CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $5,904
Cash Discount Price: $3,020
vs. Medicare Baseline: 16.56x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Crystal Clinic Orthopaedic Center is $5,904. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,020. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 16.56x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$3,020

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,904

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $3,020 (847%)

Insurance Median: $5,904 (1656%)

Cash: $3,020 (847% of Medicare)

Ins. Median: $5,904 (1656% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 1656% of the Medicare baseline (a markup of 1556%). 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	$331	93%
Summacare Mcr Adv	$331	93%
UnitedHealthcare	$331 - $8,473	93%
The Health Plan - All Plans	$661	185%
Aultcare - All Plans	$1,289	362%
Health Oh Network - All Plans	$2,416	678%
Ohio Health Choice - All Plans	$2,416	678%
Med Mutual Nas	$2,513	705%
Multiplan - All Plans	$2,658	746%
Healthsmart - All Plans	$3,423	960%
Bc Pathway	$5,035	1413%
Cigna	$6,774	1901%
Bc Ohi/Ohii	$6,913	1940%
Summacare Comm - All Other Plans	$7,450	2090%
Med Mutual Medflex	$7,539	2115%
Bc Blue Access	$7,681	2155%
Bc Preferred	$7,681	2155%
Bc Trad - All Other Plans	$7,681	2155%
Med Mutual Aca	$8,575	2406%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$9,423	2644%
Aetna	$9,546	2678%

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 $3,020.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

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 74177.
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.