CMS Price Transparency Data

Blood transfusion

Facility: Freestone Medical Center

Billing Code: 36430 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 36430
  • Insurance Median: $406
  • Cash Discount Price: $592
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Blood transfusion at Freestone Medical Center is $406. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $592. Compared to the federal Medicare reimbursement reference rate of $450.73, this hospital’s rate is 0.90x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$592

Average discount available for prompt cash payment at this facility.

Insurance Median
$406

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$450.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $450.73 (100%)
Cash / Self-Pay: $592 (131%)
Insurance Median: $406 (90%)
Cash: $592 (131% of Medicare)
Ins. Median: $406 (90% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $450.73 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
Blue Cross Blue Shield $31 - $773 7%
Aarp $120 27%
Apwu $120 27%
Fringe Benefits $120 27%
Geha $120 27%
Uhcss $120 27%
UnitedHealthcare $120 - $258 27%
Mcaid $175 - $180 39%
Misc Mcaid Hmo $175 - $258 39%
Superior Health Chip $175 - $180 39%
Tx Childrens Mcaid $175 - $180 39%
Amerigroup $229 - $258 51%
Medicaid / KanCare $233 - $397 52%
Rightcare S&W Mcaid $233 - $258 52%
Superior Health Mcd $233 - $397 52%
Gilsbar $417 - $859 93%
Cigna $500 - $515 111%
Misc Multiplan $584 - $601 130%
Misc Multiplan Auto $584 - $601 130%
Misc Multiplan Workcomp $584 - $601 130%
Self Pay Gt 083123 $584 - $601 130%
Self Pay Lt 090123 $584 - $601 130%
Aetna $667 - $687 148%
Aflac $834 - $859 185%
Bankers Life $834 - $859 185%
Fairview Nursing Home $834 - $859 185%
Humana $834 - $859 185%
Icare $834 - $859 185%
Inmate Freestone Co $834 - $859 185%
Misc Hospice $834 - $859 185%
Miscellaneous $834 - $859 185%
Miscellaneous Auto $834 - $859 185%
Mutual Of Omaha $834 - $859 185%
North American Med Empl $834 - $859 185%
Standard Life Insurance $834 - $859 185%
Tml $834 - $859 185%
Zelis Healthcare $834 - $859 185%

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