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 (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× |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $33.08 | $183.75 | 2.3× |
| Bedside Swallowing Eval (92610) | $132.30 | $735 | 1.6× |
| Behavioral and qualitative analysis of voice and resonance (92524) | $124.96 | $694.20 | 1.1× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $437.66 | $2,431.42 | 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 test 60 min (94780) | $18.90 | $105 | 0.5× |
| Cardiac Stress Tst,Tracing Only (93017) | $472.50 | $2,625 | 2.1× |
| Cardiopulmonary resuscitation (92950) | $448.88 | $2,493.75 | 2.0× |
| Cardioversion (92960) | $449.43 | $2,496.83 | 0.7× |
| Cath Place/Coron Angio, Img Super/Interp,W Left Heart Ventriculography (93458) | $4,090.92 | $22,727.34 | 1.2× |
| Color/duplex Doppler, complete (93975) | $1,275.38 | $7,085.44 | 5.1× |
| 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 (94660) | $340.20 | $1,890 | 1.5× |
| Cpt initial (94667) | $72.50 | $402.75 | 0.5× |
| Critical care (99291) | $1,389.60 | $7,719.98 | 1.6× |
| Debridement Open Wound 20 Sq Cm< (97597) | $121.65 | $675.84 | 0.6× |
| Dup-Scan Aorta Ivc Iliac Vascl/Bpgs Complete (93978) | $855.49 | $4,752.70 | 3.4× |
| Dup-scan artl infl&ven o/f pen vsl compl (93980) | $747.05 | $4,150.29 | 6.8× |
| Dup-Scan Lxtr Art/Artl Bpgs Compl Bi Study (93925) | $1,120.06 | $6,222.56 | 4.5× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $747.05 | $4,150.29 | 6.8× |
| Dup-Scan Uxtr Art/Artl Bpgs Compl Bi Study (93930) | $1,120.06 | $6,222.56 | 4.5× |
| Dup-Scan Uxtr Art/Artl Bpgs Uni/Lmtd Study (93931) | $747.05 | $4,150.29 | 6.8× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $1,918.75 | $10,659.72 | 7.7× |
| Dup-scan xtr veins unilateral/limited study (93971) | $1,278.54 | $7,103.04 | 11.7× |
| 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 scan extracranial art compl bi study (93880) | $1,170.66 | $6,503.69 | 4.7× |
| Duplex Scan Hemodialysis Access (93990) | $373.22 | $2,073.42 | 3.4× |
| Echo Heart Xthoracic,Limited (93308) | $670.84 | $3,726.88 | 2.7× |
| 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 and asleep (95819) | $855.49 | $4,752.70 | 3.8× |
| EEG awake drowsy (95816) | $855.49 | $4,752.70 | 3.8× |
| EEG cerebral death evaluation (95824) | $855.49 | $4,752.70 | 2.2× |
| Elec alys implt cplx cn npgt prgrmg (95977) | $174.83 | $971.25 | 1.8× |
| Electrocardiogram Tracing (93005) | $122.85 | $682.50 | 2.0× |
| 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× |
| Ep Compre Electrophysiologic Arrhythmia Induction (93620) likely a partial charge, not the full procedure |
$2,118.16 | $11,767.56 | 0.3× |
| Ep Compre Electrophysiologic W/O Arrhyt Induction (93619) likely a partial charge, not the full procedure |
$2,118.16 | $11,767.56 | 0.3× |
| Ep Ephys Eval Pacg Cvdfb Prgrmg/Reprgrmg Parameters (93642) | $387.77 | $2,154.27 | 0.3× |
| Er level 1 (99281) | $104.51 | $580.61 | 1.2× |
| Er level ii (99282) | $205.71 | $1,142.85 | 1.3× |
| Er level iii (99283) | $312.70 | $1,737.23 | 1.1× |
| Er level IV (99284) | $601.24 | $3,340.20 | 1.4× |
| Er level v (99285) | $926.12 | $5,145.13 | 1.5× |
| Eval speech sound production (92522) | $124.96 | $694.20 | 1.1× |
| Evaluate Pt Use Of Inhaler (94664) | $151.20 | $840 | 0.7× |
| Evaluation of speech fluency (92521) | $124.96 | $694.20 | 0.9× |
| External Ecg Scanning Analysis Report (93226) | $945 | $5,250 | 15.3× |
| Eye exam w anesth; complete (92018) | $5,203.56 | $28,908.67 | 2.1× |
| Fundus photography w/interpretation & report (92250) | $6,610.80 | $36,726.68 | 47.6× |
| Group Therapeutic Procedures (97150) | $50.40 | $279.99 | 2.8× |
| Hemodialysis (90935) | $442.41 | $2,457.82 | 0.6× |
| Holter Monitor (93225) | $740.24 | $4,112.43 | 5.3× |
| Immunization Admin (90471) | $47.30 | $262.76 | 0.6× |
| Ins swan ganz bedside (93503) | $2,154.62 | $11,970.09 | 1.3× |
| Intra Atrial Recording (93602) likely a partial charge, not the full procedure |
$2,118.17 | $11,767.61 | 0.3× |
| Intra-atrial pacing (93610) 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× |
| Iontophoresis 15 min (97033) | $46.04 | $255.78 | 2.4× |
| Irrig drug delivery device (96523) | $76.52 | $425.13 | 1.2× |
| IV infusion hydration each additional hour (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, therap/proph/diagnost,initial,1st hour (96365) | $124.96 | $694.20 | 0.6× |
| IV infusion, therap/proph/diagnost,initial,ea add hour (96366) | $46.06 | $255.87 | 0.9× |
| IV push ea addl new drug (96375) | $48.16 | $267.58 | 1.0× |
| IV push initial (96374) | $97.02 | $539.04 | 0.4× |
| L hrt art/grft angio (93459) | $4,773.74 | $26,520.78 | 1.4× |
| Manual therapy 15 min (97140) | $56.70 | $315 | 2.0× |
| Mechanical traction (97012) | $57.46 | $319.20 | 4.0× |
| Motion Fluor Eval Swlng Funcj C/V Rec (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 press wound tx >50 cm (97608) | $188.78 | $1,048.77 | 0.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $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 Junct Tstg Ea Nrv Any 1 Meth (95937) | $153.56 | $853.13 | 1.1× |
| Non-Invas Physiologic Std Extremity Art 2 Level (93922) | $373.22 | $2,073.42 | 2.7× |
| Noninvasive Ear/Pulse Oximetry Overnight Monitor (94762) | $141.75 | $787.50 | 1.1× |
| 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 re-evaluation (97168) | $38.93 | $216.30 | 0.6× |
| Ot therapeutic activity 15 min (97530) | $60.52 | $336.20 | 1.7× |
| Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) | $89.78 | $498.75 | 0.7× |
| Peritoneal Dialysis (90945) | $299.28 | $1,662.64 | 0.7× |
| Perq Trluml C Angioplasty 1 Maj C Art&/Branches (92920) | $4,529.40 | $25,163.36 | 0.8× |
| Perq Trluml Revsc Chrnc Tot Occls 1 C Art Antgrd (92943) | $7,819.99 | $43,444.37 | 0.6× |
| Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) | $68.86 | $382.60 | 1.1× |
| Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) | $66.50 | $369.47 | 1.1× |
| Plethysmography (94726) | $434.70 | $2,415 | 1.1× |
| Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) | $1,442.47 | $8,013.73 | 1.6× |
| Prq Card Stent W/Angio 1 Vsl (92928) | $7,819.99 | $43,444.37 | 0.6× |
| 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 eval mod complex 30 min (97162) | $151.20 | $840 | 1.5× |
| Pt gait training 15 min (97116) | $75.50 | $419.48 | 2.6× |
| Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min (97112) | $42.13 | $234.08 | 1.3× |
| Pt re-evaluation (97164) | $69.84 | $387.98 | 1.0× |
| Pt Self-Care/Home Mgmt Training Each 15 Minutes (97535) | $53.91 | $299.48 | 1.7× |
| Pt Whirlpool Therapy (97022) | $47.25 | $262.50 | 3.0× |
| Pulmonary stress test simple (94618) | $54.63 | $303.50 | 0.4× |
| R & l hrt cath w/njx l ventriculog img s&i (93453) | $3,814.57 | $21,192.07 | 1.1× |
| R hrt coronary artery angio (93456) | $2,334.72 | $12,970.66 | 0.7× |
| R& L Hrt Cath W/Injec Hrt Art/Grft& L Vent I (93461) | $4,725 | $26,250 | 1.4× |
| R&l hrt art/ventricle angio (93460) | $4,746.89 | $26,371.61 | 1.4× |
| Right heart cath (93451) | $1,874.96 | $10,416.46 | 0.6× |
| Right ventricular recording (93603) | $387.77 | $2,154.27 | 0.3× |
| Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) | $101.41 | $563.39 | 0.5× |
| Rt Chest Wall Manipulation,Subsequent (94668) | $60.90 | $338.36 | 0.4× |
| Sleep study attended (95807) | $250.71 | $1,392.83 | 0.6× |
| Sleep study unattended (95806) | $120.41 | $668.96 | 0.5× |
| Speech sound lang comprehen (92523) | $140.03 | $777.97 | 0.6× |
| 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× |
| Transcranial Doppler Stdy Intracranial Art Lmtd (93888) | $747.05 | $4,150.29 | 6.8× |
| Tte w/doppler, 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 Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $135.49 | $752.72 | 1.8× |
| Tx Swallowing Dysfunction&/Oral Funcj Feeding (92526) | $132.18 | $734.36 | 1.6× |
| Unlisted Cardiovascular Service/Procedure (93799) | $671.24 | $3,729.10 | 5.0× |
| Upr/lxtr art stdy 3+ lvls (93923) | $259.83 | $1,443.48 | 1.2× |
| Vasopneumatic device (97016) | $33.08 | $183.75 | 2.8× |
| Vent mgmt inpat init day (94002) | $754.28 | $4,190.46 | 1.2× |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) | $685.92 | $3,810.65 | 1.1× |