CMS Price Transparency Data

CT scan, head (no contrast)

Facility: HCA Florida Aventura Hospital

Billing Code: 70450 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70450
Insurance Median: $1,979
Cash Discount Price: $7,611
vs. Medicare Baseline: 18.53x Medicare

The contracted insurance negotiated median rate for a CT scan, head (no contrast) at HCA Florida Aventura Hospital is $1,979. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,611. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 18.53x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$7,611

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,979

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $7,611 (7126%)

Insurance Median: $1,979 (1853%)

Cash: $7,611 (7126% of Medicare)

Ins. Median: $1,979 (1853% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 1853% of the Medicare baseline (a markup of 1753%). 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	$245 - $3,425	229%
Freedom Health	$655 - $1,218	613%
Optimum	$655	613%
Aetna	$809 - $2,283	757%
Avmed	$845 - $3,806	791%
Simply Healthcare Plans	$989	926%
Molina	$1,294 - $2,055	1211%
Health Sun Health Plan	$1,621	1518%
Aids Healthcare	$1,674 - $9,133	1567%
Mmm Of Fl (Health Advantage Plan)	$1,751	1639%
United Ppo	$1,804	1689%
Sunshine State Health Plan	$1,979	1853%
Corvel Corporation	$2,228	2086%
Careworks (Rockport)	$2,275	2130%
Prime Health	$2,275	2130%
Plotkin Health	$3,806	3563%
Prime Health Sherriff	$3,806	3563%
Medica Healthcare	$4,414	4133%
Multiplan	$5,708 - $6,469	5344%
Evernorth Bh	$6,089	5701%

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 $7,611.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70450.

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 70450.
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.