CMS Price Transparency Data

X-ray, hip

Facility: HCA Florida Aventura Hospital

Billing Code: 73502 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73502
Insurance Median: $355
Cash Discount Price: $1,366
vs. Medicare Baseline: 3.99x Medicare

The contracted insurance negotiated median rate for a X-ray, hip at HCA Florida Aventura Hospital is $355. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,366. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 3.99x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$1,366

Average discount available for prompt cash payment at this facility.

Insurance Median

$355

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: $1,366 (1536%)

Insurance Median: $355 (399%)

Cash: $1,366 (1536% of Medicare)

Ins. Median: $355 (399% 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 399% of the Medicare baseline (a markup of 299%). 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	$117 - $219	132%
Optimum	$117	132%
Avmed	$164 - $683	184%
Simply Healthcare Plans	$178	200%
United	$182 - $615	205%
Molina	$232 - $369	261%
Humana	$287 - $464	323%
Health Sun Health Plan	$291	327%
Aids Healthcare	$301 - $1,639	339%
Mmm Of Fl (Health Advantage Plan)	$314	353%
United Ppo	$324	364%
Sunshine State Health Plan	$355	399%
Aetna	$410	461%
Corvel Corporation	$473	532%
Careworks (Rockport)	$483	543%
Prime Health	$483	543%
Plotkin Health	$683	768%
Prime Health Sherriff	$683	768%
Medica Healthcare	$792	891%
Multiplan	$1,024 - $1,161	1152%
Evernorth Bh	$1,093	1229%

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 $1,366.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73502.

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 73502.
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.