CMS Price Transparency Data

Blood test, liver function panel

Facility: HCA Florida Raulerson Hospital

Billing Code: 80076 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 80076
  • Insurance Median: $156
  • Cash Discount Price: $1,818
  • vs. Medicare Baseline: 19.09x Medicare
The contracted insurance negotiated median rate for a Blood test, liver function panel at HCA Florida Raulerson Hospital is $156. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,818. Compared to the federal Medicare reimbursement reference rate of $8.17, this hospital’s rate is 19.09x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$1,818

Average discount available for prompt cash payment at this facility.

Insurance Median
$156

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$8.17

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $8.17 (100%)
Cash / Self-Pay: $1,818 (22252%)
Insurance Median: $156 (1909%)
Cash: $1,818 (22252% of Medicare)
Ins. Median: $156 (1909% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $8.17 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1909% of the Medicare baseline (a markup of 1809%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Aetna $8 - $545 98%
Blue Cross Blue Shield $8 98%
Careplus $8 98%
Devoted Health $8 98%
Humana $8 - $727 98%
Ndms Definitive Care $8 98%
Ultimate Health Plan $8 98%
United $8 - $818 98%
Veterans Evaluation Services $8 98%
Wellmed $8 98%
American Health Plan $9 110%
Centurion $9 110%
Cigna $9 110%
Florida Complete Care $9 110%
Prominence Healthfirst $9 110%
Sunshine State $9 110%
Amerihealth Caritas $10 122%
Longevity Health Plan $10 122%
Solis Health Plan $12 147%
Oscar $16 196%
Simply Healthcare $18 220%
Freedom Health $156 - $291 1909%
Optimum $156 1909%
Avmed $236 - $909 2889%
Simply Healthcare Plans $236 2889%
Corvel Corporation $239 2925%
Careworks (Rockport) $244 2987%
Prime Health $244 2987%
Molina $345 - $491 4223%
Health Sun Health Plan $387 4737%
Sunshine State Health Plan $464 5679%
United Ppo $800 9792%
Plotkin Health $909 11126%
Prime Health Sherriff $909 11126%
Multiplan $1,364 - $1,545 16695%

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