CMS Price Transparency Data

CT scan, sinuses

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $7,051
Cash Discount Price: $14,004
vs. Medicare Baseline: 66.01x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at HCA Florida Fort Walton-Destin Hospital is $7,051. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,004. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 66.01x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.

Cash / Self-Pay

$14,004

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,051

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: $14,004 (13111%)

Insurance Median: $7,051 (6601%)

Cash: $14,004 (13111% of Medicare)

Ins. Median: $7,051 (6601% 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 6601% of the Medicare baseline (a markup of 6501%). 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 - $7,146	229%
Avmed	$1,695 - $7,940	1587%
Aetna	$1,696 - $4,764	1588%
Simply	$1,974 - $2,445	1848%
Corvel Corporation	$2,006	1878%
Prime Health	$2,048	1917%
Careworks (Rockport Community)	$2,112	1977%
Molina Healthcare	$2,436 - $5,081	2281%
Sunshine State Health Plan	$3,269 - $4,049	3061%
Plotkin Health	$6,409 - $7,940	6000%
Prime Health Sheriff	$6,409 - $7,940	6000%
Evolutions Healthcare	$8,332 - $14,291	7801%
Naphcare	$8,332 - $10,322	7801%
Multiplan	$9,999 - $13,497	9361%
Evernorth	$10,255 - $12,703	9601%
Ppo Next	$10,896 - $13,497	10201%
Novanet	$11,537 - $14,291	10801%
Beacon Health Options	$12,819 - $15,879	12002%

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 $14,004.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

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 70486.
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.