CMS Price Transparency Data

X-ray, pelvis

Facility: North Okaloosa Medical Center

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72170
  • Insurance Median: $107
  • Cash Discount Price: $334
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a X-ray, pelvis at North Okaloosa Medical Center is $107. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $334. 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
$334

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: $334 (313%)
Insurance Median: $107 (100%)
Cash: $334 (313% 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
Evolutions $30 - $1,306 28%
Usa Managed Care Work Comp Fl $30 28%
Prime Health Work Comp Fl $31 29%
Amcomp Workers Comp $32 30%
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%
Aetna $44 - $1,113 41%
Tricare $93 - $104 87%
Blue Cross Blue Shield $97 - $618 91%
Cigna $97 - $1,157 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 $267 - $401 250%
Corizon Health Inc $501 469%
Phcs $1,335 1250%

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