Florida / HCA Florida Fort Walton-Destin Hospital

CMS certification 100223 · Fort Walton Beach, FL · 4 entries in CMS's price-transparency list

HCA Florida Fort Walton-Destin Hospital: charges and Medicare payments

HCA Florida Fort Walton-Destin Hospital reported 3,042 Medicare inpatient stays across 100 DRGs in 2024. Across them it charged 12.96 times what it was paid — among the higher ratios in Florida, number 8 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 330 stays at an average charge of $165,844, 84% above the national average. It also billed 1,838 outpatient services, charging 31.58 times what Medicare paid.

1Medicare inpatient stays 3,042
2Charge ÷ paid, inpatient 12.96×
3Rank in FL (highest ratio = 1) 8 of 159
4CMS price-transparency actions 4

Average charge per stay at HCA Florida Fort Walton-Destin Hospital, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

Inpatient stays

For the 100 DRGs that can be compared with the national average, HCA Florida Fort Walton-Destin Hospital charged more than the national average in 100 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.

DRG	Stays	Avg charge	vs US	Avg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC	330	$165,844	+84%	$15,019
291 Heart Failure and Shock with MCC	151	$99,693	+77%	$9,853
193 Simple Pneumonia and Pleurisy with MCC	95	$132,807	+122%	$9,861
274 Percutaneous and Other Intracardiac Procedures without MCC	88	$227,982	+45%	$23,069
280 Acute Myocardial Infarction, Discharged Alive with MCC	74	$153,146	+102%	$11,455
682 Renal Failure with MCC	71	$123,253	+87%	$10,731
683 Renal Failure with CC	66	$97,267	+139%	$7,140
177 Respiratory Infections and Inflammations with MCC	57	$120,267	+70%	$11,943
481 Hip and Femur Procedures except Major Joint with CC	57	$259,863	+158%	$14,727
065 Intracranial Hemorrhage or Cerebral Infarction with CC or...	53	$107,768	+93%	$8,164
552 Medical Back Problems without MCC	53	$108,360	+122%	$8,232
309 Cardiac Arrhythmia and Conduction Disorders with CC	51	$73,842	+104%	$6,029
392 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	51	$103,484	+158%	$6,469
640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	51	$106,960	+77%	$9,675
064 Intracranial Hemorrhage or Cerebral Infarction with MCC	50	$176,463	+77%	$14,018
853 Infectious and Parasitic Diseases with O.R. Procedures with...	48	$552,935	+142%	$37,530
377 Gastrointestinal Hemorrhage with MCC	47	$147,638	+73%	$13,701
641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and...	45	$85,986	+132%	$6,244
811 Red Blood Cell Disorders with MCC	45	$118,503	+74%	$11,014
069 Transient Ischemia without Thrombolytic	42	$99,644	+98%	$7,472
189 Pulmonary Edema and Respiratory Failure	42	$101,854	+77%	$9,393
378 Gastrointestinal Hemorrhage with CC	42	$102,168	+110%	$7,686
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC	41	$69,249	+141%	$4,862
305 Hypertension without MCC	39	$79,848	+99%	$6,421
522 Hip Replacement with Principal Diagnosis of Hip Fracture...	39	$229,946	+125%	$15,189
312 Syncope and Collapse	38	$113,855	+150%	$8,156
698 Other Kidney and Urinary Tract Diagnoses with MCC	38	$141,837	+93%	$12,157
308 Cardiac Arrhythmia and Conduction Disorders with MCC	35	$118,360	+109%	$9,047
236 Coronary Bypass without Cardiac Catheterization without MCC	34	$543,232	+158%	$28,706
689 Kidney and Urinary Tract Infections with MCC	34	$97,410	+90%	$8,550
872 Septicemia or Severe Sepsis without MV >96 Hours without MCC	31	$120,781	+146%	$9,097
884 Organic Disturbances and Intellectual Disability	30	$120,056	+92%	$12,354
287 Circulatory Disorders except AMI, with Cardiac...	29	$197,273	+209%	$11,564
699 Other Kidney and Urinary Tract Diagnoses with CC	27	$123,059	+159%	$7,749
432 Cirrhosis and Alcoholic Hepatitis with MCC	26	$192,601	+101%	$14,130
180 Respiratory Neoplasms with MCC	25	$224,123	+155%	$12,895
252 Other Vascular Procedures with MCC	25	$423,125	+148%	$24,293
281 Acute Myocardial Infarction, Discharged Alive with CC	25	$151,356	+200%	$7,175
101 Seizures without MCC	23	$102,257	+110%	$6,983
208 Respiratory System Diagnosis with Ventilator Support <=96...	22	$184,830	+36%	$22,715
812 Red Blood Cell Disorders without MCC	22	$68,783	+55%	$7,155
100 Seizures with MCC	21	$130,787	+39%	$13,699
690 Kidney and Urinary Tract Infections without MCC	21	$115,618	+206%	$6,335
057 Degenerative Nervous System Disorders without MCC	20	$86,950	+54%	$9,437
233 Coronary Bypass with Cardiac Catheterization or Open...	20	$798,860	+107%	$56,636
270 Other Major Cardiovascular Procedures with MCC	20	$338,230	+31%	$37,839
282 Acute Myocardial Infarction, Discharged Alive without CC/MCC	20	$110,628	+155%	$7,291
322 Percutaneous Cardiovascular Procedures with Intraluminal...	20	$280,548	+145%	$22,650
266 Endovascular Cardiac Valve Replacement and Supplement...	19	$524,914	+84%	$42,564
314 Other Circulatory System Diagnoses with MCC	18	$202,383	+113%	$13,891
299 Peripheral Vascular Disorders with MCC	17	$120,979	+61%	$12,268
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...	17	$138,998	+128%	$10,062
480 Hip and Femur Procedures except Major Joint with MCC	17	$317,578	+129%	$19,934
493 Lower Extremity and Humerus Procedures except Hip, Foot and...	17	$306,613	+158%	$17,613
267 Endovascular Cardiac Valve Replacement and Supplement...	16	$495,772	+124%	$34,283
389 Gastrointestinal Obstruction with CC	16	$86,939	+123%	$6,390
603 Cellulitis without MCC	16	$102,103	+174%	$6,972
638 Diabetes with CC	16	$91,994	+121%	$7,145
661 Kidney and Ureter Procedures for Non-Neoplasm without CC/MCC	16	$184,499	+226%	$8,111
673 Other Kidney and Urinary Tract Procedures with MCC	16	$185,517	+7%	$29,398

Showing the 60 most frequent of 100 DRGs.

Outpatient services

Service (APC)	Services	Avg charge	Medicare allowed
Comprehensive Observation Services	344	$59,493	$2,474
Level 1 Endovascular Procedures	214	$126,103	$2,947
Level 2 Upper GI Procedures	129	$49,448	$1,713
Level 5 Airway Endoscopy	92	$212,768	$6,092
Level 2 Excision/ Biopsy/ Incision and Drainage	89	$32,073	$1,456
Level 2 Vascular Procedures	79	$17,901	$1,436
Level 4 Urology and Related Services	69	$110,534	$3,158
Level 3 Vascular Procedures	65	$98,367	$2,817
Level 3 Endovascular Procedures	60	$224,500	$9,844
Level 1 Laparoscopy and Related Services	58	$163,169	$5,227
Level 5 Musculoskeletal Procedures	54	$169,849	$11,716
Level 3 Airway Endoscopy	52	$58,677	$1,514
Level 2 Pacemaker and Similar Procedures	52	$58,936	$7,696
Level 3 Urology and Related Services	45	$105,735	$1,845
Level 5 Urology and Related Services	45	$138,181	$4,687
Level 4 Airway Endoscopy	41	$140,967	$3,327
Level 3 Excision/ Biopsy/ Incision and Drainage	39	$56,212	$2,574
Level 4 Vascular Procedures	36	$165,253	$4,978
Level 2 Endovascular Procedures	29	$129,983	$5,035
Level 4 Musculoskeletal Procedures	28	$157,933	$6,480
Level 4 Endovascular Procedures	28	$240,867	$15,344
Level 3 Pacemaker and Similar Procedures	28	$110,810	$9,666
Level 3 Musculoskeletal Procedures	25	$122,328	$2,839
Level 2 Breast/Lymphatic Surgery and Related Procedures	21	$175,625	$5,907
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures	19	$157,724	$3,134

Against the Florida average

For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), HCA Florida Fort Walton-Destin Hospital charged $165,844 on average, 47% more than the Florida average of $112,838, and was paid $15,019 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), HCA Florida Fort Walton-Destin Hospital charged $99,693 on average, 47% more than the Florida average of $67,659, and was paid $9,853 against a state average of $10,715. For Simple Pneumonia and Pleurisy with MCC (DRG 193), HCA Florida Fort Walton-Destin Hospital charged $132,807 on average, 70% more than the Florida average of $78,292, and was paid $9,861 against a state average of $10,939. For Percutaneous and Other Intracardiac Procedures without MCC (DRG 274), HCA Florida Fort Walton-Destin Hospital charged $227,982 on average, 23% more than the Florida average of $185,126, and was paid $23,069 against a state average of $24,802. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $59,493 was 109% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $126,103 was 201% above the state average of $41,880. For Level 2 Upper GI Procedures (outpatient APC 5302), its average charge of $49,448 was 161% above the state average of $18,929. For Level 5 Airway Endoscopy (outpatient APC 5155), its average charge of $212,768 was 214% above the state average of $67,764.

Price-transparency record

CMS's enforcement list records these actions for a hospital named HCA Florida Fort Walton-Destin Hospital in Fort Walton Beach, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:

Warning Notice — 2023-06-15 (CMS case 619)
Closure Notice — 2023-09-29 (CMS case 619)
Met Requirements — 2024-11-04 (CMS case 2878)
Met Requirements — 2025-05-05 (CMS case 4297)

A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.

Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.

Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.