CMS Price Transparency Data

X-ray, hand

Facility: HCA Florida Aventura Hospital

Billing Code: 73130 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73130
Insurance Median: $449
Cash Discount Price: $1,616
vs. Medicare Baseline: 5.05x Medicare

The contracted insurance negotiated median rate for a X-ray, hand at HCA Florida Aventura Hospital is $449. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,616. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 5.05x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$1,616

Average discount available for prompt cash payment at this facility.

Insurance Median

$449

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: $1,616 (1818%)

Insurance Median: $449 (505%)

Cash: $1,616 (1818% of Medicare)

Ins. Median: $449 (505% 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 505% of the Medicare baseline (a markup of 405%). 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	$111 - $310	125%
Optimum	$111 - $167	125%
Avmed	$155 - $970	174%
Simply Healthcare Plans	$168 - $252	189%
United	$182 - $873	205%
Molina	$220 - $524	247%
Humana	$271 - $659	305%
Health Sun Health Plan	$275 - $413	309%
Aids Healthcare	$284 - $2,327	319%
Mmm Of Fl (Health Advantage Plan)	$297 - $446	334%
United Ppo	$306 - $460	344%
Sunshine State Health Plan	$336 - $504	378%
Aetna	$388 - $582	436%
Corvel Corporation	$442	497%
Careworks (Rockport)	$451	507%
Prime Health	$451	507%
Plotkin Health	$646 - $970	727%
Prime Health Sherriff	$646 - $970	727%
Medica Healthcare	$749 - $1,125	842%
Multiplan	$969 - $1,648	1090%
Evernorth Bh	$1,034 - $1,551	1163%

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 $1,616.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73130.

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 73130.
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.