CMS Price Transparency Data

Blood test, creatinine (kidney)

Facility: Freestone Medical Center

Billing Code: 82565 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 82565
  • Insurance Median: $9
  • Cash Discount Price: $30
  • vs. Medicare Baseline: 1.76x Medicare
The contracted insurance negotiated median rate for a Blood test, creatinine (kidney) at Freestone Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30. Compared to the federal Medicare reimbursement reference rate of $5.12, this hospital’s rate is 1.76x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$30

Average discount available for prompt cash payment at this facility.

Insurance Median
$9

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5.12

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5.12 (100%)
Cash / Self-Pay: $30 (586%)
Insurance Median: $9 (176%)
Cash: $30 (586% of Medicare)
Ins. Median: $9 (176% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5.12 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 $3 - $13 59%
Gilsbar $3 - $43 59%
Aarp $4 78%
Apwu $4 78%
Fringe Benefits $4 78%
Geha $4 78%
Mcaid $4 - $9 78%
Misc Mcaid Hmo $4 - $13 78%
Superior Health Chip $4 - $9 78%
Tx Childrens Mcaid $4 - $9 78%
Uhcss $4 78%
UnitedHealthcare $4 - $13 78%
Aarp Mcare /Wellmed $5 98%
Aetna $5 - $35 98%
Allwell Superior Hlth $5 98%
Ambetter / Centene $5 98%
Care Improvement Plus $5 98%
Champva $5 98%
Humana $5 - $43 98%
Medicaid / KanCare $5 - $20 98%
Medicare (plans) $5 98%
Misc Mcare Replacement $5 98%
Pphp Prov Part Hlth Plan $5 98%
Rightcare S&W Mcaid $5 - $13 98%
Scott & White Senior Care $5 98%
Superior Health Mcd $5 - $20 98%
Superior Hlth Mcare Repl $5 98%
Tricare $5 98%
Triwest $5 98%
Triwest Va Ccn Claims $5 98%
Utmb Corr Mgd Care $5 98%
Va Vha Office Comm Care $5 98%
Veteran'S Administration $5 98%
Wellmed $5 98%
Blue Cross Blue Shield $6 - $39 117%
Scott & White Commercial $6 117%
Scott & White Employees $6 117%
Workers Compensation $10 195%
Cigna $26 508%
Misc Multiplan $30 586%
Misc Multiplan Auto $30 586%
Misc Multiplan Workcomp $30 586%
Self Pay Gt 083123 $30 586%
Self Pay Lt 090123 $30 586%
Aflac $43 840%
Bankers Life $43 840%
Fairview Nursing Home $43 840%
Icare $43 840%
Inmate Freestone Co $43 840%
Misc Hospice $43 840%
Miscellaneous $43 840%
Miscellaneous Auto $43 840%
Mutual Of Omaha $43 840%
North American Med Empl $43 840%
Standard Life Insurance $43 840%
Tml $43 840%
Zelis Healthcare $43 840%

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