Aetna MRI Rates in Miami-Fort Lauderdale-West Palm Beach
Published Aetna negotiated rates for MRI at 29 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.
Lowest Rate
$62.50
Lakeside Medical Center
all plan types
Highest Rate
$4,551.90
HCA Florida Palms West Hospital
all plan types
Rate Spread
73x
across all plan types
Hospitals
29
with Aetna data
Aetna's negotiated MRI rates across 29 Miami-Fort Lauderdale-West Palm Beach hospitals span a 73x range, from $62.50 at Lakeside Medical Center to $4,551.90 at HCA Florida Palms West Hospital. The median rate is $1,462. Keep in mind that the lowest figures often reflect Medicaid or Medicare plan types rather than commercial coverage.
Aetna MRI Rates by Hospital
Median of all 896 published Aetna rates for MRI at these hospitals: $1,462
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 Miami-Fort Lauderdale-West Palm Beach
Where Miami MRI rates for Aetna start and top out. The lowest published Aetna rate is $62.50 at Lakeside Medical Center, followed by Doctors Hospital and Homestead Hospital at $79.55 each. At the high end, HCA Florida Palms West Hospital posts $4,551.90, and the table also lists HCA Florida Woodmont Hospital with a highest rate of $5,420.77.
Aetna's 73x spread and the plan label behind it. Across 29 hospitals and 896 published rates, the spread is 73x and the median is $1,462. Several of the lowest rows are tagged with plan types such as AETNA BETTER HEALTH HEALTHY KIDS, Medicaid and Medicare Advantage products, so the low end likely reflects those plans rather than commercial plans. The $62.50 figure is labeled All Products, which does not say which plan it belongs to.
Calls a Miami Aetna member can make. These are facility rates, and professional fees are billed separately. A member can ask:
- Aetna, for the negotiated rate and estimated cost share for their own plan at a named hospital.
- Aetna, whether that hospital is in network for their plan.
- The hospital, for an estimate for the MRI.
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 Miami-Fort Lauderdale-West Palm Beach
Frequently Asked Questions
Where is the lowest-cost Aetna MRI in Miami-Fort Lauderdale-West Palm Beach?
The lowest Aetna negotiated rate for MRI in Miami-Fort Lauderdale-West Palm Beach is $62.50 at Lakeside Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $4,551.90 at HCA Florida Palms West Hospital, a 73x 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 Miami-Fort Lauderdale-West Palm Beach hospitals have published Aetna rates?
29 hospitals in the Miami-Fort Lauderdale-West Palm Beach 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