CMS Price Transparency Data

Blood test, sodium

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 84295 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 84295
  • Insurance Median: $5
  • Cash Discount Price: $20
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Blood test, sodium at HCA Florida Fort Walton-Destin Hospital is $5. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20. Compared to the federal Medicare reimbursement reference rate of $4.81, this hospital’s rate is 1.04x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.
Cash / Self-Pay
$20

Average discount available for prompt cash payment at this facility.

Insurance Median
$5

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4.81 (100%)
Cash / Self-Pay: $20 (416%)
Insurance Median: $5 (104%)
Cash: $20 (416% of Medicare)
Ins. Median: $5 (104% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4.81 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.

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
Simply $3 62%
Humana $4 - $8 83%
Molina Healthcare $4 - $6 83%
United $4 - $9 83%
Aetna $5 - $6 104%
Align Senior Care $5 104%
American Health Plan $5 104%
Avmed $5 - $10 104%
Blue Cross Blue Shield $5 104%
Centurion $5 104%
Clear Spring Health $5 104%
Florida Complete Care $5 104%
Gold Kidney Of Florida $5 104%
Healthspring Of Florida $5 104%
Ndms Definitive Care $5 104%
Sunshine State $5 104%
Sunshine State Health Plan $5 104%
Triwest Healthcare Alliance $5 104%
United Behavioral Health $5 104%
Veterans Evaluation Services $5 104%
Wellcare $5 104%
Wellmed $5 104%
Longevity Health Plan $6 125%
Oscar $6 125%
Ultimate Health Plan $6 125%
Simply Healthcare $8 166%
Plotkin Health $10 208%
Prime Health Sheriff $10 208%
Evolutions Healthcare $13 - $18 270%
Naphcare $13 270%
Evernorth $16 333%
Multiplan $16 - $17 333%
Ppo Next $17 353%
Novanet $18 374%
Beacon Health Options $20 416%
Corvel Corporation $47 977%
Prime Health $48 998%
Careworks (Rockport Community) $49 1019%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Mar-Walt Dr, Fort Walton Beach, FL 32547
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals