Freestone Medical Center

Fairfield, TX

Posts prices for 25 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.

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ProcedureCash priceGross charge× Medicare
CT head/brain without contrast (70450) $2,631.65 $3,759.50 25.1×
MRI brain without contrast (70551) $4,133.50 $5,905 17.2×
MRI brain with contrast (70552) $4,918.73 $7,026.75 14.0×
MRI brain without and with contrast (70553) $5,592.13 $7,988.75 16.0×
X-ray lower spine, 4+ views (72110) $610.58 $872.25 5.8×
MRI lumbar spine without contrast (72148) $4,133.50 $5,905 17.2×
CT pelvis with contrast (72193) $3,416.70 $4,881 19.4×
MRI lower-extremity joint without contrast (73721) $4,133.50 $5,905 17.2×
CT abdomen and pelvis with contrast (74177) $5,155.15 $7,364.50 14.7×
Ultrasound, abdomen complete (76700) $1,205.23 $1,721.75 11.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $937.56 $1,339.38 8.9×
Ultrasound, transvaginal (76830) $974.23 $1,391.75 9.3×
Mammography, screening (bilateral) (77067) $325.94 $465.62 3.6×
Basic metabolic panel (80048) $50.40 $72 6.0×
Comprehensive metabolic panel (80053) $62.65 $89.50 5.9×
Lipid panel (80061) $17.28 $24.69 1.3×
Renal function panel (80069) $51.63 $73.75 5.9×
Hepatic function panel (80076) $48.48 $69.25 5.9×
PSA, total (84153) $109.03 $155.75 5.9×
Thyroid stimulating hormone (TSH) (84443) $99.93 $142.75 5.9×
CBC with automated differential (85025) $47.95 $68.50 6.2×
CBC, automated (85027) $16.72 $23.88 2.6×
Prothrombin time (PT) (85610) $22.75 $32.50 5.3×
Partial thromboplastin time (PTT) (85730) $35.53 $50.75 5.9×
Physical therapy, therapeutic exercise (per 15 min) (97110) $272.48 $389.25 9.4×

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