CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida Raulerson Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 73502
  • Insurance Median: $866
  • Cash Discount Price: $3,332
  • vs. Medicare Baseline: 9.74x Medicare
The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida Raulerson Hospital is $866. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,332. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 9.74x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
$3,332

Average discount available for prompt cash payment at this facility.

Insurance Median
$866

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: $3,332 (3748%)
Insurance Median: $866 (974%)
Cash: $3,332 (3748% of Medicare)
Ins. Median: $866 (974% 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 974% of the Medicare baseline (a markup of 874%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
United $182 - $1,499 205%
Freedom Health $287 - $533 323%
Optimum $287 323%
Corvel Corporation $408 459%
Careworks (Rockport) $417 469%
Prime Health $417 469%
Avmed $433 - $1,666 487%
Simply Healthcare Plans $433 487%
Molina $633 - $900 712%
Health Sun Health Plan $710 799%
Sunshine State Health Plan $850 956%
Aetna $1,000 1125%
Humana $1,233 - $1,333 1387%
United Ppo $1,466 1649%
Plotkin Health $1,666 1874%
Prime Health Sherriff $1,666 1874%
Multiplan $2,499 - $2,832 2811%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals