Aetna ER Visit Rates in San Antonio
Published Aetna negotiated rates for ER Visit at 16 hospitals in San Antonio, TX. Data from CMS-mandated hospital transparency files.
If you are experiencing a medical emergency, call 911 or go to your nearest emergency room immediately.
Do not delay emergency care based on cost.
Lowest Rate
$25.63
CHRISTUS Santa Rosa Alamo Heights
all plan types
Highest Rate
$6,917
Methodist Hospital Westover Hills
all plan types
Rate Spread
270x
across all plan types
Hospitals
16
with Aetna data
Emergency room visit rates for Aetna members vary dramatically across San Antonio's 16 hospitals, with a 270x spread between the lowest rate of $25.63 and highest of $6,917. The median negotiated rate sits at $1,891, though lower rates often reflect government insurance rather than commercial plans.
Aetna ER Visit Rates by Hospital
| Hospital | Lowest Aetna Rate |
|---|---|
| CHRISTUS Santa Rosa Alamo Heights | $25.63 |
| CHRISTUS Santa Rosa Westover Hills | $25.63 |
| Methodist Hospital | $55.47 |
| Methodist Hospital Atascosa | $55.47 |
| Methodist Hospital Hill Country | $55.47 |
| Methodist Specialty and Transplant | $55.47 |
| Methodist Stone Oak Hospital | $55.47 |
| Methodist Texsan Hospital | $55.47 |
| Metropolitan Methodist Hospital | $55.47 |
| Northeast Methodist Hospital | $55.47 |
| CHRISTUS Santa Rosa Medical Center | $251.59 |
| CHRISTUS Santa Rosa New Braunfels | $273.7 |
| CHRISTUS Santa Rosa San Marcos | $273.7 |
| CHRISTUS Children's | $828.46 |
| Methodist Hospital Landmark | $997 |
| Methodist Hospital Westover Hills | $997 |
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 San Antonio
Frequently Asked Questions
Where is the lowest-cost Aetna ER Visit in San Antonio?
The lowest Aetna negotiated rate for ER Visit in San Antonio is $25.63 at CHRISTUS Santa Rosa Alamo Heights, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $6,917 at Methodist Hospital Westover Hills, a 270x 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 San Antonio hospitals have published Aetna rates?
16 hospitals in the San Antonio 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