North Okaloosa Medical Center
North Okaloosa Medical Center in Crestview, Florida charges 13.0x the Medicare reimbursement rate across 39 analyzed procedures, with nearly a quarter showing significant pricing variations.
Crestview, FL 32539 · Acute Care Hospitals · CMS Rating: 3/5
About the analyst
Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.
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Pricing grade
F
Very high
Avg markup vs Medicare
13.01x
Charge / Medicare rate
Max markup
21.27x
Worst procedure
Procedures analyzed
39
With pricing data
Outlier procedures
23.1%
Above 90th percentile
Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.
| Procedure | Code | Gross charge | Cash price | Medicare | Markup |
|---|---|---|---|---|---|
| TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC | 069 | $80,309 | $40,155 | — | 21.3x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | 310 | $45,197 | $22,598 | — | 19.7x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | 392 | $68,251 | $34,125 | — | 17.3x |
| GASTROINTESTINAL OBSTRUCTION WITH CC | 389 | $74,894 | $37,447 | — | 17x |
| CELLULITIS WITHOUT MCC | 603 | $73,834 | $36,917 | — | 16.8x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC | 281 | $78,301 | $39,151 | — | 16x |
| GASTROINTESTINAL HEMORRHAGE WITH CC | 378 | $88,463 | $44,231 | — | 15.7x |
| SIMPLE PNEUMONIA AND PLEURISY WITH CC | 194 | $72,138 | $36,069 | — | 15.7x |
| KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 690 | $71,265 | $35,633 | — | 15.6x |
| RENAL FAILURE WITH CC | 683 | $66,988 | $33,494 | — | 15.4x |
| INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 065 | $77,099 | $38,549 | — | 15x |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC | 280 | $144,708 | $72,354 | — | 14.7x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC | 641 | $62,325 | $31,162 | — | 14.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | 309 | $52,574 | $26,287 | — | 13.5x |
| ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | 391 | $98,157 | $49,079 | — | 13.4x |
| CHEST PAIN | 313 | $47,658 | $23,829 | — | 13.2x |
| SIMPLE PNEUMONIA AND PLEURISY WITH MCC | 193 | $95,707 | $47,854 | — | 13.1x |
| CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 190 | $75,220 | $37,610 | — | 12.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC | 872 | $71,338 | $35,669 | — | 12.2x |
| CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC | 308 | $75,346 | $37,673 | — | 11.9x |
| INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | 853 | $333,981 | $166,990 | — | 11.8x |
| HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC | 481 | $137,282 | $68,641 | — | 11.7x |
| RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS | 208 | $195,315 | $97,657 | — | 11.6x |
| PULMONARY EDEMA AND RESPIRATORY FAILURE | 189 | $81,657 | $40,828 | — | 11.6x |
| GASTROINTESTINAL HEMORRHAGE WITH MCC | 377 | $116,727 | $58,364 | — | 11.4x |
| SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC | 871 | $130,435 | $65,218 | — | 11.3x |
| HYPERTENSION WITHOUT MCC | 305 | $44,732 | $22,366 | — | 11.2x |
| SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS | 870 | $403,482 | $201,741 | — | 11.1x |
| SYNCOPE AND COLLAPSE | 312 | $53,979 | $26,990 | — | 11.1x |
| DIABETES WITH MCC | 637 | $92,789 | $46,394 | — | 11x |
| DIABETES WITH CC | 638 | $55,628 | $27,814 | — | 11x |
| HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC | 522 | $135,810 | $67,905 | — | 10.5x |
| KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 689 | $67,379 | $33,689 | — | 10.5x |
| RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC | 177 | $106,411 | $53,206 | — | 10.4x |
| ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY | 884 | $88,712 | $44,356 | — | 10.2x |
| MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC | 640 | $75,678 | $37,839 | — | 9.8x |
| OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC | 698 | $76,901 | $38,450 | — | 9.2x |
| RENAL FAILURE WITH MCC | 682 | $75,488 | $37,744 | — | 9.2x |
| HEART FAILURE AND SHOCK WITH MCC | 291 | $63,500 | $31,750 | — | 8.6x |
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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.
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Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.
Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.
This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use