CMS Price Transparency Data

X-ray, chest (single view)

Facility: HCA Florida Aventura Hospital

Billing Code: 71045 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 71045
Insurance Median: $297
Cash Discount Price: $1,142
vs. Medicare Baseline: 3.34x Medicare

The contracted insurance negotiated median rate for a X-ray, chest (single view) at HCA Florida Aventura Hospital is $297. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,142. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.34x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$1,142

Average discount available for prompt cash payment at this facility.

Insurance Median

$297

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: $1,142 (1284%)

Insurance Median: $297 (334%)

Cash: $1,142 (1284% of Medicare)

Ins. Median: $297 (334% 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 334% of the Medicare baseline (a markup of 234%). 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	$98 - $183	110%
Optimum	$98	110%
Avmed	$137 - $571	154%
Simply Healthcare Plans	$148	166%
United	$182 - $514	205%
Molina	$194 - $308	218%
Humana	$240 - $388	270%
Health Sun Health Plan	$243	273%
Aids Healthcare	$251 - $1,370	282%
Mmm Of Fl (Health Advantage Plan)	$263	296%
United Ppo	$271	305%
Sunshine State Health Plan	$297	334%
Aetna	$343	386%
Corvel Corporation	$403	453%
Careworks (Rockport)	$412	463%
Prime Health	$412	463%
Plotkin Health	$571	642%
Prime Health Sherriff	$571	642%
Medica Healthcare	$662	745%
Multiplan	$856 - $971	963%
Evernorth Bh	$914	1028%

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 $1,142.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 71045.

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 71045.
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.