CMS Price Transparency Data

X-ray, ankle

Facility: HCA Florida Aventura Hospital

Billing Code: 73610 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73610
Insurance Median: $383
Cash Discount Price: $1,337
vs. Medicare Baseline: 4.31x Medicare

The contracted insurance negotiated median rate for a X-ray, ankle at HCA Florida Aventura Hospital is $383. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,337. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 4.31x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$1,337

Average discount available for prompt cash payment at this facility.

Insurance Median

$383

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$88.91

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $88.91 (100%)

Cash / Self-Pay: $1,337 (1504%)

Insurance Median: $383 (431%)

Cash: $1,337 (1504% of Medicare)

Ins. Median: $383 (431% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $88.91 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 431% of the Medicare baseline (a markup of 331%). 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
Freedom Health	$92 - $257	103%
Optimum	$92 - $138	103%
Avmed	$128 - $802	144%
Simply Healthcare Plans	$139 - $209	156%
Molina	$182 - $433	205%
United	$182 - $722	205%
Humana	$225 - $545	253%
Health Sun Health Plan	$228 - $342	256%
Aids Healthcare	$235 - $1,925	264%
Mmm Of Fl (Health Advantage Plan)	$246 - $369	277%
United Ppo	$254 - $380	286%
Sunshine State Health Plan	$278 - $417	313%
Aetna	$321 - $481	361%
Corvel Corporation	$450	506%
Careworks (Rockport)	$460	517%
Prime Health	$460	517%
Plotkin Health	$535 - $802	602%
Prime Health Sherriff	$535 - $802	602%
Medica Healthcare	$621 - $930	698%
Multiplan	$802 - $1,363	902%
Evernorth Bh	$856 - $1,283	963%

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 $1,337.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73610.

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 73610.
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.