CMS Price Transparency Data

Blood test, liver function panel

Facility: Freestone Medical Center

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $15
  • Cash Discount Price: $48
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at Freestone Medical Center is $15. 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 $8.17, this hospital’s rate is 1.84x 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
$15

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)
Cash / Self-Pay: $48 (588%)
Insurance Median: $15 (184%)
Cash: $48 (588% of Medicare)
Ins. Median: $15 (184% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 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 49%
Gilsbar $5 - $69 61%
Aarp $7 86%
Apwu $7 86%
Fringe Benefits $7 86%
Geha $7 86%
Mcaid $7 - $15 86%
Misc Mcaid Hmo $7 - $21 86%
Superior Health Chip $7 - $15 86%
Tx Childrens Mcaid $7 - $15 86%
Uhcss $7 86%
UnitedHealthcare $7 - $21 86%
Aarp Mcare /Wellmed $8 98%
Aetna $8 - $55 98%
Allwell Superior Hlth $8 98%
Ambetter / Centene $8 98%
Care Improvement Plus $8 98%
Champva $8 98%
Humana $8 - $69 98%
Medicaid / KanCare $8 - $32 98%
Medicare (plans) $8 98%
Misc Mcare Replacement $8 98%
Pphp Prov Part Hlth Plan $8 98%
Rightcare S&W Mcaid $8 - $21 98%
Scott & White Senior Care $8 98%
Superior Health Mcd $8 - $32 98%
Superior Hlth Mcare Repl $8 98%
Tricare $8 98%
Triwest $8 98%
Triwest Va Ccn Claims $8 98%
Utmb Corr Mgd Care $8 98%
Va Vha Office Comm Care $8 98%
Veteran'S Administration $8 98%
Wellmed $8 98%
Blue Cross Blue Shield $9 - $62 110%
Scott & White Commercial $10 122%
Scott & White Employees $10 122%
Workers Compensation $16 196%
Cigna $42 514%
Misc Multiplan $48 588%
Misc Multiplan Auto $48 588%
Misc Multiplan Workcomp $48 588%
Self Pay Gt 083123 $48 588%
Self Pay Lt 090123 $48 588%
Aflac $69 845%
Bankers Life $69 845%
Fairview Nursing Home $69 845%
Icare $69 845%
Inmate Freestone Co $69 845%
Misc Hospice $69 845%
Miscellaneous $69 845%
Miscellaneous Auto $69 845%
Mutual Of Omaha $69 845%
North American Med Empl $69 845%
Standard Life Insurance $69 845%
Tml $69 845%
Zelis Healthcare $69 845%

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