CMS Price Transparency Data

Blood test, complete blood count (CBC)

Facility: Freestone Medical Center

Billing Code: 85025 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 85025
  • Insurance Median: $14
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 1.80x Medicare
The contracted insurance negotiated median rate for a Blood test, complete blood count (CBC) at Freestone Medical Center is $14. 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 $7.77, this hospital’s rate is 1.80x 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
$14

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$7.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $7.77 (100%)
Cash / Self-Pay: $48 (618%)
Insurance Median: $14 (180%)
Cash: $48 (618% of Medicare)
Ins. Median: $14 (180% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $7.77 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 $4 - $21 51%
Gilsbar $5 - $68 64%
Aarp $7 90%
Apwu $7 90%
Fringe Benefits $7 90%
Geha $7 90%
Mcaid $7 - $14 90%
Misc Mcaid Hmo $7 - $21 90%
Superior Health Chip $7 - $14 90%
Tx Childrens Mcaid $7 - $14 90%
Uhcss $7 90%
UnitedHealthcare $7 - $21 90%
Aarp Mcare /Wellmed $8 103%
Aetna $8 - $55 103%
Allwell Superior Hlth $8 103%
Ambetter / Centene $8 103%
Care Improvement Plus $8 103%
Champva $8 103%
Humana $8 - $68 103%
Medicaid / KanCare $8 - $32 103%
Medicare (plans) $8 103%
Misc Mcare Replacement $8 103%
Pphp Prov Part Hlth Plan $8 103%
Rightcare S&W Mcaid $8 - $21 103%
Scott & White Senior Care $8 103%
Superior Health Mcd $8 - $32 103%
Superior Hlth Mcare Repl $8 103%
Tricare $8 103%
Triwest $8 103%
Triwest Va Ccn Claims $8 103%
Utmb Corr Mgd Care $8 103%
Va Vha Office Comm Care $8 103%
Veteran'S Administration $8 103%
Wellmed $8 103%
Blue Cross Blue Shield $9 - $62 116%
Scott & White Commercial $9 116%
Scott & White Employees $9 116%
Workers Compensation $16 206%
Cigna $41 528%
Misc Multiplan $48 618%
Misc Multiplan Auto $48 618%
Misc Multiplan Workcomp $48 618%
Self Pay Gt 083123 $48 618%
Self Pay Lt 090123 $48 618%
Aflac $68 875%
Bankers Life $68 875%
Fairview Nursing Home $68 875%
Icare $68 875%
Inmate Freestone Co $68 875%
Misc Hospice $68 875%
Miscellaneous $68 875%
Miscellaneous Auto $68 875%
Mutual Of Omaha $68 875%
North American Med Empl $68 875%
Standard Life Insurance $68 875%
Tml $68 875%
Zelis Healthcare $68 875%

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