CMS Price Transparency Data

X-ray, chest (single view)

Facility: HCA Florida Raulerson Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $279
Cash Discount Price: $1,053
vs. Medicare Baseline: 3.14x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at HCA Florida Raulerson Hospital is $279. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,053. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.14x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.

Cash / Self-Pay

$1,053

Average discount available for prompt cash payment at this facility.

Insurance Median

$279

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: $1,053 (1184%)

Insurance Median: $279 (314%)

Cash: $1,053 (1184% of Medicare)

Ins. Median: $279 (314% 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 314% of the Medicare baseline (a markup of 214%). 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	$91 - $168	102%
Optimum	$91	102%
Avmed	$137 - $526	154%
Simply Healthcare Plans	$137	154%
United	$182 - $474	205%
Molina	$200 - $284	225%
Health Sun Health Plan	$224	252%
Sunshine State Health Plan	$269	303%
Aetna	$316	355%
Corvel Corporation	$348	391%
Careworks (Rockport)	$355	399%
Prime Health	$355	399%
Humana	$390 - $421	439%
United Ppo	$463	521%
Plotkin Health	$526	592%
Prime Health Sherriff	$526	592%
Multiplan	$790 - $895	889%

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 $1,053.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71045.

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 71045.
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.