Price AtlasInteractive atlas · All states · techysurgeon.comHca Florida Raulerson Hospital: what a joint replacement costs
Okeechobee, FL 34972 · CMS Certification Number 100252. What Medicare pays this hospital for knee, hip and shoulder replacement, what it lists, how it compares, and what a surgery center nearby is paid.
Medicare prices at Hca Florida Raulerson Hospital
| Operation | Inpatient avg total payment Medicare + patient share | List price | List ÷ total | Outpatient Medicare allowed |
|---|---|---|---|---|
| Hip or knee replacement | — | — | — | $12,095 |
| Shoulder replacement | — | — | — | — |
Commercial negotiated rates (beta)
| MS-DRG 470 | Median across insurers | × Medicare total payment | Lowest–highest insurer | Insurers |
|---|---|---|---|---|
| Hip or knee replacement | $21,639 | — | $14,947–$56,343 | 14 |
| Insurer | Median negotiated, MS-DRG 470 | × Medicare total payment | Plans |
|---|---|---|---|
| Aetna | $56,343 | — | 1 |
| AvMed | $54,693 | — | 1 |
| Florida Blue | $44,781 | — | 1 |
| Cigna | $33,854 | — | 1 |
| UnitedHealthcare | $32,026 | — | 1 |
| Simply Healthcare | $27,304 | — | 1 |
| Oscar | $25,313 | — | 1 |
| NDMS Definitive Care | $17,965 | — | 1 |
| Centurion | $15,809 | — | 1 |
| Humana | $15,091 | — | 1 |
| Simply Healthcare Plans | $15,091 | — | 1 |
| Freedom Health | $14,947 | — | 1 |
| Health Sun Health Plan | $14,947 | — | 1 |
| Optimum | $14,947 | — | 1 |
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
From the hospital's price-transparency file (2026-09-01); commercial plans, dollar-amount contracts only.
Quality
Overall Care Compare rating: 3 of 5 stars. For-profit · Acute · 100 beds
Florida has a certificate-of-need program that does not cover surgery centers.
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Questions
How much does Medicare pay Hca Florida Raulerson Hospital for a knee or hip replacement?
The Medicare allowed amount averaged $12,095 per outpatient hip or knee replacement case (APC 5115, 17 cases) in 2024. Inpatient stays were too few to report.
What do commercial insurers pay Hca Florida Raulerson Hospital for a hip or knee replacement?
From the hospital's own price-transparency file, commercial plans' negotiated rates for MS-DRG 470 have a median of $21,639 across 14 insurers, ranging from $14,947 to $56,343.