Aetna MRI Rates in Austin

Published Aetna negotiated rates for MRI at 7 hospitals in Austin, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$230.14

BSW Medical Center Lakeway

all plan types

Highest Rate

$1,942.02

BSW Medical Center Marble Falls

all plan types

Rate Spread

8x

across all plan types

Hospitals

7

with Aetna data

Aetna MRI rates in Austin vary dramatically, with an 8x spread from $230 at BSW Lakeway to $1,942 at BSW Marble Falls. The lowest rate represents a Medicare Advantage plan, while commercial rates cluster around the $1,836 median. Seven hospitals show this significant pricing variation across different Aetna plan types.

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 MRI Rates by Hospital

Hospital Lowest Aetna Rate
BSW Medical Center Lakeway $230.14
BSW Medical Center Austin $1,753.28
BSW Medical Center Buda $1,753.28
BSW Medical Center Pflugerville $1,753.28
BSW Medical Center Round Rock $1,753.28
BSW Medical Center Taylor $1,753.28
BSW Medical Center Marble Falls $1,918.45

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 MRI in Austin

View all MRI prices in Austin (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna MRI in Austin?

The lowest Aetna negotiated rate for MRI in Austin is $230.14 at BSW Medical Center Lakeway, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,942.02 at BSW Medical Center Marble Falls, an 8x 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 Austin hospitals have published Aetna rates?

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

Do I need a referral for an MRI with Aetna?

Most Aetna plans require a referral or prior authorization for an MRI. Without it, the hospital may bill you at a higher rate or your claim could be denied. Contact Aetna before scheduling to confirm your plan's requirements.

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