Aetna ER Visit Rates in Tampa-St. Petersburg

Published Aetna negotiated rates for ER Visit at 27 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$277.93

BayCare Hospital Wesley Chapel

all plan types

Highest Rate

$6,621.31

HCA Florida St. Petersburg Hospital

all plan types

Rate Spread

24x

across all plan types

Hospitals

27

with Aetna data

Aetna's negotiated rates for ER visits in Tampa-St. Petersburg span 24x, from $277.93 at BayCare Hospital Wesley Chapel to $6,621.31 at HCA Florida St. Petersburg Hospital. Across 27 hospitals, the median rate is $1,580.47. The lowest figures often reflect Medicare or Medicaid 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
BayCare Hospital Wesley Chapel $277.93
Mease Countryside Hospital $277.93
Mease Dunedin Hospital $277.93
Morton Plant Hospital $277.93
Morton Plant North Bay Hospital $277.93
South Florida Baptist Hospital $277.93
St. Joseph's Hospital $277.93
Tampa General Hospital Brooksville $285.06
Tampa General Hospital $287.92
AdventHealth Carrollwood $296.47
AdventHealth Dade City $296.47
AdventHealth North Pinellas $296.47
AdventHealth Tampa $296.47
AdventHealth Wesley Chapel $296.47
AdventHealth Zephyrhills $296.47
HCA Florida Oak Hill Hospital $334.89
HCA Florida Northside Hospital $529.37
HCA Florida Trinity Hospital $660.56
HCA Florida South Shore Hospital $723.04
HCA Florida Bayonet Point Hospital $790.90
HCA Florida South Tampa Hospital $829.12
HCA Florida West Tampa Hospital $829.12
HCA Florida Largo Hospital $861.32
HCA Florida Largo West Hospital $861.32
HCA Florida Brandon Hospital $884.04
HCA Florida Pasadena Hospital $1,580.47
HCA Florida St. Petersburg Hospital $1,580.47

Median of all 420 published Aetna rates for ER Visit at these hospitals: $1,580.47

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 Tampa-St. Petersburg

Where Tampa Aetna ER visit rates start. At the low end, BayCare Hospital Wesley Chapel, Mease Countryside Hospital and Mease Dunedin Hospital each publish $277.93, and several other hospitals share that figure. At the high end, HCA Florida St. Petersburg Hospital and HCA Florida Pasadena Hospital both show $6,621.31, while HCA Florida Northside Hospital tops out at $3,753.80.

How far apart Aetna's Tampa figures land. Across 27 hospitals and 420 published rates, the spread is 24x and the median is $1,580.47. The plan types beside the lowest rates are Medicare PPO and Medicare Managed Care plans, so the low end likely reflects Medicare Advantage plans rather than commercial plans. A rate in the table is not always tied to the plan a given member holds.

Calls an Aetna member can place. These are facility rates, and professional fees are billed separately.

  • Ask Aetna for your own plan's negotiated rate and estimated cost share at a named hospital.
  • Ask Aetna whether that hospital is in network for your plan.
  • Ask the hospital for an estimate of your ER visit.

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 Tampa-St. Petersburg

View all ER Visit prices in Tampa-St. Petersburg (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna ER Visit in Tampa-St. Petersburg?

The lowest Aetna negotiated rate for ER Visit in Tampa-St. Petersburg is $277.93 at BayCare Hospital Wesley Chapel, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $6,621.31 at HCA Florida St. Petersburg Hospital, a 24x 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 Tampa-St. Petersburg hospitals have published Aetna rates?

27 hospitals in the Tampa-St. Petersburg 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