CMS Price Transparency Data

Blood test, sodium

Facility: Freestone Medical Center

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $9
  • Cash Discount Price: $29
  • vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at Freestone Medical Center is $9. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.87x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$29

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
$4.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.81 (100%)
Cash / Self-Pay: $29 (603%)
Insurance Median: $9 (187%)
Cash: $29 (603% of Medicare)
Ins. Median: $9 (187% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.81 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 - $12 62%
Gilsbar $3 - $41 62%
Aarp $4 83%
Apwu $4 83%
Fringe Benefits $4 83%
Geha $4 83%
Mcaid $4 - $9 83%
Misc Mcaid Hmo $4 - $12 83%
Superior Health Chip $4 - $9 83%
Tx Childrens Mcaid $4 - $9 83%
Uhcss $4 83%
UnitedHealthcare $4 - $12 83%
Aarp Mcare /Wellmed $5 104%
Aetna $5 - $33 104%
Allwell Superior Hlth $5 104%
Ambetter / Centene $5 104%
Blue Cross Blue Shield $5 - $37 104%
Care Improvement Plus $5 104%
Champva $5 104%
Humana $5 - $41 104%
Medicaid / KanCare $5 - $19 104%
Medicare (plans) $5 104%
Misc Mcare Replacement $5 104%
Pphp Prov Part Hlth Plan $5 104%
Rightcare S&W Mcaid $5 - $12 104%
Scott & White Senior Care $5 104%
Superior Health Mcd $5 - $19 104%
Superior Hlth Mcare Repl $5 104%
Tricare $5 104%
Triwest $5 104%
Triwest Va Ccn Claims $5 104%
Utmb Corr Mgd Care $5 104%
Va Vha Office Comm Care $5 104%
Veteran'S Administration $5 104%
Wellmed $5 104%
Scott & White Commercial $6 125%
Scott & White Employees $6 125%
Workers Compensation $10 208%
Cigna $25 520%
Misc Multiplan $29 603%
Misc Multiplan Auto $29 603%
Misc Multiplan Workcomp $29 603%
Self Pay Gt 083123 $29 603%
Self Pay Lt 090123 $29 603%
Aflac $41 852%
Bankers Life $41 852%
Fairview Nursing Home $41 852%
Icare $41 852%
Inmate Freestone Co $41 852%
Misc Hospice $41 852%
Miscellaneous $41 852%
Miscellaneous Auto $41 852%
Mutual Of Omaha $41 852%
North American Med Empl $41 852%
Standard Life Insurance $41 852%
Tml $41 852%
Zelis Healthcare $41 852%

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