CMS Price Transparency Data

CT scan, head (no contrast)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $7,630
Cash Discount Price: $15,260
vs. Medicare Baseline: 71.44x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at HCA Florida Fort Walton-Destin Hospital is $7,630. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,260. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 71.44x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$15,260

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,630

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: $15,260 (14287%)

Insurance Median: $7,630 (7144%)

Cash: $15,260 (14287% of Medicare)

Ins. Median: $7,630 (7144% 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 7144% of the Medicare baseline (a markup of 7044%). 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 - $6,910	229%
Avmed	$1,695 - $7,678	1587%
Aetna	$1,696 - $4,607	1588%
Corvel Corporation	$2,065	1933%
Prime Health	$2,109	1975%
Simply	$2,150 - $2,365	2013%
Careworks (Rockport Community)	$2,174	2035%
Molina Healthcare	$2,652 - $4,914	2483%
Sunshine State Health Plan	$3,560 - $3,916	3333%
Plotkin Health	$6,980 - $7,678	6535%
Prime Health Sheriff	$6,980 - $7,678	6535%
Evolutions Healthcare	$9,074 - $13,820	8495%
Naphcare	$9,074 - $9,981	8495%
Multiplan	$10,888 - $13,052	10194%
Evernorth	$11,168 - $12,284	10456%
Ppo Next	$11,865 - $13,052	11109%
Novanet	$12,563 - $13,820	11762%
Beacon Health Options	$13,959 - $15,355	13069%

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 $15,260.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

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 70450.
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.