CMS Price Transparency Data

CT scan, abdomen and pelvis (no contrast)

Facility: HCA Florida Aventura Hospital

Billing Code: 74176 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74176
Insurance Median: $4,271
Cash Discount Price: $16,428
vs. Medicare Baseline: 17.52x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (no contrast) at HCA Florida Aventura Hospital is $4,271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,428. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 17.52x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$16,428

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,271

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$243.77

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $243.77 (100%)

Cash / Self-Pay: $16,428 (6739%)

Insurance Median: $4,271 (1752%)

Cash: $16,428 (6739% of Medicare)

Ins. Median: $4,271 (1752% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $243.77 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1752% of the Medicare baseline (a markup of 1652%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
United	$518 - $7,393	212%
Aetna	$809 - $4,928	332%
Avmed	$845 - $8,214	347%
Freedom Health	$1,413 - $2,628	580%
Optimum	$1,413	580%
Simply Healthcare Plans	$2,136	876%
Molina	$2,793 - $4,436	1146%
Health Sun Health Plan	$3,499	1435%
Aids Healthcare	$3,614 - $19,714	1483%
Mmm Of Fl (Health Advantage Plan)	$3,778	1550%
United Ppo	$3,893	1597%
Corvel Corporation	$4,249	1743%
Sunshine State Health Plan	$4,271	1752%
Careworks (Rockport)	$4,339	1780%
Prime Health	$4,339	1780%
Plotkin Health	$8,214	3370%
Prime Health Sherriff	$8,214	3370%
Medica Healthcare	$9,528	3909%
Multiplan	$12,321 - $13,964	5054%
Evernorth Bh	$13,142	5391%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $16,428.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74176.

Insurance In-Network Protection Plan

Contact your insurance company to confirm HCA Florida Aventura Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74176.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.