CMS Price Transparency Data

Physical therapy (functional capacity test)

Facility: HCA Florida Raulerson Hospital

Billing Code: 97750 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 97750
Insurance Median: $35
Cash Discount Price: $1,857
vs. Medicare Baseline: 1.04x Medicare

The contracted insurance negotiated median rate for a Physical therapy (functional capacity test) at HCA Florida Raulerson Hospital is $35. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,857. Compared to the federal Medicare reimbursement reference rate of $33.73, this hospital’s rate is 1.04x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.

Cash / Self-Pay

$1,857

Average discount available for prompt cash payment at this facility.

Insurance Median

$35

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$33.73

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $33.73 (100%)

Cash / Self-Pay: $1,857 (5505%)

Insurance Median: $35 (104%)

Cash: $1,857 (5505% of Medicare)

Ins. Median: $35 (104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $33.73 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.

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
Careplus	$29 - $33	86%
Devoted Health	$29 - $33	86%
Humana	$29 - $743	86%
Ndms Definitive Care	$29 - $33	86%
United	$29 - $836	86%
Veterans Evaluation Services	$29 - $33	86%
Wellmed	$29 - $33	86%
Aetna	$30 - $557	89%
Blue Cross Blue Shield	$30 - $34	89%
Ultimate Health Plan	$30 - $34	89%
American Health Plan	$31 - $35	92%
Cigna	$31 - $652	92%
Florida Complete Care	$31 - $35	92%
Prominence Healthfirst	$31 - $35	92%
Sunshine State	$31 - $36	92%
Centurion	$32 - $36	95%
Amerihealth Caritas	$35 - $40	104%
Longevity Health Plan	$35 - $40	104%
Solis Health Plan	$42 - $48	125%
Freedom Health	$160 - $297	474%
Optimum	$160	474%
Avmed	$241 - $928	714%
Simply Healthcare Plans	$241	714%
Molina	$353 - $501	1047%
Oscar	$353	1047%
Health Sun Health Plan	$396	1174%
Simply Healthcare	$436	1293%
Sunshine State Health Plan	$474	1405%
United Ppo	$817	2422%
Plotkin Health	$928	2751%
Prime Health Sherriff	$928	2751%
Multiplan	$1,393 - $1,578	4130%

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 $1,857.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 97750.

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 97750.
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.