Aetna Ultrasound Rates in Orlando

Published Aetna negotiated rates for Ultrasound at 10 hospitals in Orlando, FL. Data from CMS-mandated hospital transparency files.

Limited coverage: Orlando Health's Orlando-area hospitals, including Orlando Regional Medical Center, are not included: Orlando Health's website blocked downloads of its price files when we collected this data. Prices for the Orlando area come only from the AdventHealth, HCA Florida, UF Health and Nemours hospitals listed here, so they may not reflect the whole Orlando market.

Lowest Rate

$66.32

Nemours Children's Hospital, Florida

all plan types

Highest Rate

$1,846.05

HCA Florida Lake Monroe Hospital

all plan types

Rate Spread

28x

across all plan types

Hospitals

10

with Aetna data

Aetna's negotiated rates for ultrasounds in Orlando span a 28x range, from $66.32 at Nemours Children's Hospital, Florida to $1,846.05 at HCA Florida Lake Monroe Hospital. The median across 10 hospitals is $689.59. The lowest rates in this data may 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
Nemours Children's Hospital, Florida $66.32
AdventHealth Orlando $116.82
AdventHealth Waterman $116.82
UF Health Leesburg Hospital $116.82
UF Health The Villages Hospital $116.82
HCA Florida Poinciana Hospital $1,287.60
UCF Lake Nona Hospital $1,367.31
HCA Florida Oviedo Medical Center $1,391.38
HCA Florida Osceola Hospital $1,513.80
HCA Florida Lake Monroe Hospital $1,530.53

Median of all 50 published Aetna rates for Ultrasound at these hospitals: $689.59

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 Orlando

Orlando ultrasound rates under Aetna, low to high. The lowest published lowest rate is $66.32 at Nemours Children's Hospital, Florida, followed by $116.82 at AdventHealth Orlando and at AdventHealth Waterman. At the other end, HCA Florida Lake Monroe Hospital posts $1,846.05 as its highest, and HCA Florida Osceola Hospital lists $1,513.80 as its lowest.

Aetna spread, median and plan labels in Orlando. Across 10 hospitals, the rates span 28x, and the median of all 50 published Aetna rates is $689.59. Beside the lowest rates, the plan types at AdventHealth Orlando, AdventHealth Waterman and both UF Health hospitals read as Medicare Advantage or Medicare managed care plans. The low end likely reflects those plans rather than commercial plans. Nemours Children's Hospital, Florida is labeled ALL, so the plan behind that figure is not clear.

Before your Orlando ultrasound, make these calls. 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.
  • 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 Ultrasound in Orlando

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

Frequently Asked Questions

Where is the lowest-cost Aetna Ultrasound in Orlando?

The lowest Aetna negotiated rate for Ultrasound in Orlando is $66.32 at Nemours Children's Hospital, Florida, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $1,846.05 at HCA Florida Lake Monroe Hospital, a 28x 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 Orlando hospitals have published Aetna rates?

10 hospitals in the Orlando 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