CMS Price Transparency Data

Blood transfusion

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 36430
Insurance Median: $4,875
Cash Discount Price: $2,494
vs. Medicare Baseline: 10.82x Medicare

The contracted insurance negotiated median rate for a Blood transfusion at Crystal Clinic Orthopaedic Center is $4,875. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,494. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 10.82x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$2,494

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,875

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$450.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $450.73 (100%)

Cash / Self-Pay: $2,494 (553%)

Insurance Median: $4,875 (1082%)

Cash: $2,494 (553% of Medicare)

Ins. Median: $4,875 (1082% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $450.73 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 1082% of the Medicare baseline (a markup of 982%). 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	$418	93%
Summacare Mcr Adv	$418	93%
UnitedHealthcare	$418 - $6,996	93%
The Health Plan - All Plans	$836	185%
Aultcare - All Plans	$1,064	236%
Health Oh Network - All Plans	$1,995	443%
Ohio Health Choice - All Plans	$1,995	443%
Med Mutual Nas	$2,075	460%
Multiplan - All Plans	$2,194	487%
Healthsmart - All Plans	$2,826	627%
Bc Pathway	$4,157	922%
Cigna	$5,593	1241%
Bc Ohi/Ohii	$5,708	1266%
Summacare Comm - All Other Plans	$6,151	1365%
Med Mutual Medflex	$6,225	1381%
Bc Blue Access	$6,342	1407%
Bc Preferred	$6,342	1407%
Bc Trad - All Other Plans	$6,342	1407%
Med Mutual Aca	$7,080	1571%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$7,780	1726%
Aetna	$7,882	1749%

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 $2,494.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 36430.

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 36430.
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.