CMS Price Transparency Data

Blood test, basic metabolic panel

Facility: Freestone Medical Center

Billing Code: 80048 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80048
  • Insurance Median: $15
  • Cash Discount Price: $50
  • vs. Medicare Baseline: 1.77x Medicare
The contracted insurance negotiated median rate for a Blood test, basic metabolic panel at Freestone Medical Center is $15. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $50. Compared to the federal Medicare reimbursement reference rate of $8.46, this hospital’s rate is 1.77x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$50

Average discount available for prompt cash payment at this facility.

Insurance Median
$15

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.46

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.46 (100%)
Cash / Self-Pay: $50 (591%)
Insurance Median: $15 (177%)
Cash: $50 (591% of Medicare)
Ins. Median: $15 (177% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.46 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 - $22 59%
Gilsbar $6 - $72 71%
Aarp $7 83%
Apwu $7 83%
Fringe Benefits $7 83%
Geha $7 83%
Mcaid $7 - $15 83%
Misc Mcaid Hmo $7 - $22 83%
Superior Health Chip $7 - $15 83%
Tx Childrens Mcaid $7 - $15 83%
Uhcss $7 83%
UnitedHealthcare $7 - $22 83%
Aarp Mcare /Wellmed $8 95%
Aetna $8 - $58 95%
Allwell Superior Hlth $8 95%
Ambetter / Centene $8 95%
Care Improvement Plus $8 95%
Champva $8 95%
Humana $8 - $72 95%
Medicaid / KanCare $8 - $33 95%
Medicare (plans) $8 95%
Misc Mcare Replacement $8 95%
Pphp Prov Part Hlth Plan $8 95%
Rightcare S&W Mcaid $8 - $22 95%
Scott & White Senior Care $8 95%
Superior Health Mcd $8 - $33 95%
Superior Hlth Mcare Repl $8 95%
Tricare $8 95%
Triwest $8 95%
Triwest Va Ccn Claims $8 95%
Utmb Corr Mgd Care $8 95%
Va Vha Office Comm Care $8 95%
Veteran'S Administration $8 95%
Wellmed $8 95%
Blue Cross Blue Shield $9 - $65 106%
Scott & White Commercial $10 118%
Scott & White Employees $10 118%
Workers Compensation $17 201%
Cigna $43 508%
Misc Multiplan $50 591%
Misc Multiplan Auto $50 591%
Misc Multiplan Workcomp $50 591%
Self Pay Gt 083123 $50 591%
Self Pay Lt 090123 $50 591%
Aflac $72 851%
Bankers Life $72 851%
Fairview Nursing Home $72 851%
Icare $72 851%
Inmate Freestone Co $72 851%
Misc Hospice $72 851%
Miscellaneous $72 851%
Miscellaneous Auto $72 851%
Mutual Of Omaha $72 851%
North American Med Empl $72 851%
Standard Life Insurance $72 851%
Tml $72 851%
Zelis Healthcare $72 851%

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