How many shoppable procedure prices are published for HCA Florida Raulerson Hospital?

HCA Florida Raulerson Hospital in Okeechobee, FL currently has 124 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do HCA Florida Raulerson Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, HCA Florida Raulerson Hospital's median negotiated commercial rate is 1.3× the regionally adjusted fair BaseRate benchmark.

What is HCA Florida Raulerson Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns HCA Florida Raulerson Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 100 Beds · rural Updated: 2026-09-01

HCA Florida Raulerson Hospital

1796 Hwy 441 North, Okeechobee, FL 34972 · 124 Priced Procedures · 66% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.26×vs. Fair Market Price

Typical commercial prices here are +26% above the fair benchmark (1.26×) even after accounting for local nurse/doctor wages and patient complexity.

66/100 · Caution

66/100Self-Pay Cash Beats Insurance 2% of the Time

File Completeness85

Price Logic85

Peer Alignment55

Clean Billing85

Real Cash Discount6

Regional Value Leader

3-Star CMS clinical quality rating paired with 1.26× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +70% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

HCA Florida Raulerson Hospital prices routine shoppable procedures at 2.5× Medicare (median 1.03× Fair BaseRate) while upper-quartile commercial rates jump +70% to 1.75× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#105 of 165 in FL · 63rd State Percentile#2,155 of 3,385 in U.S. · 63rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.91× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 2% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (69/100 safety score) with 66% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Commercial insurance median sits at 1.03× Fair BaseRate (2.5× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.75×) jump +70% above the median procedure ratio (Q50 1.03×)
Consolidated metro market (HHI 10,000) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.5× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.40× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+70% Upper Tail

Q25 0.91× · Q50 1.03× · Q75 1.75×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.5× MedicareFair

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.7× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.8× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.2× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

2.4× MedicareFair

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

2% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 69/100Fair

Procedure Prices at HCA Florida Raulerson Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 124 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$27,680	$30,775	0.9×
Total hip replacement CPT Code: `27130`	—	$22,716	$13,413	1.7×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$21,100	$21,100	$448	unverified
Total knee replacement CPT Code: `27447`	—	$19,671	$13,523	1.5×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$18,870	$18,870	$303	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$18,415	$6,109	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$16,528	$19,432	0.9×
Breast lump removal CPT Code: `19120`	—	$16,525	$3,875	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$16,420	$17,936	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$15,921	$19,087	0.8×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$15,227	$3,372	4.5×
Inguinal hernia repair CPT Code: `49505`	—	$11,524	$3,629	3.2×
CT scan, pelvis CPT Code: `72192`	$9,665	$9,665	$163	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$9,571	$9,571	$169	unverified
CT scan, sinuses CPT Code: `70486`	$9,489	$9,489	$166	57.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$9,091	$9,091	$258	35.2×
CT scan, head (with contrast) CPT Code: `70460`	$8,484	$8,484	$242	unverified
CT scan, chest (no contrast) CPT Code: `71250`	$8,456	$8,456	$167	50.6×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$8,425	$8,425	$168	50.1×
CT scan, head (no contrast) CPT Code: `70450`	$8,145	$8,145	$160	50.9×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,130	$8,223	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$5,892	$5,892	$151	39.0×
Bunion correction surgery CPT Code: `28296`	—	$5,309	$3,446	1.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$17,561	$5,017	$1,021	4.9×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$4,452	$981	4.5×
Upper endoscopy with biopsy CPT Code: `43239`	—	$4,452	$987	4.5×
Colonoscopy with biopsy CPT Code: `45380`	—	$4,452	$1,256	3.5×
Cataract surgery with lens implant CPT Code: `66984`	—	$4,452	$2,540	1.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$3,940	$3,940	$134	29.4×
Ultrasound, pelvis CPT Code: `76856`	$3,599	$3,599	$130	27.7×
MRI, brain (with and without contrast) CPT Code: `70553`	$13,866	$3,438	$511	6.7×
Ultrasound, thyroid and neck CPT Code: `76536`	$3,385	$3,385	$132	25.6×
X-ray, lower back CPT Code: `72110`	$3,123	$3,123	$112	27.9×
MRI, lower back (no contrast) CPT Code: `72148`	$11,587	$2,394	$338	7.1×
MRI, brain (no contrast) CPT Code: `70551`	$9,633	$2,354	$343	6.9×
Vaginal delivery (full package) CPT Code: `59400`	—	$2,350	$2,680	0.9×
C-section delivery (full package) CPT Code: `59510`	—	$2,350	$2,975	0.8×
MRI, knee or other leg joint CPT Code: `73721`	$16,177	$2,270	$369	6.2×
Blood transfusion CPT Code: `36430`	$2,036	$2,036	$498	4.1×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$13,379	$910	$583	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$3,590	$534	$126	4.2×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$4,971	$537	$272	2.0×
X-ray, hip CPT Code: `73502`	$3,332	$413	$93	4.4×
X-ray, foot CPT Code: `73630`	$2,466	$393	$92	4.3×
X-ray, neck (cervical spine) CPT Code: `72040`	$1,646	$395	$93	4.2×
X-ray, ankle CPT Code: `73610`	$2,570	$393	$93	4.2×
X-ray, chest (two views) CPT Code: `71046`	$1,547	$418	$93	unverified
X-ray, shoulder CPT Code: `73030`	$2,616	$415	$92	unverified
X-ray, hand CPT Code: `73130`	$2,367	$385	$93	unverified
X-ray, chest (single view) CPT Code: `71045`	$1,053	$352	$92	3.8×
X-ray, pelvis CPT Code: `72170`	$1,670	$366	$110	3.3×
Review of medical records for care CPT Code: `90889`	—	$216	$114	1.9×
New patient office visit (30-44 min) CPT Code: `99203`	$1,499	$161	$110	1.5×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$183	$185	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	—	$174	$181	1.0×
Care planning with family CPT Code: `90887`	—	$147	$107	1.4×
Family therapy session CPT Code: `90847`	—	$163	$173	0.9×
Psychotherapy session (45 minutes) CPT Code: `90834`	—	$151	$166	0.9×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$601	$124	$64	1.9×
Group therapy session CPT Code: `90853`	—	$121	$100	1.2×
Office visit, established patient (30-39 min) CPT Code: `99214`	$2,283	$127	$123	1.0×
Hospital observation (per hour) HCPCS Code: `G0378`	$191	$94	$86	1.1×
Office visit, established patient (20-29 min) CPT Code: `99213`	$1,499	$91	$87	1.0×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,482	$111	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$1,185	$92	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$2,320	$2,320	$347	6.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$180	$147	$39	3.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$261	$147	$56	2.6×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	—	$150	$111	1.4×
Drug screening test HCPCS Code: `G0480`	$159	$120	$116	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$852	$142	$140	1.0×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	—	$150	$203	0.7×
Flu vaccine (high dose) HCPCS Code: `90656`	$137	$137	$25	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$207	$69	$49	1.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	—	$66	$49	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$786	$79	$86	0.9×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$28	$27	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$1,430	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$772	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$573	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	—	$9	$9	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$575	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$379	$7	$7	1.0×
Blood test, vitamin D CPT Code: `82306`	$227	$31	$31	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$20	$20	1.0×
Behavioral health living support HCPCS Code: `H2019`	—	$34	$34	1.0×
Prosthetic fitting and training CPT Code: `97761`	$720	$42	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$731	$45	$51	0.9×
Physical therapy (gait training) CPT Code: `97116`	$423	$29	$33	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	$1,857	$33	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$616	$34	$40	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$614	$54	$201	0.3×
Neurobehavioral status check CPT Code: `96116`	—	$53	$231	0.2×
Blood test, calcium CPT Code: `82310`	$668	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$589	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$18	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$124	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$533	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$23	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$445	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$10	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$490	$5	$5	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$833	$19	$19	1.0×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$563	$32	$38	0.8×
Blood test, sodium CPT Code: `84295`	$377	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$1,174	$18	$18	1.0×
Occupational therapy (self-care training) CPT Code: `97535`	$659	$32	$38	0.8×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$491	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$409	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$561	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$630	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$28	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$1,228	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$995	$9	$9	1.0×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$25	$25	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	$468	$13	$14	0.9×
Speech therapy (group session) CPT Code: `92508`	$527	$25	$27	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$646	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$680	$27	$34	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$552	$21	$48	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$99	$13	$35	0.4×
Blood antibody screen CPT Code: `86850`	$512	$10	$46	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$20	$128	0.2×

Showing top 25 high-impact procedures of 124 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at HCA Florida Raulerson Hospital (Zero PHI Required)

CMS CCN: 100252

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $27,680

1. Amount on Your Bill or Quote ($) Pre-filled with HCA Florida Raulerson Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask HCA Florida Raulerson Hospital's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$35,657 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($66,432) is $35,657 above the denoised Fair BaseRate ($30,775) and 2.8× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 591833934

Public IRS & CMS ownership records classify HCA Florida Raulerson Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite69/100

Would Recommend66%

Rated 9 or 10 (HCAHPS)69%

Median ER Wait112 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at HCA Florida Raulerson Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-06-05·administrative_or_closure
Closure Notice
Recorded
2025-05-12·warning_notice
Warning Notice
Recorded
2024-02-02·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (440 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for HCA Florida Raulerson Hospital.

Price Index: 1.00× regional baseline

Quality: 60/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-66.4%

Prominence Healthfirst

-46.9%

WellCare

+186.5%

Median Household Income$52,288U.S. Census ACS

Local Uninsured Share17.3%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 66/100 · Caution CMS CCN 100252 EIN 591833934

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 100252) ↗ Verify IRS Form 990 (EIN 591833934) ↗ CMS HCRIS Cost Reports ↗

Published MRF File59-1833934_HCA-FLORIDA-RAULERSON-HOSPITAL_standardcharges.json

Publication / Vintage2026-09-01 · 273.55 MB

Validated Rate Rows5,304 (CMS v3.0.0)

File Integrity Digestffe5c1c00ec9cedef1a7…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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