CMS Price Transparency Data

X-ray, pelvis

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $56
Cash Discount Price: $54
vs. Medicare Baseline: 0.52x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at Crystal Clinic Orthopaedic Center is $56. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 0.52x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$56

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: $54 (51%)

Insurance Median: $56 (52%)

Cash: $54 (51% of Medicare)

Ins. Median: $56 (52% 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	$6 - $2,136	6%
Bc Mcr Adv	$8 - $99	7%
Summacare Mcr Adv	$8 - $99	7%
Aultcare - All Plans	$9 - $325	8%
Summacare Comm - All Other Plans	$9 - $1,878	8%
Cigna	$10 - $1,707	9%
The Health Plan - All Plans	$11 - $198	10%
Bc Blue Access	$12 - $1,936	11%
Bc Ohi/Ohii	$12 - $1,742	11%
Bc Pathway	$12 - $1,269	11%
Bc Preferred	$12 - $1,936	11%
Bc Trad - All Other Plans	$12 - $1,936	11%
Med Mutual Nas	$12 - $633	11%
Health Oh Network - All Plans	$21 - $609	20%
Ohio Health Choice - All Plans	$21 - $609	20%
Multiplan - All Plans	$23 - $670	22%
Healthsmart - All Plans	$30 - $863	28%
Med Mutual Medflex	$1,900	1779%
Med Mutual Aca	$2,161	2023%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$2,375	2224%
Aetna	$2,406	2253%

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 $54.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

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 72170.
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.