CMS Price Transparency Data

Ultrasound, leg veins (duplex)

Facility: Freestone Medical Center

Billing Code: 93970 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 93970
  • Insurance Median: $696
  • Cash Discount Price: $1,624
  • vs. Medicare Baseline: 2.86x Medicare
The contracted insurance negotiated median rate for a Ultrasound, leg veins (duplex) at Freestone Medical Center is $696. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,624. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 2.86x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$1,624

Average discount available for prompt cash payment at this facility.

Insurance Median
$696

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $1,624 (666%)
Insurance Median: $696 (286%)
Cash: $1,624 (666% of Medicare)
Ins. Median: $696 (286% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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 286% of the Medicare baseline (a markup of 186%). 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
Blue Cross Blue Shield $164 - $2,088 67%
Mcaid $290 - $487 119%
Misc Mcaid Hmo $290 - $696 119%
Superior Health Chip $290 - $487 119%
Tx Childrens Mcaid $290 - $487 119%
UnitedHealthcare $290 - $696 119%
Amerigroup $350 - $696 144%
Medicaid / KanCare $350 - $1,072 144%
Rightcare S&W Mcaid $350 - $696 144%
Superior Health Mcd $350 - $1,072 144%
Gilsbar $1,160 - $2,320 476%
Aetna $1,302 - $1,856 534%
Cigna $1,392 571%
Misc Multiplan $1,624 666%
Misc Multiplan Auto $1,624 666%
Misc Multiplan Workcomp $1,624 666%
Self Pay Gt 083123 $1,624 666%
Self Pay Lt 090123 $1,624 666%
Aflac $2,320 952%
Bankers Life $2,320 952%
Fairview Nursing Home $2,320 952%
Humana $2,320 952%
Icare $2,320 952%
Inmate Freestone Co $2,320 952%
Misc Hospice $2,320 952%
Miscellaneous $2,320 952%
Miscellaneous Auto $2,320 952%
Mutual Of Omaha $2,320 952%
North American Med Empl $2,320 952%
Standard Life Insurance $2,320 952%
Tml $2,320 952%
Zelis Healthcare $2,320 952%

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