Aqua therapy w/exercise/ea 15 min 97113 at Newark Wayne Community Hospital
1200 Driving Park Avenue, Newark, NY · Rochesterregional · · NPI 1770671182
$117.88
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.
$181.35
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.
$32.15 with MVP - CIGNA vs $74.89 with EXCELLUS — 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 |
|---|---|---|---|
| MVP - CIGNA | MEDICAID | $32.15 | ↓ -73% |
| MVP - CIGNA | MEDICAID ESSENTIAL 1&2 | $32.15 | ↓ -73% |
| UNITED HEALTHCARE | COMMERCIAL | $35.94 | ↓ -70% |
| CHAMPUS-TRICARE | COMMERCIAL | $35.94 | ↓ -70% |
| MVP - CIGNA | COMMERCIAL EXCHANGE | $39.34 | ↓ -67% |
| MVP - CIGNA | MEDICARE ADVANTAGE DUAL | $39.39 | ↓ -67% |
| MVP - CIGNA | COMMERCIAL | $54.29 | ↓ -54% |
| EXCELLUS | COMMERCIAL | $74.89 | ↓ -36% |
Visitor-reported prices
Comments
Aqua therapy w/exercise/ea 15 min 97113 at other New-york hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Bellevue Hospital Center | NY 10016 | $41.65 | $25.96 – $83.30 |
| Harlem Hospital Center | New York | $42.00 | $33.60 – $84.60 |
| Kings County Hospital Center | Brooklyn | $42.30 | $25.96 – $84.60 |
| Lincoln Medical Center | Bronx | $42.00 | $33.60 – $84.60 |
| Metropolitan Hospital Center | New York | $41.21 | $32.97 – $83.30 |
| Queens Hospital Center | Jamaica | $42.02 | $25.96 – $84.04 |
| Woodhull Medical Center | Brooklyn | $42.30 | $25.96 – $84.60 |
| South Brooklyn Health | Brooklyn | $42.00 | $33.60 – $84.60 |