CMS Price Transparency Data

X-ray, lower back

Facility: Freestone Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $262
  • Cash Discount Price: $611
  • vs. Medicare Baseline: 2.45x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at Freestone Medical Center is $262. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $611. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 2.45x the Medicare baseline. Located in 125 Newman St, Fairfield, TX.
Cash / Self-Pay
$611

Average discount available for prompt cash payment at this facility.

Insurance Median
$262

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: $611 (572%)
Insurance Median: $262 (245%)
Cash: $611 (572% of Medicare)
Ins. Median: $262 (245% 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 245% of the Medicare baseline (a markup of 145%). 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 $95 89%
Apwu $95 89%
Fringe Benefits $95 89%
Geha $95 89%
Uhcss $95 89%
UnitedHealthcare $95 - $262 89%
Gilsbar $97 - $872 91%
Blue Cross Blue Shield $113 - $785 106%
Mcaid $135 - $183 126%
Misc Mcaid Hmo $135 - $262 126%
Superior Health Chip $135 - $183 126%
Tx Childrens Mcaid $135 - $183 126%
Amerigroup $160 - $262 150%
Medicaid / KanCare $160 - $403 150%
Rightcare S&W Mcaid $160 - $262 150%
Superior Health Mcd $160 - $403 150%
Cigna $523 490%
Misc Multiplan $611 572%
Misc Multiplan Auto $611 572%
Misc Multiplan Workcomp $611 572%
Self Pay Gt 083123 $611 572%
Self Pay Lt 090123 $611 572%
Aetna $698 653%
Aflac $872 816%
Bankers Life $872 816%
Fairview Nursing Home $872 816%
Humana $872 816%
Icare $872 816%
Inmate Freestone Co $872 816%
Misc Hospice $872 816%
Miscellaneous $872 816%
Miscellaneous Auto $872 816%
Mutual Of Omaha $872 816%
North American Med Empl $872 816%
Standard Life Insurance $872 816%
Tml $872 816%
Zelis Healthcare $872 816%

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