CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: HCA Florida Aventura Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $2,287
Cash Discount Price: $8,796
vs. Medicare Baseline: 21.41x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at HCA Florida Aventura Hospital is $2,287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,796. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 21.41x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$8,796

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,287

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: $8,796 (8235%)

Insurance Median: $2,287 (2141%)

Cash: $8,796 (8235% of Medicare)

Ins. Median: $2,287 (2141% 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 2141% of the Medicare baseline (a markup of 2041%). 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 - $3,958	229%
Freedom Health	$756 - $1,407	708%
Optimum	$756	708%
Aetna	$809 - $2,639	757%
Avmed	$845 - $4,398	791%
Simply Healthcare Plans	$1,143	1070%
Molina	$1,495 - $2,375	1400%
Health Sun Health Plan	$1,874	1755%
Aids Healthcare	$1,935 - $10,555	1812%
Mmm Of Fl (Health Advantage Plan)	$2,023	1894%
United Ppo	$2,085	1952%
Sunshine State Health Plan	$2,287	2141%
Corvel Corporation	$2,509	2349%
Careworks (Rockport)	$2,562	2399%
Prime Health	$2,562	2399%
Plotkin Health	$4,398	4118%
Prime Health Sherriff	$4,398	4118%
Medica Healthcare	$5,102	4777%
Multiplan	$6,597 - $7,477	6176%
Evernorth Bh	$7,037	6588%

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 $8,796.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72125.

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 72125.
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.