CMS Price Transparency Data

Blood test, comprehensive metabolic panel

Facility: HCA Florida Raulerson Hospital

Billing Code: 80053 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80053
  • Insurance Median: $11
  • Cash Discount Price: $772
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, comprehensive metabolic panel at HCA Florida Raulerson Hospital is $11. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $772. Compared to the federal Medicare reimbursement reference rate of $10.56, this hospital’s rate is 1.04x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$772

Average discount available for prompt cash payment at this facility.

Insurance Median
$11

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$10.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $10.56 (100%)
Cash / Self-Pay: $772 (7311%)
Insurance Median: $11 (104%)
Cash: $772 (7311% of Medicare)
Ins. Median: $11 (104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $10.56 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.

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
Freedom Health $2 - $243 19%
Optimum $2 - $131 19%
Avmed $3 - $760 28%
Simply Healthcare Plans $3 - $197 28%
Health Sun Health Plan $5 - $324 47%
Molina $5 - $410 47%
Sunshine State Health Plan $6 - $387 57%
Aetna $8 - $456 76%
Humana $9 - $608 85%
American Health Plan $11 104%
Blue Cross Blue Shield $11 104%
Careplus $11 104%
Cigna $11 104%
Devoted Health $11 104%
Florida Complete Care $11 104%
Ndms Definitive Care $11 104%
Prominence Healthfirst $11 104%
Sunshine State $11 - $12 104%
Ultimate Health Plan $11 104%
United $11 - $684 104%
United Ppo $11 - $668 104%
Veterans Evaluation Services $11 104%
Wellmed $11 104%
Centurion $12 114%
Plotkin Health $12 - $760 114%
Prime Health Sherriff $12 - $760 114%
Amerihealth Caritas $13 123%
Longevity Health Plan $13 123%
Solis Health Plan $15 142%
Multiplan $19 - $1,291 180%
Oscar $20 189%
Simply Healthcare $24 227%
Corvel Corporation $295 2794%
Careworks (Rockport) $302 2860%
Prime Health $302 2860%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals