Aetna ER Visit Rates in Jacksonville

Published Aetna negotiated rates for ER Visit at 13 hospitals in Jacksonville, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$270.81

UF Health Jacksonville

all plan types

Highest Rate

$4,391.70

HCA Florida Memorial Hospital

all plan types

Rate Spread

16x

across all plan types

Hospitals

13

with Aetna data

Aetna's negotiated ER visit rates in Jacksonville span a 16x range, from $270.81 at UF Health Jacksonville to $4,391.70 at HCA Florida Memorial Hospital. Across 13 hospitals, the median rate is $1,597. The lowest figures often reflect Medicaid or Medicare Advantage plans rather than commercial coverage.

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 ER Visit Rates by Hospital

Hospital Lowest Aetna Rate
UF Health Jacksonville $270.81
Baptist Medical Center Clay $282.43
Baptist Medical Center South $282.43
Wolfson Children's Hospital $282.43
Baptist Medical Center Beaches $283.50
Baptist Medical Center Jacksonville $283.50
Baptist Medical Center Nassau $283.50
Ascension St. Vincent's Clay County $286.28
Ascension St. Vincent's Riverside $286.28
Ascension St. Vincent's Southside $286.28
Ascension St. Vincent's St. Johns County $286.28
HCA Florida Orange Park Hospital $784.12
HCA Florida Memorial Hospital $1,019.62

Median of all 422 published Aetna rates for ER Visit at these hospitals: $1,597

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 ER Visit in Jacksonville

View all ER Visit prices in Jacksonville (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna ER Visit in Jacksonville?

The lowest Aetna negotiated rate for ER Visit in Jacksonville is $270.81 at UF Health Jacksonville, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,391.70 at HCA Florida Memorial Hospital, a 16x 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 Jacksonville hospitals have published Aetna rates?

13 hospitals in the Jacksonville area have published Aetna negotiated rates for ER Visit in their CMS transparency files. Having a published rate does not necessarily confirm current network participation. Verify your network status with Aetna directly.

Will Aetna cover an out-of-network ER visit?

Under the No Surprises Act, emergency services must be covered regardless of network status. Aetna cannot charge you more than your in-network cost-sharing for emergency care, even at an out-of-network hospital. This applies to the ER visit itself, though follow-up care after you are stabilized may be billed differently.

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