CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: HCA Florida Aventura Hospital

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 77067
  • Insurance Median: $158
  • Cash Discount Price: $1,479
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at HCA Florida Aventura Hospital is $158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,479. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 1.25x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.
Cash / Self-Pay
$1,479

Average discount available for prompt cash payment at this facility.

Insurance Median
$158

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)
Cash / Self-Pay: $1,479 (1171%)
Insurance Median: $158 (125%)
Cash: $1,479 (1171% of Medicare)
Ins. Median: $158 (125% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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 $90 - $503 71%
Careplus Sfl $95 75%
Cigna $95 75%
Devoted Health $95 75%
Leon Health $95 75%
Ndms Definitive Care $95 75%
United $95 - $666 75%
United Behavioral Health $95 75%
Veterans Evaluation Services $95 75%
Wellmed $95 75%
Blue Cross Blue Shield $97 77%
Aetna $98 - $444 78%
Oscar $100 79%
Prominence Healthfirst $100 79%
Sunshine State $100 - $105 79%
American Health Plan $101 80%
Align $102 81%
Florida Complete Care $102 81%
Avmed $103 - $740 82%
Centurion $105 83%
Doctors Healthcare Plan $105 83%
Gold Kidney $107 85%
Amerihealth Caritas $114 90%
Longevity Health Plan $114 90%
Freedom Health $127 - $237 101%
Optimum $127 101%
Solis Health Plan $138 109%
Simply Healthcare Plans $192 152%
Molina $251 - $399 199%
Health Sun Health Plan $315 250%
Aids Healthcare $325 - $1,775 257%
Mmm Of Fl (Health Advantage Plan) $340 269%
United Ppo $351 278%
Sunshine State Health Plan $385 305%
Plotkin Health $740 586%
Prime Health Sherriff $740 586%
Medica Healthcare $858 680%
Multiplan $1,109 - $1,257 878%
Evernorth Bh $1,183 937%

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