CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: HCA Florida Raulerson Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $18,994
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 3.08x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at HCA Florida Raulerson Hospital is $18,994. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 3.08x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$18,994

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$6,176.47

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6,176.47 (100%)
Insurance Median: $18,994 (308%)
Ins. Median: $18,994 (308% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6,176.47 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 308% of the Medicare baseline (a markup of 208%). 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Corvel Corporation $221 - $1,228 4%
Careworks (Rockport) $226 - $1,254 4%
Prime Health $226 - $1,254 4%
Freedom Health $2,350 - $4,575 38%
Optimum $2,350 - $4,575 38%
Simply Healthcare Plans $3,792 61%
Molina $3,950 - $5,211 64%
Health Sun Health Plan $4,200 68%
Sunshine State Health Plan $6,625 107%
Avmed $9,433 - $23,283 153%
Aetna $13,489 - $19,032 218%
Oscar $17,846 289%
Cigna $18,983 - $26,272 307%
Simply Healthcare $19,005 308%
Blue Cross Blue Shield $21,742 - $24,677 352%
Humana $22,221 360%
United $37,000 599%

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