CMS Price Transparency Data

CT scan, pelvis

Facility: HCA Florida Aventura Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $2,179
Cash Discount Price: $8,382
vs. Medicare Baseline: 20.40x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at HCA Florida Aventura Hospital is $2,179. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,382. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 20.40x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$8,382

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,179

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: $8,382 (7848%)

Insurance Median: $2,179 (2040%)

Cash: $8,382 (7848% of Medicare)

Ins. Median: $2,179 (2040% 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 2040% of the Medicare baseline (a markup of 1940%). 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 - $3,772	229%
Freedom Health	$721 - $1,341	675%
Optimum	$721	675%
Aetna	$809 - $2,515	757%
Avmed	$845 - $4,191	791%
Simply Healthcare Plans	$1,090	1021%
Molina	$1,425 - $2,263	1334%
Health Sun Health Plan	$1,785	1671%
Aids Healthcare	$1,844 - $10,058	1726%
Mmm Of Fl (Health Advantage Plan)	$1,928	1805%
United Ppo	$1,987	1860%
Sunshine State Health Plan	$2,179	2040%
Corvel Corporation	$2,630	2462%
Careworks (Rockport)	$2,685	2514%
Prime Health	$2,685	2514%
Plotkin Health	$4,191	3924%
Prime Health Sherriff	$4,191	3924%
Medica Healthcare	$4,862	4552%
Multiplan	$6,286 - $7,125	5885%
Evernorth Bh	$6,706	6278%

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 $8,382.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

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 72192.
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.