CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: North Okaloosa Medical Center

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $86
  • Cash Discount Price: $342
  • vs. Medicare Baseline: 0.68x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at North Okaloosa Medical Center is $86. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $342. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 0.68x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$342

Average discount available for prompt cash payment at this facility.

Insurance Median
$86

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $342 (271%)
Insurance Median: $86 (68%)
Cash: $342 (271% of Medicare)
Ins. Median: $86 (68% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 $15 - $29 12%
Humana $15 - $90 12%
Integral Health $15 - $31 12%
Medicaid / KanCare $15 - $29 12%
Simply Healthcare $15 - $90 12%
UnitedHealthcare $15 - $843 12%
Wellcare $15 - $88 12%
Magellan Health $16 - $32 13%
Prestige Health $17 - $34 13%
Aetna $43 - $1,141 34%
Blue Cross Blue Shield $43 - $461 34%
Cigna $43 - $1,187 34%
Medicare (plans) $43 - $86 34%
Node Non Par Hospice Agree $44 - $87 35%
Node Va $44 - $87 35%
Florida Department Of Corrections $47 - $94 37%
Tricare $80 63%
Node Champva $84 67%
Veterans Eval Services $84 67%
State Auto Insurance Fl $87 - $175 69%
Node Us Dept Of Labor $103 - $206 82%
Occunet $109 - $218 86%
Oscar $127 - $253 101%
Evolutions $141 - $1,339 112%
Usa Managed Care Work Comp Fl $141 112%
Prime Health Work Comp Fl $144 114%
Amcomp Workers Comp $148 117%
Self Pay $274 - $411 217%
Corizon Health Inc $514 407%
Phcs $1,369 1084%

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