CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Freestone Medical Center

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70460
  • Insurance Median: $1,366
  • Cash Discount Price: $3,425
  • vs. Medicare Baseline: 7.62x Medicare
The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Freestone Medical Center is $1,366. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,425. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 7.62x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$3,425

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,366

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: $3,425 (1911%)
Insurance Median: $1,366 (762%)
Cash: $3,425 (1911% of Medicare)
Ins. Median: $1,366 (762% 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 762% of the Medicare baseline (a markup of 662%). 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 - $4,892 90%
Blue Cross Blue Shield $164 - $4,000 92%
Mcaid $227 - $1,027 127%
Misc Mcaid Hmo $227 - $1,468 127%
Superior Health Chip $227 - $1,027 127%
Tx Childrens Mcaid $227 - $1,027 127%
UnitedHealthcare $227 - $1,468 127%
Amerigroup $270 - $1,468 151%
Medicaid / KanCare $270 - $2,260 151%
Rightcare S&W Mcaid $270 - $1,468 151%
Superior Health Mcd $270 - $2,260 151%
Aarp $375 209%
Apwu $375 209%
Fringe Benefits $375 209%
Geha $375 209%
Uhcss $375 209%
Aetna $1,302 - $3,914 727%
Cigna $2,936 1638%
Misc Multiplan $3,425 1911%
Misc Multiplan Auto $3,425 1911%
Misc Multiplan Workcomp $3,425 1911%
Self Pay Gt 083123 $3,425 1911%
Self Pay Lt 090123 $3,425 1911%
Aflac $4,892 2730%
Bankers Life $4,892 2730%
Fairview Nursing Home $4,892 2730%
Humana $4,892 2730%
Icare $4,892 2730%
Inmate Freestone Co $4,892 2730%
Misc Hospice $4,892 2730%
Miscellaneous $4,892 2730%
Miscellaneous Auto $4,892 2730%
Mutual Of Omaha $4,892 2730%
North American Med Empl $4,892 2730%
Standard Life Insurance $4,892 2730%
Tml $4,892 2730%
Zelis Healthcare $4,892 2730%

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