CMS Price Transparency Data

Ultrasound, abdomen (complete)

Facility: Freestone Medical Center

Billing Code: 76700 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76700
  • Insurance Median: $517
  • Cash Discount Price: $1,205
  • vs. Medicare Baseline: 4.84x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (complete) at Freestone Medical Center is $517. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,205. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.84x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$1,205

Average discount available for prompt cash payment at this facility.

Insurance Median
$517

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: $1,205 (1128%)
Insurance Median: $517 (484%)
Cash: $1,205 (1128% of Medicare)
Ins. Median: $517 (484% 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 484% of the Medicare baseline (a markup of 384%). 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 $97 - $1,722 91%
Blue Cross Blue Shield $118 - $1,550 110%
Aarp $120 112%
Apwu $120 112%
Fringe Benefits $120 112%
Geha $120 112%
Uhcss $120 112%
UnitedHealthcare $120 - $517 112%
Mcaid $135 - $362 126%
Misc Mcaid Hmo $135 - $517 126%
Superior Health Chip $135 - $362 126%
Tx Childrens Mcaid $135 - $362 126%
Amerigroup $160 - $517 150%
Medicaid / KanCare $160 - $795 150%
Rightcare S&W Mcaid $160 - $517 150%
Superior Health Mcd $160 - $795 150%
Cigna $1,033 967%
Misc Multiplan $1,205 1128%
Misc Multiplan Auto $1,205 1128%
Misc Multiplan Workcomp $1,205 1128%
Self Pay Gt 083123 $1,205 1128%
Self Pay Lt 090123 $1,205 1128%
Aetna $1,302 - $1,377 1219%
Aflac $1,722 1612%
Bankers Life $1,722 1612%
Fairview Nursing Home $1,722 1612%
Humana $1,722 1612%
Icare $1,722 1612%
Inmate Freestone Co $1,722 1612%
Misc Hospice $1,722 1612%
Miscellaneous $1,722 1612%
Miscellaneous Auto $1,722 1612%
Mutual Of Omaha $1,722 1612%
North American Med Empl $1,722 1612%
Standard Life Insurance $1,722 1612%
Tml $1,722 1612%
Zelis Healthcare $1,722 1612%

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