Itemized  ·  Procedures  ·  Office visit, established patient, level 4  ·  with Aetna

Office visit, established patient, level 4 with Aetna.

Negotiated rates Aetna pays for office visit, established patient, level 4 at 59 US hospitals. Range: $1 to $1,307. Your specific cost depends on your plan tier, deductible status, and coinsurance — see the comparison tool to model your exact out-of-pocket.

Top hospitals by Aetna rate.

#HospitalAetna rate
1
San Diego, CA
$1 – $25,925
2
La Mesa, CA
$1 – $27,777
3
San Diego, CA
$24 – $128
4
Miami, FL
$24 – $614
5
Austin, TX
$35 – $1,315
6
Chicago, IL
$46 – $569
7
Nashville, TN
$50 – $318
8
Dallas, TX
$59 – $446
9
Pittsburgh, PA
$65
10
Jefferson Hills, PA
$65
11
Montebello, CA
$74 – $115
12
Glendale, CA
$74 – $477
13
New York, NY
$75
14
Brooklyn, NY
$75
15
Cleveland, OH
$80 – $826
16
Philadelphia, PA
$81 – $238
17
Dallas, TX
$85 – $1,020
18
Seattle, WA
$89
19
Chicago, IL
$93 – $137
20
Austin, TX
$94 – $627
21
Phoenix, AZ
$97 – $1,313
22
Brooklyn, NY
$105 – $115
23
New York, NY
$105 – $475
24
Phoenix, AZ
$107 – $215
25
Maywood, IL
$108 – $131
26
Pittsburgh, PA
$117 – $172
27
Philadelphia, PA
$118 – $518
28
Seattle, WA
$118 – $203
29
Dallas, TX
$137 – $482
30
New York, NY
$167 – $235
31
Houston, TX
$169 – $1,118
32
Pittsburgh, PA
$179 – $232
33
Queens, NY
$184
34
Chicago, IL
$192
35
Park Ridge, IL
$192
36
Chicago, IL
$192
37
Miami, FL
$193 – $1,030
38
Miami, FL
$199 – $1,061
39
North Miami Beach, FL
$199 – $1,030
40
Boston, MA
$236 – $408
41
Dallas, TX
$255 – $340
42
Philadelphia, PA
$257 – $489
43
Philadelphia, PA
$268 – $965
44
Santa Monica, CA
$269
45
San Gabriel, CA
$279 – $770
46
Boston, MA
$295 – $408
47
Chicago, IL
$313 – $490
48
West Bloomfield, MI
$324
49
Detroit, MI
$329
50
Dallas, TX
$330

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About these rates.

Hospitals are required by federal law (45 CFR 180.50) to publish the rates they negotiated with each insurer for each procedure. These numbers are the rates the hospital published for Aetna plans, pulled directly from each hospital's machine-readable file.

The range column reflects different Aetna plan tiers (HMO, PPO, EPO, etc.). Your plan picks one number out of that range. Your actual out-of-pocket depends on your deductible status, copay, and coinsurance, which the comparison tool can model when you fill them in.

Cash-pay rates are often cheaper than the negotiated rate, especially for high-deductible plans. Worth comparing both — the Office visit, established patient, level 4 overview shows the cash-pay column alongside.