CMS Price Transparency Data

Colorectal cancer screening (alternative)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: G0145 (HCPCS)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: G0145
  • Insurance Median: $27
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.02x Medicare
The contracted insurance negotiated median rate for a Colorectal cancer screening (alternative) at HCA Florida Fort Walton-Destin Hospital is $27. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $26.49, this hospital’s rate is 1.02x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$27

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$26.49

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $26.49 (100%)
Insurance Median: $27 (102%)
Ins. Median: $27 (102% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $26.49 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
Humana $24 - $26 91%
United $26 - $27 98%
Ndms Definitive Care $26 98%
Veterans Evaluation Services $26 98%
United Behavioral Health $26 98%
Triwest Healthcare Alliance $26 98%
Wellmed $26 98%
Aetna $27 102%
Blue Cross Blue Shield $27 102%
Wellcare $28 106%
Sunshine State $28 106%
American Health Plan $28 106%
Align Senior Care $28 106%
Healthspring of Florida $28 106%
Florida Complete Care $28 106%
Centurion $29 109%
Clear Spring Health $29 109%
Gold Kidney of Florida $29 109%
Ultimate Health Plan $30 113%
Longevity Health Plan $32 121%
Oscar $36 136%
Simply Healthcare $41 155%

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