Aetna Ultrasound Rates in Miami-Fort Lauderdale-West Palm Beach

Published Aetna negotiated rates for Ultrasound at 29 hospitals in Miami-Fort Lauderdale-West Palm Beach, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$23.01

Lakeside Medical Center

all plan types

Highest Rate

$1,693.88

HCA Florida Woodmont Hospital

all plan types

Rate Spread

74x

across all plan types

Hospitals

29

with Aetna data

Aetna's negotiated ultrasound rates across 29 Miami-Fort Lauderdale-West Palm Beach hospitals span a 74x range, from $23.01 at Lakeside Medical Center to $1,693.88 at HCA Florida Woodmont Hospital. The median rate is $393.16. The lowest figures often reflect Medicaid or Medicare plan types 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 Ultrasound Rates by Hospital

Hospital Lowest Aetna Rate
Lakeside Medical Center $23.01
Cleveland Clinic Weston Hospital $41.86
Jackson Memorial Hospital $105
Jackson North Medical Center $105
Jackson South Medical Center $105
Jackson West Medical Center $105
Mount Sinai Medical Center $105.28
Holy Cross Hospital $106.99
Boca Raton Regional Hospital $109.36
Doctors Hospital $109.62
Homestead Hospital $109.62
South Miami Hospital $109.62
West Kendall Baptist Hospital $109.62
Bethesda Hospital East $109.94
Baptist Hospital of Miami $113.08
Memorial Hospital Miramar $121.18
Memorial Hospital Pembroke $121.18
Memorial Hospital West $121.18
Memorial Regional Hospital $121.18
HCA Florida Mercy Hospital $632.10
HCA Florida Westside Hospital $828
HCA Florida Aventura Hospital $944.10
HCA Florida Kendall Hospital $985.50
HCA Florida University Hospital $1,194.60
HCA Florida Palms West Hospital $1,441.80
HCA Florida Northwest Hospital $1,497.90
HCA Florida JFK Hospital $1,608
HCA Florida JFK North Hospital $1,608
HCA Florida Woodmont Hospital $1,608.97

Median of all 919 published Aetna rates for Ultrasound at these hospitals: $393.16

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 Ultrasound Rates in Miami-Fort Lauderdale-West Palm Beach

Where Miami Aetna ultrasound rates start and top out. The lowest published figures in the table are $23.01 at Lakeside Medical Center and $41.86 at Cleveland Clinic Weston Hospital, with Jackson Memorial Hospital at $105. At the other end, HCA Florida Woodmont Hospital shows $1,693.88 as its highest rate, and HCA Florida JFK Hospital and HCA Florida JFK North Hospital each start at $1,608.

Aetna ultrasound spread and the plan label behind it. The page shows a 74x spread across 29 hospitals, and the median of all 919 published Aetna rates is $393.16. Many of the lowest rates are labeled with Medicaid, CHIP or Medicare Advantage style plans, such as AETNA BETTER HLTH MCAID and AETNA MEDICARE ADVANTAGE, so the low end likely reflects those plans rather than commercial plans.

Calls for Aetna members in Miami before an ultrasound. A member can ask:

  • Aetna for the negotiated rate and estimated cost share under their own plan at a named hospital
  • Aetna whether that hospital is in network for their plan
  • the hospital for an estimate

These are facility rates, and professional fees are billed separately.

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 Ultrasound in Miami-Fort Lauderdale-West Palm Beach

View all Ultrasound prices in Miami-Fort Lauderdale-West Palm Beach (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna Ultrasound in Miami-Fort Lauderdale-West Palm Beach?

The lowest Aetna negotiated rate for Ultrasound in Miami-Fort Lauderdale-West Palm Beach is $23.01 at Lakeside Medical Center, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,693.88 at HCA Florida Woodmont Hospital, a 74x 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 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