HCA Florida Twin Cities Hospital
2190 Hwy 85 N, Niceville, FL 32578
About This Data
HCA Florida Twin Cities Hospital publishes this pricing data as required by the CMS Price Transparency Rule (45 CFR § 180). The hospital's machine-readable file is published in JSON format and includes gross charges, cash/self-pay discounts, and payer-specific negotiated rates.
We are not affiliated with HCA Florida Twin Cities Hospital. This page presents publicly available pricing data published by the hospital in compliance with federal regulations.
File last updated: 2026-09-01. Accessed by us: 2026-10-15. We check for changes twice weekly (Monday and Thursday). Attested by Todd Jackson.
If you believe any information is incorrect, please contact us. We'll review it against the source file within 5 business days.
Data quality note: HCA Florida Twin Cities Hospital publishes cash prices that match their gross charges, meaning no separate self-pay discount appears in their transparency file. The insured rates shown below are negotiated rates between the hospital and specific insurance plans. Uninsured patients may be able to negotiate lower rates by contacting the hospital's financial assistance department directly.
Published Prices by Procedure
Echocardiogram
Compare across Fort Walton Beach-Destin →| Procedure | Cash Price |
|---|---|
| Transthoracic Echocardiogram with Doppler (93306) | $12,943 |
Colonoscopy
Compare across Fort Walton Beach-Destin →| Procedure | Cash Price |
|---|---|
| Screening Colonoscopy (45378) | N/A |
| Colonoscopy with Biopsy (45380) | N/A |
| Procedure | Cash Price |
|---|---|
| ER Visit Level 3 (Moderate) (99283) | $6,178 |
| ER Visit Level 4 (High/Urgent) (99284) | $8,736 |
| ER Visit Level 5 (Critical) (99285) | $10,837 |
| Procedure | Cash Price |
|---|---|
| MRI Brain Without Contrast (70551) | $3,354 |
| MRI Lumbar Spine Without Contrast (72148) | $3,354 |
Chest X-ray
Compare across Fort Walton Beach-Destin →| Procedure | Cash Price |
|---|---|
| Chest X-ray, 2 Views (71046) | $3,212 |
| Procedure | Cash Price |
|---|---|
| CT Abdomen and Pelvis without Contrast (74176) | $28,337 |
| CT Abdomen and Pelvis with Contrast (74177) | $35,875 |
Ultrasound
Compare across Fort Walton Beach-Destin →| Procedure | Cash Price |
|---|---|
| Abdominal Ultrasound, Complete (76700) | $8,669 |
| Pelvic Ultrasound, Complete (76856) | $6,345 |
| Procedure | Cash Price |
|---|---|
| Comprehensive Metabolic Panel (CMP) (80053) | $3,104 |
| Complete Blood Count (CBC) with Differential (85025) | N/A |
| Procedure | Cash Price |
|---|---|
| Cesarean Delivery (59510) | N/A |
Knee Replacement
Compare across Fort Walton Beach-Destin →| Procedure | Cash Price |
|---|---|
| Total Knee Replacement (Arthroplasty) (27447) | N/A |
Pricing Patterns at HCA Twin Cities
At HCA Florida Twin Cities Hospital, cash prices match gross charges exactly for every service with a listed gross amount, meaning no cash discount (0%) is shown, such as $3,354 for an MRI Brain Without Contrast and $10,837 for a Level 5 ER visit. Insured rates vary widely, with the highest listed negotiated amounts often close to the cash price (for example, $25,503.30 versus $28,337 for a CT Abdomen and Pelvis without Contrast), while lower insured rates fall far below it, such as $517.79 for the same MRI. Several procedures, including Total Knee Replacement and Colonoscopy, show $0 for gross and cash prices with insured ranges of $3,242 to $40,673, and the identical range across four different services suggests these figures may reflect shared or placeholder data rather than service-specific rates.
HCA Twin Cities vs Fort Walton Beach-Destin Hospitals
How HCA Twin Cities's cash prices compare to the median across hospitals in the Fort Walton Beach-Destin area with published prices for each procedure.
| Procedure | HCA Twin Cities | vs Median |
|---|---|---|
| Echocardiogram 3 hospitals | $12,943 | near median |
| ER Visit 3 hospitals | $6,178 | 41% above median |
| MRI 3 hospitals | $3,354 | near median |
| Chest X-ray 3 hospitals | $3,212 | 474% above median |
| CT Scan 3 hospitals | $28,337 | near median |
| Ultrasound 3 hospitals | $6,345 | near median |
| Lab Work 3 hospitals | $3,104 | near median |
"Cash price" is each hospital's published self-pay/discounted rate. Median is calculated across Fort Walton Beach-Destin hospitals that publish a cash price for the same procedure. Multi-code procedures use each hospital's lowest valid price as its representative value.
Using HCA Twin Cities's Published Prices
Where HCA Twin Cities sits locally. Seven procedures can be compared with other Fort Walton Beach-Destin hospitals. HCA Twin Cities is above the median on 2, below on 0, and near the median (within 5%) on 5. The two above-median results are ER Visit (41% above median) and Chest X-ray (474% above median). The chest X-ray cash price is $3,212.
Cash, gross and insured rates here. Cash is 100% of gross on every row that has both values, so no separate self-pay discount appears in this hospital's file. Of the 12 rows with a published cash price, cash is below every insured rate on 0, within the insured range on 2, and above every insured rate on 10. The two MRI rows are the ones within range, at $3,354 each.
Asking about a quote. These are things a reader can ask or check:
- Quote the billing code, such as 71046 for a chest X-ray or 99284 for an ER visit.
- Ask for the cash or self-pay price and an itemized estimate in writing.
- Ask what the quote includes and what it leaves out, since these rows are facility charges only.
- Ask about separate professional bills, such as a radiologist for imaging, an ER physician, or a surgeon and anesthesia for a procedure.
What the file leaves blank. Five rows carry a data note because gross and cash were published as $0 or blank: 45378, 45380, 85025, 59510 and 27447. That is missing data, not a free service. Insured rates still appear for them, so ask the billing office for a current cash quote. The file was updated 2026-09-01 and accessed by us 2026-10-08, so prices may have changed since.
General information about using published prices, not medical, legal or financial advice. Confirm your own cost with the hospital and your insurer. Our methodology
Understanding the Columns
Gross Charge: The chargemaster price before any discounts. Rarely what patients pay. It is primarily a starting point for insurance negotiations.
Cash/Self-Pay: The discounted rate hospitals offer to uninsured patients. Ask about financial assistance programs for further reductions.
Insured Range: Lowest to highest negotiated rates across all payers. Medicare rates are typically lowest; commercial plan rates highest.
About Facility Fees
Prices shown are facility fees only. You'll also receive separate bills from the physician performing the procedure.
Imaging procedures include a facility fee plus a radiologist's reading fee. Surgical procedures add surgeon, anesthesia, and pathology fees.
For a more complete estimate, contact the hospital's financial counselling office or your insurer to request a pre-service cost estimate that includes all expected professional fees.
Other Hospitals in Fort Walton Beach-Destin
Compare prices at nearby hospitals:
Data Source
Heads up: source files are large
Hospital CMS transparency files typically range from tens of megabytes to several hundred megabytes. Clicking the link below will open the file in a new tab and may trigger a large download, which can consume mobile data or slow down older devices. These files are intended for data processing, not casual viewing.
HCA Florida Twin Cities Hospital
File updated: 2026-09-01 · Accessed by us: 2026-10-15
Attested by: Todd Jackson
We are not affiliated with HCA Florida Twin Cities Hospital. Published prices may not reflect your actual cost. Disclaimer
⚠ Large file, opens in new tab