Aetna ER Visit Rates in Orlando

Published Aetna negotiated rates for ER Visit at 10 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.

Limited coverage: Orlando Health's Orlando-area hospitals, including Orlando Regional Medical Center, are not included: Orlando Health's website blocked downloads of its price files when we collected this data. Prices for the Orlando area come only from the AdventHealth, HCA Florida, UF Health and Nemours hospitals listed here, so they may not reflect the whole Orlando market.

Lowest Rate

$130.36

UF Health Leesburg Hospital

all plan types

Highest Rate

$1,617

Nemours Children's Hospital, Florida

all plan types

Rate Spread

12x

across all plan types

Hospitals

10

with Aetna data

Aetna's negotiated ER visit rates in Orlando span roughly 12x, from $130.36 at UF Health Leesburg Hospital to $1,617 at Nemours Children's Hospital, Florida. The figures cover 10 hospitals. Lower rates often reflect Medicaid or Medicare products rather than commercial plans.

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 Leesburg Hospital $130.36
UF Health The Villages Hospital $134.27
AdventHealth Orlando $305.02
AdventHealth Waterman $305.02
HCA Florida Lake Monroe Hospital $1,138.53
HCA Florida Oviedo Medical Center $1,270.68
HCA Florida Osceola Hospital $1,281.77
HCA Florida Poinciana Hospital $1,434.66
UCF Lake Nona Hospital $1,484.88
Nemours Children's Hospital, Florida $1,617

Median of all 210 published Aetna rates for ER Visit at these hospitals: $2,043.05

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.

Reading Aetna ER Visit Rates in Orlando

Floor and ceiling in this Orlando table. The lowest published Aetna rate is $130.36 at UF Health Leesburg Hospital, followed by $134.27 at UF Health The Villages Hospital and $305.02 at AdventHealth Orlando. At the top, Nemours Children's Hospital, Florida shows $1,617 as its highest rate, which is the highest rate on the page. Other hospitals list individual plan rates well above that.

Range, median and plan labels. The page shows a 12x spread across 10 hospitals, with a median of $2,043.05 across all 210 published Aetna rates. Several of the lowest rows carry labels such as Medicare Managed Care Plan, so the low end likely reflects Medicare Advantage plans rather than commercial plans. Rates labeled ALL PRODUCTS do not say which plan sits behind them.

Calls a member can place. A member can contact:

  • Aetna, for their own plan's negotiated rate and estimated cost share at a named hospital, and to confirm whether that hospital is in network for their plan.
  • The hospital, for an estimate of the visit.

These figures are facility rates. Professional fees, such as the physician's bill, are billed separately.

Written from the rates in the table above. General information, not medical or insurance advice.

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 Orlando

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

Frequently Asked Questions

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

The lowest Aetna negotiated rate for ER Visit in Orlando is $130.36 at UF Health Leesburg Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,617 at Nemours Children's Hospital, Florida, a 12x 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 Orlando hospitals have published Aetna rates?

10 hospitals in the Orlando 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