CMS Price Transparency Data

CT scan, sinuses

Facility: HCA Florida Aventura Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70486
Insurance Median: $2,066
Cash Discount Price: $7,946
vs. Medicare Baseline: 19.34x Medicare

The contracted insurance negotiated median rate for a CT scan, sinuses at HCA Florida Aventura Hospital is $2,066. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,946. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 19.34x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$7,946

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,066

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: $7,946 (7439%)

Insurance Median: $2,066 (1934%)

Cash: $7,946 (7439% of Medicare)

Ins. Median: $2,066 (1934% 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 1934% of the Medicare baseline (a markup of 1834%). 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 - $3,576	229%
Freedom Health	$683 - $1,271	639%
Optimum	$683	639%
Aetna	$809 - $2,384	757%
Avmed	$845 - $3,973	791%
Simply Healthcare Plans	$1,033	967%
Molina	$1,351 - $2,145	1265%
Health Sun Health Plan	$1,692	1584%
Aids Healthcare	$1,748 - $9,535	1637%
Mmm Of Fl (Health Advantage Plan)	$1,828	1711%
United Ppo	$1,883	1763%
Sunshine State Health Plan	$2,066	1934%
Corvel Corporation	$2,164	2026%
Careworks (Rockport)	$2,210	2069%
Prime Health	$2,210	2069%
Plotkin Health	$3,973	3720%
Prime Health Sherriff	$3,973	3720%
Medica Healthcare	$4,609	4315%
Multiplan	$5,960 - $6,754	5580%
Evernorth Bh	$6,357	5952%

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 $7,946.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70486.

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 70486.
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.