Visits & medical services prices at North Okaloosa Medical Center
Crestview, FL · every code in this section with a posted price and a Medicare benchmark.
140 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Ablation av node w/wo (93650) likely a partial charge, not the full procedure |
$2,118.17 | $11,767.61 | 0.3× |
| Aep neurodiagnostic interpretation and report (92653) | $147.14 | $817.43 | 0.7× |
| Airway inhalation treatment (94640) | $108.68 | $603.75 | 0.5× |
| Behavioral & qualit analysis voice and resonance (92524) | $124.96 | $694.20 | 1.1× |
| Bundle of his recording (93600) likely a partial charge, not the full procedure |
$2,118.17 | $11,767.61 | 0.3× |
| Car seat/bed testing w/interp & report 60 min (94780) | $18.90 | $105 | 0.5× |
| Cardiac stress test (93017) | $472.50 | $2,625 | 2.1× |
| Cardiovascular procedure unlisted (93799) | $671.24 | $3,729.10 | 5.0× |
| Cardioversion elective external (92960) | $449.43 | $2,496.83 | 0.7× |
| Carotid duplex scan; bilat (93880) | $1,170.66 | $6,503.69 | 4.7× |
| Color/duplex Doppler, complete (93975) | $1,275.38 | $7,085.44 | 5.1× |
| Compl oph xm&eval general anes w/wo mnpj globe (92018) | $5,203.56 | $28,908.67 | 2.1× |
| Compre electrophysiologic arrhythmia induction (93620) likely a partial charge, not the full procedure |
$2,118.16 | $11,767.56 | 0.3× |
| Compre electrophysiologic w/o arrhyt induction (93619) likely a partial charge, not the full procedure |
$2,118.16 | $11,767.56 | 0.3× |
| Coronary art/grft angio s&i (93455) | $1,874.96 | $10,416.46 | 0.6× |
| Coronary artery angio s&i (93454) | $1,874.96 | $10,416.46 | 0.6× |
| Cpap/bipap daily (94660) | $340.20 | $1,890 | 1.5× |
| Cpr (92950) | $448.88 | $2,493.75 | 2.0× |
| Cpt initial (94667) | $72.50 | $402.75 | 0.5× |
| Cpt subsequent (94668) | $60.90 | $338.36 | 0.4× |
| Critical care first hour (99291) | $1,389.60 | $7,719.98 | 1.6× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) | $747.05 | $4,150.29 | 6.8× |
| Duplex a ivc il/bpg; compl (93978) | $855.49 | $4,752.70 | 3.4× |
| Duplex ext veins; bilat (93970) | $1,918.75 | $10,659.72 | 7.7× |
| Duplex hemodialysis access (93990) | $373.22 | $2,073.42 | 3.4× |
| Duplex le art/bpg; bilat (93925) | $1,120.06 | $6,222.56 | 4.5× |
| Duplex le art/bpg; unil/limit (93926) | $747.05 | $4,150.29 | 6.8× |
| Duplex scan artl infl&ven o/f hemo compl bi std (93985) | $1,918.65 | $10,659.15 | 7.7× |
| Duplex scan artl infl&ven o/f hemo compl uni std (93986) | $1,279.10 | $7,106.10 | 11.7× |
| Duplex ue art/bpg; bilat (93930) | $1,120.06 | $6,222.56 | 4.5× |
| Duplex ue art/bpg; unil/limit (93931) | $747.05 | $4,150.29 | 6.8× |
| Duplex venous ext unilat/lmtd (93971) | $1,278.54 | $7,103.04 | 11.7× |
| ECG monit/reprt up to 48 hrs (93226) | $945 | $5,250 | 15.3× |
| ECG up to 48 hrs recording (93225) | $740.24 | $4,112.43 | 5.3× |
| Echo transesophageal (93312) | $1,279.10 | $7,106.10 | 2.2× |
| Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351) | $1,311.32 | $7,285.10 | 2.3× |
| EEG awake & asleep (95819) | $855.49 | $4,752.70 | 3.8× |
| EEG awake/drowsy (95816) | $855.49 | $4,752.70 | 3.8× |
| EEG cerebral death eval (95824) | $855.49 | $4,752.70 | 2.2× |
| Elec alys implt cplx cn npgt prgrmg (95977) | $174.83 | $971.25 | 1.8× |
| Electrocardiogram (93005) | $122.85 | $682.50 | 2.0× |
| Emergency department visit high mdm (99285) | $926.12 | $5,145.13 | 1.5× |
| Emergency department visit low mdm (99283) | $312.70 | $1,737.23 | 1.1× |
| Emergency department visit may not req phys/qhp (99281) | $104.51 | $580.61 | 1.2× |
| Emergency department visit moderate mdm (99284) | $601.24 | $3,340.20 | 1.4× |
| Emergency department visit straightforward mdm (99282) | $205.71 | $1,142.85 | 1.3× |
| EMG two extremities (95861) | $153.56 | $853.13 | 1.1× |
| Ep & ablate supravent arrhyt (93653) likely a partial charge, not the full procedure |
$7,479.72 | $41,553.98 | 0.3× |
| Ep & ablate ventric tachy (93654) likely a partial charge, not the full procedure |
$7,479.72 | $41,553.98 | 0.3× |
| Ephys eval pacg cvdfb prgrmg/reprgrmg parameters (93642) | $387.77 | $2,154.27 | 0.3× |
| Evaluate pt use of inhaler (94664) | $151.20 | $840 | 0.7× |
| Evaluate speech production (92522) | $124.96 | $694.20 | 1.1× |
| Evaluation of speech fluency (92521) | $124.96 | $694.20 | 0.9× |
| Fundus photography (92250) | $6,610.80 | $36,726.68 | 47.6× |
| Gait training 15 min (97116) | $75.50 | $419.48 | 2.6× |
| Hemodialysis procedure w/ phys/qhp evaluation (90935) | $442.41 | $2,457.82 | 0.6× |
| Immunization Admin (90471) | $47.30 | $262.76 | 0.6× |
| Injection,Therap/Proph/Diagnost, IV Push, Ea Add, New Drug (96375) | $48.16 | $267.58 | 1.0× |
| Injection,Therap/Proph/Diagnost, IV Push, Initial Drug (96374) | $97.02 | $539.04 | 0.4× |
| Insertion flow directed catheter for monitoring (93503) | $2,154.62 | $11,970.09 | 1.3× |
| Intra-atrial pacing (93610) likely a partial charge, not the full procedure |
$2,118.17 | $11,767.61 | 0.3× |
| Intra-atrial recording (93602) likely a partial charge, not the full procedure |
$2,118.17 | $11,767.61 | 0.3× |
| Intraventricular pacing (93612) likely a partial charge, not the full procedure |
$2,118.17 | $11,767.61 | 0.3× |
| Irrigaj implntd venous access drug delivery syst (96523) | $76.52 | $425.13 | 1.2× |
| IV hydration each add'l hr (96361) | $81.81 | $454.48 | 1.7× |
| IV infusion hydration initial 31 min-1 hour (96360) | $138.59 | $769.93 | 0.6× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $46.06 | $255.87 | 0.6× |
| IV infusion therapy/prophylaxis /dx 1st to 1 hr (96365) | $124.96 | $694.20 | 0.6× |
| IV tx, each additional hour (96366) | $46.06 | $255.87 | 0.9× |
| L Hrt Art/Grft Angio (93459) | $4,773.74 | $26,520.78 | 1.4× |
| L Hrt Artery/Ventricle Angio (93458) | $4,090.92 | $22,727.34 | 1.2× |
| Manual therapy ea 15 min (97140) | $56.70 | $315 | 2.0× |
| Motion fluoroscopic evaluation of swallowing function by cine or video recording Other Outpatient (92611) | $160.65 | $892.50 | 1.8× |
| Multiple sleep latency test (95805) | $1,121.72 | $6,231.75 | 1.3× |
| Needle electromyography; larynx (95865) | $153.56 | $853.13 | 1.1× |
| Needle EMG lmtd std musc 1 xtr/non-limb uni/bi (95870) | $153.56 | $853.13 | 1.1× |
| Neg pressure wound therapy non dme </= 50 sq cm (97607) | $188.78 | $1,048.77 | 0.4× |
| Neg pressure wound therapy non dme >50 sq cm (97608) | $188.78 | $1,048.77 | 0.4× |
| Negative pressure wound therapy dme </= 50 sq cm (97605) | $101.41 | $563.39 | 0.5× |
| Negative pressure wound therapy dme >50 sq cm (97606) | $164.61 | $914.51 | 0.4× |
| Neuromuscular junction test (95937) | $153.56 | $853.13 | 1.1× |
| Non-invasive physiologic study extremity 3 levels (93923) | $259.83 | $1,443.48 | 1.2× |
| Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) | $3,643.19 | $20,239.94 | 59.1× |
| Ot eval high complex 60 min (97167) | $127.02 | $705.67 | 1.3× |
| Ot eval low complex 30 min (97165) | $127.02 | $705.67 | 1.3× |
| Ot eval mod complex 45 min (97166) | $127.02 | $705.67 | 1.3× |
| Ot group therapy procedures (97150) | $50.40 | $279.99 | 2.8× |
| Ot mechanical traction (97012) | $57.46 | $319.20 | 4.0× |
| Ot re-eval est plan care (97168) | $38.93 | $216.30 | 0.6× |
| Outpatient cardiac rehab w/cont ECG monitoring (93798) | $89.78 | $498.75 | 0.7× |
| Peritoneal Dialysis-Outpatient (90945) | $299.28 | $1,662.64 | 0.7× |
| Phy/qhp op pulm rhb w/o mntr (94625) | $66.50 | $369.47 | 1.1× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $68.86 | $382.60 | 1.1× |
| Polysom 6/>yrs sleep w/cpap 4/> addl param attnd (95811) | $1,442.47 | $8,013.73 | 1.6× |
| Prq trluml coronary angioplasty one art/branch (92920) | $4,529.40 | $25,163.36 | 0.8× |
| Prq trluml coronary stent w/angio one art/brnch (92928) | $7,819.99 | $43,444.37 | 0.6× |
| Prq trluml coronry chronic occlus revasc one vsl (92943) | $7,819.99 | $43,444.37 | 0.6× |
| Pt Debridement Open Wound 20 Sq Cm< (97597) | $121.65 | $675.84 | 0.6× |
| Pt Electric Current Therapy (97033) | $46.04 | $255.78 | 2.4× |
| Pt eval high complex 45 min (97163) | $170.10 | $945 | 1.7× |
| Pt eval low complex 20 min (97161) | $132.30 | $735 | 1.4× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) | $42.13 | $234.08 | 1.3× |
| Pt Physical Therapy Evaluation Mod Complex 30 Mins (97162) | $151.20 | $840 | 1.5× |
| Pt re-eval est plan care (97164) | $69.84 | $387.98 | 1.0× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) | $53.91 | $299.48 | 1.7× |
| Pt Therapeut Actvity Direct Pt Contact Each 15 Min (97530) | $60.52 | $336.20 | 1.7× |
| Pt Whirlpool Therapy (97022) | $47.25 | $262.50 | 3.0× |
| Pulm funct tst plethysmograp (94726) | $434.70 | $2,415 | 1.1× |
| Pulmonary stress testing (94618) | $54.63 | $303.50 | 0.4× |
| Pulse oximetry continuous (94762) | $141.75 | $787.50 | 1.1× |
| R hrt coronary artery angio (93456) | $2,334.72 | $12,970.66 | 0.7× |
| R&l hrt art/ventricle angio (93461) | $4,725 | $26,250 | 1.4× |
| R&l hrt art/ventricle angio (93460) | $4,746.89 | $26,371.61 | 1.4× |
| R&l hrt cath w/ventriclgrphy (93453) | $3,814.57 | $21,192.07 | 1.1× |
| Right heart cath (93451) | $1,874.96 | $10,416.46 | 0.6× |
| Right ventricular recording (93603) | $387.77 | $2,154.27 | 0.3× |
| Sleep study attended (95807) | $250.71 | $1,392.83 | 0.6× |
| Sleep study unattended (95806) | $120.41 | $668.96 | 0.5× |
| Slp evaloral pharyngeal swallow function (92610) | $132.30 | $735 | 1.6× |
| Speech sound lang comprehen (92523) | $140.03 | $777.97 | 0.6× |
| Spirometry with bronchodilator (94060) | $437.66 | $2,431.42 | 1.1× |
| Standardized cognitive performance testing (96125) | $47.25 | $262.50 | 0.5× |
| Temp transcutaneous pacing (92953) | $309.20 | $1,717.75 | 0.4× |
| Ther ivntj cog funcj cntct 1st 15 minutes (97129) | $52.67 | $292.59 | 2.4× |
| Ther ivntj cog funcj cntct ea addl 15 minutes (97130) | $52.67 | $292.59 | 2.5× |
| Therapeutic prophylactic/dx injection subq/im (96372) | $61.50 | $341.70 | 0.8× |
| Tilt table evaluation (93660) | $503.36 | $2,796.42 | 1.3× |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $15.80 | $87.76 | 0.4× |
| Treat swallowing dysfunction (92526) | $132.18 | $734.36 | 1.6× |
| Tte f-up or lmtd (93308) | $670.84 | $3,726.88 | 2.7× |
| Tte W/Doppler Complete - Tte Complete (93306) | $1,200.82 | $6,671.22 | 2.1× |
| Tx atrial fib pulm vein isol (93656) likely a partial charge, not the full procedure |
$7,479.72 | $41,553.98 | 0.3× |
| Tx of Speech/Lang/Voice/Comm/Auditory Chg (92507) | $135.49 | $752.72 | 1.8× |
| Ultrasound therapy ea 15 mins (97035) | $33.08 | $183.75 | 2.3× |
| Upr/l xtremity art 2 levels (93922) | $373.22 | $2,073.42 | 2.7× |
| Us transcranial doppler lmtd (93888) | $747.05 | $4,150.29 | 6.8× |
| Vasopneumatic device therapy (97016) | $33.08 | $91.88 | 2.8× |
| Ventilator initial day (94002) | $754.28 | $4,190.46 | 1.2× |
| Ventilator subsequent day (94003) | $685.92 | $3,810.65 | 1.1× |
| Wound care non-selective (97602) | $101.41 | $563.39 | 0.5× |