CMS Price Transparency Data

CT scan, pelvis

Facility: HCA Florida Raulerson Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $2,755
Cash Discount Price: $9,665
vs. Medicare Baseline: 25.79x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at HCA Florida Raulerson Hospital is $2,755. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,665. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 25.79x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.

Cash / Self-Pay

$9,665

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,755

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $9,665 (9049%)

Insurance Median: $2,755 (2579%)

Cash: $9,665 (9049% of Medicare)

Ins. Median: $2,755 (2579% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 2579% of the Medicare baseline (a markup of 2479%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
United	$245 - $4,349	229%
Freedom Health	$831	778%
Optimum	$831	778%
Avmed	$890 - $4,832	833%
Aetna	$1,087 - $2,900	1018%
Simply Healthcare Plans	$1,256	1176%
Molina	$1,836 - $2,610	1719%
Health Sun Health Plan	$2,059	1928%
Corvel Corporation	$2,270	2125%
Careworks (Rockport)	$2,317	2169%
Prime Health	$2,317	2169%
Sunshine State Health Plan	$2,465	2308%
United Ppo	$4,253	3982%
Plotkin Health	$4,832	4524%
Prime Health Sherriff	$4,832	4524%
Multiplan	$7,249 - $8,215	6787%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $9,665.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Raulerson Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 72192.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.