CMS Price Transparency Data

Diagnostic mammogram (both breasts)

Facility: HCA Florida Aventura Hospital

Billing Code: 77066 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77066
  • Insurance Median: $196
  • Cash Discount Price: $1,861
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Diagnostic mammogram (both breasts) at HCA Florida Aventura Hospital is $196. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,861. Compared to the federal Medicare reimbursement reference rate of $156.98, this hospital’s rate is 1.25x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.
Cash / Self-Pay
$1,861

Average discount available for prompt cash payment at this facility.

Insurance Median
$196

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$156.98

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $156.98 (100%)
Cash / Self-Pay: $1,861 (1186%)
Insurance Median: $196 (125%)
Cash: $1,861 (1186% of Medicare)
Ins. Median: $196 (125% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $156.98 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.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash 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
Humana $109 - $633 69%
Careplus Sfl $116 74%
Cigna $116 74%
Devoted Health $116 74%
Leon Health $116 74%
Ndms Definitive Care $116 74%
United $116 - $837 74%
United Behavioral Health $116 74%
Veterans Evaluation Services $116 74%
Wellmed $116 74%
Blue Cross Blue Shield $118 75%
Aetna $120 - $558 76%
Oscar $122 78%
Prominence Healthfirst $122 78%
Sunshine State $122 - $128 78%
American Health Plan $123 78%
Align $124 79%
Florida Complete Care $124 79%
Avmed $125 - $930 80%
Centurion $128 82%
Doctors Healthcare Plan $128 82%
Gold Kidney $130 83%
Amerihealth Caritas $139 89%
Longevity Health Plan $139 89%
Freedom Health $160 - $298 102%
Optimum $160 102%
Solis Health Plan $168 107%
Simply Healthcare Plans $242 154%
Molina $316 - $502 201%
Health Sun Health Plan $396 252%
Aids Healthcare $409 - $2,233 261%
Mmm Of Fl (Health Advantage Plan) $428 273%
United Ppo $441 281%
Sunshine State Health Plan $484 308%
Plotkin Health $930 592%
Prime Health Sherriff $930 592%
Medica Healthcare $1,079 687%
Multiplan $1,396 - $1,582 889%
Evernorth Bh $1,489 949%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 20900 Biscayne Blvd, Aventura, FL 33180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals