NOTE: The following are Shirley Ryan AbilityLab's standard charges as of Jan. 1, 2019. These standard charges often do not reflect what a patient or their insurance company/payer may be required to pay. Contact Patient Financial Services at 312-238-6039 for more information. Description Price 11-Deoxycortisol, Urine Random $531 12 Lead Ekg, Tracing Only $245 17 Hydroxycorticosteroids, Urine Timed $363 17 Hydroxyprogesterone, Serum $172 17 Ketosteroids, Urine Timed $273 17-Ketosteroids with Creatinine, Urine Random $273 2D Gait Analysis Charge(95999) $2,174 5' Nucleotidase, Serum $269 5.5 PDC PEDS CUFFED TRACH $226 5-HIAA-24 Hr Urine $99 A4566 Shoulder sling or vest design, abduction res $226 A4595 FES Electrode, each $38 A6545 Gradient Compression Wrap, Non-Elastic, Belo $171 ABO Rh Type $106 Above Knee Nylon Hose PR $83 Above Knee Suction Sheath $131 Above knee, for proximal femoral focal deficiency, $14,344 Above knee, molded socket, open end, SACH foot, en $10,751 Above knee, molded socket, single axis constant fr $10,935 Above knee, short prosthesis, no knee joint (""stu_L5210 $8,682 Above knee, short prosthesis, no knee joint (""stu_L5220 $7,429 ACAPELLA DH GREEN VIBRATORY PEP W/MOUTHPIECE DEVIC $181 Acetabuloplasty (27120) $4,493 Acetone, Serum $27 Acetylcholine Receptor Binding Antibody $405 Acid Phosphatase $66 Acid Phosphatase, Prostatic fraction $66 ACNE SURGERY MILIA CYSTS (10040) $530 Acorn Nebulizer $174 Activated PTT/Partial Thromboplastin Time $109 Active Wound Care > 20 cm Units $171 Active Wound Care/20 cm or < Units $171 Acupuncture with E-Stim. Each additional 15 minute $65 Acupuncture with E-Stim. Initial 15 minutes Charge $110 Acupuncture without E-Stim each additional 15 minu $65 Acupuncture without E-Stim. Initial 15 minutes Cha $89 Acute Hepatitis Panel $348 Add Padding to Belt $113 Addit to LE, BK/AK, custom fab or prefab, socket i $2,072 Addit to LE, BK/AK, custom fab socket insert for c $4,164 Addit to LE, BK/AK, custom fab socket insert for o $4,164 Addition to Halo Procedure, MRI Compatible System $2,529 Addition to LE pros, endo knee-shin sys, microproc $72,220 Addition to LE pros, endo knee-shin sys, microproc_L5857 $20,724 Addition to LE pros, endo knee-shin sys, microproc_L5858 $43,410 Addition to LE pros, endo knee-shin sys, powered & $36,322 Addition to LE, AK or knee disartic, acrylic socke $1,353 Addition to LE, AK or knee disartic, pelvic joint $589 Addition to LE, AK or knee disartic, Silesian band $481 Addition to LE, AK or knee disarticulation, pelvic $279 Addition to LE, AK, air cushion socket $1,764 Addition to LE, AK, flexible inner socket, externa $4,497 Addition to LE, AK, leather socket $1,641 Addition to LE, AK, pelvic control belt, light $395 Addition to LE, AK, pelvic control belt, padded an $730 Addition to LE, AK, pelvic control, sleeve suspens $655 Addition to LE, AK, wood socket $1,419 Addition to LE, BK flexible inner socket, external $3,083 Addition to LE, BK, acrylic socket $1,268 Addition to LE, BK, air cushion socket $1,494 Addition to LE, BK, back check (extension control) $176 Addition to LE, BK, cuff suspension $308 Addition to LE, BK, fork strap $143 Addition to LE, BK, joint covers, pair $118 Addition to LE, BK, knee joints, polycentric, pair $1,660 Addition to LE, BK, knee joints, single axis, pair $1,114 Addition to LE, BK, leather socket $1,559 Addition to LE, BK, molded distal cushion $356 Addition to LE, BK, molded supracondylar suspensio $835 Addition to LE, BK, removable medial brim $868 Addition to LE, BK, suction socket $2,502 Addition to LE, BK, suspension/sealing sleeve, w/ $385 Addition to LE, BK, thigh lacer, gluteal/ischial, $1,871 Addition to LE, BK, thigh lacer, non-molded $936 Addition to LE, BK, total contact $1,535 Addition to LE, BK, waist belt, padded and lined $376 Addition to LE, BK, waist belt, webbing $184 Addition to LE, BK, wood socket $2,694 Addition to LE, BK/AK suspension locking mechanism $2,063 Addition to LE, BK/AK, custom fab or prefab, socke $2,487 Addition to LE, endo sys, AK or knee disartic, 4-b $7,704 Addition to LE, endo sys, AK or knee disartic, 4-b_L5611 $5,070 Addition to LE, endo sys, AK, hydracadence system $6,078 Addition to LE, endo sys, AK, universal multiplex $3,740 Addition to LE, endosys, AK or knee disartic, 4-ba $4,107 Addition to LE, hip disartic, flexible inner socke $6,026 Addition to LE, ischial containment/narrow M-L soc $7,752 Addition to LE, knee disartic, expandable wall soc $2,035 Addition to LE, knee disartic, leather socket $1,771 Addition to LE, quick change self aligning unit, A $1,353 Addition to LE, shoulder harness $491 Addition to LE, socket insert, AK (Kemblo, Pelite, $1,892 Addition to LE, socket insert, AK, silicone gel or $2,487 Addition to LE, socket insert, AK, silicone gel or_L5665 $1,793 Addition to LE, socket insert, BK (Kemblo, Pelite, $877 Addition to LE, socket insert, BK, silicone gel or $1,573 Addition to LE, socket insert, knee disartic, sili $1,573 Addition to LE, socket insert, multidurometer, Sym $1,573 Addition to LE, socket insert, Symes, silicone gel $2,487 Addition to LE, socket insert, Synes $1,211 Addition to LE, suction suspension, AK or knee dis $1,341 Addition to LE, Symes type, ""PTB"" brim socket de $1,085 Addition to LE, Symes type, expandable wall socket $1,365 Addition to LE, Symes type, medial opening socket $772 Addition to LE, Symes type, posterior opening (Can $1,012 Addition to LE, test socket, AK $1,237 Addition to LE, test socket, BK $1,193 Addition to LE, test socket, Hemipel $1,926 Addition to LE, test socket, Hip disartic $1,902 Addition to LE, test socket, Knee disartic $1,238 Addition to LE, test socket, Symes $1,344 Addition to LE, total contact, AK or knee disartic $1,500 Addition to LE,socket insert, knee disartic (Kembl $1,332 Addition to lower extremity, Long tongue stirrup $635 Addition to UE, External power, additional switch $1,238 Addition, endo knee-shin sys, 4-bar linkage or mul $11,732 Addition, endo knee-shin sys, hydraulic stance ext $3,234 Addition, endo knee-shin sys, polycentric, frictio $2,874 Addition, endo knee-shin sys, polycentric, hydraul $11,750 Addition, endo knee-shin sys, polycentric, mechani $2,618 Addition, endo knee-shin sys, single axis, fluid s $8,866 Addition, endo knee-shin sys, single axis, fluid s_L5824 $4,980 Addition, endo knee-shin sys, single axis, frictio $1,825 Addition, endo knee-shin sys, single axis, hydraul $7,599 Addition, endo knee-shin sys, single axis, manual $2,429 Addition, endo knee-shin sys, single axis, manual _L5810 $1,760 Addition, endo knee-shin sys, single axis, pneumat $5,272 Addition, endo knee-shin sys, single axis, pneumat_L5830 $4,833 Addition, endo knee-shin sys, stance flexion featu $5,393 Addition, endo sys, AK or hip disartic, alignable $2,123 Addition, endo sys, AK or knee disartic or hip dis $1,004 Addition, endo sys, AK, flexible protective outer $3,546 Addition, endo sys, AK, ultra-light material (tita $3,111 Addition, endo sys, BK, alignable system $1,450 Addition, endo sys, BK, flexible protective outer $2,353 Addition, endo sys, high activity knee control fra $10,128 Addition, endo sys, hip disartic, flexible protect $3,513 Addition, endo sys, hip disartic, ultra-light mate $3,482 Addition, endo system, AK or hip disartic, knee ex $513 Addition, endo system, BK, ultra-light material (t $2,006 Addition, endo system, hip disartic, mechanical hi $926 Addition, exo knee-shin sys, polycentric mechanica $2,083 Addition, exo knee-shin sys, polycentric, friction $2,227 Addition, exo knee-shin sys, single axis, external $4,973 Addition, exo knee-shin sys, single axis, fluid sw $5,865 Addition, exo knee-shin sys, single axis, fluid sw_L5724 $4,205 Addition, exo knee-shin sys, single axis, friction $1,035 Addition, exo knee-shin sys, single axis, manual l $1,450 Addition, exo knee-shin sys, single axis, manual l_L5710 $863 Addition, exo knee-shin sys, single axis, pneumati $3,209 Addition, exo knee-shin sys, single axis, pneumati_L5722 $2,708 Addition, exo knee-shin sys, single axis, variable $1,053 Addition, exo sys, BK, ultra-light material (tita $1,658 Addition, exo sys, AK, ultra-light material (titan $2,394 Addition, exo sys, hip disartic, ultra-light mater $3,213 Addition, Knee Joint, Cam Lock $547 Addition, Knee Joint, Disc/Dial Lock $647 Addition, Knee Joint, Drop Lock, Stance or Swing $392 Addition, Knee Joint, Lift Loop for Drop Lock Ring $528 Addition, Knee Joint, Ratchet $647 Addition, vacuum pump, residual limb volume manage $12,689 Addition, vacuum pump, residual limb volume manage_L5781 $12,655 Addtion to LE prosthesis, user adj heel height $5,458 Adductor Release Thumb $2,097 Adenovirus Antibody $86 ADHESIVE GEL PATCH $32 Adjustable Hip Block Hardware $277 Adrenocorticotropic Hormone (ACTH) $393 ADULT 24 HOUR ORAL SUCTION CLEANING KIT 6308 $42 ADULT RESUSCITATION BAG/MASK $37 ADV POST TIBIAL TENDON W EXC NAVICLR BONE (28238) $19,435 ADV POST TIBIAL TENDON W EXC NAVICLR BONE,Bilatera $29,148 Advanced Care Planning 30 min (99497) $335 AE, ext power, molded inner socket, remov shell, i $31,289 AE, ext power, molded inner socket, remov shell, i_L6955 $29,341 AE, molded double wall socket, internal locking el $9,772 AE, molded socket, endo sys, incl soft prosthetic $10,506 AEL Abductor Hardware Lever Release $459 AEL Abductor Hardware Push-Button Release $459 AEL Abductor Pad $158 AEL Bracket Adapter $182 AEL Contoured Arm Support, All Sizes, Each $286 AEL Dynaform Chest Harness, All Sizes $180 AEL Fixed Mounting Hardware $120 AEL H and X Straps $210 AEL Lateral Trunk Support