CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $11,647
Cash Discount Price: $23,295
vs. Medicare Baseline: 64.99x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Fort Walton-Destin Hospital is $11,647. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23,295. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 64.99x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$23,295

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,647

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $23,295 (12999%)

Insurance Median: $11,647 (6499%)

Cash: $23,295 (12999% of Medicare)

Ins. Median: $11,647 (6499% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 6499% of the Medicare baseline (a markup of 6399%). 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	$402 - $10,483	224%
Avmed	$1,695 - $11,648	946%
Aetna	$1,696 - $6,988	946%
Corvel Corporation	$2,816	1571%
Prime Health	$2,875	1604%
Careworks (Rockport Community)	$2,964	1654%
Simply	$3,261 - $3,587	1820%
Molina Healthcare	$4,024 - $7,454	2246%
Sunshine State Health Plan	$5,400 - $5,940	3013%
Plotkin Health	$10,589 - $11,648	5909%
Prime Health Sheriff	$10,589 - $11,648	5909%
Evolutions Healthcare	$13,765 - $20,966	7681%
Naphcare	$13,765 - $15,142	7681%
Multiplan	$16,518 - $19,801	9218%
Evernorth	$16,942 - $18,636	9454%
Ppo Next	$18,001 - $19,801	10045%
Novanet	$19,059 - $20,966	10636%
Beacon Health Options	$21,177 - $23,295	11818%

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 $23,295.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.