CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: HCA Florida Fort Walton-Destin Hospital

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $15,273
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at HCA Florida Fort Walton-Destin Hospital is $15,273. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $12,807.1, this hospital’s rate is 1.19x the Medicare baseline. Located in 1000 Mar-Walt Dr, Fort Walton Beach, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$15,273

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)
Insurance Median: $15,273 (119%)
Ins. Median: $15,273 (119% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12,807.1 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Molina Healthcare $2,201 - $15,419 17%
Sunshine State Health Plan $2,348 - $11,736 18%
Cigna $2,374 - $99,055 19%
Humana $6,935 - $63,401 54%
United $8,642 - $55,711 67%
Triwest Healthcare Alliance $14,255 111%
Wellmed $14,255 111%
United Behavioral Health $14,546 114%
Veterans Evaluation Services $14,546 114%
Blue Cross Blue Shield $14,691 - $50,191 115%
Ultimate Health Plan $14,837 116%
Aetna $14,910 - $98,247 116%
Align Senior Care $14,982 117%
Florida Complete Care $14,982 117%
Longevity Health Plan $14,982 117%
Simply $15,273 119%
American Health Plan $15,419 120%
Healthspring Of Florida $15,564 122%
Sunshine State $15,637 122%
Wellcare $15,637 122%
Gold Kidney Of Florida $15,855 124%
Centurion $16,000 125%
Simply Healthcare $17,202 134%
Ndms Definitive Care $18,182 142%
Oscar $20,045 157%
Avmed $39,921 - $43,853 312%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Mar-Walt Dr, Fort Walton Beach, FL 32547
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals