Supplies, drugs & other prices at North Okaloosa Medical Center
Crestview, FL · every code in this section with a posted price and a Medicare benchmark.
39 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $1,318.60 | $7,325.55 | 1.6× |
| Adm tocilizu covid-19 1st (M0249) | $212.86 | $1,182.56 | 0.5× |
| Adm tocilizu covid-19 2nd (M0250) | $212.86 | $1,182.56 | 0.5× |
| Admin hepatitis b vaccine (G0010) | $47.30 | $262.76 | 1.0× |
| Admin influenza virus vac (G0008) | $47.30 | $262.76 | 1.0× |
| Admin pneumococcal vaccine (G0009) | $47.30 | $262.76 | 1.0× |
| Ca screen;flexi sigmoidscope (G0104) | $3,269.86 | $18,165.88 | 3.4× |
| Colon ca scrn not hi rsk ind (G0121) | $3,800.98 | $21,116.58 | 3.9× |
| Colorectal scrn; hi risk ind (G0105) | $3,276.14 | $18,200.77 | 3.4× |
| Covid-19 lab test non-cdc (U0002) | $29.09 | $161.63 | 0.6× |
| Direct refer hospital observ (G0379) | $289.69 | $1,609.39 | 0.5× |
| Elec stim other than wound (G0283) | $37.80 | $210 | 3.0× |
| Elisa hiv-1/hiv-2 screen (G0433) | $54.73 | $304.07 | 3.0× |
| Hbot, full body chamber, 30m (G0277) | $148.09 | $822.72 | 1.0× |
| Hiv combination assay (G0475) | $11.38 | $63.21 | 0.5× |
| Hospital outpt clinic visit (G0463) | $216.77 | $1,204.29 | 1.6× |
| Inj for sacroiliac jt anesth (G0260) | $627.47 | $3,485.93 | 0.9× |
| Insertion of anterior segment aqueous drainage device into the trabecular meshwork, without external reservoir, and… (0671T) | $5,968 | $33,155.58 | 1.1× |
| Insertion of aqueous drainage device, without extraocular reservoir, internal approach, into the subconjunctival space;… (0449T) | $7,403.91 | $41,132.81 | 1.3× |
| Mra w/cont, chest (C8909) | $1,794.83 | $9,971.25 | 4.9× |
| Mra w/cont, pelvis (C8918) | $1,794.83 | $9,971.25 | 4.9× |
| Mra w/o cont, abd (C8901) | $1,462.09 | $8,122.73 | 5.9× |
| Mra w/o fol w/cont, abd (C8902) | $2,262.02 | $12,566.77 | 6.2× |
| Mra w/o fol w/cont, chest (C8911) | $2,262.02 | $12,566.77 | 6.2× |
| Mra w/o fol w/cont, lwr ext (C8914) | $2,262.02 | $12,566.77 | 6.2× |
| Mra w/o fol w/cont, pelvis (C8920) | $2,262.02 | $12,566.77 | 6.2× |
| Mra, w/dye, upper extremity (C8934) | $2,262.02 | $12,566.77 | 6.2× |
| Mri w/cont, breast, bi (C8906) | $1,794.83 | $9,971.25 | 4.9× |
| Mri w/cont, breast, uni (C8903) | $1,794.83 | $9,971.25 | 9.8× |
| Mri w/o fol w/cont, breast, (C8908) | $2,262.02 | $12,566.77 | 6.2× |
| Mri w/o fol w/cont, brst, un (C8905) | $2,262.02 | $12,566.77 | 6.2× |
| Oral hiv-1/hiv-2 screen (G0435) | $73.94 | $410.78 | 6.2× |
| Perc d-e cor revasc t cabg s (C9604) | $7,588.04 | $42,155.80 | 0.6× |
| Perc drug-el cor stent sing (C9600) | $7,588.04 | $42,155.80 | 0.6× |
| Prostate biopsy, any mthd (G0416) | $277.14 | $1,539.66 | 0.7× |
| Psa screening (G0103) | $113.80 | $632.24 | 5.9× |
| Tomosynthesis, mammo (G0279) | $244.24 | $1,356.85 | 19.2× |
| Trluml perip athrc iliac art (0238T) | $20,238.36 | $112,435.35 | 1.1× |
| Unsched dialysis esrd pt hos (G0257) | $311.85 | $1,732.50 | 0.4× |