CMS Price Transparency Data

Prosthetic fitting and training

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 97761 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97761
Insurance Median: $235
Cash Discount Price: $168
vs. Medicare Baseline: 5.82x Medicare

The contracted insurance negotiated median rate for a Prosthetic fitting and training at Crystal Clinic Orthopaedic Center is $235. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $168. Compared to the federal Medicare reimbursement reference rate of $40.41, this hospital’s rate is 5.82x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$168

Average discount available for prompt cash payment at this facility.

Insurance Median

$235

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$40.41

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $40.41 (100%)

Cash / Self-Pay: $168 (416%)

Insurance Median: $235 (582%)

Cash: $168 (416% of Medicare)

Ins. Median: $235 (582% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $40.41 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 582% of the Medicare baseline (a markup of 482%). 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	$38	94%
Summacare Mcr Adv	$38	94%
UnitedHealthcare	$38 - $471	94%
Aultcare - All Plans	$72	178%
The Health Plan - All Plans	$77	191%
Cigna	$125	309%
Health Oh Network - All Plans	$134	332%
Ohio Health Choice - All Plans	$134	332%
Med Mutual Nas	$140	346%
Multiplan - All Plans	$148	366%
Healthsmart - All Plans	$190	470%
Bc Pathway	$280	693%
Bc Ohi/Ohii	$385	953%
Summacare Comm - All Other Plans	$414	1024%
Med Mutual Medflex	$419	1037%
Bc Blue Access	$427	1057%
Bc Preferred	$427	1057%
Bc Trad - All Other Plans	$427	1057%
Med Mutual Aca	$477	1180%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$524	1297%
Aetna	$531	1314%

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 $168.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97761.

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 97761.
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.