CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: North Okaloosa Medical Center

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74176
  • Insurance Median: $270
  • Cash Discount Price: $3,173
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at North Okaloosa Medical Center is $270. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,173. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.11x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$3,173

Average discount available for prompt cash payment at this facility.

Insurance Median
$270

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $3,173 (1302%)
Insurance Median: $270 (111%)
Cash: $3,173 (1302% of Medicare)
Ins. Median: $270 (111% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Evolutions $160 - $12,412 66%
Usa Managed Care Work Comp Fl $160 66%
Prime Health Work Comp Fl $163 67%
Amcomp Workers Comp $168 69%
Amerigroup $207 85%
Medicaid / KanCare $207 85%
UnitedHealthcare $207 - $2,793 85%
Simply Healthcare $211 - $257 87%
Humana $213 - $257 87%
Integral Health $217 89%
Wellcare $217 - $253 89%
Magellan Health $222 91%
Veterans Eval Services $228 94%
Tricare $237 97%
Prestige Health $240 98%
Aetna $245 - $10,578 101%
Blue Cross Blue Shield $245 - $2,310 101%
Cigna $245 - $11,001 101%
Medicare (plans) $245 101%
Node Champva $249 102%
Node Non Par Hospice Agree $249 102%
Node Va $249 102%
Florida Department Of Corrections $270 111%
Node Us Dept Of Labor $311 128%
Oscar $462 190%
State Auto Insurance Fl $498 204%
Occunet $623 256%
Self Pay $2,539 - $3,808 1042%
Corizon Health Inc $4,767 1956%
Phcs $12,694 5207%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals