CMS Price Transparency Data

Hospital observation (per hour)

Facility: Crystal Clinic Orthopaedic Center

Billing Code: G0378 (HCPCS)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: G0378
Insurance Median: $210
Cash Discount Price: $89
vs. Medicare Baseline: N/A Medicare

The contracted insurance negotiated median rate for a Hospital observation (per hour) at Crystal Clinic Orthopaedic Center is $210. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $89. Compared to the federal Medicare reimbursement reference rate of N/A, this hospital’s rate is N/A the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$89

Average discount available for prompt cash payment at this facility.

Insurance Median

$210

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

N/A

Standard federal government reimbursement rate for this code.

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	$38	N/A
Health Oh Network - All Plans	$71	N/A
Ohio Health Choice - All Plans	$71	N/A
Med Mutual Nas	$74	N/A
Multiplan - All Plans	$78	N/A
Healthsmart - All Plans	$100	N/A
Bc Pathway	$148	N/A
Cigna	$198	N/A
Bc Ohi/Ohii	$203	N/A
Summacare Comm - All Other Plans	$218	N/A
Med Mutual Medflex	$221	N/A
Bc Preferred	$225	N/A
Bc Trad - All Other Plans	$225	N/A
Bc Blue Access	$225	N/A
UnitedHealthcare	$248	N/A
Med Mutual Aca	$251	N/A
Med Mutual Ppo/Pos/Hmo - All Other Plans	$276	N/A
Aetna	$280	N/A

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 $89.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify HCPCS Code matches exactly: G0378.

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 G0378.
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.