CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $8,384
Cash Discount Price: $16,767
vs. Medicare Baseline: 78.49x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at HCA Florida Fort Walton-Destin Hospital is $8,384. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,767. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 78.49x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$16,767

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,384

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: $16,767 (15698%)

Insurance Median: $8,384 (7849%)

Cash: $16,767 (15698% of Medicare)

Ins. Median: $8,384 (7849% 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 7849% of the Medicare baseline (a markup of 7749%). 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 - $7,619	229%
Avmed	$1,695 - $8,466	1587%
Aetna	$1,696 - $5,079	1588%
Corvel Corporation	$2,327	2179%
Simply	$2,370 - $2,607	2219%
Prime Health	$2,376	2225%
Careworks (Rockport Community)	$2,449	2293%
Molina Healthcare	$2,924 - $5,418	2738%
Sunshine State Health Plan	$3,925 - $4,317	3675%
Plotkin Health	$7,696 - $8,466	7205%
Prime Health Sheriff	$7,696 - $8,466	7205%
Evolutions Healthcare	$10,004 - $15,238	9366%
Naphcare	$10,004 - $11,005	9366%
Multiplan	$12,005 - $14,392	11240%
Evernorth	$12,313 - $13,545	11528%
Ppo Next	$13,083 - $14,392	12249%
Novanet	$13,852 - $15,238	12969%
Beacon Health Options	$15,391 - $16,931	14410%

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 $16,767.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72125.

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 72125.
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.