CMS Price Transparency Data

Blood test, calcium

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 82310 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 82310
Insurance Median: $70
Cash Discount Price: $36
vs. Medicare Baseline: 13.57x Medicare

The contracted insurance negotiated median rate for a Blood test, calcium at Crystal Clinic Orthopaedic Center is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $36. Compared to the federal Medicare reimbursement reference rate of $5.16, this hospital’s rate is 13.57x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$36

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$5.16

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.16 (100%)

Cash / Self-Pay: $36 (698%)

Insurance Median: $70 (1357%)

Cash: $36 (698% of Medicare)

Ins. Median: $70 (1357% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.16 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1357% of the Medicare baseline (a markup of 1257%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Bc Mcr Adv	$5	97%
Summacare Mcr Adv	$5	97%
UnitedHealthcare	$5 - $101	97%
The Health Plan - All Plans	$10	194%
Aultcare - All Plans	$15	291%
Health Oh Network - All Plans	$29	562%
Ohio Health Choice - All Plans	$29	562%
Med Mutual Nas	$30	581%
Multiplan - All Plans	$32	620%
Healthsmart - All Plans	$41	795%
Bc Pathway	$60	1163%
Cigna	$81	1570%
Bc Ohi/Ohii	$82	1589%
Summacare Comm - All Other Plans	$89	1725%
Med Mutual Medflex	$90	1744%
Bc Blue Access	$92	1783%
Bc Preferred	$92	1783%
Bc Trad - All Other Plans	$92	1783%
Med Mutual Aca	$102	1977%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$112	2171%
Aetna	$114	2209%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $36.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 82310.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Crystal Clinic Orthopaedic Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 82310.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.