CMS Price Transparency Data

X-ray, shoulder

Facility: Crystal Clinic Orthopaedic Center

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $78
Cash Discount Price: $78
vs. Medicare Baseline: 0.88x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at Crystal Clinic Orthopaedic Center is $78. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $78. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 0.88x the Medicare baseline. Located in 444 North Main Street, Akron, OH.

Cash / Self-Pay

$78

Average discount available for prompt cash payment at this facility.

Insurance Median

$78

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: $78 (88%)

Insurance Median: $78 (88%)

Cash: $78 (88% of Medicare)

Ins. Median: $78 (88% 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 - $1,281	7%
Bc Mcr Adv	$9 - $82	10%
Summacare Mcr Adv	$9 - $82	10%
Aultcare - All Plans	$10 - $195	11%
Summacare Comm - All Other Plans	$10 - $1,127	11%
Cigna	$11 - $1,024	12%
The Health Plan - All Plans	$11 - $165	12%
Bc Blue Access	$12 - $1,162	13%
Bc Ohi/Ohii	$12 - $1,045	13%
Bc Pathway	$12 - $761	13%
Bc Preferred	$12 - $1,162	13%
Bc Trad - All Other Plans	$12 - $1,162	13%
Med Mutual Nas	$13 - $380	15%
Health Oh Network - All Plans	$15 - $365	17%
Ohio Health Choice - All Plans	$15 - $365	17%
Multiplan - All Plans	$16 - $402	18%
Healthsmart - All Plans	$21 - $518	24%
Med Mutual Medflex	$1,140	1282%
Med Mutual Aca	$1,297	1459%
Med Mutual Ppo/Pos/Hmo - All Other Plans	$1,425	1603%
Aetna	$1,444	1624%

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 $78.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

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 73030.
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.