CMS Price Transparency Data

X-ray, pelvis

Facility: HCA Florida Aventura Hospital

Billing Code: 72170 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72170
Insurance Median: $328
Cash Discount Price: $1,260
vs. Medicare Baseline: 3.07x Medicare

The contracted insurance negotiated median rate for a X-ray, pelvis at HCA Florida Aventura Hospital is $328. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,260. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 3.07x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$1,260

Average discount available for prompt cash payment at this facility.

Insurance Median

$328

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: $1,260 (1180%)

Insurance Median: $328 (307%)

Cash: $1,260 (1180% of Medicare)

Ins. Median: $328 (307% 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 307% of the Medicare baseline (a markup of 207%). 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	$108 - $202	101%
Optimum	$108	101%
Avmed	$151 - $630	141%
Simply Healthcare Plans	$164	154%
Molina	$214 - $340	200%
United	$245 - $567	229%
Humana	$265 - $428	248%
Health Sun Health Plan	$268	251%
Aids Healthcare	$277 - $1,512	259%
Mmm Of Fl (Health Advantage Plan)	$290	272%
United Ppo	$299	280%
Sunshine State Health Plan	$328	307%
Aetna	$378	354%
Corvel Corporation	$420	393%
Careworks (Rockport)	$429	402%
Prime Health	$429	402%
Plotkin Health	$630	590%
Prime Health Sherriff	$630	590%
Medica Healthcare	$731	684%
Multiplan	$945 - $1,071	885%
Evernorth Bh	$1,008	944%

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 $1,260.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72170.

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 72170.
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.