CMS Price Transparency Data

CT scan, head (no contrast)

Facility: Freestone Medical Center

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,128
Cash Discount Price: $2,632
vs. Medicare Baseline: 10.56x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at Freestone Medical Center is $1,128. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,632. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 10.56x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.

Cash / Self-Pay

$2,632

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,128

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,632 (2464%)

Insurance Median: $1,128 (1056%)

Cash: $2,632 (2464% of Medicare)

Ins. Median: $1,128 (1056% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1056% of the Medicare baseline (a markup of 956%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Gilsbar	$97 - $3,760	91%
Blue Cross Blue Shield	$127 - $3,384	119%
Mcaid	$135 - $789	126%
Misc Mcaid Hmo	$135 - $1,128	126%
Superior Health Chip	$135 - $789	126%
Tx Childrens Mcaid	$135 - $789	126%
UnitedHealthcare	$135 - $1,128	126%
Amerigroup	$160 - $1,128	150%
Medicaid / KanCare	$160 - $1,737	150%
Rightcare S&W Mcaid	$160 - $1,128	150%
Superior Health Mcd	$160 - $1,737	150%
Aarp	$242	227%
Apwu	$242	227%
Fringe Benefits	$242	227%
Geha	$242	227%
Uhcss	$242	227%
Aetna	$1,302 - $3,008	1219%
Cigna	$2,256	2112%
Misc Multiplan	$2,632	2464%
Misc Multiplan Auto	$2,632	2464%
Misc Multiplan Workcomp	$2,632	2464%
Self Pay Gt 083123	$2,632	2464%
Self Pay Lt 090123	$2,632	2464%
Aflac	$3,760	3520%
Bankers Life	$3,760	3520%
Fairview Nursing Home	$3,760	3520%
Humana	$3,760	3520%
Icare	$3,760	3520%
Inmate Freestone Co	$3,760	3520%
Misc Hospice	$3,760	3520%
Miscellaneous	$3,760	3520%
Miscellaneous Auto	$3,760	3520%
Mutual Of Omaha	$3,760	3520%
North American Med Empl	$3,760	3520%
Standard Life Insurance	$3,760	3520%
Tml	$3,760	3520%
Zelis Healthcare	$3,760	3520%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,632.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Freestone Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 70450.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.