CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $114
Cash Discount Price: $243
vs. Medicare Baseline: 3.38x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at Crystal Clinic Orthopaedic Center is $114. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $243. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 3.38x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$243

Average discount available for prompt cash payment at this facility.

Insurance Median

$114

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)

Cash / Self-Pay: $243 (720%)

Insurance Median: $114 (338%)

Cash: $243 (720% of Medicare)

Ins. Median: $114 (338% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 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 338% of the Medicare baseline (a markup of 238%). 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	$22 - $104	65%
Bc Blue Access	$26 - $618	77%
Bc Ohi/Ohii	$26 - $556	77%
Bc Pathway	$26 - $405	77%
Bc Preferred	$26 - $618	77%
Bc Trad - All Other Plans	$26 - $618	77%
Bc Mcr Adv	$32	95%
Summacare Mcr Adv	$32	95%
UnitedHealthcare	$32 - $682	95%
Summacare Comm - All Other Plans	$35 - $599	104%
Cigna	$42 - $125	125%
The Health Plan - All Plans	$42 - $64	125%
Med Mutual Nas	$46 - $202	136%
Health Oh Network - All Plans	$51 - $390	151%
Ohio Health Choice - All Plans	$51 - $390	151%
Multiplan - All Plans	$56 - $429	166%
Healthsmart - All Plans	$72 - $552	213%
Med Mutual Medflex	$607	1800%
Med Mutual Aca	$690	2046%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$758	2247%
Aetna	$768	2277%

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 $243.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

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 97750.
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.