CMS Price Transparency Data

CT scan, head (with and without contrast)

Facility: HCA Florida Aventura Hospital

Billing Code: 70470 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70470
Insurance Median: $2,726
Cash Discount Price: $10,485
vs. Medicare Baseline: 15.21x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with and without contrast) at HCA Florida Aventura Hospital is $2,726. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,485. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 15.21x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$10,485

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,726

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $10,485 (5851%)

Insurance Median: $2,726 (1521%)

Cash: $10,485 (5851% of Medicare)

Ins. Median: $2,726 (1521% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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 1521% of the Medicare baseline (a markup of 1421%). 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	$402 - $4,718	224%
Aetna	$809 - $3,146	451%
Avmed	$845 - $5,242	472%
Freedom Health	$902 - $1,678	503%
Optimum	$902	503%
Simply Healthcare Plans	$1,363	761%
Molina	$1,782 - $2,831	994%
Health Sun Health Plan	$2,233	1246%
Aids Healthcare	$2,307 - $12,582	1287%
Mmm Of Fl (Health Advantage Plan)	$2,412	1346%
United Ppo	$2,485	1387%
Sunshine State Health Plan	$2,726	1521%
Corvel Corporation	$3,037	1695%
Careworks (Rockport)	$3,101	1730%
Prime Health	$3,101	1730%
Plotkin Health	$5,242	2925%
Prime Health Sherriff	$5,242	2925%
Medica Healthcare	$6,081	3393%
Multiplan	$7,864 - $8,912	4388%
Evernorth Bh	$8,388	4681%

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 $10,485.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70470.

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 70470.
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.