Aetna MRI Rates in Pensacola

Published Aetna negotiated rates for MRI at 5 hospitals in Pensacola, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$153.86

Baptist Hospital (Pensacola)

all plan types

Highest Rate

$8,103.65

Santa Rosa Medical Center

all plan types

Rate Spread

53x

across all plan types

Hospitals

5

with Aetna data

Aetna's negotiated rates for an MRI in Pensacola range 53x, from $153.86 at Baptist Hospital to $8,103.65 at Santa Rosa Medical Center. The median across five hospitals is $1,984. The lowest rate is tied to a Better Healthy Kids plan, and low rates like this often reflect Medicaid or Medicare products 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 MRI Rates by Hospital

Hospital Lowest Aetna Rate
Baptist Hospital (Pensacola) $153.86
Gulf Breeze Hospital $153.86
Ascension Sacred Heart Pensacola $249.91
HCA Florida West Hospital $1,256
Santa Rosa Medical Center $2,387

Median of all 93 published Aetna rates for MRI at these hospitals: $1,984

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 Pensacola

Aetna MRI floor and ceiling in Pensacola. The lowest published Aetna rates are $153.86, listed at Baptist Hospital (Pensacola) and Gulf Breeze Hospital, followed by $249.91 at Ascension Sacred Heart Pensacola. The highest sit at Santa Rosa Medical Center with $8,103.65, and at HCA Florida West Hospital, where the lowest listed rate is $1,256.

How the Pensacola gap compares with the median. Across the 5 hospitals the spread is 53x, and the median of all 93 published Aetna rates for this procedure is $1,984. The plan types beside the lowest rates, BETTER HLTHY KIDS and an Aetna Medicare Advantage outpatient plan, look like CHIP and Medicare Advantage products, so the low end likely reflects those plans rather than commercial plans.

Calls a member can place about an Aetna MRI. 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, such as Baptist Hospital (Pensacola).
  • Ask Aetna whether that hospital is in network for your plan.
  • Ask the hospital for an estimate.

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 Pensacola

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

Frequently Asked Questions

Where is the lowest-cost Aetna MRI in Pensacola?

The lowest Aetna negotiated rate for MRI in Pensacola is $153.86 at Baptist Hospital (Pensacola), across all plan types including Medicaid-managed and Medicare Advantage. The highest is $8,103.65 at Santa Rosa Medical Center, a 53x 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 Pensacola hospitals have published Aetna rates?

5 hospitals in the Pensacola 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