CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Freestone Medical Center

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $19
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 1.96x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Freestone Medical Center is $19. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $48. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 1.96x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$48

Average discount available for prompt cash payment at this facility.

Insurance Median
$19

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $48 (494%)
Insurance Median: $19 (196%)
Cash: $48 (494% of Medicare)
Ins. Median: $19 (196% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 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
Amerigroup $5 - $24 51%
Gilsbar $6 - $81 62%
Blue Cross Blue Shield $7 - $73 72%
Aarp $8 82%
Apwu $8 82%
Fringe Benefits $8 82%
Geha $8 82%
Mcaid $8 - $17 82%
Misc Mcaid Hmo $8 - $24 82%
Superior Health Chip $8 - $17 82%
Tx Childrens Mcaid $8 - $17 82%
Uhcss $8 82%
UnitedHealthcare $8 - $24 82%
Aarp Mcare /Wellmed $10 103%
Aetna $10 - $65 103%
Allwell Superior Hlth $10 103%
Ambetter / Centene $10 103%
Care Improvement Plus $10 103%
Champva $10 103%
Humana $10 - $81 103%
Medicaid / KanCare $10 - $37 103%
Medicare (plans) $10 103%
Misc Mcare Replacement $10 103%
Pphp Prov Part Hlth Plan $10 103%
Rightcare S&W Mcaid $10 - $24 103%
Scott & White Senior Care $10 103%
Superior Health Mcd $10 - $37 103%
Superior Hlth Mcare Repl $10 103%
Tricare $10 103%
Triwest $10 103%
Triwest Va Ccn Claims $10 103%
Utmb Corr Mgd Care $10 103%
Va Vha Office Comm Care $10 103%
Veteran'S Administration $10 103%
Wellmed $10 103%
Scott & White Commercial $12 124%
Scott & White Employees $12 124%
Workers Compensation $19 196%
Cigna $34 - $49 350%
Misc Multiplan $39 - $57 402%
Misc Multiplan Auto $39 - $57 402%
Misc Multiplan Workcomp $39 - $57 402%
Self Pay Gt 083123 $39 - $57 402%
Self Pay Lt 090123 $39 - $57 402%
Aflac $56 - $81 577%
Bankers Life $56 - $81 577%
Fairview Nursing Home $56 - $81 577%
Icare $56 - $81 577%
Inmate Freestone Co $56 - $81 577%
Misc Hospice $56 - $81 577%
Miscellaneous $56 - $81 577%
Miscellaneous Auto $56 - $81 577%
Mutual Of Omaha $56 - $81 577%
North American Med Empl $56 - $81 577%
Standard Life Insurance $56 - $81 577%
Tml $56 - $81 577%
Zelis Healthcare $56 - $81 577%

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