How many shoppable procedure prices are published for North Okaloosa Medical Center?

North Okaloosa Medical Center in Crestview, FL currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do North Okaloosa Medical Center's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, North Okaloosa Medical Center's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is North Okaloosa Medical Center's CMS Care Compare overall star rating?

CMS Care Compare assigns North Okaloosa Medical Center an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 110 Beds · urban Updated: 2026-04-01

North Okaloosa Medical Center

151 Redstone Ave Se, Crestview, FL 32539 · 101 Priced Procedures · 53% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Good Deal · Below Fair Market

0.94×vs. Fair Market Price

Typical commercial prices here are 6% below the fair benchmark (0.94×) after accounting for local nurse/doctor wages and patient complexity.

90/100 · Verified

90/100Self-Pay Cash Beats Insurance 52% of the Time

File Completeness95

Price Logic89

Peer Alignment77

Clean Billing88

Real Cash Discount100

Regional Benchmark Tier

2-Star CMS clinical quality rating paired with 0.94× fair market pricing.

Behavioral Pricing FingerprintConsistent Department Multiples

Aligned Regional Benchmark Peer

North Okaloosa Medical Center prices shoppable and inpatient services (1.1× to 1.1× Medicare, divergence 1.00×) in alignment with regional hospital peers (0.94× Fair BaseRate). Reviewing plan-specific negotiated rates and cash discounts helps lock in the lowest out-of-pocket tier.

#28 of 165 in FL · 16th State Percentile#899 of 3,385 in U.S. · 26th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 6% below peer Fair BaseRate (0.94×)
Self-pay cash beats commercial insurance on 52% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (55/100 safety score) with 53% patient recommendation
Binding Good Faith Estimate rights under 45 CFR § 149.610 protect self-pay patients before scheduling

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 2.7× markup over Medicare rates
Commercial insurance median sits at 0.94× Fair BaseRate (1.1× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.94× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Consolidated metro market (HHI 3,306) limits in-network hospital competition (Highly Concentrated Monopoly (>2,500))

Front-Door ShoppableElective / Imaging

1.1× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.1× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+5% Upper Tail

Q25 0.87× · Q50 0.94× · Q75 0.99×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.1× MedicareGood

Outpatient Surgery & ORBack-Door Captive

2.7× MedicareFair

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

2.5× MedicareFair

Back-Door Captive ER VisitsBack-Door Captive

1.3× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.4× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.0× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

52% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 55/100Elevated

Procedure Prices at North Okaloosa Medical Center

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$29,100	$17,936	unverified
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$29,111	$19,432	unverified
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$16,020	$19,087	0.8×
Total knee replacement CPT Code: `27447`	$30,328	$13,407	$13,523	1.0×
Total hip replacement CPT Code: `27130`	$37,445	$13,174	$13,413	1.0×
Gallbladder removal (laparoscopic) CPT Code: `47562`	$15,890	$6,523	$6,109	1.1×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$6,535	$8,223	0.8×
Inguinal hernia repair CPT Code: `49505`	$25,244	$4,486	$3,629	1.2×
Cataract surgery with lens implant CPT Code: `66984`	$4,572	$4,367	$2,540	1.7×
Breast lump removal CPT Code: `19120`	$10,091	$4,238	$3,875	1.1×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$16,829	$3,818	$3,372	1.1×
Colonoscopy with biopsy CPT Code: `45380`	$5,505	$2,383	$1,256	1.9×
Colonoscopy (diagnostic) CPT Code: `45378`	$3,582	$1,942	$981	2.0×
Upper endoscopy with biopsy CPT Code: `43239`	$5,471	$1,421	$987	1.4×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,602	$971	$1,021	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$1,098	$725	$855	0.8×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,501	$566	$583	1.0×
Blood transfusion CPT Code: `36430`	$232	$476	$498	1.0×
MRI, knee or other leg joint CPT Code: `73721`	$2,228	$352	$369	1.0×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$5,025	$358	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$2,828	$373	$511	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$2,398	$247	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$3,173	$245	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$1,828	$255	$338	0.8×
MRI, brain (no contrast) CPT Code: `70551`	$1,828	$255	$343	0.7×
CT scan, head (with and without contrast) CPT Code: `70470`	$2,783	$217	$258	0.8×
Breathing treatment (nebulizer) CPT Code: `94640`	$135	$236	$201	unverified
CT scan, head (no contrast) CPT Code: `70450`	$1,586	$189	$160	1.2×
CT scan, head (with contrast) CPT Code: `70460`	$2,512	$209	$242	0.9×
X-ray, pelvis CPT Code: `72170`	$334	$101	$110	0.9×
Ultrasound, pelvis CPT Code: `76856`	$934	$111	$130	0.9×
Ultrasound, abdomen (limited) CPT Code: `76705`	$819	$107	$126	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$1,098	$113	$134	0.8×
Ultrasound, thyroid and neck CPT Code: `76536`	$1,014	$110	$132	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$364	$107	$148	0.7×
CT scan, pelvis CPT Code: `72192`	$1,586	$112	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$1,586	$112	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$1,586	$112	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$1,586	$112	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$1,586	$112	$169	0.7×
X-ray, chest (single view) CPT Code: `71045`	$250	$84	$92	0.9×
X-ray, chest (two views) CPT Code: `71046`	$317	$84	$93	0.9×
X-ray, neck (cervical spine) CPT Code: `72040`	$391	$84	$93	0.9×
X-ray, hip CPT Code: `73502`	$359	$84	$93	0.9×
X-ray, lower back CPT Code: `72110`	$769	$101	$112	0.9×
X-ray, shoulder CPT Code: `73030`	$609	$80	$92	0.9×
X-ray, foot CPT Code: `73630`	$605	$80	$92	0.9×
X-ray, hand CPT Code: `73130`	$620	$80	$93	0.9×
X-ray, ankle CPT Code: `73610`	$609	$80	$93	0.9×
Hepatitis B immune globulin HCPCS Code: `90371`	$99	$99	$151	unverified
Typhoid vaccine HCPCS Code: `90675`	$421	$421	$347	unverified
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$103	$160	$39	unverified
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$161	$160	$111	unverified
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$118	$160	$56	unverified
Flu vaccine injection HCPCS Code: `G0008`	$59	$61	$48	1.3×
Speech therapy (language evaluation) CPT Code: `92507`	$169	$79	$86	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$91	$97	$37	unverified
Flu vaccine (high dose) HCPCS Code: `90656`	$42	$38	$25	1.5×
Blood antibody screen CPT Code: `86850`	$125	$53	$46	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$149	$61	$64	1.0×
Pneumococcal vaccine HCPCS Code: `90732`	$69	$62	$140	0.4×
Pneumonia vaccine injection HCPCS Code: `G0009`	$59	$69	$49	unverified
Colorectal cancer screening HCPCS Code: `G0010`	$59	$73	$49	unverified
Hospital observation (per hour) HCPCS Code: `G0378`	$65	$65	$86	unverified
Occupational therapy (therapeutic activities) CPT Code: `97530`	$66	$36	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$46	$34	$38	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$59	$34	$38	0.9×
Diagnostic procedure preparation HCPCS Code: `G0279`	$293	$31	$35	0.9×
Screening mammogram (both breasts) CPT Code: `77067`	$342	$46	$123	0.4×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$96	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$23	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$42	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$42	$5	$5	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$50	$13	$14	0.9×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$330	$10	$11	0.9×
Physical therapy (gait training) CPT Code: `97116`	$90	$30	$33	0.9×
Blood test, basic metabolic panel CPT Code: `80048`	$181	$8	$9	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$110	$30	$35	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$15	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$80	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$103	$7	$7	1.0×
Blood test, magnesium CPT Code: `83735`	$24	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$37	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$40	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$32	$4	$4	1.0×
Blood test, hemoglobin CPT Code: `85018`	$41	$3	$3	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$111	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$58	$6	$6	1.0×
Culture, bacterial CPT Code: `87070`	$91	$9	$9	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$142	$19	$20	0.9×
Blood test, PSA (prostate screen) CPT Code: `84153`	$63	$18	$19	0.9×
Blood test, thyroid (TSH) CPT Code: `84443`	$82	$17	$18	0.9×
Blood test, vitamin B12 CPT Code: `82607`	$123	$15	$16	0.9×
Blood test, vitamin D CPT Code: `82306`	$228	$29	$31	0.9×
Hepatitis C antibody test CPT Code: `86803`	$38	$14	$15	0.9×
Blood test, ferritin (iron stores) CPT Code: `82728`	$116	$13	$14	0.9×
Electrical stimulation therapy HCPCS Code: `G0283`	$63	$13	$14	0.9×
Culture, blood CPT Code: `87040`	$180	$10	$11	0.9×
Blood test, liver function panel CPT Code: `80076`	$165	$8	$9	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$90	$29	$34	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$41	$4	$5	0.8×

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator For-Profit Facility · Cash & Fair BaseRate Audit

Audit a Bill or Quote at North Okaloosa Medical Center (Zero PHI Required)

CMS CCN: 100122

CPT 322

Select Procedure to Audit:

Fair BaseRate™ $17,936

Medicare Rate $12,807

Self-Pay Cash Request Quote

Insurer Median $29,100

1. Amount on Your Bill or Quote ($) Pre-filled with North Okaloosa Medical Center’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 274% of 2026 FPL

Above Standard 400% FPL Financial-Assistance Ceiling

At 274% FPL, you exceed the standard 400% FPL tier, though medical-hardship caps (when bills exceed 10% of annual income) may still apply.

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask North Okaloosa Medical Center's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$51,904 Above Fair BaseRate

Negotiate Toward $17,936 Fair BaseRate ($12,807 Medicare)

Your bill ($69,840) is $51,904 above the denoised Fair BaseRate ($17,936) and 5.5× the $12,807 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) For-Profit / Non-501(c)(3)

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 650460321

Public IRS & CMS ownership records classify North Okaloosa Medical Center as a non-501(c)(3) facility. Federal 26 U.S.C. § 501(r) statutory charity-care caps apply specifically to tax-exempt nonprofit hospitals, though state hospital fair-pricing statutes and prompt-pay self-pay discounts may still apply.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall2/5 Stars (2/5)

Safety Composite55/100

Would Recommend53%

Rated 9 or 10 (HCAHPS)57%

Median ER Wait122 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionworse

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at North Okaloosa Medical Center. Prior administrative notices do not necessarily reflect current compliance status.

2025-07-17·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (409 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Quality & Price Benchmark

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for North Okaloosa Medical Center.

Price Index: 1.24× regional baseline

Quality: 38/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Humana

-66.9%

Simply Healthcare

-48.0%

WellCare

-43.8%

Median Household Income$79,097U.S. Census ACS

Local Uninsured Share11.4%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 90/100 · Verified CMS CCN 100122 EIN 650460321

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 100122) ↗ Verify IRS Form 990 (EIN 650460321) ↗ CMS HCRIS Cost Reports ↗

Published MRF File650460321_north-okaloosa-medical-center_standardcharges.csv

Publication / Vintage2026-04-01 · 107.06 MB

Validated Rate Rows6,739 (CMS v3.0.0)

File Integrity Digest90a05764fd68ef68518a…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy