CMS Price Transparency Data

Drug screening test

Facility: Crystal Clinic Orthopaedic Center

Billing Code: G0480 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0480
Insurance Median: $528
Cash Discount Price: $234
vs. Medicare Baseline: 4.61x Medicare

The contracted insurance negotiated median rate for a Drug screening test at Crystal Clinic Orthopaedic Center is $528. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $234. Compared to the federal Medicare reimbursement reference rate of $114.43, this hospital’s rate is 4.61x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$234

Average discount available for prompt cash payment at this facility.

Insurance Median

$528

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$114.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $114.43 (100%)

Cash / Self-Pay: $234 (204%)

Insurance Median: $528 (461%)

Cash: $234 (204% of Medicare)

Ins. Median: $528 (461% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $114.43 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 461% of the Medicare baseline (a markup of 361%). 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
Aultcare - All Plans	$95 - $105	83%
UnitedHealthcare	$114 - $688	100%
Summacare McR Adv	$114	100%
Bc McR Adv	$114	100%
Ohio Health Choice - All Plans	$178 - $196	156%
Health Oh Network - All Plans	$178 - $196	156%
Med Mutual Nas	$185 - $204	162%
Multiplan - All Plans	$195 - $216	170%
The Health Plan - All Plans	$229	200%
Healthsmart - All Plans	$252 - $278	220%
Bc Pathway	$370 - $409	323%
Cigna	$498 - $550	435%
Bc Ohi/Ohii	$508 - $561	444%
Summacare Comm - All Other Plans	$548 - $605	479%
Med Mutual Medflex	$554 - $612	484%
Bc Preferred	$565 - $624	494%
Bc Blue Access	$565 - $624	494%
Bc Trad - All Other Plans	$565 - $624	494%
Med Mutual Aca	$630 - $696	551%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$693 - $765	606%
Aetna	$702 - $775	613%

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 $234.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0480.

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 HCPCS code G0480.
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.