CMS Price Transparency Data

X-ray, ankle

Facility: Freestone Medical Center

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73610
  • Insurance Median: $189
  • Cash Discount Price: $441
  • vs. Medicare Baseline: 2.13x Medicare
The contracted insurance negotiated median rate for a X-ray, ankle at Freestone Medical Center is $189. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $441. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 2.13x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$441

Average discount available for prompt cash payment at this facility.

Insurance Median
$189

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)
Cash / Self-Pay: $441 (496%)
Insurance Median: $189 (213%)
Cash: $441 (496% of Medicare)
Ins. Median: $189 (213% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 213% of the Medicare baseline (a markup of 113%). 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
Aarp $56 63%
Apwu $56 63%
Fringe Benefits $56 63%
Geha $56 63%
Uhcss $56 63%
UnitedHealthcare $56 - $189 63%
Gilsbar $80 - $630 90%
Blue Cross Blue Shield $82 - $567 92%
Mcaid $109 - $132 123%
Misc Mcaid Hmo $109 - $189 123%
Superior Health Chip $109 - $132 123%
Tx Childrens Mcaid $109 - $132 123%
Amerigroup $130 - $189 146%
Medicaid / KanCare $130 - $291 146%
Rightcare S&W Mcaid $130 - $189 146%
Superior Health Mcd $130 - $291 146%
Cigna $378 425%
Misc Multiplan $441 496%
Misc Multiplan Auto $441 496%
Misc Multiplan Workcomp $441 496%
Self Pay Gt 083123 $441 496%
Self Pay Lt 090123 $441 496%
Aetna $504 567%
Aflac $630 709%
Bankers Life $630 709%
Fairview Nursing Home $630 709%
Humana $630 709%
Icare $630 709%
Inmate Freestone Co $630 709%
Misc Hospice $630 709%
Miscellaneous $630 709%
Miscellaneous Auto $630 709%
Mutual Of Omaha $630 709%
North American Med Empl $630 709%
Standard Life Insurance $630 709%
Tml $630 709%
Zelis Healthcare $630 709%

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