Crystal Clinic Orthopaedic Center
Crystal Clinic Orthopaedic Center in Fairlawn, OH publishes cash prices for 240 common procedures listed here, from its own machine-readable price file updated Jun 19, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the Ohio median for 178 of 240 procedures and below it for 61. By typical cash price it ranks #126 of 139 Ohio hospitals and #4 of 6 hospitals in the Akron, OH area, cheapest first. Select a procedure to compare it with other hospitals nearby.
3557 Embassy Pkwy Fairlawn OH 44333 Collected Sep 22, 2026 Source price file Check a bill from this hospital (330) 670-4152
Acute care hospital For-profit hospital No emergency department CMS star rating 5 of 5 CCN 360351 · CMS hospital register NPI 1669669917
State law
This state limits hospital bills for lower-income patients
Ohio's Hospital Care Assurance Program (HCAP): Ohio residents who are not on Medicaid and whose income is at or below 100% of the federal poverty level get basic, medically necessary hospital services free at hospitals in the program; physician bills are not included. Ask the hospital's billing office for an HCAP application. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Abdominal CT scan without and with contrast CPT 74170 CT scan of abdomen before and after contrast | $4,428.00 | $5,904.00 | $166.26–$13,995.33 | 233% above | 25% |
| Abdominal X-ray, 2 views CPT 74019 X-ray of abdomen, 2 views | $729.75 | $973.00 | $99.09–$2,306.48 | 116% above | 25% |
| Ankle X-ray, complete, 3 or more views CPT 73610 X-ray of ankle, minimum of 3 views | $746.25 | $995.00 | $82.49–$2,358.63 | 134% above | 25% |
| Arm CT scan without contrast (shoulder to hand, any part) CPT 73200 CT scan of arm without contrast | $3,428.25 | $4,571.00 | $99.09–$10,835.48 | 263% above | 25% |
| Breast ultrasound, limited (one breast or one area) CPT 76642 Limited ultrasound scan of 1 breast | $414.75 | $553.00 | $82.49–$1,310.88 | 1% above | 25% |
| CT angiography (CTA) of the abdomen and pelvis CPT 74174 CT scan of blood vessels of abdomen and pelvis with contrast | $2,114.25 | $2,819.00 | $330.68–$6,682.39 | 1% below | 25% |
| CT angiography (CTA) of the head CPT 70496 CT scan of blood vessels of head with contrast | $1,025.25 | $1,367.00 | $166.26–$3,240.45 | 23% below | 25% |
| CT angiography (CTA) of the neck CPT 70498 CT scan of blood vessels of neck with contrast | $2,649.75 | $3,533.00 | $166.26–$8,374.92 | 103% above | 25% |
| CT angiography of the chest (CTA), for blood clots in the lungs CPT 71275 CT scan of blood vessels of chest with contrast | $4,428.00 | $5,904.00 | $166.26–$13,995.33 | 213% above | 25% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 CT scan of abdomen and pelvis without contrast | $2,649.75 | $3,533.00 | $226.16–$8,374.92 | 67% above | 25% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT scan of abdomen and pelvis with contrast | $3,020.25 | $4,027.00 | $330.68–$9,545.94 | 52% above | 25% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 CT scan of abdomen and pelvis before and after contrast | $4,428.00 | $5,904.00 | $330.68–$13,995.33 | 90% above | 25% |
| CT scan of the abdomen with contrast CPT 74160 CT scan of abdomen with contrast | $3,020.25 | $4,027.00 | $166.26–$9,545.94 | 159% above | 25% |
| CT scan of the abdomen without contrast CPT 74150 CT scan of abdomen without contrast | $2,649.75 | $3,533.00 | $99.09–$8,374.92 | 152% above | 25% |
| CT scan of the face and sinuses, no contrast dye CPT 70486 CT scan of face without contrast | $2,649.75 | $3,533.00 | $99.09–$8,374.92 | 203% above | 25% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT scan head or brain without contrast | $2,649.75 | $3,533.00 | $99.09–$8,374.92 | 217% above | 25% |
| CT scan of the head with contrast CPT 70460 CT scan head or brain with contrast | $3,020.25 | $4,027.00 | $166.26–$9,545.94 | 200% above | 25% |
| CT scan of the head without and with contrast CPT 70470 CT scan of head or brain before and after contrast | $4,428.00 | $5,904.00 | $166.26–$13,995.33 | 272% above | 25% |
| CT scan of the lower back (lumbar spine) without contrast CPT 72131 CT scan of lower spine without contrast | $2,649.75 | $3,533.00 | $99.09–$8,374.92 | 141% above | 25% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 CT scan of upper spine without contrast | $2,649.75 | $3,533.00 | $99.09–$8,374.92 | 147% above | 25% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT scan of pelvis with contrast | $3,020.25 | $4,027.00 | $166.26–$9,545.94 | 147% above | 25% |
| Carotid artery ultrasound (duplex), both sides of the neck CPT 93880 Ultrasound of both sides of head and neck blood flow | $1,286.25 | $1,715.00 | $226.16–$4,065.38 | 77% above | 25% |
| Chest CT scan without and with contrast CPT 71270 CT scan of chest before and after contrast | $4,428.00 | $5,904.00 | $166.26–$13,995.33 | 193% above | 25% |
| Chest X-ray, 2 views CPT 71046 X-ray of chest, 2 views | $468.00 | $624.00 | $82.49–$1,479.18 | 77% above | 25% |
| Chest X-ray, single view CPT 71045 X-ray of chest, 1 view | $396.75 | $529.00 | $82.49–$1,253.99 | 78% above | 25% |
| Collarbone (clavicle) X-ray, complete CPT 73000 X-ray of collar bone | $633.75 | $845.00 | $82.49–$2,003.06 | 134% above | 25% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 Complete ultrasound scan behind abdominal cavity | $1,005.75 | $1,341.00 | $99.09–$3,178.82 | 42% above | 25% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 DXA bone density measurement of hip, pelvis, spine | $899.25 | $1,199.00 | $99.09–$2,842.21 | 99% above | 25% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 DXA bone density measurement of forearm, finger, hand, or foot | $381.00 | $508.00 | $82.49–$1,204.21 | 48% above | 25% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 CT scan of chest without contrast | $2,649.75 | $3,533.00 | $99.09–$8,374.92 | 182% above | 25% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 CT scan of chest with contrast | $3,020.25 | $4,027.00 | $166.26–$9,545.94 | 149% above | 25% |
| Duplex ultrasound of the leg veins, both legs CPT 93970 Ultrasound study of arm or leg veins with compression and maneuvers | $1,651.50 | $2,202.00 | $226.16–$5,219.80 | 85% above | 25% |
| Elbow X-ray, 2 views CPT 73070 X-ray of elbow, 2 views | $456.75 | $609.00 | $82.49–$1,443.62 | 75% above | 25% |
| Elbow X-ray, complete, 3 or more views CPT 73080 X-ray of elbow, minimum of 3 views | $633.75 | $845.00 | $82.49–$2,003.06 | 101% above | 25% |
| Facial bones X-ray, complete, 3 or more views CPT 70150 X-ray of face bones, minimum of 3 views | $761.25 | $1,015.00 | $99.09–$2,406.04 | 102% above | 25% |
| Forearm X-ray (radius and ulna), 2 views CPT 73090 X-ray of forearm, 2 views | $456.75 | $609.00 | $82.49–$1,443.62 | 68% above | 25% |
| Hand X-ray, 2 views CPT 73120 X-ray of hand, 2 views | $761.25 | $1,015.00 | $99.09–$2,406.04 | 185% above | 25% |
| Heel bone (calcaneus) X-ray, 2 or more views CPT 73650 X-ray of heel, minimum of 2 views | $456.75 | $609.00 | $82.49–$1,443.62 | 68% above | 25% |
| Knee X-ray, 3 views CPT 73562 X-ray of knee, 3 views | $651.00 | $868.00 | $82.49–$2,057.58 | 84% above | 25% |
| Knee X-ray, complete, 4 or more views CPT 73564 X-ray of knee, 4 or more views | $850.50 | $1,134.00 | $99.09–$2,688.13 | 117% above | 25% |
| Leg CT scan without contrast (hip to foot, any part) CPT 73700 CT scan of leg without contrast | $2,649.75 | $3,533.00 | $99.09–$8,374.92 | 181% above | 25% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 Limited ultrasound scan of abdomen | $933.00 | $1,244.00 | $99.09–$2,948.88 | 69% above | 25% |
| Limited ultrasound of an arm or leg (non-vascular) CPT 76882 Limited ultrasound scan of joint or other extremity structure except blood vessels | $788.25 | $1,051.00 | $99.09–$2,491.38 | 65% above | 25% |
| Lower leg X-ray (tibia and fibula), 2 views CPT 73590 X-ray of lower leg, 2 views | $435.00 | $580.00 | $82.49–$1,374.88 | 59% above | 25% |
| MR angiography (MRA) of the head without contrast CPT 70544 MRI scan of blood vessels of head without contrast | $350.00 | $4,571.00 | $226.16–$10,835.48 | 76% below | 92% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI scan of leg joint without contrast | $350.00 | $5,040.00 | $226.16–$11,947.23 | 80% below | 93% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI scan of leg joint before and after contrast | $350.00 | $5,750.00 | $320.00–$13,630.28 | 85% below | 94% |
| MRI of the abdomen without contrast CPT 74181 MRI scan of abdomen without contrast | $350.00 | $2,174.00 | $226.16–$5,153.43 | 81% below | 84% |
| MRI of the abdomen, without and then with contrast dye CPT 74183 MRI scan of abdomen before and after contrast | $350.00 | $4,047.00 | $320.00–$9,593.34 | 85% below | 91% |
| MRI of the brain, no contrast dye CPT 70551 MRI scan of brain without contrast | $350.00 | $6,010.00 | $226.16–$14,246.60 | 78% below | 94% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI scan of brain before and after contrast | $350.00 | $8,707.00 | $320.00–$20,639.80 | 84% below | 96% |
| MRI of the lower back, no contrast dye CPT 72148 MRI scan of lower spinal canal without contrast | $350.00 | $5,040.00 | $226.16–$11,947.23 | 79% below | 93% |
| MRI of the lower back, without and then with contrast dye CPT 72158 MRI scan of lower spinal canal before and after contrast | $350.00 | $8,631.00 | $320.00–$20,459.64 | 85% below | 96% |
| MRI of the mid back (thoracic spine), no contrast dye CPT 72146 MRI scan of middle spinal canal without contrast | $350.00 | $5,040.00 | $226.16–$11,947.23 | 79% below | 93% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 MRI scan of upper spinal canal before and after contrast | $350.00 | $8,631.00 | $320.00–$20,459.64 | 85% below | 96% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 MRI scan of upper spinal canal without contrast | $350.00 | $5,040.00 | $226.16–$11,947.23 | 79% below | 93% |
| MRI of the pelvis without and with contrast CPT 72197 MRI scan of pelvis before and after contrast | $350.00 | $6,340.00 | $320.00–$15,028.86 | 82% below | 94% |
| MRI of the pelvis, no contrast dye CPT 72195 MRI scan of pelvis without contrast | $350.00 | $5,040.00 | $226.16–$11,947.23 | 77% below | 93% |
| MRI of the shoulder, elbow or wrist joint, no contrast dye CPT 73221 MRI scan of arm joint without contrast | $350.00 | $5,040.00 | $226.16–$11,947.23 | 77% below | 93% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 X-ray of upper spine, 4-5 views | $761.25 | $1,015.00 | $99.09–$2,406.04 | 69% above | 25% |
| Neck soft tissue CT scan with contrast CPT 70491 CT scan of soft tissue of neck with contrast | $1,025.25 | $1,367.00 | $166.26–$3,240.45 | 13% below | 25% |
| Neck soft tissue CT scan without contrast CPT 70490 CT scan of soft tissue of neck without contrast | $626.25 | $835.00 | $99.09–$1,979.35 | 32% below | 25% |
| Neck soft tissue X-ray CPT 70360 X-ray of soft tissue of neck | $427.50 | $570.00 | $82.49–$1,351.18 | 65% above | 25% |
| Pelvic CT scan without contrast CPT 72192 CT scan of pelvis without contrast | $2,649.75 | $3,533.00 | $99.09–$8,374.92 | 164% above | 25% |
| Pelvic ultrasound (not pregnancy), limited or follow-up CPT 76857 Limited ultrasound scan of pelvis | $556.50 | $742.00 | $99.09–$1,758.90 | 28% above | 25% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 Complete ultrasound scan of pelvis | $556.50 | $742.00 | $99.09–$1,758.90 | 10% above | 25% |
| Rib X-ray, one side, 2 views CPT 71100 X-ray of ribs on side of body, 2 views | $443.25 | $591.00 | $82.49–$1,400.96 | 46% above | 25% |
| Rib X-ray, one side, with a chest view, 3 or more views CPT 71101 X-ray of ribs on side of body, minimum of 3 views | $761.25 | $1,015.00 | $99.09–$2,406.04 | 99% above | 25% |
| Shoulder X-ray, complete, 2 or more views CPT 73030 X-ray of shoulder, minimum of 2 views | $456.75 | $609.00 | $82.49–$1,443.62 | 36% above | 25% |
| Sinus X-ray, complete, 3 or more views CPT 70220 X-ray of paranasal sinus, minimum of 3 views | $226.50 | $302.00 | $82.49–$715.89 | 37% below | 25% |
| Skull X-ray, fewer than 4 views CPT 70250 X-ray of skull, 1-3 views | $761.25 | $1,015.00 | $99.09–$2,406.04 | 164% above | 25% |
| Thigh bone (femur) X-ray, 2 or more views CPT 73552 X-ray of thigh bone, minimum 2 views | $78.75 | $105.00 | $5.75–$89.25 | 71% below | 25% |
| Thoracic spine (mid back) CT scan without contrast CPT 72128 CT scan of middle spine without contrast | $626.25 | $835.00 | $99.09–$1,979.35 | 31% below | 25% |
| Toe X-ray, 2 or more views CPT 73660 X-ray of toe, minimum of 2 views | $414.75 | $553.00 | $82.49–$1,310.88 | 66% above | 25% |
| Ultrasound of the abdomen, complete CPT 76700 Complete ultrasound scan of abdomen | $1,315.50 | $1,754.00 | $99.09–$4,157.83 | 110% above | 25% |
| Ultrasound of the scrotum and testicles CPT 76870 Ultrasound scan of scrotum | $334.50 | $446.00 | $99.09–$1,057.24 | 38% below | 25% |
| Ultrasound of the soft tissues of the head and neck, such as the thyroid CPT 76536 Ultrasound scan of head and neck soft tissue | $761.25 | $1,015.00 | $99.09–$2,406.04 | 33% above | 25% |
| Upper arm X-ray (humerus), 2 views CPT 73060 X-ray of upper arm, minimum of 2 views | $427.50 | $570.00 | $82.49–$1,351.18 | 55% above | 25% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study CPT 93971 Ultrasound study of one arm or leg veins with compression and maneuvers | $1,282.50 | $1,710.00 | $99.09–$4,053.53 | 74% above | 25% |
| Wrist X-ray, 2 views CPT 73100 X-ray of wrist, 2 views | $444.00 | $592.00 | $82.49–$1,403.33 | 70% above | 25% |
| Wrist X-ray, complete, 3 or more views CPT 73110 X-ray of wrist, minimum of 3 views | $499.50 | $666.00 | $82.49–$1,578.74 | 49% above | 25% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included CPT 73502 X-ray of hip, 2-3 views | $438.75 | $585.00 | $82.49–$1,386.73 | 43% above | 25% |
| X-ray of the abdomen, 1 view CPT 74018 X-ray of abdomen, 1 view | $381.75 | $509.00 | $82.49–$1,206.58 | 49% above | 25% |
| X-ray of the ankle, 2 views CPT 73600 X-ray of ankle, 2 views | $456.75 | $609.00 | $82.49–$1,443.62 | 84% above | 25% |
| X-ray of the finger(s), 2 or more views CPT 73140 X-ray of finger, minimum of 2 views | $414.75 | $553.00 | $82.49–$1,310.88 | 61% above | 25% |
| X-ray of the foot, 2 views CPT 73620 X-ray of foot, 2 views | $456.75 | $609.00 | $82.49–$1,443.62 | 97% above | 25% |
| X-ray of the foot, complete, 3 or more views CPT 73630 X-ray of foot, minimum of 3 views | $746.25 | $995.00 | $82.49–$2,358.63 | 144% above | 25% |
| X-ray of the hand, 3 or more views CPT 73130 X-ray of hand, minimum of 3 views | $497.25 | $663.00 | $82.49–$1,571.63 | 52% above | 25% |
| X-ray of the knee, 1 or 2 views CPT 73560 X-ray of knee, 1-2 views | $434.25 | $579.00 | $82.49–$1,372.51 | 59% above | 25% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 X-ray of lower and sacral spine, 2-3 views | $761.25 | $1,015.00 | $99.09–$2,406.04 | 136% above | 25% |
| X-ray of the lower back, 4 or more views CPT 72110 X-ray of lower and sacral spine, minimum of 4 views | $850.50 | $1,134.00 | $99.09–$2,688.13 | 81% above | 25% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 X-ray of middle spine, 2 views | $761.25 | $1,015.00 | $99.09–$2,406.04 | 152% above | 25% |
| X-ray of the nasal bones, 3 or more views CPT 70160 X-ray of nose bones, minimum of 3 views | $450.75 | $601.00 | $82.49–$1,424.66 | 54% above | 25% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 X-ray of upper spine, 2-3 views | $467.25 | $623.00 | $82.49–$1,476.81 | 40% above | 25% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 X-ray of pelvis, 1-2 views | $761.25 | $1,015.00 | $99.09–$2,406.04 | 203% above | 25% |
| X-ray of the tailbone (sacrum and coccyx), 2 or more views CPT 72220 X-ray of sacrum and tailbone, minimum of 2 views | $635.25 | $847.00 | $82.49–$2,007.80 | 114% above | 25% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| ALT (alanine aminotransferase) liver enzyme test CPT 84460 Liver enzyme (SGPT), level | $36.75 | $49.00 | $5.30–$116.15 | 32% above | 25% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 Liver enzyme (SGOT), level | $36.00 | $48.00 | $5.18–$113.78 | 43% above | 25% |
| Albumin blood test CPT 82040 Albumin (protein) level | $34.50 | $46.00 | $4.95–$109.04 | 56% above | 25% |
| Alkaline phosphatase (ALP) blood test CPT 84075 Phosphatase (enzyme) level, alkaline | $24.00 | $32.00 | $5.18–$75.86 | at median | 25% |
| Ammonia blood test CPT 82140 Ammonia level | $100.50 | $134.00 | $14.57–$317.64 | 84% above | 25% |
| Amylase blood test CPT 82150 Amylase (enzyme) level | $44.25 | $59.00 | $6.48–$139.86 | 8% below | 25% |
| Antinuclear antibody (ANA) blood test, screen CPT 86038 Screening test for autoimmune disorder | $83.25 | $111.00 | $12.09–$263.12 | 51% above | 25% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 Bacterial culture, any other source except urine, blood or stool, aerobic | $59.25 | $79.00 | $8.62–$187.27 | 10% below | 25% |
| Basic metabolic panel (blood test) CPT 80048 Blood test, basic group of blood chemicals (Calcium, total) | $58.50 | $78.00 | $8.46–$184.90 | 11% below | 25% |
| Bilirubin blood test, total CPT 82247 Bilirubin level, total | $35.25 | $47.00 | $5.02–$111.41 | 47% above | 25% |
| Biopsy tissue exam by a pathologist (level IV) CPT 88305 Pathology examination of tissue using a microscope, intermediate complexity | $404.25 | $539.00 | $49.39–$1,277.69 | 99% above | 25% |
| Blood culture for bacteria CPT 87040 Bacterial blood culture | $114.00 | $152.00 | $10.32–$360.31 | 22% above | 25% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 Insertion of needle into vein for collection of blood sample | $36.00 | $48.00 | $9.34–$113.78 | 126% above | 25% |
| Blood glucose (sugar) test CPT 82947 Blood glucose (sugar) level | $25.50 | $34.00 | $3.93–$80.60 | 8% above | 25% |
| Blood pregnancy test (hCG, qualitative: yes or no) CPT 84703 Gonadotropin (reproductive hormone) analysis | $145.50 | $194.00 | $7.52–$459.87 | 167% above | 25% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 Blood group typing (ABO) | $48.75 | $65.00 | $2.99–$154.08 | 18% below | 25% |
| Blood urea nitrogen (BUN) test CPT 84520 Urea nitrogen level to assess kidney function, quantitative | $25.50 | $34.00 | $3.95–$80.60 | 9% above | 25% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 Measurement C-reactive protein for detection of infection or inflammation | $36.00 | $48.00 | $5.18–$113.78 | 28% below | 25% |
| C. difficile toxin gene test (stool PCR) CPT 87493 Detection test by nucleic acid for clostridium difficile, amplified probe technique | $240.75 | $321.00 | $37.27–$760.93 | 85% above | 25% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 Amplifed DNA or RNA probe detection of severe acute respiratory syndrome coronavirus 2 (Covid-19) antigen | $257.25 | $343.00 | $51.31–$813.08 | 82% above | 25% |
| Calcium blood test, total CPT 82310 Calcium level, total | $36.00 | $48.00 | $5.16–$113.78 | 14% above | 25% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique | $177.00 | $236.00 | $35.09–$559.43 | 92% above | 25% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Blood test, lipids (cholesterol and triglycerides) | $92.25 | $123.00 | $13.39–$291.57 | 74% above | 25% |
| Complete blood count (CBC) with differential CPT 85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | $53.25 | $71.00 | $7.77–$168.30 | 46% above | 25% |
| Complete blood count (CBC), no differential CPT 85027 Complete blood cell count (red cells, white blood cell, platelets), automated test | $44.25 | $59.00 | $6.47–$139.86 | 31% above | 25% |
| Comprehensive metabolic panel (blood test) CPT 80053 Blood test, comprehensive group of blood chemicals | $72.00 | $96.00 | $10.56–$227.57 | 13% above | 25% |
| Cortisol blood test, total CPT 82533 Cortisol (hormone) measurement, total | $111.75 | $149.00 | $16.30–$353.20 | 54% above | 25% |
| Creatine kinase (CK) blood test, total CPT 82550 Creatine kinase (cardiac enzyme) level, total | $44.25 | $59.00 | $6.51–$139.86 | 25% above | 25% |
| Creatinine blood test CPT 82565 Blood creatinine level | $30.00 | $40.00 | $5.12–$94.82 | 21% above | 25% |
| D-dimer blood test (blood clot marker) CPT 85379 Coagulation function measurement, D-dimer; quantitative | $69.00 | $92.00 | $10.18–$218.08 | 1% below | 25% |
| Drug screen by lab instrument (any number of drug classes) CPT 80307 Testing for presence of drug, by chemistry analyzers | $361.50 | $482.00 | $62.14–$1,142.57 | 278% above | 25% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) | $155.25 | $207.00 | $7.01–$490.69 | 225% above | 25% |
| Ferritin blood test (iron stores) CPT 82728 Ferritin (blood protein) level | $93.00 | $124.00 | $13.63–$293.94 | 22% above | 25% |
| Folate (folic acid) blood test CPT 82746 Folic acid level, serum | $101.25 | $135.00 | $14.70–$320.02 | 50% above | 25% |
| Free T3 thyroid hormone test CPT 84481 Thyroid hormone, T3 measurement, free | $116.25 | $155.00 | $16.94–$367.42 | 53% above | 25% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 Thyroxine (thyroid chemical), free | $62.25 | $83.00 | $9.02–$196.75 | 47% above | 25% |
| HIV-1 and HIV-2 antibody test CPT 86703 Analysis for antibody to HIV-1 and HIV-2 virus | $93.75 | $125.00 | $13.71–$296.31 | 52% above | 25% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 Hemoglobin A1C level | $66.00 | $88.00 | $9.71–$208.60 | 45% above | 25% |
| Hemoglobin blood test CPT 85018 Blood count, hemoglobin | $18.75 | $25.00 | $2.37–$59.26 | 16% above | 25% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 Hepatitis B surface antibody measurement | $72.75 | $97.00 | $10.74–$229.94 | 50% above | 25% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 Detection test by immunoassay technique for hepatitis B surface antigen | $71.25 | $95.00 | $10.33–$225.20 | 51% above | 25% |
| Hepatitis C antibody blood test (screening) CPT 86803 Hepatitis C antibody measurement | $97.50 | $130.00 | $14.27–$308.16 | 52% above | 25% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 Detection test by nucleic acid for Hepatitis C virus, quantification | $293.25 | $391.00 | $42.84–$926.86 | 52% above | 25% |
| Iron blood test (serum iron) CPT 83540 Iron level | $39.75 | $53.00 | $6.47–$125.64 | 5% above | 25% |
| Kidney function blood test panel CPT 80069 Kidney function blood test panel | $32.25 | $43.00 | $8.68–$101.93 | 55% below | 25% |
| Lactate (lactic acid) blood test CPT 83605 Lactic acid level | $72.75 | $97.00 | $11.57–$229.94 | 40% above | 25% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 Lactate dehydrogenase (enzyme) level | $40.50 | $54.00 | $6.04–$128.01 | 48% above | 25% |
| Lipase blood test (pancreas enzyme) CPT 83690 Lipase (fat enzyme) level | $47.25 | $63.00 | $6.89–$149.34 | 19% below | 25% |
| Liver function blood test panel CPT 80076 Liver function blood test panel | $56.25 | $75.00 | $8.17–$177.79 | 7% below | 25% |
| Lyme disease antibody test CPT 86618 Analysis for antibody Borrelia burgdorferi (Lyme disease bacteria) | $51.00 | $68.00 | $17.03–$161.19 | 34% below | 25% |
| Magnesium blood test CPT 83735 Magnesium level | $45.00 | $60.00 | $6.70–$142.23 | 33% above | 25% |
| Parathyroid hormone (PTH) blood test CPT 83970 Parathormone (parathyroid hormone) level | $282.75 | $377.00 | $41.28–$893.67 | 100% above | 25% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 Coagulation assessment blood test, plasma or whole blood | $40.50 | $54.00 | $6.01–$128.01 | 8% above | 25% |
| Phosphorus (phosphate) blood test CPT 84100 Phosphate level | $33.00 | $44.00 | $4.74–$104.30 | 8% below | 25% |
| Potassium blood test CPT 84132 Blood potassium level | $30.00 | $40.00 | $4.76–$94.82 | 28% above | 25% |
| Prolactin blood test CPT 84146 Prolactin (milk producing hormone) level | $132.75 | $177.00 | $19.38–$419.58 | 52% above | 25% |
| Prothrombin time (PT/INR) clotting test CPT 85610 Blood test, clotting time | $25.50 | $34.00 | $4.29–$80.60 | 6% above | 25% |
| Rapid drug screen read by eye (cup, dipstick or card), per day CPT 80305 Testing for presence of drug, read by direct observation | $361.50 | $482.00 | $12.60–$1,142.57 | 525% above | 25% |
| Rh blood typing CPT 86901 Blood typing for Rh (D) antigen | $56.25 | $75.00 | $2.99–$177.79 | 51% above | 25% |
| Rheumatoid factor (RF) test CPT 86431 Rheumatoid factor level | $38.25 | $51.00 | $5.67–$120.89 | 15% above | 25% |
| Sodium blood test CPT 84295 Blood sodium level | $34.50 | $46.00 | $4.81–$109.04 | 27% above | 25% |
| Stool test for hidden blood (guaiac FOBT) CPT 82270 Stool analysis for blood to screen for colon tumors | $47.25 | $63.00 | $4.38–$149.34 | 64% above | 25% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 Blood test, thyroid stimulating hormone (TSH) | $114.75 | $153.00 | $16.80–$362.68 | 53% above | 25% |
| Total cholesterol blood test CPT 82465 Cholesterol level | $20.25 | $27.00 | $4.35–$64.00 | 45% below | 25% |
| Total thyroxine (T4) blood test CPT 84436 Thyroxine (thyroid chemical), total | $83.25 | $111.00 | $6.87–$263.12 | 99% above | 25% |
| Transferrin blood test CPT 84466 Transferrin (iron binding protein) level | $87.75 | $117.00 | $12.76–$277.35 | 18% above | 25% |
| Troponin test, quantitative CPT 84484 Troponin (protein) analysis, quantitative | $68.25 | $91.00 | $12.47–$215.71 | 19% below | 25% |
| Uric acid blood test CPT 84550 Uric acid level, blood | $31.50 | $42.00 | $4.52–$99.56 | 11% below | 25% |
| Urinalysis with microscope exam, automated CPT 81001 Manual urinalysis test with examination using microscope, automated | $56.25 | $75.00 | $3.17–$177.79 | 108% above | 25% |
| Urinalysis without microscope exam, automated CPT 81003 Automated urinalysis test | $24.00 | $32.00 | $2.25–$75.86 | 3% above | 25% |
| Urine culture for bacteria, with colony count CPT 87086 Bacterial colony count, urine | $24.00 | $32.00 | $8.07–$75.86 | 58% below | 25% |
| Urine pregnancy test, read by color change CPT 81025 Urine pregnancy test | $51.00 | $68.00 | $8.61–$161.19 | 5% above | 25% |
| Vitamin B12 (cobalamin) blood test CPT 82607 Cyanocobalamin (vitamin B-12) level | $103.50 | $138.00 | $15.08–$327.13 | 39% above | 25% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 Vitamin D-3 level | $203.25 | $271.00 | $29.60–$642.40 | 116% above | 25% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 Gonadotropin, chorionic (reproductive hormone) level | $103.50 | $138.00 | $15.05–$327.13 | 53% above | 25% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Botox injections for chronic migraine CPT 64615 Injection of chemical for paralysis of facial and neck nerve muscles on both sides of face | $729.00 | $972.00 | $290.95–$2,304.11 | 32% above | 25% |
| Broken ankle (outer ankle bone) treatment without surgery or setting CPT 27786 Closed treatment of broken outside lower leg bone at ankle | $660.75 | $881.00 | $233.81–$2,088.40 | 75% above | 25% |
| Broken foot (metatarsal) treatment without surgery or setting CPT 28470 Closed treatment of broken bone in forefoot or midfoot | $388.50 | $518.00 | $161.54–$440.30 | 7% above | 25% |
| Closed treatment of a wrist (distal radius) fracture, no resetting CPT 25600 Closed treatment of broken forearm (radius) bone at the wrist area on the thumb side of the wrist without manipulation | $660.75 | $881.00 | $233.81–$2,088.40 | 61% above | 25% |
| Destruction of a precancerous skin lesion (actinic keratosis), first lesion CPT 17000 Destruction of precancer skin growth, 1 growth | $93.75 | $125.00 | $45.51–$106.25 | 54% below | 25% |
| Epidural steroid injection, neck or mid back, with imaging guidance CPT 62321 Injection of substance into middle or upper spine canal using imaging guidance | $1,773.75 | $2,365.00 | $669.07–$5,606.19 | 21% below | 25% |
| Facet joint injection, lower back, one level, with imaging guidance CPT 64493 Injection of lower or sacral spine facet joint using imaging guidance, single level | $2,298.75 | $3,065.00 | $838.35–$7,265.53 | 5% above | 25% |
| Incision and drainage of a simple or single skin abscess CPT 10060 Simple or single drainage of skin abscess | $165.00 | $220.00 | $95.66–$187.00 | 57% below | 25% |
| Injection into a tendon sheath or ligament (for example trigger finger) CPT 20550 Injection into tendon or ligament | $937.50 | $1,250.00 | $290.95–$2,963.10 | 176% above | 25% |
| Injection or fluid drainage of a major joint (knee, shoulder, hip), no ultrasound CPT 20610 Aspiration and/or injection of fluid from large joint | $1,133.25 | $1,511.00 | $290.95–$3,581.80 | 63% above | 25% |
| Joint injection or drainage, medium joint (wrist, elbow, ankle) CPT 20605 Aspiration and/or injection of fluid from medium joint | $962.25 | $1,283.00 | $290.95–$3,041.33 | 56% above | 25% |
| Joint injection or drainage, small joint (fingers, toes) CPT 20600 Aspiration and/or injection of fluid from small joint | $696.00 | $928.00 | $290.95–$2,199.81 | 41% above | 25% |
| Layered stitches for a cut up to 2.5 cm, intermediate repair, scalp, body, arms or legs CPT 12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less | $337.50 | $450.00 | $128.07–$382.50 | 37% below | 25% |
| Lower-back epidural injection, with imaging guidance CPT 62323 Injection of substance into lower spine canal using imaging guidance | $1,773.75 | $2,365.00 | $669.07–$5,606.19 | 13% below | 25% |
| Lower-back epidural injection, without imaging guidance CPT 62322 Injection of substance into lower spine canal | $1,773.75 | $2,365.00 | $756.80–$5,606.19 | 9% above | 25% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level | $2,594.25 | $3,459.00 | $838.35–$8,199.50 | 25% above | 25% |
| Mole or benign skin lesion removal (excision), body, arms or legs, up to 0.5 cm CPT 11400 Removal of noncancer skin growth of body, arms, or legs, 0.5 cm or less | $131.25 | $175.00 | $72.74–$172.32 | 90% below | 25% |
| Mole or benign skin lesion removal (excision), face, ears, eyelids, nose or lips, up to 0.5 cm CPT 11440 Removal of noncancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.5 cm or less | $168.75 | $225.00 | $92.66–$192.84 | 88% below | 25% |
| Nail removal (partial or complete), one nail CPT 11730 Simple separation of fingernail or toenail from nail bed, first nail | $146.25 | $195.00 | $47.74–$165.75 | 54% below | 25% |
| Occipital nerve block (injection for headaches) CPT 64405 Injection of anesthetic agent and/or steroid into upper neck and back of head nerve | $729.00 | $972.00 | $290.95–$2,304.11 | 7% below | 25% |
| Paracentesis with imaging guidance CPT 49083 Drainage of fluid from abdominal cavity using imaging guidance | $4,943.25 | $6,591.00 | $859.69–$15,623.85 | 185% above | 25% |
| Permanent removal of a nail and nail root (partial or complete) CPT 11750 Permanent removal fingernail or toenail | $339.00 | $452.00 | $90.92–$384.20 | 56% below | 25% |
| Radiofrequency ablation of facet joint nerves, lower back, one level CPT 64635 Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint | $4,904.25 | $6,539.00 | $1,850.90–$15,500.59 | 47% above | 25% |
| Removal of a breast lump, open surgery CPT 19120 Removal of growth and tissue of breast, duct, or nipple | $707.25 | $943.00 | $393.71–$801.55 | 84% below | 25% |
| Removal of a foreign object under the skin, simple CPT 10120 Removal of foreign body from tissue, accessed beneath the skin, simple | $195.00 | $260.00 | $97.22–$221.00 | 71% below | 25% |
| Short arm cast (elbow to hand) CPT 29075 Application of elbow to finger cast | $571.50 | $762.00 | $243.84–$1,806.31 | 90% above | 25% |
| Short arm splint (forearm and hand) CPT 29125 Application of nonmoveable forearm to hand splint | $571.50 | $762.00 | $126.11–$1,806.31 | 97% above | 25% |
| Short leg cast (below the knee) CPT 29405 Application of short leg cast | $576.75 | $769.00 | $246.08–$1,822.90 | 51% above | 25% |
| Short leg splint (calf to foot) CPT 29515 Application of short leg splint from calf to foot | $595.50 | $794.00 | $154.03–$1,882.16 | 102% above | 25% |
| Simple repair of a superficial wound 2.5 cm or less, scalp, neck, body or limbs CPT 12001 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less | $217.50 | $290.00 | $42.54–$246.50 | 34% below | 25% |
| Skin biopsy, punch, one lesion CPT 11104 Punch biopsy, first skin growth | $356.25 | $475.00 | $37.40–$403.75 | 20% below | 25% |
| Skin cancer removal (excision), body, arms or legs, up to 0.5 cm CPT 11600 Removal of cancer skin growth of body, arms, or legs, 0.5 cm or less | $236.25 | $315.00 | $104.40–$267.75 | 83% below | 25% |
| Skin tag removal, up to 15 tags CPT 11200 Removal of skin tag, 1-15 skin tags | $223.50 | $298.00 | $65.70–$253.30 | 24% below | 25% |
| Spinal tap (lumbar puncture), diagnostic CPT 62270 Removal of cerebrospinal fluid with lower back spinal tap for diagnostic test | $1,773.75 | $2,365.00 | $669.07–$5,606.19 | 66% above | 25% |
| Stitches for a cut 2.6 to 7.5 cm (1 to 3 inches), simple repair, scalp, body, arms or legs CPT 12002 Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.6-7.5 cm | $195.00 | $260.00 | $56.01–$221.00 | 45% below | 25% |
| Stitches for a cut on the face up to 2.5 cm (1 inch), simple repair CPT 12011 Simple repair of surface wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less | $255.00 | $340.00 | $53.12–$289.00 | 20% below | 25% |
| Tangential (shave-style) skin biopsy, one lesion CPT 11102 Biopsy of related skin growth, first growth | $285.00 | $380.00 | $29.50–$323.00 | 6% below | 25% |
| Trigger finger release surgery CPT 26055 Incision of tendon covering of finger | $7,596.75 | $10,129.00 | $1,524.14–$24,010.62 | 131% above | 25% |
| Trigger point injections, 1 or 2 muscles CPT 20552 Injection of trigger points, 1-2 muscles | $107.25 | $143.00 | $34.30–$121.55 | 85% below | 25% |
| Wart removal, up to 14 warts CPT 17110 Destruction of skin growth, 1-14 growths | $180.00 | $240.00 | $58.62–$204.00 | 43% below | 25% |
| Wound debridement, skin and tissue under it, first 20 sq cm CPT 11042 Removal of skin and tissue, 20.0 sq cm or less | $253.50 | $338.00 | $54.19–$287.30 | 67% below | 25% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Blood transfusion (giving blood or blood components) CPT 36430 Transfusion of blood or blood products | $2,493.75 | $3,325.00 | $418.17–$7,881.86 | 125% above | 25% |
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 Inhalation treatment for airway obstruction or sputum production | $1,239.75 | $1,653.00 | $207.56–$3,918.41 | 606% above | 25% |
| Electrocardiogram (ECG/EKG), tracing only, the hospital charge CPT 93005 Routine electrocardiogram (ECG) using at least 12 leads with tracing | $304.50 | $406.00 | $55.92–$962.42 | 64% above | 25% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 Injection of drug or substance under skin or into muscle | $341.25 | $455.00 | $68.25–$1,078.57 | 141% above | 25% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 Nerve conduction, 7-8 studies | $1,104.00 | $1,472.00 | $353.70–$3,489.35 | 20% below | 25% |
| Neuromuscular re-education, 15 minutes CPT 97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | $174.00 | $232.00 | $31.37–$549.95 | 59% above | 25% |
| New patient office visit, about 30 minutes CPT 99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | $191.25 | $255.00 | $70.42–$604.47 | 74% above | 25% |
| New patient office visit, about 45 minutes CPT 99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | $191.25 | $255.00 | $81.60–$604.47 | 58% above | 25% |
| New patient office visit, about 60 minutes CPT 99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more | $191.25 | $255.00 | $81.60–$604.47 | 11% above | 25% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more | $122.25 | $163.00 | $40.43–$386.39 | 21% above | 25% |
| Occupational therapy evaluation, low complexity CPT 97165 Evaluation for occupational therapy, typically 30 minutes | $397.50 | $530.00 | $96.30–$1,256.36 | 52% above | 25% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 Evaluation for physical therapy, typically 45 minutes | $378.75 | $505.00 | $93.86–$1,197.09 | 26% above | 25% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 Evaluation for physical therapy, typically 20 minutes | $378.75 | $505.00 | $93.86–$1,197.09 | 45% above | 25% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 Evaluation for physical therapy, typically 30 minutes | $378.75 | $505.00 | $93.86–$1,197.09 | 36% above | 25% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 Therapy procedure using manual technique, each 15 minutes | $180.00 | $240.00 | $26.59–$568.92 | 62% above | 25% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | $198.75 | $265.00 | $27.87–$628.18 | 68% above | 25% |
| Quit-smoking counseling, 3 to 10 minutes CPT 99406 Smoking and tobacco use intermediate counseling, 3-10 minutes | $150.75 | $201.00 | $35.51–$476.47 | 244% above | 25% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more | $191.25 | $255.00 | $81.60–$604.47 | 14% above | 25% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | $191.25 | $255.00 | $81.60–$604.47 | 40% above | 25% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | $191.25 | $255.00 | $30.58–$604.47 | 90% above | 25% |
| Spirometry (breathing test) CPT 94010 Test to measure expiratory airflow and volume | $906.75 | $1,209.00 | $204.66–$2,865.91 | 193% above | 25% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 Therapy procedure using functional activities | $261.00 | $348.00 | $33.33–$824.93 | 114% above | 25% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs Ohio | Off list |
|---|---|---|---|---|---|
| Adjuvanted flu shot (with an immune booster ingredient), for age 65 and older CPT 90653 Influenza vaccine, inactivated | $113.25 | $151.00 | $48.32–$357.94 | 49% above | 25% |
| Pneumonia vaccine, 23-valent polysaccharide (Pneumovax 23) CPT 90732 Pneumococcal vaccine, 23-valent | $2,534.25 | $3,379.00 | $1,081.28–$8,009.86 | 822% above | 25% |
| Rabies vaccine, one dose CPT 90675 Rabies vaccine for injection into muscle | $1,857.00 | $2,476.00 | $315.22–$5,869.32 | 95% above | 25% |
| Td vaccine (tetanus and diphtheria booster), age 7 and older CPT 90714 Diphtheria and tetanus vaccine (7 years or older) | $177.75 | $237.00 | $75.84–$561.80 | 98% above | 25% |
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 Administration of vaccine | $75.00 | $100.00 | $32.00–$237.05 | 84% above | 25% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 Administration of vaccine, each additional vaccine | $62.25 | $83.00 | $15.11–$196.75 | 79% above | 25% |
Source file: https://apps.para-hcfs.com/PTT/FinalLinks/Reports.aspx?dbName=dbCCOCAKRONOH&type=CDMWithoutLabel&fileType=CSV