CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Raulerson Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $616
Cash Discount Price: $2,367
vs. Medicare Baseline: 6.93x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Raulerson Hospital is $616. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,367. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 6.93x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.

Cash / Self-Pay

$2,367

Average discount available for prompt cash payment at this facility.

Insurance Median

$616

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: $2,367 (2662%)

Insurance Median: $616 (693%)

Cash: $2,367 (2662% of Medicare)

Ins. Median: $616 (693% 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 693% of the Medicare baseline (a markup of 593%). 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	$136 - $505	153%
Optimum	$136 - $271	153%
United	$182 - $1,420	205%
Avmed	$205 - $1,578	231%
Simply Healthcare Plans	$205 - $410	231%
Molina	$300 - $852	337%
Health Sun Health Plan	$336 - $672	378%
Corvel Corporation	$381	429%
Careworks (Rockport)	$389	438%
Prime Health	$389	438%
Sunshine State Health Plan	$403 - $805	453%
Aetna	$474 - $946	533%
Humana	$584 - $1,262	657%
United Ppo	$695 - $1,388	782%
Plotkin Health	$790 - $1,578	889%
Prime Health Sherriff	$790 - $1,578	889%
Multiplan	$1,184 - $2,682	1332%

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 $2,367.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

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 73130.
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.