CMS Price Transparency Data

X-ray, lower back

Facility: North Okaloosa Medical Center

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72110
  • Insurance Median: $107
  • Cash Discount Price: $769
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a X-ray, lower back at North Okaloosa Medical Center is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $769. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.00x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$769

Average discount available for prompt cash payment at this facility.

Insurance Median
$107

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $769 (720%)
Insurance Median: $107 (100%)
Cash: $769 (720% of Medicare)
Ins. Median: $107 (100% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 $36 34%
Medicaid / KanCare $36 34%
Simply Healthcare $36 - $113 34%
UnitedHealthcare $36 - $935 34%
Humana $37 - $113 35%
Integral Health $37 35%
Wellcare $37 - $111 35%
Magellan Health $38 36%
Prestige Health $41 38%
Evolutions $60 - $3,008 56%
Usa Managed Care Work Comp Fl $60 56%
Prime Health Work Comp Fl $61 57%
Amcomp Workers Comp $63 59%
Aetna $66 - $2,564 62%
Tricare $93 - $104 87%
Blue Cross Blue Shield $97 - $618 91%
Cigna $97 - $2,666 91%
Medicare (plans) $97 - $107 91%
Node Champva $98 - $109 92%
Node Non Par Hospice Agree $98 - $109 92%
Node Va $98 - $109 92%
Veterans Eval Services $101 95%
Florida Department Of Corrections $106 - $118 99%
Node Us Dept Of Labor $123 - $136 115%
Oscar $182 - $202 170%
State Auto Insurance Fl $196 - $218 184%
Occunet $246 - $273 230%
Self Pay $615 - $923 576%
Corizon Health Inc $1,155 1081%
Phcs $3,076 2880%

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