Price Checker / CPT 97113
CPT 97113 — Aquatic therapy/exercises
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$37
What Medicare pays in a hospital/ASC setting
$37
What Medicare pays in a physician's office
$1,144
Based on 20 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 97113
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Red Bay Hospital , AL | $13,226 | $13,226 | 35578% |
| Rehabilitation Hospital of Rhode Island , RI | $4,589 | $4,589 | 12279% |
| HealthSource Saginaw , MI | — | — | 3018% |
| HealthSource Saginaw , MI | — | — | 3018% |
| Penn State Health Rehabilitation Hospital , PA | $82 | — | 2503% |
| Baylor - Dallas Dallas, TX | — | — | 701% |
| Baylor - Fort Worth Fort Worth, TX | — | — | 701% |
| Baylor - Frisco Frisco, TX | — | — | 701% |
| Baylor - Lakeway Lakeway, TX | — | — | 701% |
| SSM Health Rehabilitation Hospital - Bridgeton Saint Louis, MO | — | — | 469% |
| SSM Health Rehabilitation Hospital - Lake St. Louis Lake St. Louis, MO | — | — | 469% |
| SSM Health Rehabilitation Hospital - Richmond Heights Richmond Heights, MO | — | — | 469% |
| Penn Medicine Good Shepherd Rehabilitation Specialty Hospital , PA | $165 | $150 | 345% |
| Select Medical Rehabilitation Hospital of Denton Denton, TX | — | — | 340% |
| Good Shepherd Rehabilitation Hospital , PA | $144 | $33 | 288% |
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About CPT 97113
CPT code 97113 refers to “Aquatic therapy/exercises”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $37 in a facility (hospital or ambulatory surgery center) and $37in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.