Aetna-Kelsey Care

What does Aetna-Kelsey Care actually pay hospitals? We analyzed 72 negotiated rates from 2 hospitals across 1 states.

$3,379
Avg Negotiated Rate
72
Total Rates
71
Procedures Covered
2
Hospitals in Network
1
States

Is Aetna-Kelsey Care Expensive or Cheap?

Avg Rate
$3,379
Range: $158 - $12,378
vs All Payers Average
-67%
All-payer avg: $10,146
vs Medicare
0.2x Medicare
Medicare avg: $15,331

Based on our analysis of 72 negotiated rates, Aetna-Kelsey Care is significantly cheaper than average compared to other insurance companies in our database. They pay roughly the same or less than Medicare for equivalent services.

Top Procedures with Negotiated Rates

Procedures where Aetna-Kelsey Care has the most rate data

Code Description Rates Avg Rate Min Max
460 NO ACTIVE CODE DESCRIPTION 2 $3,846 $3,846 $3,846
85025 HC LAB CBC W/AUTO DIFF 1 $158 $158 $158
97530 HC PT FUNCTIONAL ACTIV 15 MIN 1 $165 $165 $165
99281 HC CEC LEVEL 1 1 $266 $266 $266
73060 HC XR HUMERUS MIN 2 VIEWS 1 $608 $608 $608
99282 HC CEC LEVEL 2 1 $665 $665 $665
71045 HC XR CHEST 1 VIEW 1 $736 $736 $736
12001 HC REPAIR SIMSCLP 2.5CM/< 1 $807 $807 $807
12004 HC REPAIR SIM SCLP 7.6-12.5CM 1 $807 $807 $807
12031 HC REPAIR INT SCLP 2.5CM /< 1 $807 $807 $807
20610 HC ASPIR/INJ JOINT MAJOR 1 $807 $807 $807
20611 HC DRAIN/INJ JOINT/BURSA W/US MAJOR 1 $807 $807 $807
25600 HC CL TX COLLES FX W/O MNP 1 $807 $807 $807
62322 NJX INTERLAMINAR LMBR/SAC 1 $807 $807 $807
62323 HC INJ LUMBAR W IMAGING 1 $807 $807 $807
64483 HC INJ(S) FORAMEN LUMB/SAC 1 $807 $807 $807
64484 HC INJ(S) FORAMEN LUMB/SAC ADL 1 $807 $807 $807
73590 HC XR LEG TIBIA & FIBULA 2 VWS 1 $817 $817 $817
73562 HC XR KNEE 3 VIEWS 1 $850 $850 $850
73030 HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS 1 $942 $942 $942
71046 HC XR CHEST 2 VIEWS 1 $965 $965 $965
43239 EGD BIOPSY SINGLE/MULTIPLE 1 $1,076 $1,076 $1,076
72100 HC XR SPINE LUMBAR 2- 3 VIEWS 1 $1,203 $1,203 $1,203
25605 HC CL TX COLLES FX W/MNP 1 $1,233 $1,233 $1,233
27427 RECONSTRUCTION KNEE 1 $1,233 $1,233 $1,233

Hospitals with Aetna-Kelsey Care Rates

Hospitals where we have negotiated rate data for Aetna-Kelsey Care

Hospital State Rates Procedures Avg Rate Range
St. Luke's Sugar Land Hospital TX 71 71 $3,373 $158 - $12,378
CHI St. Luke's Health Springwood Village TX 1 1 $3,846 $3,846

About This Data

These rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your specific plan, deductible, copay, coinsurance, and network status. Data sources include CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.

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