 Aetna FIDE — Aetna FIDE: $367.88 Aetna Illinois Preferred — Aetna Illinois Preferred: $950 Aetna Medicare Advantage — Aetna Medicare Advantage: $367.88 Aetna US Healthcare of Illinois — Aetna: $1,125 Affordable Health Care Concepts — First Health: $4,205.80 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $854.35 Blue Cross Blue Shield of IL — Blue Choice PPO: $1,508.35
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Brain W W/O Contrast-70553	$6,998	$4,198.80	$950 – $6,998
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $4,898.60 Advocate Health Partners — Advocate Medicare Advantage: $373.86 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $854.35 Aetna FIDE — Aetna FIDE: $367.88 Aetna Illinois Preferred — Aetna Illinois Preferred: $950 Aetna Medicare Advantage — Aetna Medicare Advantage: $367.88 Aetna US Healthcare of Illinois — Aetna: $1,125 Affordable Health Care Concepts — First Health: $4,205.80 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $854.35 Blue Cross Blue Shield of IL — Blue Choice PPO: $1,508.35
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Pituitary W W/O Contrast	$6,998	$4,198.80	$950 – $6,998
MRI of the brain, before and after contrast: 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $4,898.60 Advocate Health Partners — Advocate Medicare Advantage: $373.86 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $854.35 Aetna FIDE — Aetna FIDE: $367.88 Aetna Illinois Preferred — Aetna Illinois Preferred: $950 Aetna Medicare Advantage — Aetna Medicare Advantage: $367.88 Aetna US Healthcare of Illinois — Aetna: $1,125 Affordable Health Care Concepts — First Health: $4,205.80 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $854.35 Blue Cross Blue Shield of IL — Blue Choice PPO: $1,508.35
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee In the file: XRAY EXAM CHEST 2 VIEWS NMH 71046	$963	$577.80	$481.50 – $963
Chest X-ray, 2 views: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $578.76 Cofinity aka PPOM — Cofinity aka PPOM: $818.55 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $722.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $655.80 Health Payors Organization — HPO: $818.55 HealthNetwork — Claritev: $847.44 HFN — HFN-Group Health: $866.70 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $512.32 Private Healthcare Systems — PHCS: $770.40 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $770.40
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR Chest 2 View	$841	$504.60	$391.06 – $841
Chest X-ray, 2 views: 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $588.70 Advocate Health Partners — Advocate Medicare Advantage: $93.26 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $117.85 Aetna FIDE — Aetna FIDE: $91.77 Aetna Illinois Preferred — Aetna Illinois Preferred: $448.25 Aetna Medicare Advantage — Aetna Medicare Advantage: $91.77 Aetna US Healthcare of Illinois — Aetna: $420.50 Affordable Health Care Concepts — First Health: $505.44 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $117.85 Blue Cross Blue Shield of IL — Blue Choice PPO: $391.06
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: XR Chest 2 View	$841	$504.60	$420.50 – $841
Chest X-ray, 2 views: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $505.44 Cofinity aka PPOM — Cofinity aka PPOM: $714.85 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $630.75 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $572.72 Health Payors Organization — HPO: $714.85 HealthNetwork — Claritev: $740.08 HFN — HFN-Group Health: $756.90 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $447.41 Private Healthcare Systems — PHCS: $672.80 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $672.80
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Xray-LS-Spine 4 views NMH	$1,299	$779.40	$649.50 – $1,299
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $780.70 Cofinity aka PPOM — Cofinity aka PPOM: $1,104.15 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $974.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $884.62 Health Payors Organization — HPO: $1,104.15 HealthNetwork — Claritev: $1,143.12 HFN — HFN-Group Health: $1,169.10 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $691.07 Private Healthcare Systems — PHCS: $1,039.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $1,039.20
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Xray-LS-Spine Oblique 4 views NMH	$1,299	$779.40	$649.50 – $1,299
X-ray of the lower spine, at least 4 views: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $780.70 Cofinity aka PPOM — Cofinity aka PPOM: $1,104.15 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $974.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $884.62 Health Payors Organization — HPO: $1,104.15 HealthNetwork — Claritev: $1,143.12 HFN — HFN-Group Health: $1,169.10 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $691.07 Private Healthcare Systems — PHCS: $1,039.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $1,039.20
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: XR Spine Lumbosacral w/ Obliques	$1,135	$681	$412 – $1,135
X-ray of the lower spine, at least 4 views: 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $794.50 Advocate Health Partners — Advocate Medicare Advantage: $112.03 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $117.85 Aetna FIDE — Aetna FIDE: $110.24 Aetna Illinois Preferred — Aetna Illinois Preferred: $604.96 Aetna Medicare Advantage — Aetna Medicare Advantage: $110.24 Aetna US Healthcare of Illinois — Aetna: $567.50 Affordable Health Care Concepts — First Health: $682.14 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $117.85 Blue Cross Blue Shield of IL — Blue Choice PPO: $527.77
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: MRI Spine Lumbar W/O Contrast	$5,324	$3,194.40	$927.56 – $5,324
MRI of the lower back (lumbar spine), without contrast: 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $3,726.80 Advocate Health Partners — Advocate Medicare Advantage: $255.69 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $506.37 Aetna FIDE — Aetna FIDE: $251.60 Aetna Illinois Preferred — Aetna Illinois Preferred: $950 Aetna Medicare Advantage — Aetna Medicare Advantage: $251.60 Aetna US Healthcare of Illinois — Aetna: $1,125 Affordable Health Care Concepts — First Health: $3,199.72 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $506.37 Blue Cross Blue Shield of IL — Blue Choice PPO: $927.56
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Spine Lumbar W/O Contrast	$5,324	$3,194.40	$2,662 – $5,324
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $3,199.72 Cofinity aka PPOM — Cofinity aka PPOM: $4,525.40 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $3,993 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $3,625.64 Health Payors Organization — HPO: $4,525.40 HealthNetwork — Claritev: $4,685.12 HFN — HFN-Group Health: $4,791.60 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $2,832.37 Private Healthcare Systems — PHCS: $4,259.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $4,259.20
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MR LS Spine Without Contrast NMH	$5,482	$3,289.20	$2,741 – $5,482
MRI of the lower back (lumbar spine), without contrast: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $3,294.68 Cofinity aka PPOM — Cofinity aka PPOM: $4,659.70 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $4,111.50 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $3,733.24 Health Payors Organization — HPO: $4,659.70 HealthNetwork — Claritev: $4,824.16 HFN — HFN-Group Health: $4,933.80 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $2,916.42 Private Healthcare Systems — PHCS: $4,385.60 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $4,385.60
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Scan Pelvis With Contrast NMH	$4,154	$2,492.40	$2,077 – $4,154
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $2,496.55 Cofinity aka PPOM — Cofinity aka PPOM: $3,530.90 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $3,115.50 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $2,828.87 Health Payors Organization — HPO: $3,530.90 HealthNetwork — Claritev: $3,655.52 HFN — HFN-Group Health: $3,738.60 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $2,209.93 Private Healthcare Systems — PHCS: $3,323.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $3,323.20
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier TC In the file: CT Pelvis W/ Contrast	$4,361	$2,616.60	$567.45 – $4,361
CT scan of the pelvis, with contrast: 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $3,052.70 Advocate Health Partners — Advocate Medicare Advantage: $187.96 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $637.93 Aetna FIDE — Aetna FIDE: $184.95 Aetna Illinois Preferred — Aetna Illinois Preferred: $665 Aetna Medicare Advantage — Aetna Medicare Advantage: $184.95 Aetna US Healthcare of Illinois — Aetna: $787 Affordable Health Care Concepts — First Health: $2,620.96 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $637.93 Blue Cross Blue Shield of IL — Blue Choice PPO: $567.45
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT Pelvis W/ Contrast	$4,361	$2,616.60	$2,180.50 – $4,361
CT scan of the pelvis, with contrast: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $2,620.96 Cofinity aka PPOM — Cofinity aka PPOM: $3,706.85 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $3,270.75 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $2,969.84 Health Payors Organization — HPO: $3,706.85 HealthNetwork — Claritev: $3,837.68 HFN — HFN-Group Health: $3,924.90 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $2,320.05 Private Healthcare Systems — PHCS: $3,488.80 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $3,488.80
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MRI Lower Extremity Jt Without Contrast NMH	$5,479	$3,287.40	$2,739.50 – $5,479
MRI of a leg joint (such as the knee), without contrast: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $3,292.88 Cofinity aka PPOM — Cofinity aka PPOM: $4,657.15 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $4,109.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $3,731.20 Health Payors Organization — HPO: $4,657.15 HealthNetwork — Claritev: $4,821.52 HFN — HFN-Group Health: $4,931.10 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $2,914.83 Private Healthcare Systems — PHCS: $4,383.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $4,383.20
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier RT In the file: MRI Ankle/Hindfoot W/O Contrast Right	$5,036	$3,021.60	$936.05 – $5,036
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $3,525.20 Advocate Health Partners — Advocate Medicare Advantage: $255.69 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $506.37 Aetna FIDE — Aetna FIDE: $251.60 Aetna Illinois Preferred — Aetna Illinois Preferred: $950 Aetna Medicare Advantage — Aetna Medicare Advantage: $251.60 Aetna US Healthcare of Illinois — Aetna: $1,125 Affordable Health Care Concepts — First Health: $3,026.64 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $506.37 Blue Cross Blue Shield of IL — Blue Choice PPO: $936.05
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier LT In the file: MRI Ankle/Hindfoot W/O Contrast Left	$5,036	$3,021.60	$936.05 – $5,036
MRI of a leg joint (such as the knee), without contrast: 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $3,525.20 Advocate Health Partners — Advocate Medicare Advantage: $255.69 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $506.37 Aetna FIDE — Aetna FIDE: $251.60 Aetna Illinois Preferred — Aetna Illinois Preferred: $950 Aetna Medicare Advantage — Aetna Medicare Advantage: $251.60 Aetna US Healthcare of Illinois — Aetna: $1,125 Affordable Health Care Concepts — First Health: $3,026.64 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $506.37 Blue Cross Blue Shield of IL — Blue Choice PPO: $936.05
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CT Abdomen Pelvis W/Contrast NMH	$8,642	$5,185.20	$4,321 – $8,642
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $5,193.84 Cofinity aka PPOM — Cofinity aka PPOM: $7,345.70 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $6,481.50 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $5,885.20 Health Payors Organization — HPO: $7,345.70 HealthNetwork — Claritev: $7,604.96 HFN — HFN-Group Health: $7,777.80 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $4,597.54 Private Healthcare Systems — PHCS: $6,913.60 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $6,913.60
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) · Hospital (facility) fee · modifier TC In the file: CT Abdomen/Pelvis W/ Contrast	$8,553	$5,131.80	$4,276.50 – $8,553
CT scan of the abdomen and pelvis, with contrast: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $5,140.35 Cofinity aka PPOM — Cofinity aka PPOM: $7,270.05 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $6,414.75 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $5,824.59 Health Payors Organization — HPO: $7,270.05 HealthNetwork — Claritev: $7,526.64 HFN — HFN-Group Health: $7,697.70 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $4,550.20 Private Healthcare Systems — PHCS: $6,842.40 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $6,842.40
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) · Hospital (facility) fee In the file: US-Abdomen Complete NMH	$2,532	$1,519.20	$1,266 – $2,532
Ultrasound of the abdomen, complete: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $1,521.73 Cofinity aka PPOM — Cofinity aka PPOM: $2,152.20 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $1,899 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $1,724.29 Health Payors Organization — HPO: $2,152.20 HealthNetwork — Claritev: $2,228.16 HFN — HFN-Group Health: $2,278.80 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $1,347.02 Private Healthcare Systems — PHCS: $2,025.60 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $2,025.60

Heart tests and sleep study

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Sleep study (overnight, in a sleep lab) CPT 95810 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Sleep Disorder Study	$5,700	$3,420	$2,850 – $5,700
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $3,425.70 Cofinity aka PPOM — Cofinity aka PPOM: $4,845 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $4,275 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $3,881.70 Health Payors Organization — HPO: $4,845 HealthNetwork — Claritev: $5,016 HFN — HFN-Group Health: $5,130 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $3,032.40 Private Healthcare Systems — PHCS: $4,560 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $4,560

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Chiro Therapeutic Exercise Charge	$215	$129	$29.20 – $215
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $150.50 Advocate Health Partners — Advocate Medicare Advantage: $29.67 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $75.65 Aetna FIDE — Aetna FIDE: $29.20 Aetna Illinois Preferred — Aetna Illinois Preferred: $73.14 Aetna Medicare Advantage — Aetna Medicare Advantage: $29.20 Aetna US Healthcare of Illinois — Aetna: $87.29 Affordable Health Care Concepts — First Health: $129.22 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $75.65 Blue Cross Blue Shield of IL — Blue Choice PPO: $99.98
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT Therapeutic Exercise Strength Endurance ROM Fle	$215	$129	$29.20 – $215
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $150.50 Advocate Health Partners — Advocate Medicare Advantage: $29.67 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $75.65 Aetna FIDE — Aetna FIDE: $29.20 Aetna Illinois Preferred — Aetna Illinois Preferred: $73.14 Aetna Medicare Advantage — Aetna Medicare Advantage: $29.20 Aetna US Healthcare of Illinois — Aetna: $87.29 Affordable Health Care Concepts — First Health: $129.22 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $75.65 Blue Cross Blue Shield of IL — Blue Choice PPO: $99.98
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: Outpatient Physical Therapy Treatment ABN	$215	$129	$29.20 – $215
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $150.50 Advocate Health Partners — Advocate Medicare Advantage: $29.67 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $75.65 Aetna FIDE — Aetna FIDE: $29.20 Aetna Illinois Preferred — Aetna Illinois Preferred: $73.14 Aetna Medicare Advantage — Aetna Medicare Advantage: $29.20 Aetna US Healthcare of Illinois — Aetna: $87.29 Affordable Health Care Concepts — First Health: $129.22 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $75.65 Blue Cross Blue Shield of IL — Blue Choice PPO: $99.98
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT Evaluation Low Complexity Charge	$240	$144	$97.31 – $298.12
Physical therapy evaluation (low complexity): 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $168 Advocate Health Partners — Advocate Medicare Advantage: $98.89 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $397.71 Aetna FIDE — Aetna FIDE: $97.31 Aetna Illinois Preferred — Aetna Illinois Preferred: $249.80 Aetna Medicare Advantage — Aetna Medicare Advantage: $97.31 Aetna US Healthcare of Illinois — Aetna: $298.12 Affordable Health Care Concepts — First Health: $144.24 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $397.71 Blue Cross Blue Shield of IL — Blue Choice PPO: $111.60
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT Evaluation Low Complexity Charge	$240	$144	$120 – $240
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $144.24 Cofinity aka PPOM — Cofinity aka PPOM: $204 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $180 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $163.44 Health Payors Organization — HPO: $204 HealthNetwork — Claritev: $211.20 HFN — HFN-Group Health: $216 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $127.68 Private Healthcare Systems — PHCS: $192 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $192
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT Evaluation Low Complexity Charge	$240	$144	$97.31 – $240
Physical therapy evaluation (low complexity): rates for 5 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $240 Aetna Medicare Advantage — Aetna Medicare Advantage: $97.31 Health Care Services Corporation — BC Medicare Select: $97.31 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $180
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT Evaluation Moderate Complexity Charge	$240	$144	$97.31 – $298.12
Physical therapy evaluation (moderate complexity): 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $168 Advocate Health Partners — Advocate Medicare Advantage: $98.89 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $397.71 Aetna FIDE — Aetna FIDE: $97.31 Aetna Illinois Preferred — Aetna Illinois Preferred: $249.80 Aetna Medicare Advantage — Aetna Medicare Advantage: $97.31 Aetna US Healthcare of Illinois — Aetna: $298.12 Affordable Health Care Concepts — First Health: $144.24 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $397.71 Blue Cross Blue Shield of IL — Blue Choice PPO: $111.60
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT Evaluation Moderate Complexity Charge	$240	$144	$120 – $240
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $144.24 Cofinity aka PPOM — Cofinity aka PPOM: $204 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $180 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $163.44 Health Payors Organization — HPO: $204 HealthNetwork — Claritev: $211.20 HFN — HFN-Group Health: $216 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $127.68 Private Healthcare Systems — PHCS: $192 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $192
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT Evaluation Moderate Complexity Charge	$240	$144	$97.31 – $240
Physical therapy evaluation (moderate complexity): rates for 5 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $240 Aetna Medicare Advantage — Aetna Medicare Advantage: $97.31 Health Care Services Corporation — BC Medicare Select: $97.31 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $180
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Hospital (facility) fee · modifier GP In the file: PT Evaluation High Complexity	$288	$172.80	$97.31 – $298.12
Physical therapy evaluation (high complexity): 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $201.60 Advocate Health Partners — Advocate Medicare Advantage: $98.89 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $397.71 Aetna FIDE — Aetna FIDE: $97.31 Aetna Illinois Preferred — Aetna Illinois Preferred: $249.80 Aetna Medicare Advantage — Aetna Medicare Advantage: $97.31 Aetna US Healthcare of Illinois — Aetna: $298.12 Affordable Health Care Concepts — First Health: $173.09 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $397.71 Blue Cross Blue Shield of IL — Blue Choice PPO: $133.92
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · Hospital (facility) fee · modifier GP In the file: PT Evaluation High Complexity	$288	$172.80	$144 – $288
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $173.09 Cofinity aka PPOM — Cofinity aka PPOM: $244.80 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $216 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $196.13 Health Payors Organization — HPO: $244.80 HealthNetwork — Claritev: $253.44 HFN — HFN-Group Health: $259.20 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $153.22 Private Healthcare Systems — PHCS: $230.40 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $230.40
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · Doctor (professional) fee · modifier GP In the file: PT Evaluation High Complexity	$288	$172.80	$97.31 – $288
Physical therapy evaluation (high complexity): rates for 5 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $288 Aetna Medicare Advantage — Aetna Medicare Advantage: $97.31 Health Care Services Corporation — BC Medicare Select: $97.31 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $216

Procedures and surgery

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Upper GI endoscopy (diagnostic) CPT 43235 · Inpatient (hospital stay) · Hospital (facility) fee In the file: EGD Diagnostic NMH	$3,919	$2,351.40	$1,959.50 – $3,919
Upper GI endoscopy (diagnostic): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $2,355.32 Cofinity aka PPOM — Cofinity aka PPOM: $3,331.15 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $2,939.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $2,668.84 Health Payors Organization — HPO: $3,331.15 HealthNetwork — Claritev: $3,448.72 HFN — HFN-Group Health: $3,527.10 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $2,084.91 Private Healthcare Systems — PHCS: $3,135.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $3,135.20
Upper GI endoscopy with biopsy CPT 43239 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Upper GI Endoscopy Biopsy	$4,597	$2,758.20	$2,298.50 – $4,597
Upper GI endoscopy with biopsy: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $2,762.80 Cofinity aka PPOM — Cofinity aka PPOM: $3,907.45 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $3,447.75 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $3,130.56 Health Payors Organization — HPO: $3,907.45 HealthNetwork — Claritev: $4,045.36 HFN — HFN-Group Health: $4,137.30 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $2,445.60 Private Healthcare Systems — PHCS: $3,677.60 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $3,677.60
Colonoscopy (diagnostic) CPT 45378 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colon Flx Diagnostic NMH	$3,607	$2,164.20	$1,803.50 – $3,607
Colonoscopy (diagnostic): 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $2,167.81 Cofinity aka PPOM — Cofinity aka PPOM: $3,065.95 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $2,705.25 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $2,456.37 Health Payors Organization — HPO: $3,065.95 HealthNetwork — Claritev: $3,174.16 HFN — HFN-Group Health: $3,246.30 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $1,918.92 Private Healthcare Systems — PHCS: $2,885.60 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $2,885.60
Colonoscopy with biopsy CPT 45380 · Inpatient (hospital stay) · Hospital (facility) fee In the file: Colonoscopy w/BX NMH	$5,849	$3,509.40	$2,924.50 – $5,849
Colonoscopy with biopsy: 10 of 15 insurance plan rates Affordable Health Care Concepts — First Health: $3,515.25 Cofinity aka PPOM — Cofinity aka PPOM: $4,971.65 Gallagher Benefit Administrators — Gallagher Benefit Administrators: $4,386.75 Health Care Services Corporation dba Managed Care Network Pr — BC POS: $3,983.17 Health Payors Organization — HPO: $4,971.65 HealthNetwork — Claritev: $5,147.12 HFN — HFN-Group Health: $5,264.10 PersonalCare Insurance of IL/FirstHealth Grp Corp/CoventryHe — Aetna WC: $3,111.67 Private Healthcare Systems — PHCS: $4,679.20 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $4,679.20
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: NJX INTERLAMINAR LMBR/SAC with imaging guidance (6	$2,184	$1,310.40	$1,015.56 – $2,184
Spinal injection, lower back (epidural), with imaging guidance: 10 of 43 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $1,528.80 Advocate Health Partners — Advocate Medicare Advantage: $756.44 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $1,603.20 Aetna FIDE — Aetna FIDE: $744.34 Aetna Illinois Preferred — Aetna Illinois Preferred: $1,164.07 Aetna Medicare Advantage — Aetna Medicare Advantage: $744.34 Aetna US Healthcare of Illinois — Aetna: $1,092 Affordable Health Care Concepts — First Health: $1,312.58 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $1,603.20 Blue Cross Blue Shield of IL — Blue Choice PPO: $1,015.56
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: CC ONLY - NJX INTERLAMINAR LMBR/SAC with imaging g	$2,184	$1,310.40	$1,015.56 – $2,184
Spinal injection, lower back (epidural), with imaging guidance: 10 of 43 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $1,528.80 Advocate Health Partners — Advocate Medicare Advantage: $756.44 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $1,603.20 Aetna FIDE — Aetna FIDE: $744.34 Aetna Illinois Preferred — Aetna Illinois Preferred: $1,164.07 Aetna Medicare Advantage — Aetna Medicare Advantage: $744.34 Aetna US Healthcare of Illinois — Aetna: $1,092 Affordable Health Care Concepts — First Health: $1,312.58 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $1,603.20 Blue Cross Blue Shield of IL — Blue Choice PPO: $1,015.56
Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: NJX INTERLAMINAR LMBR/SAC with imaging guidance (6	$2,184	$1,310.40	$170 – $2,184
Spinal injection, lower back (epidural), with imaging guidance: rates for 5 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $2,184 Aetna Medicare Advantage — Aetna Medicare Advantage: $277.52 Health Care Services Corporation — BC Medicare Select: $277.52 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $1,638
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lumbar Epidural (64483)	$3,657	$2,194.20	$1,477 – $3,657
Nerve root injection, lower back, with imaging guidance: 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $2,559.90 Advocate Health Partners — Advocate Medicare Advantage: $947.82 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $1,603.20 Aetna FIDE — Aetna FIDE: $932.65 Aetna Illinois Preferred — Aetna Illinois Preferred: $1,949.18 Aetna Medicare Advantage — Aetna Medicare Advantage: $932.65 Aetna US Healthcare of Illinois — Aetna: $1,828.50 Affordable Health Care Concepts — First Health: $2,197.86 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $1,603.20 Blue Cross Blue Shield of IL — Blue Choice PPO: $1,700.51
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Hospital (facility) fee In the file: Lumbosacral Transforaminal (64483)	$3,657	$2,194.20	$1,477 – $3,657
Nerve root injection, lower back, with imaging guidance: 10 of 44 insurance plan rates Advocate and Advocate Health Partners — Advocate Physician Partners - APP: $2,559.90 Advocate Health Partners — Advocate Medicare Advantage: $947.82 Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $1,603.20 Aetna FIDE — Aetna FIDE: $932.65 Aetna Illinois Preferred — Aetna Illinois Preferred: $1,949.18 Aetna Medicare Advantage — Aetna Medicare Advantage: $932.65 Aetna US Healthcare of Illinois — Aetna: $1,828.50 Affordable Health Care Concepts — First Health: $2,197.86 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $1,603.20 Blue Cross Blue Shield of IL — Blue Choice PPO: $1,700.51
Nerve root injection, lower back, with imaging guidance CPT 64483 · Outpatient (no overnight stay) · Doctor (professional) fee In the file: Lumbar Epidural (64483)	$3,657	$2,194.20	$170 – $3,657
Nerve root injection, lower back, with imaging guidance: rates for 5 insurance plans Advocate Health Partners — Advocate Medicare Advantage: $3,657 Aetna Medicare Advantage — Aetna Medicare Advantage: $269.26 Health Care Services Corporation — BC Medicare Select: $269.26 Paradigm Health Corporation — Paradigm: $170 Resurrection Health Care Preferred — Resurrection Health Care Preferred: $2,742.75

Hospital stays (whole stay, MS-DRG)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC	Not listed in the file	Not listed in the file	$1,369.76 – $3,629
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 36 insurance plan rates Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $1,369.76 Aetna Illinois Preferred — Aetna Illinois Preferred: $2,820 Aetna US Healthcare of Illinois — Aetna: $3,629 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $1,369.76 Blue Cross Blue Shield of IL — Blue Choice PPO: $2,222.38 Cigna — Cigna Local Plus: $1,477 CIGNA HealthCare of Illinois — CIGNA: $1,477 County Care — County Care: $1,369.76 Health Care Services Corporation — BC PPO: $2,742.90 Health Care Services Corporation d/b/a HMO Illinois — BC HMO: $2,575.49
Spinal fusion (not neck), without major complications MS-DRG 460 · Inpatient (hospital stay) · Hospital (facility) fee In the file: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC	Not listed in the file	Not listed in the file	$1,369.76 – $3,629
Spinal fusion (not neck), without major complications: 10 of 36 insurance plan rates Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $1,369.76 Aetna Illinois Preferred — Aetna Illinois Preferred: $2,820 Aetna US Healthcare of Illinois — Aetna: $3,629 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $1,369.76 Blue Cross Blue Shield of IL — Blue Choice PPO: $2,222.38 Cigna — Cigna Local Plus: $1,477 CIGNA HealthCare of Illinois — CIGNA: $1,477 County Care — County Care: $1,369.76 Health Care Services Corporation — BC PPO: $2,742.90 Health Care Services Corporation d/b/a HMO Illinois — BC HMO: $2,575.49
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) · Hospital (facility) fee In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC	Not listed in the file	Not listed in the file	$1,369.76 – $3,629
Hip or knee replacement (major joint of the leg), without major complications: 10 of 36 insurance plan rates Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $1,369.76 Aetna Illinois Preferred — Aetna Illinois Preferred: $2,820 Aetna US Healthcare of Illinois — Aetna: $3,629 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $1,369.76 Blue Cross Blue Shield of IL — Blue Choice PPO: $2,222.38 Cigna — Cigna Local Plus: $1,477 CIGNA HealthCare of Illinois — CIGNA: $1,477 County Care — County Care: $1,369.76 Health Care Services Corporation — BC PPO: $2,742.90 Health Care Services Corporation d/b/a HMO Illinois — BC HMO: $2,575.49
Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) · Hospital (facility) fee In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,369.76 – $3,629
Neck (cervical) spinal fusion, without complications: 10 of 36 insurance plan rates Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $1,369.76 Aetna Illinois Preferred — Aetna Illinois Preferred: $2,820 Aetna US Healthcare of Illinois — Aetna: $3,629 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $1,369.76 Blue Cross Blue Shield of IL — Blue Choice PPO: $2,222.38 Cigna — Cigna Local Plus: $1,477 CIGNA HealthCare of Illinois — CIGNA: $1,477 County Care — County Care: $1,369.76 Health Care Services Corporation — BC PPO: $2,742.90 Health Care Services Corporation d/b/a HMO Illinois — BC HMO: $2,575.49
Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) · Hospital (facility) fee In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC	Not listed in the file	Not listed in the file	$1,369.76 – $3,629
Uterus and ovary surgery (not for cancer), without complications: 10 of 36 insurance plan rates Aetna Better Health - Medicaid ICP FHP / ACA — Aetna Better Health Medicaid ICP: $1,369.76 Aetna Illinois Preferred — Aetna Illinois Preferred: $2,820 Aetna US Healthcare of Illinois — Aetna: $3,629 Blue Cross and Blue Shield of Illinois — Blue Community ICP: $1,369.76 Blue Cross Blue Shield of IL — Blue Choice PPO: $2,222.38 Cigna — Cigna Local Plus: $1,477 CIGNA HealthCare of Illinois — CIGNA: $1,477 County Care — County Care: $1,369.76 Health Care Services Corporation — BC PPO: $2,742.90 Health Care Services Corporation d/b/a HMO Illinois — BC HMO: $2,575.49

Source: Shirley Ryan Abilitylab’s standard charges file (sralab.org, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on May 15, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Inpatient Rehabilitation Hospital
Address	355 E Erie St, Chicago, IL 60611
County	Cook County
State	Illinois
Phone	(312) 238‑3305
Ownership	Non-profit
CMS Certification Number	143026
Name in Medicare records	SHIRLEY RYAN ABILITYLAB
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(312) 238‑1000^[4]
Official website	sralab.org
Corrections	Report an error or suggest an update →

Sources

Inpatient Rehabilitation Facility - General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-08-12, retrieved 2026-10-29
Medicare Care Compare — official Medicare tool to look up and compare this type of hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Shirley Ryan AbilityLab — sralab.org
Visiting Hours & Parking — sralab.org
Patient and Guest Services — sralab.org
Support Groups for Patients & Caregivers — sralab.org
Inpatient Care — sralab.org
Outpatient Care — sralab.org
Brain Injury Specialty Services — sralab.org
Prosthetics & Orthotics — sralab.org
Global Patient Services — sralab.org
Pain Management Center — sralab.org
Speech-Language Therapy — sralab.org
Women's Health — sralab.org
Commitment to Non-Discrimination and Access, Financial Assistance, and Language Assistance Services — sralab.org

Shirley Ryan Abilitylab

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4][12][17]

Conditions treated^[4][11]

Treatments^{[4][12][13][16][17]}

Procedures^[12][14][16]

Programs and centers^{[4][10][11][15][16][17][18]}

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Shirley Ryan Abilitylab

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][12][17]

Conditions treated[4][11]

Treatments[4][12][13][16][17]

Procedures[12][14][16]

Programs and centers[4][10][11][15][16][17][18]

Visiting and practical information

Nearest emergency rooms

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Hospice providers

Home health agencies

Dialysis facilities

Outpatient surgery centers nearby

Community care nearby

Community health centers

Clinics and urgent care

Pharmacies

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Heart tests and sleep study

Physical therapy and mental health

Procedures and surgery

Hospital stays (whole stay, MS-DRG)

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4][12][17]

Conditions treated^[4][11]

Treatments^{[4][12][13][16][17]}

Procedures^[12][14][16]

Programs and centers^{[4][10][11][15][16][17][18]}