CMS Price Transparency Data

X-ray, lower back

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $93
Cash Discount Price: $95
vs. Medicare Baseline: 0.87x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at Crystal Clinic Orthopaedic Center is $93. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $95. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.87x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$95

Average discount available for prompt cash payment at this facility.

Insurance Median

$93

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: $95 (89%)

Insurance Median: $93 (87%)

Cash: $95 (89% of Medicare)

Ins. Median: $93 (87% 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.

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	$8 - $2,386	7%
Bc Mcr Adv	$12 - $99	11%
Summacare Mcr Adv	$12 - $99	11%
Summacare Comm - All Other Plans	$13 - $2,098	12%
Aultcare - All Plans	$14 - $363	13%
Cigna	$16 - $1,908	15%
The Health Plan - All Plans	$16 - $198	15%
Med Mutual Nas	$17 - $708	16%
Bc Blue Access	$21 - $2,163	20%
Bc Ohi/Ohii	$21 - $1,947	20%
Bc Pathway	$21 - $1,418	20%
Bc Preferred	$21 - $2,163	20%
Bc Trad - All Other Plans	$21 - $2,163	20%
Health Oh Network - All Plans	$24 - $680	22%
Ohio Health Choice - All Plans	$24 - $680	22%
Multiplan - All Plans	$26 - $748	24%
Healthsmart - All Plans	$34 - $964	32%
Med Mutual Medflex	$2,123	1988%
Med Mutual Aca	$2,415	2261%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$2,654	2485%
Aetna	$2,688	2517%

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 $95.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

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 72110.
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.