Does Freestone Medical Center have an emergency room?

Yes. Medicare (CMS) data lists emergency services at Freestone Medical Center. In a medical emergency, call 911.

Where is Freestone Medical Center?

125 Newman St, Fairfield, TX 75840, in Freestone County, Texas.

What is the phone number of Freestone Medical Center?

(903) 389-1612, as listed by Medicare (CMS).

What is the Medicare star rating of Freestone Medical Center?

CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Freestone Medical Center — Fairfield, TX

Quick answers

Does Freestone Medical Center have an emergency room?: Yes. Medicare (CMS) data lists emergency services at Freestone Medical Center. In a medical emergency, call 911.
Where is Freestone Medical Center?: 125 Newman St, Fairfield, TX 75840, in Freestone County, Texas.
What is the phone number of Freestone Medical Center?: (903) 389-1612, as listed by Medicare (CMS).
What is the Medicare star rating of Freestone Medical Center?: CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.

Specialties and care areas^[4][6]

Treatments^[4]

Cardiac rehab
Respiratory therapy
Nutritional counseling

Procedures^[4][6]

Outpatient surgery
Radiology
Laboratory services

Emergency care (hospital website)^[4][5]

Emergency room	Yes
Open 24/7	Yes
Trauma designation	Level IV

Visiting and practical information

Patient portal	Freestone Medical Center patient portal

Doctors and clinicians (74)

74 doctors and other clinicians list Freestone Medical Center as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.

Main specialties

And 50 more: the button below opens the full list.

Other emergency rooms nearby

Hospitals that list emergency services, by straight-line distance (not driving distance).

Parkview Regional Hospital19 mi · Mexia, TX · Acute Care Hospital
Limestone Medical Center25 mi · Groesbeck, TX · Critical Access Hospital
Palestine Regional Medical Center32 mi · Palestine, TX · Acute Care Hospital
Navarro Regional Hospital32 mi · Corsicana, TX · Acute Care Hospital
UT Health East Texas Athens Hospital36 mi · Athens, TX · Acute Care Hospital

Other hospitals nearby

Ennis Regional Medical Center49 mi · Ennis, TX · Acute Care Hospital

Nursing homes, hospice, home health and dialysis nearby

Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.

Nursing homes

Fairfield Nursing & Rehabilitation Center0.5 mi · Fairfield, TX · 4 of 5 stars
Fairview Healthcare Residence1.1 mi · Fairfield, TX · 4 of 5 stars
Teague Nursing and Rehabilitation9.4 mi · Teague, TX · 5 of 5 stars

All nursing homes in the state →

Home health agencies

Elara Caring8.4 mi · Teague, TX

All home health agencies in the state →

Community care nearby

Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.

Clinics and urgent care

Freestone Health Clinic6.0 mi · Fairfield, TX · Rural health clinic
Parkview Medical Clinic of Teague8.4 mi · Teague, TX · Rural health clinic
Arete Urgent Care, PLLC18 mi · Mexia, TX · Urgent care center

Pharmacies

Brookshire Brothers Inc6.0 mi · Fairfield, TX · Community/retail pharmacy
Pharmacy Plus Inc8.4 mi · Teague, TX · Community/retail pharmacy

About the Medicare star rating

CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →

Medicare quality data

What Freestone Medical Center reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.

What patients said (patient survey)

What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.

Not reported to Medicare

Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.

Infections caught in the hospital

What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.

Central line bloodstream infections (CLABSI)	Not reported to Medicare
Catheter-associated urinary tract infections (CAUTI)	Not reported to Medicare
Surgical site infections after colon surgery	Not reported to Medicare
Surgical site infections after abdominal hysterectomy	Not reported to Medicare
MRSA bloodstream infections	Not reported to Medicare
Clostridioides difficile (C. diff) intestinal infections	Not reported to Medicare

Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.

Complications and deaths

What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.

Deaths within 30 days: heart attack patients	Not reported to Medicare
Deaths within 30 days: heart failure patients	Too few cases to report
Deaths within 30 days: pneumonia patients	15%
Deaths within 30 days: COPD patients	Too few cases to report
Deaths within 30 days: stroke patients	Too few cases to report
Deaths within 30 days: coronary bypass surgery (CABG)	Not reported to Medicare
Serious complications (patient safety indicator PSI-90)	Too few cases to report
Complications after hip or knee replacement	Not reported to Medicare

Source: Complications and Deaths - Hospital — CMS, released September 10, 2026; data from July 2022 to June 2025.

Return visits to the hospital (readmissions)

What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.

Returned to any hospital within 30 days (all patients)	Not reported to Medicare
Readmitted within 30 days: heart attack	Not reported to Medicare
Readmitted within 30 days: heart failure	21.4%
Readmitted within 30 days: pneumonia	16.7%
Readmitted within 30 days: COPD	Too few cases to report
Readmitted within 30 days: coronary bypass surgery	Not reported to Medicare
Readmitted within 30 days: hip or knee replacement	Not reported to Medicare

Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026; data from July 2023 to June 2025.

Emergency room times and sepsis care

What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.

Emergency room volume (patients per year)	Low (under 20,000)
Average (median) time patients spent in the emergency room before leaving (OP-18b)	122 minutesNational average: 162 minutes
Patients who left the emergency room before being seen (OP-22)	2%National average: 2%
Sepsis patients who got all the recommended early care (SEP-1)	62%National average: 65%

Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026; data from January 2024 to December 2024.

See every measure on Medicare Care Compare →

ER wait times and Medicare ratings nearby

How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.

ER wait times in Texas Best hospitals in Texas

Prices

Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 32 common services exactly as Freestone Medical Center lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.

What the prices mean

Hospital charge: The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
Cash price: The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
Insurance rates: The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
Hospital and doctor fees: A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.

How to use hospital prices: estimates, financial assistance and your rights →

Office and emergency visits

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: "ER VISIT LEVEL 3"	$775.25	$155.05	$80.63 – $672
Emergency room visit (moderate): rates for 10 insurance plans 90 Degrees Benefits — PPO: $409.32 Aetna Commercial — PPO: $500 BCBS Blue Advantage HMO — HMO: $189 BCBS Blue Essentials — HMO: $553 BCBS Blue Traditional/PPO/POS — PPO: $672 Curative — PPO: $387.63 Medicare — Medicare: $272.88 Medicare Advantage Plans — Medicare: $272.88 United Community Medicaid — Medicaid: $80.63 United Healthcare Commercial — PPO: $521
Emergency room visit (moderate) CPT 99283 · Inpatient (hospital stay) In the file: "ER VISIT LEVEL 3"	$775.25	$155.05	$387.63
Emergency room visit (moderate): rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $387.63 Curative — PPO: $387.63
Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 25 In the file: "ER LEVEL 3 W/PROC"	$775.25	$155.05	$80.63 – $672
Emergency room visit (moderate): rates for 10 insurance plans 90 Degrees Benefits — PPO: $409.32 Aetna Commercial — PPO: $500 BCBS Blue Advantage HMO — HMO: $189 BCBS Blue Essentials — HMO: $553 BCBS Blue Traditional/PPO/POS — PPO: $672 Curative — PPO: $387.63 Medicare — Medicare: $272.88 Medicare Advantage Plans — Medicare: $272.88 United Community Medicaid — Medicaid: $80.63 United Healthcare Commercial — PPO: $521
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: "ER VISIT LEVEL 4"	$1,263.25	$252.65	$131.38 – $2,800
Emergency room visit (moderately high): rates for 10 insurance plans 90 Degrees Benefits — PPO: $625.67 Aetna Commercial — PPO: $500 BCBS Blue Advantage HMO — HMO: $340 BCBS Blue Essentials — HMO: $2,100 BCBS Blue Traditional/PPO/POS — PPO: $2,800 Curative — PPO: $631.63 Medicare — Medicare: $417.11 Medicare Advantage Plans — Medicare: $417.11 United Community Medicaid — Medicaid: $131.38 United Healthcare Commercial — PPO: $521
Emergency room visit (moderately high) CPT 99284 · Inpatient (hospital stay) In the file: "ER VISIT LEVEL 4"	$1,263.25	$252.65	$631.63
Emergency room visit (moderately high): rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $631.63 Curative — PPO: $631.63
Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 25 In the file: "ER LEVEL 4 W/PROC"	$1,263.25	$252.65	$131.38 – $2,800
Emergency room visit (moderately high): rates for 10 insurance plans 90 Degrees Benefits — PPO: $625.67 Aetna Commercial — PPO: $500 BCBS Blue Advantage HMO — HMO: $340 BCBS Blue Essentials — HMO: $2,100 BCBS Blue Traditional/PPO/POS — PPO: $2,800 Curative — PPO: $631.63 Medicare — Medicare: $417.11 Medicare Advantage Plans — Medicare: $417.11 United Community Medicaid — Medicaid: $131.38 United Healthcare Commercial — PPO: $521
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: "ER VISIT LEVEL 5"	$1,887.25	$377.45	$196.27 – $4,000
Emergency room visit (high): rates for 10 insurance plans 90 Degrees Benefits — PPO: $892.97 Aetna Commercial — PPO: $500 BCBS Blue Advantage HMO — HMO: $480 BCBS Blue Essentials — HMO: $3,360 BCBS Blue Traditional/PPO/POS — PPO: $4,000 Curative — PPO: $943.63 Medicare — Medicare: $595.31 Medicare Advantage Plans — Medicare: $595.31 United Community Medicaid — Medicaid: $196.27 United Healthcare Commercial — PPO: $521
Emergency room visit (high) CPT 99285 · Inpatient (hospital stay) In the file: "ER VISIT LEVEL 5"	$1,887.25	$377.45	$943.63
Emergency room visit (high): rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $943.63 Curative — PPO: $943.63
Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: "ER LEVEL 5 W/PROC"	$1,887.25	$377.45	$196.27 – $4,000
Emergency room visit (high): rates for 10 insurance plans 90 Degrees Benefits — PPO: $892.97 Aetna Commercial — PPO: $500 BCBS Blue Advantage HMO — HMO: $480 BCBS Blue Essentials — HMO: $3,360 BCBS Blue Traditional/PPO/POS — PPO: $4,000 Curative — PPO: $943.63 Medicare — Medicare: $595.31 Medicare Advantage Plans — Medicare: $595.31 United Community Medicaid — Medicaid: $196.27 United Healthcare Commercial — PPO: $521

Lab tests

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: "BASIC ME (CHEM 7)"	$72	$14.40	$7.19 – $57.60
Basic metabolic panel (blood test): rates for 7 insurance plans Aetna Commercial — PPO: $57.60 BCBS Blue Advantage HMO — HMO: $12.94 BCBS Blue Essentials — HMO: $45.60 BCBS Blue Traditional/PPO/POS — PPO: $49.49 Curative — PPO: $36 United Community Medicaid — Medicaid: $11.52 United Healthcare Commercial — PPO: $7.19
Basic metabolic panel (blood test) CPT 80048 · Inpatient (hospital stay) In the file: "BASIC ME (CHEM 7)"	$72	$14.40	$36
Basic metabolic panel (blood test): rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $36 Curative — PPO: $36
Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: "COMPREHEN META PANEL"	$89.50	$17.90	$8.98 – $71.60
Comprehensive metabolic panel (blood test): rates for 7 insurance plans Aetna Commercial — PPO: $71.60 BCBS Blue Advantage HMO — HMO: $16.16 BCBS Blue Essentials — HMO: $56.92 BCBS Blue Traditional/PPO/POS — PPO: $61.78 Curative — PPO: $44.75 United Community Medicaid — Medicaid: $14.32 United Healthcare Commercial — PPO: $8.98
Comprehensive metabolic panel (blood test) CPT 80053 · Inpatient (hospital stay) In the file: "COMPREHEN META PANEL"	$89.50	$17.90	$44.75
Comprehensive metabolic panel (blood test): rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $44.75 Curative — PPO: $44.75
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: "LIPID PROFILE"	$113.50	$22.70	$11.38 – $90.80
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna Commercial — PPO: $90.80 BCBS Blue Advantage HMO — HMO: $20.49 BCBS Blue Essentials — HMO: $72.17 BCBS Blue Traditional/PPO/POS — PPO: $78.33 Curative — PPO: $56.75 United Community Medicaid — Medicaid: $18.16 United Healthcare Commercial — PPO: $11.38
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: "LP+NON-HDL CHOLESTER"	$17.50	$3.50	$2.80 – $78.33
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna Commercial — PPO: $14 BCBS Blue Advantage HMO — HMO: $20.49 BCBS Blue Essentials — HMO: $72.17 BCBS Blue Traditional/PPO/POS — PPO: $78.33 Curative — PPO: $8.75 United Community Medicaid — Medicaid: $2.80 United Healthcare Commercial — PPO: $11.38
Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: "LIPID PROFILE NMR"	$24.69	$4.94	$3.95 – $78.33
Cholesterol panel (lipid panel): rates for 7 insurance plans Aetna Commercial — PPO: $19.75 BCBS Blue Advantage HMO — HMO: $20.49 BCBS Blue Essentials — HMO: $72.17 BCBS Blue Traditional/PPO/POS — PPO: $78.33 Curative — PPO: $12.35 United Community Medicaid — Medicaid: $3.95 United Healthcare Commercial — PPO: $11.38
Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: "RENAL FUNCTION PANEL"	$73.75	$14.75	$7.38 – $59
Kidney function panel: rates for 7 insurance plans Aetna Commercial — PPO: $59 BCBS Blue Advantage HMO — HMO: $13.28 BCBS Blue Essentials — HMO: $46.79 BCBS Blue Traditional/PPO/POS — PPO: $50.78 Curative — PPO: $36.88 United Community Medicaid — Medicaid: $11.80 United Healthcare Commercial — PPO: $7.38
Kidney function panel CPT 80069 · Inpatient (hospital stay) In the file: "RENAL FUNCTION PANEL"	$73.75	$14.75	$36.88
Kidney function panel: rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $36.88 Curative — PPO: $36.88
Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: "HEPATIC FUNCT PANEL"	$69.25	$13.85	$6.94 – $55.40
Liver function panel: rates for 7 insurance plans Aetna Commercial — PPO: $55.40 BCBS Blue Advantage HMO — HMO: $12.50 BCBS Blue Essentials — HMO: $44.04 BCBS Blue Traditional/PPO/POS — PPO: $47.79 Curative — PPO: $34.63 United Community Medicaid — Medicaid: $11.08 United Healthcare Commercial — PPO: $6.94
Liver function panel CPT 80076 · Inpatient (hospital stay) In the file: "HEPATIC FUNCT PANEL"	$69.25	$13.85	$34.63
Liver function panel: rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $34.63 Curative — PPO: $34.63
Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: "URINALYSIS AUTO MIC"	$28.25	$5.65	$2.69 – $22.60
Urine test (automated, with microscope): rates for 7 insurance plans Aetna Commercial — PPO: $22.60 BCBS Blue Advantage HMO — HMO: $4.85 BCBS Blue Essentials — HMO: $17.09 BCBS Blue Traditional/PPO/POS — PPO: $18.54 Curative — PPO: $14.13 United Community Medicaid — Medicaid: $4.52 United Healthcare Commercial — PPO: $2.69
Urine test (automated, with microscope) CPT 81001 · Inpatient (hospital stay) In the file: "URINALYSIS AUTO MIC"	$28.25	$5.65	$14.13
Urine test (automated, with microscope): rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $14.13 Curative — PPO: $14.13
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: "UR W/O MICRO KSUS"	$20.25	$4.05	$1.91 – $16.20
Urine test (automated, without microscope): rates for 7 insurance plans Aetna Commercial — PPO: $16.20 BCBS Blue Advantage HMO — HMO: $3.44 BCBS Blue Essentials — HMO: $12.13 BCBS Blue Traditional/PPO/POS — PPO: $13.16 Curative — PPO: $10.13 United Community Medicaid — Medicaid: $3.24 United Healthcare Commercial — PPO: $1.91
Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: "URINALYSIS W/O MIC"	$19.50	$3.90	$1.91 – $15.60
Urine test (automated, without microscope): rates for 7 insurance plans Aetna Commercial — PPO: $15.60 BCBS Blue Advantage HMO — HMO: $3.44 BCBS Blue Essentials — HMO: $12.13 BCBS Blue Traditional/PPO/POS — PPO: $13.16 Curative — PPO: $9.75 United Community Medicaid — Medicaid: $3.12 United Healthcare Commercial — PPO: $1.91
Urine test (automated, without microscope) CPT 81003 · Inpatient (hospital stay) In the file: "UR W/O MICRO KSUS"	$20.25	$4.05	$10.13
Urine test (automated, without microscope): rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $10.13 Curative — PPO: $10.13
PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: "PSA TOTAL"	$155.75	$31.15	$15.64 – $124.60
PSA (prostate specific antigen) blood test: rates for 7 insurance plans Aetna Commercial — PPO: $124.60 BCBS Blue Advantage HMO — HMO: $28.14 BCBS Blue Essentials — HMO: $99.12 BCBS Blue Traditional/PPO/POS — PPO: $107.58 Curative — PPO: $77.88 United Community Medicaid — Medicaid: $24.92 United Healthcare Commercial — PPO: $15.64
PSA (prostate specific antigen) blood test CPT 84153 · Inpatient (hospital stay) In the file: "PSA TOTAL"	$155.75	$31.15	$77.88
PSA (prostate specific antigen) blood test: rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $77.88 Curative — PPO: $77.88
Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: "TSH"	$142.75	$28.55	$14.28 – $114.20
Thyroid stimulating hormone (TSH) test: rates for 7 insurance plans Aetna Commercial — PPO: $114.20 BCBS Blue Advantage HMO — HMO: $25.70 BCBS Blue Essentials — HMO: $90.55 BCBS Blue Traditional/PPO/POS — PPO: $98.28 Curative — PPO: $71.38 United Community Medicaid — Medicaid: $22.84 United Healthcare Commercial — PPO: $14.28
Thyroid stimulating hormone (TSH) test CPT 84443 · Inpatient (hospital stay) In the file: "TSH"	$142.75	$28.55	$71.38
Thyroid stimulating hormone (TSH) test: rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $71.38 Curative — PPO: $71.38
Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: "CBC W/AUTOMATED DIFF"	$68.50	$13.70	$6.61 – $54.80
Complete blood count (CBC) with differential: rates for 7 insurance plans Aetna Commercial — PPO: $54.80 BCBS Blue Advantage HMO — HMO: $11.89 BCBS Blue Essentials — HMO: $41.88 BCBS Blue Traditional/PPO/POS — PPO: $45.45 Curative — PPO: $34.25 United Community Medicaid — Medicaid: $10.96 United Healthcare Commercial — PPO: $6.61
Complete blood count (CBC) with differential CPT 85025 · Inpatient (hospital stay) In the file: "CBC W/AUTOMATED DIFF"	$68.50	$13.70	$34.25
Complete blood count (CBC) with differential: rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $34.25 Curative — PPO: $34.25
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: "HEMOGRAM"	$28.25	$5.65	$4.52 – $37.85
Complete blood count (CBC), automated: rates for 7 insurance plans Aetna Commercial — PPO: $22.60 BCBS Blue Advantage HMO — HMO: $9.90 BCBS Blue Essentials — HMO: $34.87 BCBS Blue Traditional/PPO/POS — PPO: $37.85 Curative — PPO: $14.13 United Community Medicaid — Medicaid: $4.52 United Healthcare Commercial — PPO: $5.50
Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: "HEMOGRAM CT HFC WFLX"	$19.50	$3.90	$3.12 – $37.85
Complete blood count (CBC), automated: rates for 7 insurance plans Aetna Commercial — PPO: $15.60 BCBS Blue Advantage HMO — HMO: $9.90 BCBS Blue Essentials — HMO: $34.87 BCBS Blue Traditional/PPO/POS — PPO: $37.85 Curative — PPO: $9.75 United Community Medicaid — Medicaid: $3.12 United Healthcare Commercial — PPO: $5.50
Complete blood count (CBC), automated CPT 85027 · Inpatient (hospital stay) In the file: "HEMOGRAM"	$28.25	$5.65	$14.13
Complete blood count (CBC), automated: rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $14.13 Curative — PPO: $14.13
Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: "PROTHROMBIN TIME"	$32.50	$6.50	$3.34 – $26
Blood clotting time test (prothrombin time, PT): rates for 7 insurance plans Aetna Commercial — PPO: $26 BCBS Blue Advantage HMO — HMO: $6.56 BCBS Blue Essentials — HMO: $23.12 BCBS Blue Traditional/PPO/POS — PPO: $25.10 Curative — PPO: $16.25 United Community Medicaid — Medicaid: $5.20 United Healthcare Commercial — PPO: $3.34
Blood clotting time test (prothrombin time, PT) CPT 85610 · Inpatient (hospital stay) In the file: "PROTHROMBIN TIME"	$32.50	$6.50	$16.25
Blood clotting time test (prothrombin time, PT): rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $16.25 Curative — PPO: $16.25
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: "PARTIAL THROMBOPLAS"	$50.75	$10.15	$5.10 – $40.60
Blood clotting test (partial thromboplastin time, PTT): rates for 7 insurance plans Aetna Commercial — PPO: $40.60 BCBS Blue Advantage HMO — HMO: $9.20 BCBS Blue Essentials — HMO: $32.39 BCBS Blue Traditional/PPO/POS — PPO: $35.16 Curative — PPO: $25.38 United Community Medicaid — Medicaid: $8.12 United Healthcare Commercial — PPO: $5.10
Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Inpatient (hospital stay) In the file: "PARTIAL THROMBOPLAS"	$50.75	$10.15	$25.38
Blood clotting test (partial thromboplastin time, PTT): rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $25.38 Curative — PPO: $25.38

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: "CT HEAD/BR W/O CONT"	$3,759.50	$751.90	$91.50 – $1,879.75
CT scan of the head or brain, without contrast: rates for 10 insurance plans 90 Degrees Benefits — PPO: $156.77 Aetna Commercial — PPO: $579 BCBS Blue Advantage HMO — HMO: $126.65 BCBS Blue Essentials — HMO: $464.01 BCBS Blue Traditional/PPO/POS — PPO: $509.96 Curative — PPO: $1,879.75 Medicare — Medicare: $104.51 Medicare Advantage Plans — Medicare: $104.51 United Community Medicaid — Medicaid: $91.50 United Healthcare Commercial — PPO: $239.86
CT scan of the head or brain, without contrast CPT 70450 · Inpatient (hospital stay) In the file: "CT HEAD/BR W/O CONT"	$3,759.50	$751.90	$579 – $1,879.75
CT scan of the head or brain, without contrast: rates for 3 insurance plans Aetna Commercial — PPO: $579 BCBS Blue Traditional/PPO/POS — PPO: $1,879.75 Curative — PPO: $1,879.75
MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: "MRI BRAIN W/WO CONT"	$7,988.75	$1,597.75	$275.62 – $6,391
MRI of the brain, before and after contrast: rates for 10 insurance plans 90 Degrees Benefits — PPO: $523.11 Aetna Commercial — PPO: $6,391 BCBS Blue Advantage HMO — HMO: $431.49 BCBS Blue Essentials — HMO: $1,580.86 BCBS Blue Traditional/PPO/POS — PPO: $1,737.42 Curative — PPO: $3,994.38 Medicare — Medicare: $348.74 Medicare Advantage Plans — Medicare: $348.74 United Community Medicaid — Medicaid: $275.62 United Healthcare Commercial — PPO: $667.54
MRI of the brain, before and after contrast CPT 70553 · Inpatient (hospital stay) In the file: "MRI BRAIN W/WO CONT"	$7,988.75	$1,597.75	$695 – $3,994.38
MRI of the brain, before and after contrast: rates for 3 insurance plans Aetna Commercial — PPO: $695 BCBS Blue Traditional/PPO/POS — PPO: $3,994.38 Curative — PPO: $3,994.38
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: "CHEST 2V PORT"	$569.50	$113.90	$28.35 – $455.60
Chest X-ray, 2 views: rates for 10 insurance plans 90 Degrees Benefits — PPO: $130.49 Aetna Commercial — PPO: $455.60 BCBS Blue Advantage HMO — HMO: $83.80 BCBS Blue Essentials — HMO: $241.03 BCBS Blue Traditional/PPO/POS — PPO: $323.23 Curative — PPO: $284.75 Medicare — Medicare: $86.99 Medicare Advantage Plans — Medicare: $86.99 United Community Medicaid — Medicaid: $28.35 United Healthcare Commercial — PPO: $77.64
Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: "CHEST 2V"	$569.50	$113.90	$28.35 – $455.60
Chest X-ray, 2 views: rates for 10 insurance plans 90 Degrees Benefits — PPO: $130.49 Aetna Commercial — PPO: $455.60 BCBS Blue Advantage HMO — HMO: $83.80 BCBS Blue Essentials — HMO: $241.03 BCBS Blue Traditional/PPO/POS — PPO: $323.23 Curative — PPO: $284.75 Medicare — Medicare: $86.99 Medicare Advantage Plans — Medicare: $86.99 United Community Medicaid — Medicaid: $28.35 United Healthcare Commercial — PPO: $77.64
Chest X-ray, 2 views CPT 71046 · Inpatient (hospital stay) In the file: "CHEST 2V PORT"	$569.50	$113.90	$284.75 – $695
Chest X-ray, 2 views: rates for 3 insurance plans Aetna Commercial — PPO: $695 BCBS Blue Traditional/PPO/POS — PPO: $284.75 Curative — PPO: $284.75
X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: "SPINE LUMB SAC MIN4V"	$872.25	$174.45	$43.78 – $697.80
X-ray of the lower spine, at least 4 views: rates for 10 insurance plans 90 Degrees Benefits — PPO: $156.77 Aetna Commercial — PPO: $697.80 BCBS Blue Advantage HMO — HMO: $117.68 BCBS Blue Essentials — HMO: $338.48 BCBS Blue Traditional/PPO/POS — PPO: $453.92 Curative — PPO: $436.13 Medicare — Medicare: $104.51 Medicare Advantage Plans — Medicare: $104.51 United Community Medicaid — Medicaid: $43.78 United Healthcare Commercial — PPO: $94.35
X-ray of the lower spine, at least 4 views CPT 72110 · Inpatient (hospital stay) In the file: "SPINE LUMB SAC MIN4V"	$872.25	$174.45	$436.13 – $695
X-ray of the lower spine, at least 4 views: rates for 3 insurance plans Aetna Commercial — PPO: $695 BCBS Blue Traditional/PPO/POS — PPO: $436.13 Curative — PPO: $436.13
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: "MRI L SPINE W/O CONT"	$5,905	$1,181	$165.60 – $2,952.50
MRI of the lower back (lumbar spine), without contrast: rates for 10 insurance plans 90 Degrees Benefits — PPO: $357.78 Aetna Commercial — PPO: $695 BCBS Blue Advantage HMO — HMO: $263.34 BCBS Blue Essentials — HMO: $964.79 BCBS Blue Traditional/PPO/POS — PPO: $1,060.33 Curative — PPO: $2,952.50 Medicare — Medicare: $238.52 Medicare Advantage Plans — Medicare: $238.52 United Community Medicaid — Medicaid: $165.60 United Healthcare Commercial — PPO: $423.01
MRI of the lower back (lumbar spine), without contrast CPT 72148 · Inpatient (hospital stay) In the file: "MRI L SPINE W/O CONT"	$5,905	$1,181	$695 – $2,952.50
MRI of the lower back (lumbar spine), without contrast: rates for 3 insurance plans Aetna Commercial — PPO: $695 BCBS Blue Traditional/PPO/POS — PPO: $2,952.50 Curative — PPO: $2,952.50
CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: "CT PELVIS W/CONT"	$4,881	$976.20	$175.34 – $2,440.50
CT scan of the pelvis, with contrast: rates for 10 insurance plans 90 Degrees Benefits — PPO: $263.01 Aetna Commercial — PPO: $579 BCBS Blue Advantage HMO — HMO: $205.91 BCBS Blue Essentials — HMO: $754.39 BCBS Blue Traditional/PPO/POS — PPO: $829.10 Curative — PPO: $2,440.50 Medicare — Medicare: $175.34 Medicare Advantage Plans — Medicare: $175.34 United Community Medicaid — Medicaid: $197.87 United Healthcare Commercial — PPO: $375.61
CT scan of the pelvis, with contrast CPT 72193 · Inpatient (hospital stay) In the file: "CT PELVIS W/CONT"	$4,881	$976.20	$579 – $2,440.50
CT scan of the pelvis, with contrast: rates for 3 insurance plans Aetna Commercial — PPO: $579 BCBS Blue Traditional/PPO/POS — PPO: $2,440.50 Curative — PPO: $2,440.50
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: "MRI LE JT W/O CONT"	$5,905	$1,181	$175.42 – $2,952.50
MRI of a leg joint (such as the knee), without contrast: rates for 10 insurance plans 90 Degrees Benefits — PPO: $357.78 Aetna Commercial — PPO: $695 BCBS Blue Advantage HMO — HMO: $263.34 BCBS Blue Essentials — HMO: $964.79 BCBS Blue Traditional/PPO/POS — PPO: $1,060.33 Curative — PPO: $2,952.50 Medicare — Medicare: $238.52 Medicare Advantage Plans — Medicare: $238.52 United Community Medicaid — Medicaid: $175.42 United Healthcare Commercial — PPO: $423.01
MRI of a leg joint (such as the knee), without contrast CPT 73721 · Inpatient (hospital stay) In the file: "MRI LE JT W/O CONT"	$5,905	$1,181	$695 – $2,952.50
MRI of a leg joint (such as the knee), without contrast: rates for 3 insurance plans Aetna Commercial — PPO: $695 BCBS Blue Traditional/PPO/POS — PPO: $2,952.50 Curative — PPO: $2,952.50
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: "CT ABD&PELV W/"	$7,364.50	$1,472.90	$262.15 – $3,682.25
CT scan of the abdomen and pelvis, with contrast: rates for 10 insurance plans 90 Degrees Benefits — PPO: $523.11 Aetna Commercial — PPO: $579 BCBS Blue Advantage HMO — HMO: $431.49 BCBS Blue Essentials — HMO: $1,580.86 BCBS Blue Traditional/PPO/POS — PPO: $1,737.42 Curative — PPO: $3,682.25 Medicare — Medicare: $348.74 Medicare Advantage Plans — Medicare: $348.74 United Community Medicaid — Medicaid: $262.15 United Healthcare Commercial — PPO: $725.68
CT scan of the abdomen and pelvis, with contrast CPT 74177 · Inpatient (hospital stay) In the file: "CT ABD&PELV W/"	$7,364.50	$1,472.90	$579 – $3,682.25
CT scan of the abdomen and pelvis, with contrast: rates for 3 insurance plans Aetna Commercial — PPO: $579 BCBS Blue Traditional/PPO/POS — PPO: $3,682.25 Curative — PPO: $3,682.25
Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: "US ABDOMINAL"	$1,721.75	$344.35	$97.95 – $1,377.40
Ultrasound of the abdomen, complete: rates for 10 insurance plans 90 Degrees Benefits — PPO: $156.77 Aetna Commercial — PPO: $1,377.40 BCBS Blue Advantage HMO — HMO: $117.68 BCBS Blue Essentials — HMO: $338.48 BCBS Blue Traditional/PPO/POS — PPO: $453.92 Curative — PPO: $860.88 Medicare — Medicare: $104.51 Medicare Advantage Plans — Medicare: $104.51 United Community Medicaid — Medicaid: $97.95 United Healthcare Commercial — PPO: $120.39
Ultrasound of the abdomen, complete CPT 76700 · Inpatient (hospital stay) In the file: "US ABDOMINAL"	$1,721.75	$344.35	$695 – $860.88
Ultrasound of the abdomen, complete: rates for 3 insurance plans Aetna Commercial — PPO: $695 BCBS Blue Traditional/PPO/POS — PPO: $860.88 Curative — PPO: $860.88
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: "POC US OB >1ST TRI 1"	$1,287	$257.40	$96.12 – $643.50
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans 90 Degrees Benefits — PPO: $156.77 Aetna Commercial — PPO: $500 BCBS Blue Advantage HMO — HMO: $96.12 BCBS Blue Essentials — HMO: $276.45 BCBS Blue Traditional/PPO/POS — PPO: $370.74 Curative — PPO: $643.50 Medicare — Medicare: $104.51 Medicare Advantage Plans — Medicare: $104.51 United Community Medicaid — Medicaid: $133.85 United Healthcare Commercial — PPO: $521
Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: "US OB AFTER 1ST TRI"	$1,391.75	$278.35	$96.12 – $1,113.40
Pregnancy ultrasound (after the first trimester): rates for 10 insurance plans 90 Degrees Benefits — PPO: $156.77 Aetna Commercial — PPO: $1,113.40 BCBS Blue Advantage HMO — HMO: $96.12 BCBS Blue Essentials — HMO: $276.45 BCBS Blue Traditional/PPO/POS — PPO: $370.74 Curative — PPO: $695.88 Medicare — Medicare: $104.51 Medicare Advantage Plans — Medicare: $104.51 United Community Medicaid — Medicaid: $222.68 United Healthcare Commercial — PPO: $120.39
Pregnancy ultrasound (after the first trimester) CPT 76805 · Inpatient (hospital stay) In the file: "POC US OB >1ST TRI 1"	$1,287	$257.40	$643.50 – $695
Pregnancy ultrasound (after the first trimester): rates for 3 insurance plans Aetna Commercial — PPO: $695 BCBS Blue Traditional/PPO/POS — PPO: $643.50 Curative — PPO: $643.50
Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: "US TRANSVAGINAL"	$1,391.75	$278.35	$92.72 – $1,113.40
Transvaginal ultrasound: rates for 10 insurance plans 90 Degrees Benefits — PPO: $156.77 Aetna Commercial — PPO: $1,113.40 BCBS Blue Advantage HMO — HMO: $92.72 BCBS Blue Essentials — HMO: $266.67 BCBS Blue Traditional/PPO/POS — PPO: $357.62 Curative — PPO: $695.88 Medicare — Medicare: $104.51 Medicare Advantage Plans — Medicare: $104.51 United Community Medicaid — Medicaid: $100.48 United Healthcare Commercial — PPO: $120.39
Transvaginal ultrasound CPT 76830 · Inpatient (hospital stay) In the file: "US TRANSVAGINAL"	$1,391.75	$278.35	$695 – $695.88
Transvaginal ultrasound: rates for 3 insurance plans Aetna Commercial — PPO: $695 BCBS Blue Traditional/PPO/POS — PPO: $695.88 Curative — PPO: $695.88
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) In the file: "DIGITAL SCREEN BIL"	$532.50	$106.50	$104.44 – $426
Screening mammogram, both breasts: rates for 7 insurance plans Aetna Commercial — PPO: $426 BCBS Blue Advantage HMO — HMO: $104.44 BCBS Blue Essentials — HMO: $300.40 BCBS Blue Traditional/PPO/POS — PPO: $402.85 Curative — PPO: $266.25 United Community Medicaid — Medicaid: $107.78 United Healthcare Commercial — PPO: $131.48
Screening mammogram, both breasts CPT 77067 · Inpatient (hospital stay) In the file: "DIGITAL SCREEN BIL"	$532.50	$106.50	$266.25 – $695
Screening mammogram, both breasts: rates for 3 insurance plans Aetna Commercial — PPO: $695 BCBS Blue Traditional/PPO/POS — PPO: $266.25 Curative — PPO: $266.25
Screening mammogram, both breasts CPT 77067 · Outpatient (no overnight stay) · modifier 52 In the file: "DIGITAL SCRNING UNI"	$398.75	$79.75	$104.44 – $402.85
Screening mammogram, both breasts: rates for 7 insurance plans Aetna Commercial — PPO: $319 BCBS Blue Advantage HMO — HMO: $104.44 BCBS Blue Essentials — HMO: $300.40 BCBS Blue Traditional/PPO/POS — PPO: $402.85 Curative — PPO: $199.38 United Community Medicaid — Medicaid: $107.78 United Healthcare Commercial — PPO: $131.48

Physical therapy and mental health

Service	Hospital charge	Cash price	Insurance rates (lowest – highest)
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GO In the file: "OT THERAP EXER 15MIN"	$389.25	$77.85	$31.35 – $311.40
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Aetna Commercial — PPO: $311.40 BCBS Blue Advantage HMO — HMO: $31.35 BCBS Blue Essentials — HMO: $101.26 BCBS Blue Traditional/PPO/POS — PPO: $113.17 Curative — PPO: $194.63 United Community Medicaid — Medicaid: $62.28 United Healthcare Commercial — PPO: $138
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier GP In the file: "PT THERAP EXER 15MNI"	$389.25	$77.85	$31.35 – $311.40
Physical therapy: therapeutic exercise (each 15 minutes): rates for 7 insurance plans Aetna Commercial — PPO: $311.40 BCBS Blue Advantage HMO — HMO: $31.35 BCBS Blue Essentials — HMO: $101.26 BCBS Blue Traditional/PPO/POS — PPO: $113.17 Curative — PPO: $194.63 United Community Medicaid — Medicaid: $62.28 United Healthcare Commercial — PPO: $138
Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Inpatient (hospital stay) · modifier GO In the file: "OT THERAP EXER 15MIN"	$389.25	$77.85	$194.63
Physical therapy: therapeutic exercise (each 15 minutes): rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $194.63 Curative — PPO: $194.63
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: "PT EVAL LOW CMP"	$381	$76.20	$60.96 – $312.23
Physical therapy evaluation (low complexity): rates for 7 insurance plans Aetna Commercial — PPO: $304.80 BCBS Blue Advantage HMO — HMO: $86.49 BCBS Blue Essentials — HMO: $279.36 BCBS Blue Traditional/PPO/POS — PPO: $312.23 Curative — PPO: $190.50 United Community Medicaid — Medicaid: $60.96 United Healthcare Commercial — PPO: $138
Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: "PT EVAL LOW COMPLEX"	$793	$158.60	$86.49 – $634.40
Physical therapy evaluation (low complexity): rates for 7 insurance plans Aetna Commercial — PPO: $634.40 BCBS Blue Advantage HMO — HMO: $86.49 BCBS Blue Essentials — HMO: $279.36 BCBS Blue Traditional/PPO/POS — PPO: $312.23 Curative — PPO: $396.50 United Community Medicaid — Medicaid: $126.88 United Healthcare Commercial — PPO: $138
Physical therapy evaluation (low complexity) CPT 97161 · Inpatient (hospital stay) · modifier GP In the file: "PT EVAL LOW CMP"	$381	$76.20	$190.50
Physical therapy evaluation (low complexity): rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $190.50 Curative — PPO: $190.50
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: "PT EVAL MOD CMP"	$458	$91.60	$73.28 – $366.40
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Aetna Commercial — PPO: $366.40 BCBS Blue Advantage HMO — HMO: $86.49 BCBS Blue Essentials — HMO: $279.36 BCBS Blue Traditional/PPO/POS — PPO: $312.23 Curative — PPO: $229 United Community Medicaid — Medicaid: $73.28 United Healthcare Commercial — PPO: $138
Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: "PT EVAL MOD COMPLEX"	$856	$171.20	$86.49 – $684.80
Physical therapy evaluation (moderate complexity): rates for 7 insurance plans Aetna Commercial — PPO: $684.80 BCBS Blue Advantage HMO — HMO: $86.49 BCBS Blue Essentials — HMO: $279.36 BCBS Blue Traditional/PPO/POS — PPO: $312.23 Curative — PPO: $428 United Community Medicaid — Medicaid: $136.96 United Healthcare Commercial — PPO: $138
Physical therapy evaluation (moderate complexity) CPT 97162 · Inpatient (hospital stay) · modifier GP In the file: "PT EVAL MOD CMP"	$458	$91.60	$229
Physical therapy evaluation (moderate complexity): rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $229 Curative — PPO: $229
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: "PT EVAL HIGH COMPLEX"	$899.25	$179.85	$86.49 – $719.40
Physical therapy evaluation (high complexity): rates for 7 insurance plans Aetna Commercial — PPO: $719.40 BCBS Blue Advantage HMO — HMO: $86.49 BCBS Blue Essentials — HMO: $279.36 BCBS Blue Traditional/PPO/POS — PPO: $312.23 Curative — PPO: $449.63 United Community Medicaid — Medicaid: $143.88 United Healthcare Commercial — PPO: $138
Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: "PT EVAL HGH CMP"	$549	$109.80	$86.49 – $439.20
Physical therapy evaluation (high complexity): rates for 7 insurance plans Aetna Commercial — PPO: $439.20 BCBS Blue Advantage HMO — HMO: $86.49 BCBS Blue Essentials — HMO: $279.36 BCBS Blue Traditional/PPO/POS — PPO: $312.23 Curative — PPO: $274.50 United Community Medicaid — Medicaid: $87.84 United Healthcare Commercial — PPO: $138
Physical therapy evaluation (high complexity) CPT 97163 · Inpatient (hospital stay) · modifier GP In the file: "PT EVAL HIGH COMPLEX"	$899.25	$179.85	$449.63
Physical therapy evaluation (high complexity): rates for 2 insurance plans BCBS Blue Traditional/PPO/POS — PPO: $449.63 Curative — PPO: $449.63

Source: Freestone Medical Center’s standard charges file (freestonemc.slicedhealth.io, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on April 28, 2026; retrieved November 1, 2026. The hospital’s price transparency page →

Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.

Hospital information

Hospital type	Acute Care Hospital
Address	125 Newman St, Fairfield, TX 75840
County	Freestone County
State	Texas
Phone	(903) 389‑1612
Emergency services	Yes
Ownership	Government - Hospital District or Authority
Medicare overall rating	Not rated by CMS
CMS Certification Number	450658
Name in Medicare records	FREESTONE MEDICAL CENTER
Profile level	Medicare data + hospital website
Main phone on the hospital’s website	(903) 389‑2121^[4][7]
Official website	freestonemc.com
Corrections	Report an error or suggest an update →

Sources

Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
Medicare Care Compare — official Medicare profile of this hospital
U.S. Census Bureau Geocoder — map position used for distances

From the hospital’s website

Numbers match the citations above. Checked 2026-10-30.

Freestone Medical Center — freestonemc.com
Emergency Department - Freestone Medical Center — freestonemc.com
Specialty Services - Freestone Medical Center — freestonemc.com
Freestone Medical Center location — freestonemc.com

Freestone Medical Center

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas^[4][6]

Treatments^[4]

Procedures^[4][6]

Emergency care (hospital website)^[4][5]

Visiting and practical information

Doctors and clinicians (74)

Main specialties

Doctors with a page on this site (74)

Other emergency rooms nearby

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Home health agencies

Community care nearby

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Physical therapy and mental health

Hospital information

Sources

From the hospital’s website

Freestone Medical Center

Summary

Profile from official sources

At a glance

Quick answers

Specialties and care areas[4][6]

Treatments[4]

Procedures[4][6]

Emergency care (hospital website)[4][5]

Visiting and practical information

Doctors and clinicians (74)

Main specialties

Doctors with a page on this site (74)

Other emergency rooms nearby

Other hospitals nearby

Nursing homes, hospice, home health and dialysis nearby

Nursing homes

Home health agencies

Community care nearby

Clinics and urgent care

Pharmacies

About the Medicare star rating

Medicare quality data

What patients said (patient survey)

Infections caught in the hospital

Complications and deaths

Return visits to the hospital (readmissions)

Emergency room times and sepsis care

ER wait times and Medicare ratings nearby

Prices

Office and emergency visits

Lab tests

Imaging (X-ray, CT, MRI, ultrasound, mammogram)

Physical therapy and mental health

Hospital information

Sources

From the hospital’s website

Specialties and care areas^[4][6]

Treatments^[4]

Procedures^[4][6]

Emergency care (hospital website)^[4][5]