CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: Freestone Medical Center

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70470
  • Insurance Median: $1,553
  • Cash Discount Price: $3,893
  • vs. Medicare Baseline: 8.67x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at Freestone Medical Center is $1,553. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,893. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 8.67x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$3,893

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,553

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)
Cash / Self-Pay: $3,893 (2172%)
Insurance Median: $1,553 (867%)
Cash: $3,893 (2172% of Medicare)
Ins. Median: $1,553 (867% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 867% of the Medicare baseline (a markup of 767%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Gilsbar $162 - $5,562 90%
Blue Cross Blue Shield $164 - $4,000 92%
Mcaid $227 - $1,168 127%
Misc Mcaid Hmo $227 - $1,669 127%
Superior Health Chip $227 - $1,168 127%
Tx Childrens Mcaid $227 - $1,168 127%
UnitedHealthcare $227 - $1,669 127%
Amerigroup $270 - $1,669 151%
Medicaid / KanCare $270 - $2,570 151%
Rightcare S&W Mcaid $270 - $1,669 151%
Superior Health Mcd $270 - $2,570 151%
Aarp $418 233%
Apwu $418 233%
Fringe Benefits $418 233%
Geha $418 233%
Uhcss $418 233%
Aetna $1,302 - $4,450 727%
Cigna $3,337 1862%
Misc Multiplan $3,893 2172%
Misc Multiplan Auto $3,893 2172%
Misc Multiplan Workcomp $3,893 2172%
Self Pay Gt 083123 $3,893 2172%
Self Pay Lt 090123 $3,893 2172%
Aflac $5,562 3104%
Bankers Life $5,562 3104%
Fairview Nursing Home $5,562 3104%
Humana $5,562 3104%
Icare $5,562 3104%
Inmate Freestone Co $5,562 3104%
Misc Hospice $5,562 3104%
Miscellaneous $5,562 3104%
Miscellaneous Auto $5,562 3104%
Mutual Of Omaha $5,562 3104%
North American Med Empl $5,562 3104%
Standard Life Insurance $5,562 3104%
Tml $5,562 3104%
Zelis Healthcare $5,562 3104%

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