CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Florida Raulerson Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $13,858
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Florida Raulerson Hospital is $13,858. 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 $12,807.1, this hospital’s rate is 1.08x 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
$13,858

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)
Insurance Median: $13,858 (108%)
Ins. Median: $13,858 (108% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12,807.1 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
Avmed $1,715 - $69,852 13%
Molina $1,834 - $13,924 14%
Sunshine State Health Plan $2,331 - $11,652 18%
Cigna $4,535 - $42,927 35%
Humana $4,630 - $55,555 36%
United $6,000 - $71,000 47%
Wellmed $12,742 99%
Veterans Evaluation Services $13,136 103%
Blue Cross Blue Shield $13,267 - $74,878 104%
Devoted Health $13,399 105%
Ultimate Health Plan $13,399 105%
Aetna $13,464 - $127,055 105%
Freedom Health $13,661 107%
Health Sun Health Plan $13,661 107%
Optimum $13,661 107%
Careplus $13,793 - $15,106 108%
Simply Healthcare Plans $13,793 108%
American Health Plan $13,924 109%
Sunshine State $14,055 - $14,449 110%
Centurion $14,449 113%
Florida Complete Care $14,449 113%
Longevity Health Plan $14,449 113%
Solis Health Plan $14,975 117%
Ndms Definitive Care $16,420 128%
Oscar $23,136 181%
Simply Healthcare $24,955 195%

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