Aqua therapy w/exercise/ea 15 min 97113 at MEDICAL CITY LEWISVILLE HOSPITAL
1596 W Main St, LEWISVILLE, TX · Medicalcityhealthcare · · NPI 1255384533
$282.84
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.
?
What you pay up front if you don't use insurance.
$282.84
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.
?
The hospital's undiscounted list price — almost no one pays this.
$19.80 with Superior Health Plan vs $282.84 with Independent Medical Systems — same scan, same building. Share
Negotiated rates by payer
?
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 →
?
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 | STARPLUS | $19.80 | ↓ -93% |
| Superior Health Plan | MCDSTAR | $19.80 | ↓ -93% |
| Superior Health Plan | STARKids | $19.80 | ↓ -93% |
| Superior Health Plan | STARHealth | $19.80 | ↓ -93% |
| Superior Health Plan | CHIP | $19.80 | ↓ -93% |
| BCBS | MGMCRHMO | $31.14 | ↓ -89% |
| BCBS | MCRPPO | $31.14 | ↓ -89% |
| WellMed | MGMCR | $31.51 | ↓ -89% |
| Devoted Health | HMO | $31.67 | ↓ -89% |
| Devoted Health | MCR | $31.67 | ↓ -89% |
| Devoted Health | MME | $31.67 | ↓ -89% |
| Devoted Health | PPO | $31.67 | ↓ -89% |
| Humana | MGMCR | $31.67 | ↓ -89% |
| TriWest Health Alliance | FEDERAL | $31.67 | ↓ -89% |
| Mutual of Omaha | MGMCR | $31.67 | ↓ -89% |
| Amerigroup | DualEligible | $31.67 | ↓ -89% |
| Devoted Health | SNP | $31.67 | ↓ -89% |
| Devoted Health | POS | $31.67 | ↓ -89% |
| United | MGMCR | $31.83 | ↓ -89% |
| Aetna | MCR | $31.94 | ↓ -89% |
| Care N Care | MGMCR | $31.99 | ↓ -89% |
| Cigna Healthspring | MGMCR | $32.30 | ↓ -89% |
| WellCare | MGMCR | $32.62 | ↓ -88% |
| Integranet | MGMCR | $32.62 | ↓ -88% |
| Superior Health Plan | MGMCRPOS | $33.25 | ↓ -88% |
| ProCare Advantge | MCR | $33.25 | ↓ -88% |
| Superior Health Plan | MGMCRHMO | $33.25 | ↓ -88% |
| Superior Health Plan | MGMCRPPO | $33.25 | ↓ -88% |
| Superior Health Plan | MGMCRDualEligible | $33.25 | ↓ -88% |
| Superior Health Plan | MGMCRPFFS | $33.25 | ↓ -88% |
| Superior Health Plan | MGMCRSNP | $33.25 | ↓ -88% |
| American Health Plan of Texas, Inc. | MGMCR | $33.25 | ↓ -88% |
| Provider Partners Health Plan | MCR | $33.57 | ↓ -88% |
| Texas Independent Health Plan | MGMCR | $33.57 | ↓ -88% |
| Humana | Tricare | $34.33 | ↓ -88% |
| Molina | MMP | $34.52 | ↓ -88% |
| Molina | MME | $34.52 | ↓ -88% |
| Molina | MCR | $34.52 | ↓ -88% |
| Imperial Insurance Company | MCR | $34.84 | ↓ -88% |
| Universal Healthcare Group | MCR | $38.01 | ↓ -87% |
| Cigna | IFP | $38.18 | ↓ -87% |
| Cigna | QHP | $39.60 | ↓ -86% |
| Verda Health Plan | MGMCR | $41.17 | ↓ -85% |
| Bravo Health | MCRPFFS | $47.51 | ↓ -83% |
| Bravo Health | MCRPPO | $47.51 | ↓ -83% |
| Bravo Health | MCRSNP | $47.51 | ↓ -83% |
| Bravo Health | MCRHMO | $47.51 | ↓ -83% |
| Bravo Health | MCRPOS | $47.51 | ↓ -83% |
| United | OptionsPPO | $56.29 | ↓ -80% |
| Superior | ValueHMO | $56.69 | ↓ -80% |
| Oscar | HIX | $58.83 | ↓ -79% |
| USA Managed Care | WORKERSCOMP | $60.17 | ↓ -79% |
| Corvel Corporation | WORKERSCOMP | $62.71 | ↓ -78% |
| Unicare | CHIP | $67.88 | ↓ -76% |
| Superior | HMO | $70.94 | ↓ -75% |
| Superior | EPO | $70.94 | ↓ -75% |
| Molina Healthcare | HIX | $82.98 | ↓ -71% |
| BCBS | BluePremier | $93.55 | ↓ -67% |
| Healthcare Highways | CityofPlano | $95.60 | ↓ -66% |
| Aetna | QHPHIX | $106.00 | ↓ -63% |
| BCBS | MyBlueHealth | $109.01 | ↓ -61% |
| BCBS | BlueAdvantageHMO | $109.01 | ↓ -61% |
| BCBS | Traditional | $125.58 | ↓ -56% |
| Fidelis SecureCare | MGMCR | $127.28 | ↓ -55% |
| City of McKinney | COMM | $127.28 | ↓ -55% |
| National ChoiceCare | WCOMP | $141.42 | ↓ -50% |
| Aetna | NewBusiness | $143.00 | ↓ -49% |
| Aetna | ASA | $149.06 | ↓ -47% |
| Aetna | Meritain | $155.00 | ↓ -45% |
| Aetna | COMM | $155.00 | ↓ -45% |
| Aetna | WCOMP | $155.56 | ↓ -45% |
| Rockport Health Group | WORKERSCOMP | $155.56 | ↓ -45% |
| Physicians Coop of TX | MGMCR | $155.56 | ↓ -45% |
| PC Texas Partners | WCOMP | $155.56 | ↓ -45% |
| Averde Health, Inc | PPO | $164.05 | ↓ -42% |
| USC Health Services | COMM | $169.70 | ↓ -40% |
| Aetna | OON | $179.00 | ↓ -37% |
| BCBS | BlueEssentialsAccess | $193.05 | ↓ -32% |
| BCBS | BlueEssentials | $193.05 | ↓ -32% |
| Multiplan PHCS | PrimaryNetwork | $197.99 | ↓ -30% |
| Coastal Comp Health Networks | WCOMP | $197.99 | ↓ -30% |
| Jostens | WCOMP | $197.99 | ↓ -30% |
| Mega Life | MGMCRPPO | $197.99 | ↓ -30% |
| BCBS | EPOSOA | $202.56 | ↓ -28% |
| Aetna Coventry First Health | COMM | $205.62 | ↓ -27% |
| BCBS | PPO | $212.07 | ↓ -25% |
| HealthSmart Preferred Care | PPO | $212.13 | ↓ -25% |
| LEWISVILLE ISD/DLS CONSULTING | COMMPPO | $212.13 | ↓ -25% |
| USA Managed Care | COMM | $226.27 | ↓ -20% |
| Galaxy Health Network | PPO | $240.41 | ↓ -15% |
| Humana | COMM | $275.06 | ↓ -3% |
| National Healthcare Solutions | COMM | $282.84 | ↑ +0% |
| Unicare | MCD | $282.84 | ↑ +0% |
| Independent Medical Systems | COMM | $282.84 | ↑ +0% |
Visitor-reported prices
Comments
Aqua therapy w/exercise/ea 15 min 97113 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | $340.77 | $152.61 – $152.61 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $90.52 | $25.65 – $134.00 |
| 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 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $108.55 | $56.08 – $253.00 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $109.85 | $36.62 – $164.77 |