CMS Price Transparency Data

MRI, lower back (no contrast)

Facility: North Okaloosa Medical Center

Billing Code: 72148 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72148
  • Insurance Median: $451
  • Cash Discount Price: $1,828
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a MRI, lower back (no contrast) at North Okaloosa Medical Center is $451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,828. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.85x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$1,828

Average discount available for prompt cash payment at this facility.

Insurance Median
$451

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: $1,828 (750%)
Insurance Median: $451 (185%)
Cash: $1,828 (750% of Medicare)
Ins. Median: $451 (185% 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
Amerigroup $153 63%
Medicaid / KanCare $153 63%
UnitedHealthcare $153 - $3,406 63%
Simply Healthcare $156 - $257 64%
Humana $158 - $257 65%
Integral Health $161 66%
Wellcare $161 - $253 66%
Magellan Health $165 68%
Prestige Health $178 73%
Veterans Eval Services $228 94%
Tricare $237 97%
Aetna $245 - $6,092 101%
Blue Cross Blue Shield $245 - $2,466 101%
Cigna $245 - $6,336 101%
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%
Evolutions $442 - $7,148 181%
Usa Managed Care Work Comp Fl $442 181%
Prime Health Work Comp Fl $451 185%
Oscar $462 190%
Amcomp Workers Comp $465 191%
State Auto Insurance Fl $498 204%
Occunet $623 256%
Self Pay $1,462 - $2,193 600%
Corizon Health Inc $2,745 1126%
Phcs $7,310 2999%

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