Aqua therapy w/exercise/ea 15 min 97113 at MEDICAL CITY DALLAS HOSPITAL
7777 Forest Lane, Dallas, TX · Medicalcityhealthcare · · NPI 1689628984
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.
$17.38 with Superior Health Plan vs $275.06 with Humana — 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 |
|---|---|---|---|
| Superior Health Plan | MCDSTAR | $17.38 | — |
| Superior Health Plan | STARPLUS | $17.38 | — |
| Superior Health Plan | STARKids | $17.38 | — |
| Superior Health Plan | STARHealth | $17.38 | — |
| Superior Health Plan | CHIP | $17.38 | — |
| Optum Health | MCD | $27.31 | — |
| BCBS | MCRPPO | $32.41 | — |
| BCBS | MGMCRHMO | $32.41 | — |
| WellMed | MGMCR | $32.48 | — |
| Humana | MGMCR | $32.64 | — |
| Devoted Health | PPO | $32.64 | — |
| Devoted Health | SNP | $32.64 | — |
| Devoted Health | HMO | $32.64 | — |
| Devoted Health | POS | $32.64 | — |
| Devoted Health | MCR | $32.64 | — |
| Devoted Health | MME | $32.64 | — |
| Triwest Veterans | FEDERAL | $32.64 | — |
| Mutual of Omaha | MGMCR | $32.64 | — |
| Amerigroup | DualEligible | $32.64 | — |
| United | MGMCR | $32.80 | — |
| Aetna | MCR | $32.92 | — |
| Care N Care | MGMCR | $32.97 | — |
| Cigna Healthspring | MGMCR | $33.29 | — |
| Cigna | IFP | $33.52 | — |
| Integranet | MGMCR | $33.62 | — |
| WellCare | MGMCR | $33.62 | — |
| Superior Health Plan | MGMCRPFFS | $34.27 | — |
| Superior Health Plan | MGMCRPOS | $34.27 | — |
| Superior Health Plan | MGMCRSNP | $34.27 | — |
| American Health Plan of Texas, Inc. | MGMCR | $34.27 | — |
| ProCare Advantge | MCR | $34.27 | — |
| Superior Health Plan | MGMCRHMO | $34.27 | — |
| Superior Health Plan | MGMCRPPO | $34.27 | — |
| Superior Health Plan | MGMCRDualEligible | $34.27 | — |
| Texas Independent Health Plan | MGMCR | $34.60 | — |
| Provider Partners Health Plan | MCR | $34.60 | — |
| Cigna | QHP | $34.76 | — |
| Molina | MMP | $35.58 | — |
| Molina | MCR | $35.58 | — |
| Molina | MME | $35.58 | — |
| Humana | Tricare | $35.73 | — |
| Imperial Insurance Company | MCR | $35.90 | — |
| TriWest Health Alliance | TRCR | $36.83 | — |
| Universal Healthcare Group | MCR | $39.17 | — |
| Verda Health Plan | MGMCR | $42.43 | — |
| Bravo Health | MCRPPO | $48.96 | — |
| Bravo Health | MCRPFFS | $48.96 | — |
| Bravo Health | MCRSNP | $48.96 | — |
| Bravo Health | MCRHMO | $48.96 | — |
| Bravo Health | MCRPOS | $48.96 | — |
| Religious Order of Jehovah Witness | LOGOV | $49.66 | — |
| Oscar | HIX | $51.65 | — |
| United | OptionsPPO | $53.38 | — |
| Superior | ValueHMO | $58.42 | — |
| Unicare | CHIP | $59.59 | — |
| USA Managed Care | WORKERSCOMP | $62.01 | — |
| Corvel Corporation | WORKERSCOMP | $64.63 | — |
| Superior | EPO | $73.11 | — |
| Superior | HMO | $73.11 | — |
| Healthcare Highways | CityofPlano | $83.93 | — |
| Molina Healthcare | HIX | $85.51 | — |
| Healthcare Highways NTX | CityofPlanoEmployeeBenefitPlan | $86.91 | — |
| BCBS | BluePremier | $93.55 | — |
| Prominence Health Plan | HIX | $99.32 | — |
| Aetna | QHPHIX | $106.00 | — |
| BCBS | BlueAdvantageHMO | $109.01 | — |
| BCBS | MyBlueHealth | $109.01 | — |
| BCBS | Traditional | $110.25 | — |
| City of McKinney | COMM | $111.73 | — |
| Fidelis SecureCare | MGMCR | $111.73 | — |
| Emerging Therapy Solutions | MCR | $121.67 | — |
| National ChoiceCare | WCOMP | $124.15 | — |
| Aetna | ASA | $130.85 | — |
| Aetna | WCOMP | $136.56 | — |
| Rockport Health Group | WORKERSCOMP | $136.56 | — |
| Cigna Lifesource | COMM | $136.56 | — |
| Physicians Coop of TX | MGMCR | $136.56 | — |
| PC Texas Partners | WCOMP | $136.56 | — |
| TEXAS INSTRUMENTS | EmployeesHealthBenefitPlan | $139.05 | — |
| Aetna | NewBusiness | $143.00 | — |
| Averde Health, Inc | PPO | $144.01 | — |
| Aetna Coventry First Health | NONEXCLUSIVE | $146.25 | — |
| Aetna Coventry First Health | EXCLUSIVE | $146.25 | — |
| Aetna | COMM | $155.00 | — |
| Aetna | Meritain | $155.00 | — |
| Emerging Therapy Solutions | COMM | $166.36 | — |
| Coastal Comp Health Networks | WCOMP | $173.81 | — |
| Mega Life | MGMCRPPO | $173.81 | — |
| Multiplan PHCS | PrimaryNetwork | $173.81 | — |
| HealthSmart Preferred Care | PPO | $176.29 | — |
| Aetna | OON | $179.00 | — |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $186.22 | — |
| BCBS | BlueEssentials | $193.05 | — |
| BCBS | BlueEssentialsAccess | $193.05 | — |
| USA Managed Care | COMM | $198.64 | — |
| USC Health Services | COMM | $198.64 | — |
| BCBS | EPOSOA | $202.56 | — |
| Galaxy Health Network | PPO | $211.06 | — |
| BCBS | PPO | $212.07 | — |
| Optum Health (URN) | COMM | $220.99 | — |
| Independent Medical Systems | COMM | $248.30 | — |
| National Healthcare Solutions | COMM | $248.30 | — |
| Unicare | MCD | $248.30 | — |
| Humana | COMM | $275.06 | — |
Visitor-reported prices
Comments
Aqua therapy w/exercise/ea 15 min 97113 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $90.52 | $25.65 – $134.00 |
| Texas Health Presbyterian Hospital Dallas | Dallas | $113.70 | $53.83 – $53.83 |
| MEDICAL CITY GREEN OAKS HOSPITAL | DALLAS | not published | $32.64 – $85.51 |
| Adventhealth Rollins Brook | Lampasas | $340.77 | $152.61 – $152.61 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $108.55 | $22.34 – $162.82 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $109.85 | $21.97 – $149.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $90.52 | $24.14 – $134.00 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $108.55 | $34.84 – $162.82 |