Florida / North Okaloosa Medical Center
CMS certification 100122 · Crestview, FL · 1 entry in CMS's price-transparency list
North Okaloosa Medical Center: charges and Medicare payments
North Okaloosa Medical Center reported 1,225 Medicare inpatient stays across 40 DRGs in 2024. Across them it charged 9.11 times what it was paid — among the higher ratios in Florida, number 50 of 159 hospitals with at least 100 stays (state median 7.04×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 188 stays at an average charge of $118,165, 31% above the national average. It also billed 1,038 outpatient services, charging 15.6 times what Medicare paid.
- 1Medicare inpatient stays 1,225
- 2Charge ÷ paid, inpatient 9.11×
- 3Rank in FL (highest ratio = 1) 50 of 159
- 4CMS price-transparency actions 1
Inpatient stays
For the 40 DRGs that can be compared with the national average, North Okaloosa Medical Center charged more than the national average in 40 (100%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 188 | $118,165 | +31% | $13,570 |
| 291 Heart Failure and Shock with MCC | 105 | $74,953 | +33% | $9,326 |
| 177 Respiratory Infections and Inflammations with MCC | 68 | $93,992 | +33% | $11,525 |
| 193 Simple Pneumonia and Pleurisy with MCC | 59 | $88,894 | +49% | $9,610 |
| 689 Kidney and Urinary Tract Infections with MCC | 59 | $75,380 | +47% | $8,647 |
| 378 Gastrointestinal Hemorrhage with CC | 46 | $104,629 | +116% | $7,408 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 38 | $49,781 | +38% | $5,946 |
| 682 Renal Failure with MCC | 38 | $82,388 | +25% | $10,231 |
| 690 Kidney and Urinary Tract Infections without MCC | 38 | $56,730 | +50% | $6,193 |
| 190 Chronic Obstructive Pulmonary Disease with MCC | 37 | $64,998 | +28% | $8,094 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 34 | $95,830 | +26% | $11,071 |
| 312 Syncope and Collapse | 32 | $62,671 | +38% | $6,592 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 30 | $71,012 | +77% | $6,057 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 29 | $291,293 | +27% | $32,637 |
| 189 Pulmonary Edema and Respiratory Failure | 28 | $81,930 | +42% | $9,282 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 28 | $77,456 | +37% | $9,526 |
| 683 Renal Failure with CC | 26 | $64,174 | +58% | $7,104 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 23 | $73,032 | +49% | $7,983 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $63,647 | +72% | $6,010 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $62,451 | +4% | $9,375 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 19 | $73,043 | +45% | $6,944 |
| 870 Septicemia or Severe Sepsis with MV >96 Hours | 17 | $366,388 | +13% | $44,728 |
| 377 Gastrointestinal Hemorrhage with MCC | 16 | $92,642 | +8% | $12,029 |
| 305 Hypertension without MCC | 15 | $50,230 | +25% | $5,812 |
| 432 Cirrhosis and Alcoholic Hepatitis with MCC | 15 | $118,418 | +24% | $14,471 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 15 | $185,656 | +81% | $17,163 |
| 194 Simple Pneumonia and Pleurisy with CC | 14 | $72,400 | +89% | $6,258 |
| 313 Chest Pain | 14 | $85,796 | +115% | $5,556 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 14 | $87,030 | +43% | $9,493 |
| 603 Cellulitis without MCC | 14 | $60,745 | +63% | $6,749 |
| 637 Diabetes with MCC | 14 | $85,761 | +29% | $10,694 |
| 069 Transient Ischemia without Thrombolytic | 13 | $74,587 | +48% | $6,888 |
| 071 Other Cerebrovascular Disorders with CC | 13 | $64,261 | +27% | $7,868 |
| 481 Hip and Femur Procedures except Major Joint with CC | 13 | $175,148 | +74% | $14,828 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 12 | $90,078 | +62% | $7,623 |
| 330 Major Small and Large Bowel Procedures with CC | 12 | $204,374 | +72% | $17,408 |
| 394 Other Digestive System Diagnoses with CC | 12 | $98,798 | +110% | $7,064 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 12 | $181,928 | +95% | $12,114 |
| 314 Other Circulatory System Diagnoses with MCC | 11 | $140,286 | +48% | $14,955 |
| 948 Signs and Symptoms without MCC | 11 | $46,969 | +23% | $5,971 |
Outpatient services
Against the Florida average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), North Okaloosa Medical Center charged $118,165 on average, 5% more than the Florida average of $112,838, and was paid $13,570 against a state average of $15,663. For Heart Failure and Shock with MCC (DRG 291), North Okaloosa Medical Center charged $74,953 on average, 11% more than the Florida average of $67,659, and was paid $9,326 against a state average of $10,715. For Respiratory Infections and Inflammations with MCC (DRG 177), North Okaloosa Medical Center charged $93,992 on average, 10% more than the Florida average of $85,454, and was paid $11,525 against a state average of $13,200. For Simple Pneumonia and Pleurisy with MCC (DRG 193), North Okaloosa Medical Center charged $88,894 on average, 14% more than the Florida average of $78,292, and was paid $9,610 against a state average of $10,939. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $26,105 was 9% above the state average of $23,896. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $32,854 was 16% above the state average of $28,431. For Level 1 Endovascular Procedures (outpatient APC 5191), its average charge of $31,447 was 25% below the state average of $41,880. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $92,916 was 36% above the state average of $68,202.
Price-transparency record
CMS's enforcement list records these actions for a hospital named North Okaloosa Medical Center in Crestview, FL, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2025-07-17 (CMS case 5834)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.