Aqua therapy w/exercise/ea 15 min 97113 at Texas Health Presbyterian Hospital Plano
6200 W Parker Rd, Plano, TX · Texashealth · · NPI 1770514077
$113.70
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.
$189.50
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.
$23.19 with Amerigroup vs $401.00 with United Healthcare Options — 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 |
|---|---|---|---|
| Amerigroup | Managed Medicaid | $23.19 | ↓ -80% |
| Parkland | Managed Medicaid | $23.19 | ↓ -80% |
| United Healthcare | Managed Medicaid | $23.19 | ↓ -80% |
| Blue Cross Blue Shield | Managed Medicaid | $23.19 | ↓ -80% |
| Superior Wellcare | Managed Medicaid | $24.35 | ↓ -79% |
| Molina | Managed Medicaid | $25.05 | ↓ -78% |
| Blue Cross Blue Shield | Medicare Advantage | $35.99 | ↓ -68% |
| American Health | Medicare Advantage | $35.99 | ↓ -68% |
| HealthSpring | Medicare Advantage | $36.71 | ↓ -68% |
| Humana | Medicare Advantage | $37.43 | ↓ -67% |
| Molina | Medicare Advantage | $37.79 | ↓ -67% |
| Amerigroup | Medicare Advantage | $37.79 | ↓ -67% |
| Superior Wellcare | Medicare Advantage HMO | $37.79 | ↓ -67% |
| Superior Wellcare | Medicare Advantage MMP | $39.59 | ↓ -65% |
| United Healthcare | Medicare Advantage PPO | $39.94 | ↓ -65% |
| United Healthcare | Medicare Advantage HMO | $40.66 | ↓ -64% |
| Blue Cross Blue Shield | Exchange | $53.83 | ↓ -53% |
| Aetna | Whole Health | $77.81 | ↓ -32% |
| City of Fort Worth | Commercial | $89.07 | ↓ -22% |
| Aetna | Commercial | $103.75 | ↓ -9% |
| Blue Cross Blue Shield | HMO | $110.56 | ↓ -3% |
| Quick Trip | Commercial | $113.70 | ↑ +0% |
| Fort Worth Firefighters | Commercial | $115.69 | ↑ +2% |
| Blue Cross Blue Shield | PPO | $122.84 | ↑ +8% |
| PHCS | PPO | $131.70 | ↑ +16% |
| Aetna | ASA | $132.84 | ↑ +17% |
| Aetna | Coventry | $132.84 | ↑ +17% |
| Healthsmart | Commercial | $142.13 | ↑ +25% |
| Multiplan | Commercial | $164.87 | ↑ +45% |
| USA | MCO | $166.76 | ↑ +47% |
| Galaxy | Commercial | $166.76 | ↑ +47% |
| Cigna | Indemnity | $178.32 | ↑ +57% |
| United Healthcare | All Payer | $308.00 | ↑ +171% |
| Blue Cross Blue Shield | Traditional | $325.52 | ↑ +186% |
| Cigna | OAP/HMO | $328.00 | ↑ +188% |
| Cigna | PPO | $396.00 | ↑ +248% |
| United Healthcare Options | PPO | $401.00 | ↑ +253% |
Visitor-reported prices
Comments
Aqua therapy w/exercise/ea 15 min 97113 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER - PLANO | Plano | $90.52 | $18.10 – $134.00 |
| Texas Health Center for Diagnostics and Surgery Plano | Plano | $113.70 | $58.15 – $58.15 |
| 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 |