How many shoppable procedure prices are published for HCA Florida Fort Walton-Destin Hospital?

HCA Florida Fort Walton-Destin Hospital in Fort Walton Beach, FL currently has 128 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do HCA Florida Fort Walton-Destin Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, HCA Florida Fort Walton-Destin Hospital's median negotiated commercial rate is 1.2× the regionally adjusted fair BaseRate benchmark.

What is HCA Florida Fort Walton-Destin Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns HCA Florida Fort Walton-Destin Hospital an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Proprietary 217 Beds · urban Updated: 2026-09-01

HCA Florida Fort Walton-Destin Hospital

1000 Mar-Walt Dr, Fort Walton Beach, FL 32547 · 128 Priced Procedures · 64% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.23×vs. Fair Market Price

Typical commercial prices here are +23% above the fair benchmark (1.23×) even after accounting for local nurse/doctor wages and patient complexity.

64/100 · Caution

64/100Self-Pay Cash Beats Insurance 4% of the Time

File Completeness85

Price Logic79

Peer Alignment46

Clean Billing90

Real Cash Discount6

Regional Benchmark Tier

3-Star CMS clinical quality rating paired with 1.23× fair market pricing.

Behavioral Pricing FingerprintUpper-Quartile Spread · +62% Tail Jump

Wide Procedure Spread · Upper-Quartile Skew Pricer

HCA Florida Fort Walton-Destin Hospital prices routine shoppable procedures at 2.4× Medicare (median 1.03× Fair BaseRate) while upper-quartile commercial rates jump +62% to 1.67× Fair BaseRate. Self-pay cash discounts and comparing specific CPT procedure codes before scheduling yield the strongest savings.

#101 of 165 in FL · 60th State Percentile#2,077 of 3,385 in U.S. · 61st National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 0.93× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 4% of shoppable procedures (25/100 Cash Honesty)
CMS clinical safety score (64/100 safety score) with 64% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.5× markup over Medicare rates
Commercial insurance median sits at 1.03× Fair BaseRate (2.4× Medicare), so insured patients should always compare the self-pay cash price before paying.
Upper-quartile procedures (Q75 1.67×) jump +62% above the median procedure ratio (Q50 1.03×)
Consolidated metro market (HHI 3,306) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

2.4× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER0.42× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+62% Upper Tail

Q25 0.93× · Q50 1.03× · Q75 1.67×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

2.4× MedicareFair

Outpatient Surgery & ORBack-Door Captive

2.5× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

1.6× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

4.1× MedicareElevated

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

4% Cash Edge · 25/100Watchout

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 64/100Elevated

Procedure Prices at HCA Florida Fort Walton-Destin Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 128 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$35,203	$35,203	$448	78.6×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$29,347	$29,347	$303	96.9×
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$27,680	$30,775	0.9×
Trauma team activation HCPCS Code: `G0390`	$24,500	$24,500	$1,453	16.9×
CT scan, head (with and without contrast) CPT Code: `70470`	$23,295	$23,295	$258	90.3×
CT scan, head (with contrast) CPT Code: `70460`	$20,639	$20,639	$242	85.3×
Gallbladder removal (laparoscopic) CPT Code: `47562`	—	$20,498	$6,109	unverified
Total knee replacement CPT Code: `27447`	—	$20,446	$13,523	1.5×
Total hip replacement CPT Code: `27130`	—	$19,913	$13,413	1.5×
Breast lump removal CPT Code: `19120`	—	$17,896	$3,875	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$17,195	$19,432	0.9×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$17,150	$19,087	0.9×
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$17,003	$3,372	unverified
CT scan, neck (cervical spine) CPT Code: `72125`	$16,767	$16,767	$169	unverified
CT scan, lower back (lumbar spine) CPT Code: `72131`	$16,736	$16,736	$168	unverified
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$15,754	$17,936	0.9×
CT scan, head (no contrast) CPT Code: `70450`	$15,260	$15,260	$160	95.4×
CT scan, chest (no contrast) CPT Code: `71250`	$14,299	$14,299	$167	85.6×
MRI, lower back (no contrast) CPT Code: `72148`	$14,000	$14,000	$338	41.4×
MRI, brain (no contrast) CPT Code: `70551`	$14,000	$14,000	$343	unverified
CT scan, sinuses CPT Code: `70486`	$13,906	$13,906	$166	83.8×
CT scan, pelvis CPT Code: `72192`	$13,815	$13,815	$163	unverified
Inguinal hernia repair CPT Code: `49505`	—	$13,235	$3,629	3.6×
Rabies immune globulin HCPCS Code: `90375`	$11,000	$11,000	$322	34.2×
Bunion correction surgery CPT Code: `28296`	—	$9,509	$3,446	2.8×
Vaginal delivery (full package) CPT Code: `59400`	—	$9,043	$2,680	3.4×
C-section delivery (full package) CPT Code: `59510`	—	$9,043	$2,975	3.0×
Ultrasound, pelvis CPT Code: `76856`	$9,019	$9,019	$130	unverified
Ultrasound, abdomen (complete) CPT Code: `76700`	$8,187	$8,187	$134	unverified
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$7,712	$8,223	0.9×
Cataract surgery with lens implant CPT Code: `66984`	—	$5,375	$2,540	2.1×
Ultrasound, thyroid and neck CPT Code: `76536`	$4,143	$4,143	$132	31.4×
X-ray, lower back CPT Code: `72110`	$4,050	$4,050	$112	36.2×
MRI, brain (with and without contrast) CPT Code: `70553`	$20,154	$3,658	$511	7.2×
Colonoscopy with biopsy CPT Code: `45380`	—	$3,395	$1,256	2.7×
MRI, knee or other leg joint CPT Code: `73721`	$20,999	$3,333	$369	9.0×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$3,285	$981	3.3×
Upper endoscopy with biopsy CPT Code: `43239`	—	$3,285	$987	3.3×
Injection procedure for pain management HCPCS Code: `G0260`	—	$3,008	$855	3.5×
Blood transfusion CPT Code: `36430`	$1,690	$1,690	$498	3.4×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$14,176	$974	$583	1.7×
Sleep study (overnight, in lab) CPT Code: `95810`	—	$900	$1,021	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$780	$780	$151	5.2×
Ultrasound, abdomen (limited) CPT Code: `76705`	$6,140	$574	$126	4.6×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$8,676	$573	$272	2.1×
X-ray, foot CPT Code: `73630`	$4,140	$422	$92	4.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$4,057	$425	$93	4.6×
X-ray, ankle CPT Code: `73610`	$4,329	$422	$93	4.5×
X-ray, shoulder CPT Code: `73030`	$3,822	$446	$92	unverified
X-ray, hand CPT Code: `73130`	$3,362	$414	$93	4.5×
X-ray, hip CPT Code: `73502`	$433	$433	$93	unverified
X-ray, pelvis CPT Code: `72170`	$3,890	$393	$110	3.6×
X-ray, chest (single view) CPT Code: `71045`	$364	$364	$92	4.0×
X-ray, chest (two views) CPT Code: `71046`	$364	$364	$93	3.9×
Review of medical records for care CPT Code: `90889`	—	$232	$114	2.0×
New patient office visit (30-44 min) CPT Code: `99203`	—	$171	$110	1.6×
Psychiatric evaluation (first visit) CPT Code: `90791`	—	$194	$185	1.0×
Psychotherapy session (60 minutes) CPT Code: `90837`	$615	$184	$181	1.0×
Care planning with family CPT Code: `90887`	—	$157	$107	1.5×
Family therapy session CPT Code: `90847`	$615	$173	$173	1.0×
Psychotherapy session (45 minutes) CPT Code: `90834`	$533	$161	$166	1.0×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$1,781	$133	$64	2.1×
Group therapy session CPT Code: `90853`	$272	$130	$100	1.3×
Office visit, established patient (30-39 min) CPT Code: `99214`	—	$134	$123	1.1×
Hospital observation (per hour) HCPCS Code: `G0378`	$145	$101	$86	1.2×
Office visit, established patient (20-29 min) CPT Code: `99213`	—	$97	$87	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$1,511	$111	$148	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$769	$80	$86	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$915	$92	$123	0.7×
Typhoid vaccine HCPCS Code: `90675`	$1,360	$1,360	$347	3.9×
Hepatitis B vaccine HCPCS Code: `90744`	$220	$220	$37	5.9×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$650	$160	$39	4.1×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$348	$160	$56	2.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$951	$164	$111	1.5×
Varicella (chickenpox) vaccine HCPCS Code: `90716`	$518	$182	$203	0.9×
Pneumococcal vaccine HCPCS Code: `90732`	$580	$153	$140	1.1×
Drug screening test HCPCS Code: `G0480`	—	$120	$116	1.0×
Flu vaccine (high dose) HCPCS Code: `90656`	$81	$81	$25	3.2×
Colorectal cancer screening HCPCS Code: `G0010`	$202	$74	$49	1.5×
Pneumonia vaccine injection HCPCS Code: `G0009`	$110	$70	$49	1.4×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	—	$28	$27	1.0×
Behavioral health living support HCPCS Code: `H2019`	—	$33	$34	1.0×
Prosthetic fitting and training CPT Code: `97761`	—	$42	$45	0.9×
Orthotic fitting and training CPT Code: `97760`	$389	$45	$51	0.9×
Breathing treatment (nebulizer) CPT Code: `94640`	$384	$58	$201	0.3×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	—	$20	$20	1.0×
Electrical stimulation therapy HCPCS Code: `G0283`	—	$13	$14	0.9×
Physical therapy (gait training) CPT Code: `97116`	$451	$29	$33	0.9×
Physical therapy (functional capacity test) CPT Code: `97750`	—	$33	$38	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$325	$34	$40	0.8×
Neurobehavioral status check CPT Code: `96116`	—	$53	$231	0.2×
Electrocardiogram (ECG/EKG) CPT Code: `93000`	—	$26	$25	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	—	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	—	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	—	$14	$14	1.0×
Blood test, liver function panel CPT Code: `80076`	—	$9	$9	1.0×
Blood test, vitamin D CPT Code: `82306`	$112	$31	$31	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	—	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	—	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$313	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$22	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$399	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	—	$14	$14	1.0×
Blood test, glucose (blood sugar) CPT Code: `82947`	$16	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$41	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$1,290	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$71	$7	$7	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$54	$19	$19	1.0×
Blood test, sodium CPT Code: `84295`	$20	$5	$5	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	—	$18	$18	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$17	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	—	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	—	$8	$8	1.0×
Blood test, clotting time (PT/INR) CPT Code: `85610`	—	$5	$5	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	—	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$599	$15	$15	1.0×
Culture, blood CPT Code: `87040`	—	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	—	$9	$9	1.0×
Speech therapy (group session) CPT Code: `92508`	$613	$25	$27	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$539	$32	$38	0.8×
Occupational therapy (self-care training) CPT Code: `97535`	$442	$32	$38	0.8×
Blood test, potassium CPT Code: `84132`	$20	$5	$5	1.0×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$713	$29	$35	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$851	$27	$34	0.8×
Flu vaccine injection HCPCS Code: `G0008`	$175	$21	$48	0.4×
Diagnostic procedure preparation HCPCS Code: `G0279`	$511	$13	$35	0.4×
Blood antibody screen CPT Code: `86850`	$323	$10	$46	0.2×
Psychological testing evaluation CPT Code: `96136`	—	$21	$128	0.2×

Showing top 25 high-impact procedures of 128 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at HCA Florida Fort Walton-Destin Hospital (Zero PHI Required)

CMS CCN: 100223

CPT 74177

Select Procedure to Audit:

Fair BaseRate™ $448

Medicare Rate $356

Self-Pay Cash $35,203

Insurer Median $35,203

1. Amount on Your Bill or Quote ($) Pre-filled with HCA Florida Fort Walton-Destin Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Published Cash: $35,203

Compare Prompt-Pay Cash Rate Against Remaining Deductible

HCA Florida Fort Walton-Destin Hospital's published 45 CFR § 180 self-pay cash rate is $35,203 (vs. $35,203 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$34,755 Above Fair BaseRate

Negotiate Toward $448 Fair BaseRate ($356 Medicare)

Your bill ($35,203) is $34,755 above the denoised Fair BaseRate ($448) and 98.9× the $356 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 611259833

Public IRS & CMS ownership records classify HCA Florida Fort Walton-Destin Hospital as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall3/5 Stars (3/5)

Safety Composite64/100

Would Recommend64%

Rated 9 or 10 (HCAHPS)66%

Median ER Wait130 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Hip/Knee Complication Rate2.9%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at HCA Florida Fort Walton-Destin Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2025-05-05·administrative_or_closure
Met Requirements
Recorded
2024-11-04·administrative_or_closure
Met Requirements
Recorded
2023-09-29·administrative_or_closure
Closure Notice
Recorded
2023-06-15·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (631 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for HCA Florida Fort Walton-Destin Hospital.

Price Index: 0.97× regional baseline

Quality: 52/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-65.2%

Blue Cross Blue Shield

-44.2%

Beacon Health Options

+116.6%

Median Household Income$79,097U.S. Census ACS

Local Uninsured Share11.4%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 64/100 · Caution CMS CCN 100223 EIN 611259833

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 100223) ↗ Verify IRS Form 990 (EIN 611259833) ↗ CMS HCRIS Cost Reports ↗

Published MRF File61-1259833_HCA-FLORIDA-FORT-WALTON-DESTIN-HOSPITAL_standardcharges.json

Publication / Vintage2026-09-01 · 313.89 MB

Validated Rate Rows4,635 (CMS v3.0.0)

File Integrity Digest836cd8a66b82171aa321…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

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