CMS Price Transparency Data

X-ray, shoulder

Facility: HCA Florida Aventura Hospital

Billing Code: 73030 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 73030
Insurance Median: $639
Cash Discount Price: $2,386
vs. Medicare Baseline: 7.19x Medicare

The contracted insurance negotiated median rate for a X-ray, shoulder at HCA Florida Aventura Hospital is $639. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,386. Compared to the federal Medicare reimbursement reference rate of $88.91, this hospital’s rate is 7.19x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.

Cash / Self-Pay

$2,386

Average discount available for prompt cash payment at this facility.

Insurance Median

$639

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: $2,386 (2684%)

Insurance Median: $639 (719%)

Cash: $2,386 (2684% of Medicare)

Ins. Median: $639 (719% 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 719% of the Medicare baseline (a markup of 619%). 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	$164 - $458	184%
Optimum	$164 - $246	184%
United	$182 - $1,287	205%
Avmed	$229 - $1,430	258%
Simply Healthcare Plans	$248 - $372	279%
Molina	$325 - $772	366%
Humana	$401 - $972	451%
Health Sun Health Plan	$407 - $609	458%
Aids Healthcare	$420 - $3,432	472%
Mmm Of Fl (Health Advantage Plan)	$440 - $658	495%
United Ppo	$453 - $678	510%
Corvel Corporation	$476	535%
Careworks (Rockport)	$486	547%
Prime Health	$486	547%
Sunshine State Health Plan	$497 - $744	559%
Aetna	$573 - $858	644%
Plotkin Health	$956 - $1,430	1075%
Prime Health Sherriff	$956 - $1,430	1075%
Medica Healthcare	$1,108 - $1,659	1246%
Multiplan	$1,433 - $2,431	1612%
Evernorth Bh	$1,529 - $2,288	1720%

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 $2,386.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 73030.

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 73030.
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.