Aetna MRI Rates in Lakeland-Winter Haven
Published Aetna negotiated rates for MRI at 4 hospitals in Lakeland-Winter Haven, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$156.98
Bartow Regional Medical Center
all plan types
Highest Rate
$662.59
AdventHealth Heart of Florida
all plan types
Rate Spread
4x
across all plan types
Hospitals
4
with Aetna data
Aetna MRI rates in Lakeland-Winter Haven span a 4x gap, from $156.98 at Bartow Regional Medical Center to $662.59 at AdventHealth Heart of Florida. The median across the four hospitals is $361.94. Rates vary by plan type, so the lowest figures may reflect Medicaid or Medicare products rather than commercial coverage.
Aetna MRI Rates by Hospital
| Hospital | Lowest Aetna Rate |
|---|---|
| Bartow Regional Medical Center | $156.98 |
| Winter Haven Hospital | $156.98 |
| AdventHealth Lake Wales | $259.13 |
| AdventHealth Heart of Florida | $266.61 |
Median of all 48 published Aetna rates for MRI at these hospitals: $361.94
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 MRI Rates in Lakeland-Winter Haven
Lakeland MRI rates at Aetna, low to high. Among the 4 hospitals with Aetna rates, Bartow Regional Medical Center and Winter Haven Hospital both post the lowest rate of $156.98. At the other end, AdventHealth Lake Wales lists $259.13 and AdventHealth Heart of Florida lists $266.61 as their lowest rates, and $662.59 is the highest rate shown for AdventHealth Heart of Florida.
How far apart Aetna's Lakeland figures land. The page shows a 4x spread, and the median of all 48 published Aetna rates for this procedure at these hospitals is $361.94. The lowest rates at the AdventHealth hospitals are labeled Medicare Managed Care, so low figures may reflect those plans rather than commercial plans. The lowest rates at Bartow Regional Medical Center and Winter Haven Hospital are labeled Commercial Other, and the plan behind a rate is not always stated clearly.
- 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 MRI.
Calls a member can make about Aetna and MRI in Lakeland. These are facility rates, and professional fees are billed separately, so ask about those when you call.
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 MRI in Lakeland-Winter Haven
Frequently Asked Questions
Where is the lowest-cost Aetna MRI in Lakeland-Winter Haven?
The lowest Aetna negotiated rate for MRI in Lakeland-Winter Haven is $156.98 at Bartow Regional Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $662.59 at AdventHealth Heart of Florida, a 4x 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 Lakeland-Winter Haven hospitals have published Aetna rates?
4 hospitals in the Lakeland-Winter Haven 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