Aetna Ultrasound Rates in Houston

Published Aetna negotiated rates for Ultrasound at 32 hospitals in Houston, TX. Data from CMS-mandated hospital transparency files.

Lowest Rate

$103.98

HCA Houston Healthcare Clear Lake

all plan types

Highest Rate

$969.6

Texas Children's Hospital

all plan types

Rate Spread

across all plan types

Hospitals

with Aetna data

Aetna ultrasound rates in Houston vary dramatically, with a 9x spread between the lowest rate of $103.98 and highest of $969.60. The lowest rates are often from Medicaid or Medicare plans rather than commercial coverage. Among 32 hospitals surveyed, the median rate sits at $632.35.

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 Ultrasound Rates by Hospital

Hospital	Lowest Aetna Rate	Plan Type	Highest Rate	Plans
HCA Houston Healthcare Clear Lake	$103.98	MGMCD	$854.78	28
HCA Houston Healthcare Conroe	$103.98	MGMCD	$854.78	28
HCA Houston Healthcare Kingwood	$103.98	MGMCD	$2,620.52	43
HCA Houston Healthcare Mainland	$103.98	MGMCD	$854.78	28
HCA Houston Healthcare Medical Center	$103.98	MGMCD	$854.78	28
HCA Houston Healthcare North Cypress	$103.98	MGMCD	$854.78	28
HCA Houston Healthcare Northwest	$103.98	MGMCD	$854.78	28
HCA Houston Healthcare Pearland	$103.98	MGMCD	$854.78	28
HCA Houston Healthcare Southeast	$103.98	MGMCD	$854.78	28
HCA Houston Healthcare Tomball	$103.98	MGMCD	$854.78	28
HCA Houston Healthcare West	$103.98	MGMCD	$854.78	28
Memorial Hermann, Texas Medical Center	$105.02	Medicare Managed Care Plan	$162.78	4
Memorial Hermann Cypress Hospital	$105.02	Medicare Managed Care Plan	$162.78	4
Memorial Hermann Greater Heights Hospital	$105.02	Medicare Managed Care Plan	$162.78	4
Memorial Hermann Katy Hospital	$105.02	Medicare Managed Care Plan	$162.78	4
Memorial Hermann Memorial City Medical Center	$105.02	Medicare Managed Care Plan	$162.78	4
Memorial Hermann Northeast Hospital	$105.02	Medicare Managed Care Plan	$162.78	4
Memorial Hermann Pearland Hospital	$105.02	Medicare Managed Care Plan	$162.78	4
Memorial Hermann Southeast Hospital	$105.02	Medicare Managed Care Plan	$162.78	4
Memorial Hermann Southwest Hospital	$105.02	Medicare Managed Care Plan	$162.78	4
Memorial Hermann Sugar Land Hospital	$105.02	Medicare Managed Care Plan	$162.78	4
Memorial Hermann The Woodlands Medical Center	$105.02	Medicare Managed Care Plan	$162.78	4
Baylor St Luke's Medical Center	$106.51	Medicare\|TRANSPLANT	$3,624.6	10
Houston Methodist Hospital	$106.6	Medicare Managed Care - Hmo/Ppo	$324.02	6
St Luke's Patients Medical Center	$108.64	Medicare\|All Plans	$3,049.85	9
St Luke's Lakeside	$108.64	Medicare\|All Plans	$3,521.04	8
St Luke's Springwoods Village	$108.64	Medicare\|All Plans	$3,521.04	6
St Luke's Sugar Land	$108.64	Medicare\|All Plans	$3,521.04	8
St Luke's The Vintage	$108.64	Medicare\|All Plans	$3,521.04	8
St Luke's The Woodlands	$108.64	Medicare\|All Plans	$3,521.04	8
St Luke's Brazosport	$164.03	Commercial\|Exchange	$1,602.42	6
Texas Children's Hospital	$904.32	Aetna HMO	$969.6	10

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 Ultrasound in Houston

Community Health Choice $91.47 - $969.6 32 hospitals Blue Cross Blue Shield of Texas $101.09 - $954.45 21 hospitals UnitedHealthcare $96.28 - $409.05 21 hospitals Superior Health Plan $96.28 - $549.03 20 hospitals Humana $106.51 - $1,460.84 19 hospitals First Health/Coventry $1,173.75 - $4,877.24 19 hospitals

View all Ultrasound prices in Houston (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna Ultrasound in Houston?

The lowest Aetna negotiated rate for Ultrasound in Houston is $103.98 at HCA Houston Healthcare Clear Lake, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $969.6 at Texas Children's Hospital, a 9x 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 Houston hospitals have published Aetna rates?

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

Are prenatal ultrasounds covered differently by Aetna?

Aetna plans often apply different cost-sharing rules for prenatal ultrasounds compared to diagnostic ultrasounds. Some may be covered under maternity benefits with different deductible and copay structures. Check your Aetna plan documents for specifics on ultrasound coverage.

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