CMS Price Transparency Data

CT scan, head (with contrast)

Facility: HCA Florida Aventura Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $2,243
Cash Discount Price: $8,626
vs. Medicare Baseline: 12.52x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at HCA Florida Aventura Hospital is $2,243. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,626. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 12.52x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$8,626

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,243

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: $8,626 (4814%)

Insurance Median: $2,243 (1252%)

Cash: $8,626 (4814% of Medicare)

Ins. Median: $2,243 (1252% 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 1252% of the Medicare baseline (a markup of 1152%). 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 - $3,882	224%
Freedom Health	$742 - $1,380	414%
Optimum	$742	414%
Aetna	$809 - $2,588	451%
Avmed	$845 - $4,313	472%
Simply Healthcare Plans	$1,121	626%
Molina	$1,466 - $2,329	818%
Health Sun Health Plan	$1,837	1025%
Aids Healthcare	$1,898 - $10,351	1059%
Mmm Of Fl (Health Advantage Plan)	$1,984	1107%
United Ppo	$2,044	1141%
Sunshine State Health Plan	$2,243	1252%
Corvel Corporation	$3,590	2003%
Careworks (Rockport)	$3,665	2045%
Prime Health	$3,665	2045%
Plotkin Health	$4,313	2407%
Prime Health Sherriff	$4,313	2407%
Medica Healthcare	$5,003	2792%
Multiplan	$6,470 - $7,332	3610%
Evernorth Bh	$6,901	3851%

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 $8,626.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.