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Hospital Profile Acute Care Hospitals Government - Hospital District or Authority

Freestone Medical Center

125 NEWMAN STREET, Fairfield, TX 75840

CMS Overall Rating No CMS Rating
Factual Overview

Freestone Medical Center is a Acute Care Hospitals (Government - Hospital District or Authority) operating in Fairfield, TX. Mapped commercial insurance prices across 82 procedures average 3.02x the Medicare baseline. CMS has not published a quality star rating for this facility.

Facility Overview

Setting: rural Bed Count: 37 Beds Teaching Status: Non-Teaching Annual Discharges: 318

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 113 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 82 codes Avg Markup vs Medicare: 3.02x Price File In Index: Yes MRF Version: 2.0.0
Procedure & Code Cash Price Actions
Heart stent placement (inpatient stay)
MS-DRG Code: 322
 Contact Desk Calc
Blood transfusion
CPT Code: 36430
 $592 Calc
Digestive disorders treatment (inpatient stay)
MS-DRG Code: 392
 Contact Desk Calc
Upper endoscopy with biopsy
CPT Code: 43239
 $1,693 Calc
Spinal fusion, single level (inpatient stay)
MS-DRG Code: 451
 Contact Desk Calc
Colonoscopy (diagnostic)
CPT Code: 45378
 $1,806 Calc
Colonoscopy with biopsy
CPT Code: 45380
 $2,291 Calc
Hip or knee replacement (inpatient stay)
MS-DRG Code: 470
 Contact Desk Calc
Gallbladder removal (laparoscopic)
CPT Code: 47562
 $3,288 Calc
Inguinal hernia repair
CPT Code: 49505
 $2,783 Calc
CT scan, head (no contrast)
CPT Code: 70450
 $2,632 Calc
CT scan, head (with contrast)
CPT Code: 70460
 $3,425 Calc
CT scan, head (with and without contrast)
CPT Code: 70470
 $3,893 Calc
CT scan, sinuses
CPT Code: 70486
 $2,616 Calc
MRI, brain (no contrast)
CPT Code: 70551
 $4,134 Calc
MRI, brain (with and without contrast)
CPT Code: 70553
 $5,592 Calc
X-ray, chest (single view)
CPT Code: 71045
 $369 Calc
X-ray, chest (two views)
CPT Code: 71046
 $399 Calc
CT scan, chest (no contrast)
CPT Code: 71250
 $2,616 Calc
X-ray, neck (cervical spine)
CPT Code: 72040
 $438 Calc
X-ray, lower back
CPT Code: 72110
 $611 Calc
CT scan, neck (cervical spine)
CPT Code: 72125
 $2,632 Calc
CT scan, lower back (lumbar spine)
CPT Code: 72131
 $2,632 Calc
MRI, lower back (no contrast)
CPT Code: 72148
 $4,134 Calc
X-ray, pelvis
CPT Code: 72170
 $399 Calc
CT scan, pelvis
CPT Code: 72192
 $2,616 Calc
X-ray, shoulder
CPT Code: 73030
 $399 Calc
X-ray, hand
CPT Code: 73130
 $441 Calc
X-ray, hip
CPT Code: 73502
 $422 Calc
X-ray, ankle
CPT Code: 73610
 $441 Calc
X-ray, foot
CPT Code: 73630
 $441 Calc
MRI, knee or other leg joint
CPT Code: 73721
 $4,134 Calc
CT scan, abdomen and pelvis (no contrast)
CPT Code: 74176
 $3,929 Calc
CT scan, abdomen and pelvis (with contrast)
CPT Code: 74177
 $5,155 Calc
Ultrasound, thyroid and neck
CPT Code: 76536
 $974 Calc
Ultrasound, abdomen (complete)
CPT Code: 76700
 $1,205 Calc
Ultrasound, abdomen (limited)
CPT Code: 76705
 $814 Calc
Ultrasound, pelvis
CPT Code: 76856
 $1,074 Calc
Screening mammogram (both breasts)
CPT Code: 77067
 $326 Calc
Blood test, basic metabolic panel
CPT Code: 80048
 $50 Calc
Blood test, comprehensive metabolic panel
CPT Code: 80053
 $63 Calc
Blood test, cholesterol (lipid panel)
CPT Code: 80061
 $14 Calc
Blood test, liver function panel
CPT Code: 80076
 $48 Calc
Urinalysis (automated, with microscopy)
CPT Code: 81001
 $20 Calc
Blood test, amylase
CPT Code: 82150
 $39 Calc
Blood test, vitamin D
CPT Code: 82306
 $160 Calc
Blood test, calcium
CPT Code: 82310
 $30 Calc
Blood test, creatinine (kidney)
CPT Code: 82565
 $30 Calc
Blood test, vitamin B12
CPT Code: 82607
 $89 Calc
Blood test, ferritin (iron stores)
CPT Code: 82728
 $47 Calc
Blood test, glucose (blood sugar)
CPT Code: 82947
 $38 Calc
Blood test, average blood sugar (A1c)
CPT Code: 83036
 $48 Calc
Blood test, lipase
CPT Code: 83690
 $41 Calc
Blood test, magnesium
CPT Code: 83735
 $27 Calc
Blood test, potassium
CPT Code: 84132
 $26 Calc
Blood test, PSA (prostate screen)
CPT Code: 84153
 $109 Calc
Blood test, sodium
CPT Code: 84295
 $29 Calc
Blood test, thyroid (TSH)
CPT Code: 84443
 $100 Calc
Blood test, urea nitrogen (BUN, kidney)
CPT Code: 84520
 $18 Calc
Blood test, hemoglobin
CPT Code: 85018
 $14 Calc
Blood test, complete blood count (CBC)
CPT Code: 85025
 $48 Calc
Blood test, clotting time (PT/INR)
CPT Code: 85610
 $23 Calc
Blood test, clotting time (PTT)
CPT Code: 85730
 $36 Calc
Hepatitis C antibody test
CPT Code: 86803
 $85 Calc
Blood antibody screen
CPT Code: 86850
 $55 Calc
Culture, blood
CPT Code: 87040
 $61 Calc
Culture, bacterial
CPT Code: 87070
 $51 Calc
Sepsis treatment (inpatient stay)
MS-DRG Code: 871
 Contact Desk Calc
Speech therapy (language evaluation)
CPT Code: 92507
 $397 Calc
Speech therapy (group session)
CPT Code: 92508
 $93 Calc
Electrocardiogram (EKG, tracing only)
CPT Code: 93005
 $434 Calc
Echocardiogram (heart ultrasound)
CPT Code: 93306
 $1,042 Calc
Ultrasound, leg veins (duplex)
CPT Code: 93970
 $1,624 Calc
Breathing treatment (nebulizer)
CPT Code: 94640
 $220 Calc
Physical therapy (therapeutic exercise)
CPT Code: 97110
 $272 Calc
Physical therapy (neuromuscular re-education)
CPT Code: 97112
 $189 Calc
Physical therapy (gait training)
CPT Code: 97116
 $167 Calc
Physical therapy (manual therapy)
CPT Code: 97140
 $198 Calc
Occupational therapy (therapeutic activities)
CPT Code: 97530
 $233 Calc
Occupational therapy (self-care training)
CPT Code: 97535
 $263 Calc
Orthotic fitting and training
CPT Code: 97760
 $108 Calc
Prosthetic fitting and training
CPT Code: 97761
 $72 Calc