CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $5,180
Cash Discount Price: $2,650
vs. Medicare Baseline: 21.25x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at Crystal Clinic Orthopaedic Center is $5,180. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,650. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 21.25x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$2,650

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,180

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $2,650 (1087%)

Insurance Median: $5,180 (2125%)

Cash: $2,650 (1087% of Medicare)

Ins. Median: $5,180 (2125% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 2125% of the Medicare baseline (a markup of 2025%). 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	$226	93%
Summacare Mcr Adv	$226	93%
UnitedHealthcare	$226 - $7,434	93%
The Health Plan - All Plans	$452	185%
Aultcare - All Plans	$1,131	464%
Health Oh Network - All Plans	$2,120	870%
Ohio Health Choice - All Plans	$2,120	870%
Med Mutual Nas	$2,205	905%
Multiplan - All Plans	$2,332	957%
Healthsmart - All Plans	$3,003	1232%
Bc Pathway	$4,417	1812%
Cigna	$5,943	2438%
Bc Ohi/Ohii	$6,065	2488%
Summacare Comm - All Other Plans	$6,536	2681%
Med Mutual Medflex	$6,614	2713%
Bc Blue Access	$6,738	2764%
Bc Preferred	$6,738	2764%
Bc Trad - All Other Plans	$6,738	2764%
Med Mutual Aca	$7,523	3086%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$8,267	3391%
Aetna	$8,375	3436%

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 $2,650.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

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 74176.
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.