CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $10,320
Cash Discount Price: $20,639
vs. Medicare Baseline: 57.59x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Fort Walton-Destin Hospital is $10,320. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $20,639. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 57.59x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$20,639

Average discount available for prompt cash payment at this facility.

Insurance Median

$10,320

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: $20,639 (11517%)

Insurance Median: $10,320 (5759%)

Cash: $20,639 (11517% of Medicare)

Ins. Median: $10,320 (5759% 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 5759% of the Medicare baseline (a markup of 5659%). 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 - $9,288	224%
Avmed	$1,695 - $10,320	946%
Aetna	$1,696 - $6,192	946%
Simply	$2,889 - $3,178	1612%
Corvel Corporation	$3,328	1857%
Prime Health	$3,398	1896%
Careworks (Rockport Community)	$3,503	1955%
Molina Healthcare	$3,565 - $6,605	1989%
Sunshine State Health Plan	$4,784 - $5,263	2670%
Plotkin Health	$9,381 - $10,320	5235%
Prime Health Sheriff	$9,381 - $10,320	5235%
Evolutions Healthcare	$12,195 - $18,576	6805%
Naphcare	$12,195 - $13,416	6805%
Multiplan	$14,634 - $17,544	8166%
Evernorth	$15,009 - $16,512	8376%
Ppo Next	$15,947 - $17,544	8899%
Novanet	$16,885 - $18,576	9422%
Beacon Health Options	$18,761 - $20,639	10469%

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 $20,639.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.