Supplies, drugs & other prices at HCA Florida Fort Walton-Destin Hospital
Fort Walton Beach, FL · every code in this section with a posted price and a Medicare benchmark.
43 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $28,940.35 | $28,940.35 | 35.4× |
| 2d tte w or w/o fol w/con,co (C8923) | $16,247.95 | $16,247.95 | 19.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $8,137.10 | $8,137.10 | 22.3× |
| Adm tocilizu covid-19 1st (M0249) | $744.15 | $744.15 | 1.6× |
| Admin hepatitis b vaccine (G0010) | $202.10 | $202.10 | 4.1× |
| Admin influenza virus vac (G0008) | $147.70 | $147.70 | 3.0× |
| Admin pneumococcal vaccine (G0009) | $110.05 | $110.05 | 2.3× |
| Catheterize for urine spec (P9612) | $253.95 | $253.95 | 27.2× |
| Covid-19 lab test non-cdc (U0002) | $62.20 | $62.20 | 1.2× |
| Diab manage trn per indiv (G0108) | $99 | $99 | 1.8× |
| Diab manage trn ind/group (G0109) | $49.65 | $49.65 | 3.1× |
| Direct refer hospital observ (G0379) | $276 | $276 | 0.4× |
| Drug test def 1-7 classes (G0480) | $4,897.15 | $4,897.15 | 42.8× |
| Elec stim other than wound (G0283) | $1,505.70 | $1,505.70 | 118.7× |
| Group mnt 2 or more 30 mins (G0271) | $49.65 | $49.65 | 2.9× |
| Hbot, full body chamber, 30m (G0277) | $721.25 | $721.25 | 5.0× |
| Hepb screen high risk indiv (G0499) | $1,344.70 | $1,344.70 | 47.6× |
| Lev 1 hosp type b ed visit (G0380) | $6,271.05 | $6,271.05 | 80.8× |
| Lev 2 hosp type b ed visit (G0381) | $8,010 | $8,010 | 82.6× |
| Lev 3 hosp type b ed visit (G0382) | $10,188.10 | $10,188.10 | 56.8× |
| Lev 4 hosp type b ed visit (G0383) | $13,242.25 | $13,242.25 | 48.0× |
| Lev 5 hosp type b ed visit (G0384) | $11,893 | $11,893 | 27.7× |
| Mnt subs tx for change dx (G0270) | $99 | $99 | 3.1× |
| Mra w/cont, abd (C8900) | $14,562.70 | $14,562.70 | 40.0× |
| Mra w/cont, lwr ext (C8912) | $14,562.70 | $14,562.70 | 40.0× |
| Mra w/cont, pelvis (C8918) | $3,782.65 | $3,782.65 | 10.4× |
| Mra w/o cont, abd (C8901) | $13,999.75 | $13,999.75 | 56.2× |
| Mra w/o cont, pelvis (C8919) | $2,813.10 | $2,813.10 | 11.3× |
| Mra w/o fol w/cont, abd (C8902) | $20,154.35 | $20,154.35 | 55.3× |
| Mra w/o fol w/cont, chest (C8911) | $20,154.35 | $20,154.35 | 55.3× |
| Mra w/o fol w/cont, lwr ext (C8914) | $20,154.35 | $20,154.35 | 55.3× |
| Mra w/o fol w/cont, pelvis (C8920) | $4,572.15 | $4,572.15 | 12.5× |
| Mri w/cont, breast, bi (C8906) | $8,324.12 | $8,324.12 | 22.8× |
| Mri w/cont, breast, uni (C8903) | $7,837.80 | $7,837.80 | 42.8× |
| Mri w/o fol w/cont, breast, (C8908) | $2,040.05 | $2,040.05 | 5.6× |
| Mri w/o fol w/cont, brst, un (C8905) | $5,376.40 | $5,376.40 | 14.8× |
| Pathogen test for platelets (P9100) | $152.90 | $152.90 | 2.5× |
| Psa screening (G0103) | $2,125.50 | $2,125.50 | 110.1× |
| Tee w or w/o fol w/cont,cong (C8926) | $28,940.35 | $28,940.35 | 35.4× |
| Tomosynthesis, mammo (G0279) | $511.40 | $511.40 | 40.3× |
| Trauma respons w/hosp criti (G0390) | $24,500 | $24,500 | 17.6× |
| Tte w or wo fol wcon,doppler (C8929) | $16,247.95 | $16,247.95 | 19.8× |
| Unsched dialysis esrd pt hos (G0257) | $2,391.25 | $2,391.25 | 3.3× |