CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $14,600
  • Cash Discount Price: $29,201
  • vs. Medicare Baseline: 59.89x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Fort Walton-Destin Hospital is $14,600. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $29,201. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 59.89x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.
Cash / Self-Pay
$29,201

Average discount available for prompt cash payment at this facility.

Insurance Median
$14,600

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $29,201 (11979%)
Insurance Median: $14,600 (5989%)
Cash: $29,201 (11979% of Medicare)
Ins. Median: $14,600 (5989% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 5989% of the Medicare baseline (a markup of 5889%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
United $518 - $13,206 212%
Avmed $1,695 - $14,674 695%
Aetna $1,696 - $8,804 696%
Corvel Corporation $3,940 1616%
Prime Health $4,023 1650%
Simply $4,088 - $4,519 1677%
Careworks (Rockport Community) $4,147 1701%
Molina Healthcare $5,044 - $9,391 2069%
Sunshine State Health Plan $6,769 - $7,483 2777%
Plotkin Health $13,273 - $14,674 5445%
Prime Health Sheriff $13,273 - $14,674 5445%
Evolutions Healthcare $17,255 - $26,412 7078%
Naphcare $17,255 - $19,076 7078%
Multiplan $20,706 - $24,945 8494%
Evernorth $21,236 - $23,478 8711%
Ppo Next $22,564 - $24,945 9256%
Novanet $23,891 - $26,412 9801%
Beacon Health Options $26,546 - $29,347 10890%

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