CMS Price Transparency Data

X-ray, foot

Facility: HCA Florida Raulerson Hospital

Billing Code: 73630 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73630
Insurance Median: $641
Cash Discount Price: $2,466
vs. Medicare Baseline: 7.21x Medicare

The contracted insurance negotiated median rate for a X-ray, foot at HCA Florida Raulerson Hospital is $641. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,466. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.21x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.

Cash / Self-Pay

$2,466

Average discount available for prompt cash payment at this facility.

Insurance Median

$641

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: $2,466 (2774%)

Insurance Median: $641 (721%)

Cash: $2,466 (2774% of Medicare)

Ins. Median: $641 (721% 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 721% of the Medicare baseline (a markup of 621%). 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	$142 - $526	160%
Optimum	$142 - $283	160%
United	$182 - $1,478	205%
Avmed	$214 - $1,642	241%
Simply Healthcare Plans	$214 - $427	241%
Molina	$313 - $887	352%
Health Sun Health Plan	$351 - $700	395%
Corvel Corporation	$389	438%
Careworks (Rockport)	$397	447%
Prime Health	$397	447%
Sunshine State Health Plan	$420 - $838	472%
Aetna	$494 - $986	556%
Humana	$609 - $1,314	685%
United Ppo	$724 - $1,445	814%
Plotkin Health	$823 - $1,642	926%
Prime Health Sherriff	$823 - $1,642	926%
Multiplan	$1,234 - $2,792	1388%

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 $2,466.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73630.

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 73630.
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.