CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: North Okaloosa Medical Center

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$17,994
about 1.3× the $14,044 Medicare rate · typically $13,852–$27,889
modeled estimate · not a bill or quote
What this hospital charges insurers
$29,111
Above the fair price
about $11,117 over the fair price · 2.1× Medicare
Medicare pays $14,044 Fair price $17,994 This hospital $29,111

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $9,376 Priciest $29,111

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $17,994 (about 1.3× the $14,044 Medicare rate). North Okaloosa Medical Center charges insurers about $29,111 — above the fair price. Located in Crestview, FL.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $17,994. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $15,157 - $44,531 108%
Blue Cross Blue Shieldmajor $15,157 - $48,836 108%
Aetnamajor $15,157 - $37,108 108%
Cignamajor $15,157 - $17,215 108%
Humanamajor $15,157 - $15,913 108%
Oscar Health $31,838 227%
Simply Healthcare $15,913 113%
WellCare $15,611 111%
+ 5 smaller / regional plans $9,329 - $46,293
Government programs also on file: Medicare.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

Enter your details and press estimate to compare.

Facility Profile & Credentials

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