CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Freestone Medical Center

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 76705
  • Insurance Median: $349
  • Cash Discount Price: $814
  • vs. Medicare Baseline: 3.27x Medicare
The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Freestone Medical Center is $349. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $814. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.27x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$814

Average discount available for prompt cash payment at this facility.

Insurance Median
$349

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: $814 (762%)
Insurance Median: $349 (327%)
Cash: $814 (762% of Medicare)
Ins. Median: $349 (327% 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 327% of the Medicare baseline (a markup of 227%). 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 - $1,162 91%
Blue Cross Blue Shield $118 - $1,046 110%
Aarp $120 112%
Apwu $120 112%
Fringe Benefits $120 112%
Geha $120 112%
Uhcss $120 112%
UnitedHealthcare $120 - $349 112%
Mcaid $135 - $244 126%
Misc Mcaid Hmo $135 - $349 126%
Superior Health Chip $135 - $244 126%
Tx Childrens Mcaid $135 - $244 126%
Amerigroup $160 - $349 150%
Medicaid / KanCare $160 - $537 150%
Rightcare S&W Mcaid $160 - $349 150%
Superior Health Mcd $160 - $537 150%
Cigna $698 653%
Misc Multiplan $814 762%
Misc Multiplan Auto $814 762%
Misc Multiplan Workcomp $814 762%
Self Pay Gt 083123 $814 762%
Self Pay Lt 090123 $814 762%
Aetna $930 871%
Aflac $1,162 1088%
Bankers Life $1,162 1088%
Fairview Nursing Home $1,162 1088%
Humana $1,162 1088%
Icare $1,162 1088%
Inmate Freestone Co $1,162 1088%
Misc Hospice $1,162 1088%
Miscellaneous $1,162 1088%
Miscellaneous Auto $1,162 1088%
Mutual Of Omaha $1,162 1088%
North American Med Empl $1,162 1088%
Standard Life Insurance $1,162 1088%
Tml $1,162 1088%
Zelis Healthcare $1,162 1088%

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