CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $1,550
Cash Discount Price: $780
vs. Medicare Baseline: 14.51x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Crystal Clinic Orthopaedic Center is $1,550. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $780. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 14.51x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$780

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,550

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $780 (730%)

Insurance Median: $1,550 (1451%)

Cash: $780 (730% of Medicare)

Ins. Median: $1,550 (1451% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1451% of the Medicare baseline (a markup of 1351%). 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	$99	93%
Summacare Mcr Adv	$99	93%
UnitedHealthcare	$99 - $2,618	93%
The Health Plan - All Plans	$198	185%
Aultcare - All Plans	$267 - $398	250%
Health Oh Network - All Plans	$501 - $746	469%
Ohio Health Choice - All Plans	$501 - $746	469%
Med Mutual Nas	$521 - $776	488%
Multiplan - All Plans	$551 - $821	516%
Healthsmart - All Plans	$710 - $1,057	665%
Bc Pathway	$1,044 - $1,555	977%
Cigna	$1,405 - $2,093	1315%
Bc Ohi/Ohii	$1,433 - $2,135	1342%
Summacare Comm - All Other Plans	$1,545 - $2,301	1446%
Med Mutual Medflex	$1,563 - $2,329	1463%
Bc Blue Access	$1,593 - $2,373	1491%
Bc Preferred	$1,593 - $2,373	1491%
Bc Trad - All Other Plans	$1,593 - $2,373	1491%
Med Mutual Aca	$1,778 - $2,649	1665%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$1,954 - $2,911	1829%
Aetna	$1,979 - $2,949	1853%

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 $780.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

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 76705.
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.