CMS Price Transparency Data

Blood antibody screen

Facility: Freestone Medical Center

Billing Code: 86850 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 86850
  • Insurance Median: $22
  • Cash Discount Price: $55
  • vs. Medicare Baseline: 0.41x Medicare
The contracted insurance negotiated median rate for a Blood antibody screen at Freestone Medical Center is $22. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $55. Compared to the federal Medicare reimbursement reference rate of $53.24, this hospital’s rate is 0.41x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$55

Average discount available for prompt cash payment at this facility.

Insurance Median
$22

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$53.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $53.24 (100%)
Cash / Self-Pay: $55 (103%)
Insurance Median: $22 (41%)
Cash: $55 (103% of Medicare)
Ins. Median: $22 (41% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $53.24 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.

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
Gilsbar $6 - $79 11%
Aarp $9 17%
Apwu $9 17%
Fringe Benefits $9 17%
Geha $9 17%
Uhcss $9 17%
UnitedHealthcare $9 - $24 17%
Aarp Mcare /Wellmed $10 19%
Aetna $10 - $63 19%
Allwell Superior Hlth $10 19%
Ambetter / Centene $10 19%
Blue Cross Blue Shield $10 - $289 19%
Care Improvement Plus $10 19%
Champva $10 19%
Humana $10 - $79 19%
Medicare (plans) $10 19%
Misc Mcare Replacement $10 19%
Pphp Prov Part Hlth Plan $10 19%
Scott & White Senior Care $10 19%
Superior Hlth Mcare Repl $10 19%
Tricare $10 19%
Triwest $10 19%
Triwest Va Ccn Claims $10 19%
Utmb Corr Mgd Care $10 19%
Va Vha Office Comm Care $10 19%
Veteran'S Administration $10 19%
Wellmed $10 19%
Scott & White Commercial $12 23%
Scott & White Employees $12 23%
Mcaid $17 32%
Misc Mcaid Hmo $17 - $24 32%
Superior Health Chip $17 32%
Tx Childrens Mcaid $17 32%
Workers Compensation $20 38%
Amerigroup $22 - $24 41%
Medicaid / KanCare $22 - $36 41%
Rightcare S&W Mcaid $22 - $24 41%
Superior Health Mcd $22 - $36 41%
Cigna $47 88%
Misc Multiplan $55 103%
Misc Multiplan Auto $55 103%
Misc Multiplan Workcomp $55 103%
Self Pay Gt 083123 $55 103%
Self Pay Lt 090123 $55 103%
Aflac $79 148%
Bankers Life $79 148%
Fairview Nursing Home $79 148%
Icare $79 148%
Inmate Freestone Co $79 148%
Misc Hospice $79 148%
Miscellaneous $79 148%
Miscellaneous Auto $79 148%
Mutual Of Omaha $79 148%
North American Med Empl $79 148%
Standard Life Insurance $79 148%
Tml $79 148%
Zelis Healthcare $79 148%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 125 Newman St, Fairfield, TX 75840
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals