CMS Price Transparency Data

X-ray, lower back

Facility: HCA Florida Aventura Hospital

Billing Code: 72110 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72110
Insurance Median: $556
Cash Discount Price: $2,140
vs. Medicare Baseline: 5.21x Medicare

The contracted insurance negotiated median rate for a X-ray, lower back at HCA Florida Aventura Hospital is $556. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,140. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 5.21x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$2,140

Average discount available for prompt cash payment at this facility.

Insurance Median

$556

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $2,140 (2004%)

Insurance Median: $556 (521%)

Cash: $2,140 (2004% of Medicare)

Ins. Median: $556 (521% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 521% of the Medicare baseline (a markup of 421%). 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	$184 - $342	172%
Optimum	$184	172%
United	$245 - $963	229%
Avmed	$257 - $1,070	241%
Simply Healthcare Plans	$278	260%
Molina	$364 - $578	341%
Humana	$449 - $728	420%
Health Sun Health Plan	$456	427%
Aids Healthcare	$471 - $2,568	441%
Mmm Of Fl (Health Advantage Plan)	$492	461%
United Ppo	$507	475%
Sunshine State Health Plan	$556	521%
Aetna	$642	601%
Corvel Corporation	$844	790%
Careworks (Rockport)	$862	807%
Prime Health	$862	807%
Plotkin Health	$1,070	1002%
Prime Health Sherriff	$1,070	1002%
Medica Healthcare	$1,241	1162%
Multiplan	$1,605 - $1,819	1503%
Evernorth Bh	$1,712	1603%

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 $2,140.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72110.

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 72110.
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.