Supplies, drugs & other prices at Freestone Medical Center

Fairfield, TX · every code in this section with a posted price and a Medicare benchmark.

11 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Admin influenza virus vac (G0008) $65.62 $93.75 1.4×
Admin pneumococcal vaccine (G0009) $65.62 $93.75 1.4×
Catheterize for urine spec (P9612) $19.08 $27.25 2.0×
Diab manage trn per indiv (G0108) $79.45 $113.50 1.4×
Direct refer hospital observ (G0379) $573.48 $819.25 1.0×
Drug test def 1-7 classes (G0480) $142.98 $204.25 1.2×
Elec stim other than wound (G0283) $253.05 $361.50 19.9×
Fern test (Q0114) $34.13 $48.75 3.5×
Hospital outpt clinic visit (G0463) $365.92 $522.75 2.7×
Psa screening (G0103) $109.03 $155.75 5.6×
Trauma respons w/hosp criti (G0390) $1,335.43 $1,907.75 1.0×