Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
FAM W PT 50 MIN
NAVARRE, FL
See all hospitals reporting CPT 90847 →Price type
Hca Florida Fort Walton-destin Hospital’s median price of $234 is 25% above the median hospital's median price ($187), higher than 68% of the 1,682 hospitals reporting CPT 90847. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 23 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield bsl percent of total billed charges · outpatientfrom % of charges | $67.66 | $67.66 | $67.66 – $67.66 |
| 2 | Blue Cross Blue Shield mbn percent of total billed charges · outpatientfrom % of charges | $67.66 | $67.66 | $67.66 – $67.66 |
| 3 | Blue Cross Blue Shield sbn percent of total billed charges · outpatientfrom % of charges | $67.66 | $67.66 | $67.66 – $67.66 |
| 4 | Oscar hix percent of total billed charges · outpatientfrom % of charges | $79.96 | $79.96 | $79.96 – $79.96 |
| 5 | Blue Cross Blue Shield nwb percent of total billed charges · outpatientfrom % of charges | $91.65 | $91.65 | $91.65 – $91.65 |
| 6 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $91.65 | $91.65 | $91.65 – $91.65 |
| 7 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $92.88 | $92.88 | $92.88 – $92.88 |
| 8 | Cigna nbn percent of total billed charges · outpatientfrom % of charges | $107.03 | $107.03 | $107.03 – $107.03 |
| 9 | Molina mgmcr percent of total billed charges · outpatientfrom % of charges | $116.87 | $116.87 | $116.87 – $116.87 |
| 10 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $126.71 | $126.71 | $126.71 – $126.71 |
| 11 | Blue Cross Blue Shield phs percent of total billed charges · outpatientfrom % of charges | $159.31 | $159.31 | $159.31 – $159.31 |
| 12 | Aetna qhp percent of total billed charges · outpatientfrom % of charges | $180.22 | $180.22 | $180.22 – $180.22 |
| 13 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $184.53 | $184.53 | $184.53 – $184.53 |
| 14 | Molina hix percent of total billed charges · outpatientfrom % of charges | $196.83 | $196.83 | $196.83 – $196.83 |
| 15 | Humana hmo percent of total billed charges · outpatientfrom % of charges | $233.74 | $233.74 | $233.74 – $233.74 |
| 16 | Humana ppo percent of total billed charges · outpatientfrom % of charges | $233.74 | $233.74 | $233.74 – $233.74 |
| 17 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $250.35 | $250.35 | $250.35 – $250.35 |
| 18 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $250.35 | $250.35 | $250.35 – $250.35 |
| 19 | Cigna managedcarehmo percent of total billed charges · outpatientfrom % of charges | $255.27 | $255.27 | $255.27 – $255.27 |
| 20 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $255.27 | $255.27 | $255.27 – $255.27 |
| 21 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $276.80 | $276.80 | $276.80 – $276.80 |
| 22 | MultiPlan primary percent of total billed charges · outpatientfrom % of charges | $479.78 | $479.78 | $479.78 – $479.78 |
| 23 | MultiPlan complementary percent of total billed charges · outpatientfrom % of charges | $522.84 | $522.84 | $522.84 – $522.84 |
Last updated: Mar 1, 2026
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