CMS Price Transparency Data

X-ray, neck (cervical spine)

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 72040 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72040
Insurance Median: $70
Cash Discount Price: $71
vs. Medicare Baseline: 0.79x Medicare

The contracted insurance negotiated median rate for a X-ray, neck (cervical spine) at Crystal Clinic Orthopaedic Center is $70. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $71. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.79x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$71

Average discount available for prompt cash payment at this facility.

Insurance Median

$70

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: $71 (80%)

Insurance Median: $70 (79%)

Cash: $71 (80% of Medicare)

Ins. Median: $70 (79% 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	$7 - $1,311	8%
Bc Mcr Adv	$10 - $82	11%
Summacare Mcr Adv	$10 - $82	11%
Aultcare - All Plans	$11 - $199	12%
Summacare Comm - All Other Plans	$11 - $1,153	12%
Cigna	$13 - $1,048	15%
The Health Plan - All Plans	$13 - $165	15%
Bc Blue Access	$15 - $1,188	17%
Bc Ohi/Ohii	$15 - $1,069	17%
Bc Pathway	$15 - $779	17%
Bc Preferred	$15 - $1,188	17%
Bc Trad - All Other Plans	$15 - $1,188	17%
Med Mutual Nas	$15 - $389	17%
Health Oh Network - All Plans	$18 - $374	20%
Ohio Health Choice - All Plans	$18 - $374	20%
Multiplan - All Plans	$20 - $411	22%
Healthsmart - All Plans	$26 - $530	29%
Med Mutual Medflex	$1,166	1311%
Med Mutual Aca	$1,327	1493%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$1,458	1640%
Aetna	$1,477	1661%

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 $71.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72040.

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 72040.
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.