CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $17,538
Cash Discount Price: $35,077
vs. Medicare Baseline: 49.20x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at HCA Florida Fort Walton-Destin Hospital is $17,538. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $35,077. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 49.20x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$35,077

Average discount available for prompt cash payment at this facility.

Insurance Median

$17,538

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $35,077 (9841%)

Insurance Median: $17,538 (4920%)

Cash: $35,077 (9841% of Medicare)

Ins. Median: $17,538 (4920% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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 4920% of the Medicare baseline (a markup of 4820%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$828 - $15,841	232%
Avmed	$1,695 - $17,602	476%
Aetna	$1,696 - $10,561	476%
Corvel Corporation	$4,579	1285%
Prime Health	$4,676	1312%
Careworks (Rockport Community)	$4,820	1352%
Simply	$4,911 - $5,421	1378%
Molina Healthcare	$6,059 - $11,265	1700%
Sunshine State Health Plan	$8,131 - $8,977	2281%
Plotkin Health	$15,944 - $17,602	4473%
Prime Health Sheriff	$15,944 - $17,602	4473%
Evolutions Healthcare	$20,727 - $31,683	5815%
Naphcare	$20,727 - $22,882	5815%
Multiplan	$24,872 - $29,923	6978%
Evernorth	$25,510 - $28,162	7157%
Ppo Next	$27,104 - $29,923	7604%
Novanet	$28,699 - $31,683	8052%
Beacon Health Options	$31,887 - $35,203	8946%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $35,077.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Fort Walton-Destin Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.