CMS Price Transparency Data

CT scan, chest (no contrast)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 71250 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71250
Insurance Median: $7,150
Cash Discount Price: $14,299
vs. Medicare Baseline: 66.94x Medicare

The contracted insurance negotiated median rate for a CT scan, chest (no contrast) at HCA Florida Fort Walton-Destin Hospital is $7,150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,299. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 66.94x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$14,299

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,150

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $14,299 (13387%)

Insurance Median: $7,150 (6694%)

Cash: $14,299 (13387% of Medicare)

Ins. Median: $7,150 (6694% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 6694% of the Medicare baseline (a markup of 6594%). 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	$245 - $6,451	229%
Avmed	$1,695 - $7,168	1587%
Aetna	$1,696 - $4,301	1588%
Simply	$2,007 - $2,208	1879%
Corvel Corporation	$2,130	1994%
Prime Health	$2,174	2035%
Careworks (Rockport Community)	$2,242	2099%
Molina Healthcare	$2,476 - $4,587	2318%
Sunshine State Health Plan	$3,323 - $3,655	3111%
Plotkin Health	$6,516 - $7,168	6101%
Prime Health Sheriff	$6,516 - $7,168	6101%
Evolutions Healthcare	$8,471 - $12,902	7931%
Naphcare	$8,471 - $9,318	7931%
Multiplan	$10,165 - $12,185	9517%
Evernorth	$10,426 - $11,468	9761%
Ppo Next	$11,077 - $12,185	10371%
Novanet	$11,729 - $12,902	10981%
Beacon Health Options	$13,032 - $14,335	12201%

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 $14,299.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71250.

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 71250.
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.