Aqua therapy w/exercise/ea 15 min 97113 at CENTERPOINT MEDICAL CENTER
19600 E 39TH ST, Independence, MO · Hcamidwest · · NPI 1942247044
not published by hospital
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
not published by hospital
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$29.95 with United vs $557.12 with FOCUS Healthcare Mgmt, Inc — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| United | KSMGMCD | $29.95 | — |
| HealthyBlue | MGMCD | $30.55 | — |
| Sunflower State Health Plan | MCD | $30.85 | — |
| Amerigroup | MGMCD | $31.15 | — |
| Unicare | MGMCD | $31.15 | — |
| Coventry | MedicareAdvantage | $31.19 | — |
| BCBS | MCRPPO | $31.19 | — |
| BCBS | MCRHMO | $31.19 | — |
| Home State Health Plan | MCD | $31.45 | — |
| Humana | MGMCRHMO | $31.50 | — |
| United | VACCN | $31.50 | — |
| Devoted Health | MGMCR | $31.50 | — |
| Humana | PFFS | $31.50 | — |
| Humana | MGMCRPPO | $31.50 | — |
| Cigna | HealthspringMGMCR | $32.13 | — |
| United | MGMCR | $32.13 | — |
| Celtic | MCR | $32.13 | — |
| Wellcare | MCR | $32.13 | — |
| Pyramid Life | MCR | $33.71 | — |
| BCBS | TRICARE | $35.47 | — |
| Multiplan | WCOMPMissouri | $42.13 | — |
| Aetna | IVLHIX | $49.95 | — |
| CorVel Corporation | KSWC | $50.03 | — |
| United | MOMGMCD | $50.91 | — |
| Multiplan | WCOMPKansas | $51.34 | — |
| Aetna | KCCarePlus | $51.79 | — |
| OHA Network | KansasWCOMP | $52.13 | — |
| Humana | EPO | $61.38 | — |
| Humana | ASO | $61.38 | — |
| Humana | HMO | $61.38 | — |
| Aetna | Local | $69.79 | — |
| Humana | POS | $76.24 | — |
| Humana | PPO | $76.24 | — |
| Anthem MissouriCare | MissouriCareMGMCD | $80.47 | — |
| BCBS | Preferred-CareBlue(PPO) | $82.88 | — |
| BCBS | Blue-Care(HMO) | $82.88 | — |
| BCBS | BlueAccess | $82.88 | — |
| Aetna | National | $85.21 | — |
| Ambetter | Commercial-Exchange | $115.14 | — |
| NHC Advantage | MGMCR | $117.61 | — |
| Oscar | HIX | $117.61 | — |
| NHC Advantage | MGMCD | $117.61 | — |
| WPPA ProviDrs Care Network | UnifiedHealthPlan | $123.80 | — |
| Aetna Coventry | FamilyHealthPlanMCD | $136.18 | — |
| BCBS | FreedomNetworkSelect | $136.18 | — |
| United | OptionsPPO | $155.37 | — |
| BCBS | FreedomNetwork | $179.52 | — |
| BCBS | PC | $179.52 | — |
| Universal Healthcare | MCR | $216.66 | — |
| Coventry | WCOMP | $248.85 | — |
| Aetna | FHMedicalRental | $248.85 | — |
| Coventry KC MO | WCOMP | $253.80 | — |
| College Park Family Care Center | COMM | $266.18 | — |
| United | GlobalBenefitPlan | $278.56 | — |
| BCBS | Traditional | $284.75 | — |
| BCBS | Participating | $284.75 | — |
| OHA Network | MissouriWCOMP | $309.51 | — |
| Aetna | NATIONALNAP | $315.70 | — |
| Multiplan | PrimaryNetwork | $328.08 | — |
| CorVel Corporation | MOWC | $402.36 | — |
| Multiplan | ComplimentaryNetwork | $458.07 | — |
| Evernorth (Cigna) Behavioral Health | COMMBH | $495.22 | — |
| CCO, Inc. | WORKERSCOMPPPO | $526.17 | — |
| CCO, Inc. | COMM | $526.17 | — |
| FOCUS Healthcare Mgmt, Inc | WORKERSCOMP | $557.12 | — |
Visitor-reported prices
Comments
Aqua therapy w/exercise/ea 15 min 97113 at other Missouri hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| SSM Health St. Mary's Hospital - Jefferson City | Jefferson City | $80.18 | $34.02 – $61.58 |
| Mercy Hospital Carthage | Carthage | $100.75 | $29.95 – $49.28 |
| Mercy Hospital Stoddard | Dexter | $93.60 | $32.00 – $120.33 |
| Mercy Orthopedic Hospital Springfield | Ozark | $127.40 | $29.95 – $291.95 |
| LEE'S SUMMIT MEDICAL CENTER | Lee's Summit | $273.36 | $29.95 – $52.13 |
| SSM Health St. Joseph Hospital - Lake Saint Louis | Lake Saint Louis | not published | $34.21 – $41.05 |
| SSM Health DePaul Hospital - St. Louis | Bridgeton | not published | $34.21 – $41.05 |
| SSM Health Saint Louis University Hospital | Saint Louis | not published | $33.53 – $41.05 |