Aetna Ultrasound Rates in Tampa-St. Petersburg

Published Aetna negotiated rates for Ultrasound at 28 hospitals in Tampa-St. Petersburg, FL. Data from CMS-mandated hospital transparency files.

Lowest Rate

$35.65

South Florida Baptist Hospital

all plan types

Highest Rate

$3,765.52

HCA Florida West Tampa Hospital

all plan types

Rate Spread

106x

across all plan types

Hospitals

28

with Aetna data

Aetna's negotiated rates for ultrasounds across 28 Tampa-St. Petersburg hospitals span a 106x range, from $35.65 at South Florida Baptist Hospital to $3,765.52 at HCA Florida West Tampa Hospital. The median rate is $299.95. Lower rates in the table often reflect Medicaid or Medicare plan types rather than commercial contracts.

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
South Florida Baptist Hospital $35.65
St. Joseph's Hospital $35.65
BayCare Hospital Wesley Chapel $91.52
Mease Countryside Hospital $91.52
Mease Dunedin Hospital $91.52
Morton Plant Hospital $91.52
Morton Plant North Bay Hospital $91.52
Tampa General Hospital Brooksville $109.17
Tampa General Hospital $110.27
AdventHealth Carrollwood $113.54
AdventHealth Dade City $113.54
AdventHealth North Pinellas $113.54
AdventHealth Tampa $113.54
AdventHealth Wesley Chapel $113.54
AdventHealth Zephyrhills $113.54
AdventHealth Riverview $315.14
HCA Florida Bayonet Point Hospital $1,079.39
HCA Florida Pasadena Hospital $1,119.15
HCA Florida St. Petersburg Hospital $1,119.15
HCA Florida Northside Hospital $1,124.92
HCA Florida South Shore Hospital $1,448.01
HCA Florida Largo Hospital $1,625.63
HCA Florida Largo West Hospital $1,625.63
HCA Florida Trinity Hospital $1,929.94
HCA Florida Oak Hill Hospital $1,955.48
HCA Florida Brandon Hospital $2,554.52
HCA Florida South Tampa Hospital $2,783.40
HCA Florida West Tampa Hospital $2,783.40

Median of all 214 published Aetna rates for Ultrasound at these hospitals: $299.95

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 Tampa-St. Petersburg

Where Aetna ultrasound rates start and end in Tampa. The lowest published Aetna rate is $35.65, shown at South Florida Baptist Hospital and St. Joseph's Hospital. BayCare Hospital Wesley Chapel comes next at $91.52. At the other end, HCA Florida West Tampa Hospital posts $3,765.52, with HCA Florida Largo Hospital and HCA Florida Largo West Hospital at $3,876.55 as their highest listed figure.

Spread, median and the plan label. The spread across the 28 hospitals is 106x, and the median of all 214 published Aetna rates is $299.95. The plan types beside the lowest rates here are labeled Commercial Other, so the plan behind a rate is not always clearly stated. Several rates just above them carry Medicare Managed Care labels, and the high-end HCA Florida rows are labeled ASA, so a table figure may not match your own plan.

Calls an Aetna member can place before an ultrasound in Tampa. 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 Tampa-St. Petersburg

View all Ultrasound prices in Tampa-St. Petersburg (cash + insured) →

Frequently Asked Questions

Where is the lowest-cost Aetna Ultrasound in Tampa-St. Petersburg?

The lowest Aetna negotiated rate for Ultrasound in Tampa-St. Petersburg is $35.65 at South Florida Baptist Hospital, across all plan types including Medicaid-managed and Medicare Advantage. The highest is $3,765.52 at HCA Florida West Tampa Hospital, a 106x 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 Tampa-St. Petersburg hospitals have published Aetna rates?

28 hospitals in the Tampa-St. Petersburg 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