CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $5,904
Cash Discount Price: $3,020
vs. Medicare Baseline: 32.95x Medicare

The contracted insurance negotiated median rate for a CT scan, head (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 $179.2, this hospital’s rate is 32.95x 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

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $3,020 (1685%)

Insurance Median: $5,904 (3295%)

Cash: $3,020 (1685% of Medicare)

Ins. Median: $5,904 (3295% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 3295% of the Medicare baseline (a markup of 3195%). 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	$166	93%
Summacare Mcr Adv	$166	93%
UnitedHealthcare	$166 - $8,473	93%
The Health Plan - All Plans	$333	186%
Aultcare - All Plans	$1,289	719%
Health Oh Network - All Plans	$2,416	1348%
Ohio Health Choice - All Plans	$2,416	1348%
Med Mutual Nas	$2,513	1402%
Multiplan - All Plans	$2,658	1483%
Healthsmart - All Plans	$3,423	1910%
Bc Pathway	$5,035	2810%
Cigna	$6,774	3780%
Bc Ohi/Ohii	$6,913	3858%
Summacare Comm - All Other Plans	$7,450	4157%
Med Mutual Medflex	$7,539	4207%
Bc Blue Access	$7,681	4286%
Bc Preferred	$7,681	4286%
Bc Trad - All Other Plans	$7,681	4286%
Med Mutual Aca	$8,575	4785%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$9,423	5258%
Aetna	$9,546	5327%

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: 70460.

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 70460.
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.