Florida / HCA Florida Raulerson Hospital
CMS certification 100252 · Okeechobee, FL · 3 entries in CMS's price-transparency list
HCA Florida Raulerson Hospital: charges and Medicare payments
HCA Florida Raulerson Hospital reported 506 Medicare inpatient stays across 24 DRGs in 2024. Across them it charged 7.74 times what it was paid — mid-range in Florida, number 71 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 74 stays at an average charge of $112,256, 24% above the national average. It also billed 325 outpatient services, charging 15.93 times what Medicare paid.
- 1Medicare inpatient stays 506
- 2Charge ÷ paid, inpatient 7.74×
- 3Rank in FL (highest ratio = 1) 71 of 159
- 4CMS price-transparency actions 3
Inpatient stays
For the 24 DRGs that can be compared with the national average, HCA Florida Raulerson Hospital charged more than the national average in 24 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 74 | $112,256 | +24% | $16,078 |
| 291 Heart Failure and Shock with MCC | 49 | $69,781 | +24% | $10,419 |
| 193 Simple Pneumonia and Pleurisy with MCC | 41 | $113,748 | +90% | $10,817 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 34 | $96,858 | +28% | $13,972 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 27 | $63,441 | +58% | $6,413 |
| 682 Renal Failure with MCC | 22 | $97,142 | +47% | $12,243 |
| 177 Respiratory Infections and Inflammations with MCC | 21 | $105,614 | +50% | $13,707 |
| 683 Renal Failure with CC | 17 | $68,664 | +69% | $7,350 |
| 689 Kidney and Urinary Tract Infections with MCC | 17 | $74,211 | +45% | $9,616 |
| 690 Kidney and Urinary Tract Infections without MCC | 17 | $63,408 | +68% | $6,590 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 16 | $76,204 | +26% | $10,753 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 15 | $85,701 | +54% | $10,019 |
| 069 Transient Ischemia without Thrombolytic | 15 | $67,851 | +35% | $6,549 |
| 191 Chronic Obstructive Pulmonary Disease with CC | 15 | $73,461 | +85% | $6,994 |
| 884 Organic Disturbances and Intellectual Disability | 15 | $69,941 | +12% | $14,138 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 13 | $65,649 | +30% | $9,303 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 13 | $66,041 | +83% | $6,145 |
| 377 Gastrointestinal Hemorrhage with MCC | 13 | $126,543 | +48% | $14,493 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 13 | $62,433 | +68% | $6,427 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 13 | $244,056 | +7% | $40,315 |
| 189 Pulmonary Edema and Respiratory Failure | 12 | $73,697 | +28% | $10,107 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 12 | $71,787 | +42% | $7,470 |
| 329 Major Small and Large Bowel Procedures with MCC | 11 | $274,200 | +28% | $36,947 |
| 811 Red Blood Cell Disorders with MCC | 11 | $104,909 | +54% | $11,482 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 150 | $35,191 | $2,641 |
| Level 4 Urology and Related Services | 52 | $57,020 | $3,330 |
| Level 2 Excision/ Biopsy/ Incision and Drainage | 30 | $26,386 | $1,547 |
| Level 2 Upper GI Procedures | 20 | $23,227 | $1,846 |
| Level 1 Laparoscopy and Related Services | 19 | $62,755 | $5,598 |
| Level 5 Musculoskeletal Procedures | 17 | $98,902 | $12,095 |
| Level 3 Urology and Related Services | 14 | $40,723 | $1,976 |
| Level 5 Urology and Related Services | 12 | $47,933 | $5,020 |
| Level 3 Vascular Procedures | 11 | $38,697 | $2,868 |
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Raulerson Hospital charged $112,256 on average, 1% less than the Florida average of $112,838, and was paid $16,078 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Raulerson Hospital charged $69,781 on average, 3% more than the Florida average of $67,659, and was paid $10,419 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Raulerson Hospital charged $113,748 on average, 45% more than the Florida average of $78,292, and was paid $10,817 against a state average of $10,939. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), HCA Florida Raulerson Hospital charged $96,858 on average, 4% more than the Florida average of $93,403, and was paid $13,972 against a state average of $12,779. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $35,191 was 24% above the state average of $28,431. For Level 4 Urology and Related Services (outpatient APC 5374), its average charge of $57,020 was 55% above the state average of $36,684. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $26,386 was 81% above the state average of $14,597. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $23,227 was 23% above the state average of $18,929.
Price-transparency record
CMS's enforcement list records these actions for a hospital named HCA Florida Raulerson Hospital in Okeechobee, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2024-02-02 (CMS case 644)
- Warning Notice — 2025-05-12 (CMS case 4366)
- Closure Notice — 2025-06-05 (CMS case 4366)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.