CMS Price Transparency Data

Urinalysis (automated, with microscopy)

Facility: Freestone Medical Center

Billing Code: 81001 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 81001
  • Insurance Median: $6
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Urinalysis (automated, with microscopy) at Freestone Medical Center is $6. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $3.17, this hospital’s rate is 1.89x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$6

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3.17 (100%)
Cash / Self-Pay: $20 (631%)
Insurance Median: $6 (189%)
Cash: $20 (631% of Medicare)
Ins. Median: $6 (189% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $3.17 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.

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
Amerigroup $2 - $8 63%
Gilsbar $2 - $28 63%
Aarp $3 95%
Aarp Mcare /Wellmed $3 95%
Aetna $3 - $23 95%
Allwell Superior Hlth $3 95%
Ambetter / Centene $3 95%
Apwu $3 95%
Care Improvement Plus $3 95%
Champva $3 95%
Fringe Benefits $3 95%
Geha $3 95%
Humana $3 - $28 95%
Mcaid $3 - $6 95%
Medicaid / KanCare $3 - $13 95%
Medicare (plans) $3 95%
Misc Mcaid Hmo $3 - $8 95%
Misc Mcare Replacement $3 95%
Pphp Prov Part Hlth Plan $3 95%
Rightcare S&W Mcaid $3 - $8 95%
Scott & White Senior Care $3 95%
Superior Health Chip $3 - $6 95%
Superior Health Mcd $3 - $13 95%
Superior Hlth Mcare Repl $3 95%
Tricare $3 95%
Triwest $3 95%
Triwest Va Ccn Claims $3 95%
Tx Childrens Mcaid $3 - $6 95%
Uhcss $3 95%
UnitedHealthcare $3 - $8 95%
Utmb Corr Mgd Care $3 95%
Va Vha Office Comm Care $3 95%
Veteran'S Administration $3 95%
Wellmed $3 95%
Blue Cross Blue Shield $4 - $25 126%
Scott & White Commercial $4 126%
Scott & White Employees $4 126%
Workers Compensation $6 189%
Cigna $17 536%
Misc Multiplan $20 631%
Misc Multiplan Auto $20 631%
Misc Multiplan Workcomp $20 631%
Self Pay Gt 083123 $20 631%
Self Pay Lt 090123 $20 631%
Aflac $28 883%
Bankers Life $28 883%
Fairview Nursing Home $28 883%
Icare $28 883%
Inmate Freestone Co $28 883%
Misc Hospice $28 883%
Miscellaneous $28 883%
Miscellaneous Auto $28 883%
Mutual Of Omaha $28 883%
North American Med Empl $28 883%
Standard Life Insurance $28 883%
Tml $28 883%
Zelis Healthcare $28 883%

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