CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Raulerson Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $668
Cash Discount Price: $2,570
vs. Medicare Baseline: 7.51x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Raulerson Hospital is $668. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,570. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.51x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.

Cash / Self-Pay

$2,570

Average discount available for prompt cash payment at this facility.

Insurance Median

$668

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $2,570 (2891%)

Insurance Median: $668 (751%)

Cash: $2,570 (2891% of Medicare)

Ins. Median: $668 (751% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 751% of the Medicare baseline (a markup of 651%). 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
Freedom Health	$147 - $548	165%
Optimum	$147 - $295	165%
United	$182 - $1,542	205%
Avmed	$223 - $1,714	251%
Simply Healthcare Plans	$223 - $446	251%
Molina	$325 - $925	366%
Health Sun Health Plan	$365 - $730	411%
Corvel Corporation	$389	438%
Careworks (Rockport)	$397	447%
Prime Health	$397	447%
Sunshine State Health Plan	$437 - $874	492%
Aetna	$514 - $1,028	578%
Humana	$634 - $1,371	713%
United Ppo	$754 - $1,508	848%
Plotkin Health	$856 - $1,714	963%
Prime Health Sherriff	$856 - $1,714	963%
Multiplan	$1,285 - $2,913	1445%

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 $2,570.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

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 73610.
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.