Aetna Echocardiogram Rates in Tri-Cities (Johnson City-Kingsport-Bristol)

Published Aetna negotiated rates for Echocardiogram at 7 hospitals in Tri-Cities (Johnson City-Kingsport-Bristol), TN. Data from CMS-mandated hospital transparency files.

Lowest Rate

$495.75

Hawkins County Memorial Hospital

all plan types

Highest Rate

$1,276.30

Holston Valley Medical Center

all plan types

Rate Spread

3x

across all plan types

Hospitals

7

with Aetna data

Why the range is so wide: Aetna negotiates different rates for different plan types. Medicaid-managed and Medicare Advantage plans typically have the lowest negotiated rates. Commercial PPO and HMO plans are higher. The "lowest rate" at each hospital may be a Medicaid or Medicare plan rate, not a commercial plan rate. The plan type is shown in the table where available.

Aetna Echocardiogram Rates by Hospital

Hospital Lowest Aetna Rate
Hawkins County Memorial Hospital $495.75
Indian Path Community Hospital $495.75
Sycamore Shoals Hospital $495.75
Franklin Woods Community Hospital $496.12
Johnson City Medical Center $509.88
Bristol Regional Medical Center $518.36
Holston Valley Medical Center $518.36

Median of all 28 published Aetna rates for Echocardiogram at these hospitals: $562.68

Rates shown are Aetna's published negotiated rates from each hospital's CMS transparency file. "Lowest rate" is the lowest rate across all Aetna plan types (including Medicaid-managed and Medicare Advantage) at that hospital. Commercial plan rates are typically higher. Your actual cost depends on your specific plan's deductible, copay, and coinsurance.

Understanding Aetna Negotiated Rates

A negotiated rate is the price Aetna has agreed to pay a hospital for a specific service. This is not necessarily what you pay out of pocket. If you have met your annual deductible, you typically pay a copay or coinsurance percentage of the negotiated rate. If you have not met your deductible, you may owe the full negotiated rate.

The same insurer often negotiates different rates at different hospitals, and different plan types (HMO, PPO, high-deductible) within the same insurer can have different rates at the same hospital. The table above shows the range across all Aetna plan types at each facility.

Prices shown are facility fees only. You will also receive separate bills from the physician performing the procedure.

Compare Other Insurers for Echocardiogram in Tri-Cities (Johnson City-Kingsport-Bristol)

View all Echocardiogram prices in Tri-Cities (Johnson City-Kingsport-Bristol) (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna Echocardiogram in Tri-Cities (Johnson City-Kingsport-Bristol)?

The lowest Aetna negotiated rate for Echocardiogram in Tri-Cities (Johnson City-Kingsport-Bristol) is $495.75 at Hawkins County Memorial Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,276.30 at Holston Valley Medical Center, a 3x difference. Commercial plan rates typically fall between these extremes.

Is the Aetna negotiated rate what I'll pay?

Not necessarily. The negotiated rate is what Aetna has agreed to pay the hospital. Your out-of-pocket cost depends on your deductible, copay, and coinsurance. If you have not met your annual deductible, you may owe the full negotiated rate. Contact Aetna for a pre-service cost estimate specific to your plan.

How many Tri-Cities (Johnson City-Kingsport-Bristol) hospitals have published Aetna rates?

7 hospitals in the Tri-Cities (Johnson City-Kingsport-Bristol) area have published Aetna negotiated rates for Echocardiogram in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Aetna directly.

Does Aetna require prior authorization for an echocardiogram?

Many Aetna plans require prior authorization for echocardiograms. Without it, the claim may be denied. Your referring provider's office typically handles the authorization request. The rates shown here are facility fees; the physician reading fee is billed separately.

We are not affiliated with Aetna or any hospital listed on this page. Negotiated rates are sourced from hospital-published CMS transparency files and represent the amounts agreed between the insurer and hospital. Your actual out-of-pocket cost depends on your deductible, copay, and coinsurance. Contact Aetna or the hospital billing department for a cost estimate specific to your plan. All insurer and hospital names are trademarks of their respective owners.

Visit the official Aetna website: www.aetna.com