CMS Price Transparency Data

X-ray, hand

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $58
Cash Discount Price: $59
vs. Medicare Baseline: 0.65x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at Crystal Clinic Orthopaedic Center is $58. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $59. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.65x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$59

Average discount available for prompt cash payment at this facility.

Insurance Median

$58

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $59 (66%)

Insurance Median: $58 (65%)

Cash: $59 (66% of Medicare)

Ins. Median: $58 (65% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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.

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
UnitedHealthcare	$6 - $1,395	7%
Bc Mcr Adv	$8 - $82	9%
Summacare Mcr Adv	$8 - $82	9%
Aultcare - All Plans	$9 - $212	10%
Summacare Comm - All Other Plans	$9 - $1,227	10%
Cigna	$10 - $1,115	11%
The Health Plan - All Plans	$11 - $165	12%
Bc Blue Access	$12 - $1,265	13%
Bc Ohi/Ohii	$12 - $1,138	13%
Bc Pathway	$12 - $829	13%
Bc Preferred	$12 - $1,265	13%
Bc Trad - All Other Plans	$12 - $1,265	13%
Health Oh Network - All Plans	$12 - $398	13%
Med Mutual Nas	$12 - $414	13%
Ohio Health Choice - All Plans	$12 - $398	13%
Multiplan - All Plans	$13 - $438	15%
Healthsmart - All Plans	$17 - $564	19%
Med Mutual Medflex	$1,241	1396%
Med Mutual Aca	$1,412	1588%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$1,551	1744%
Aetna	$1,572	1768%

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 $59.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

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 73130.
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.