CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: North Okaloosa Medical Center

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 74177
  • Insurance Median: $394
  • Cash Discount Price: $5,025
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at North Okaloosa Medical Center is $394. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,025. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.11x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$5,025

Average discount available for prompt cash payment at this facility.

Insurance Median
$394

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $5,025 (1410%)
Insurance Median: $394 (111%)
Cash: $5,025 (1410% of Medicare)
Ins. Median: $394 (111% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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
Amerigroup $207 58%
Medicaid / KanCare $207 58%
UnitedHealthcare $207 - $4,422 58%
Simply Healthcare $211 - $376 59%
Humana $213 - $376 60%
Integral Health $217 61%
Wellcare $217 - $369 61%
Magellan Health $222 62%
Prestige Health $240 67%
Evolutions $334 - $19,654 94%
Usa Managed Care Work Comp Fl $334 94%
Veterans Eval Services $336 94%
Prime Health Work Comp Fl $341 96%
Tricare $346 97%
Amcomp Workers Comp $352 99%
Aetna $358 - $16,750 100%
Blue Cross Blue Shield $358 - $2,310 100%
Cigna $358 - $17,420 100%
Medicare (plans) $358 100%
Node Champva $364 102%
Node Non Par Hospice Agree $364 102%
Node Va $364 102%
Florida Department Of Corrections $394 111%
Node Us Dept Of Labor $455 128%
Oscar $676 190%
State Auto Insurance Fl $729 205%
Occunet $1,250 351%
Self Pay $4,020 - $6,030 1128%
Corizon Health Inc $7,549 2118%
Phcs $20,100 5639%

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