Supplies, drugs & other prices at Ascension Providence
Waco, TX · every code in this section with a posted price and a Medicare benchmark.
31 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm tocilizu covid-19 1st (M0249) | $363.51 | $1,009.75 | 0.8× |
| Adm tocilizu covid-19 2nd (M0250) | $363.51 | $1,009.75 | 0.8× |
| Admin hepatitis b vaccine (G0010) | $33.03 | $91.75 | 0.7× |
| Admin influenza virus vac (G0008) | $33.03 | $91.75 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $33.03 | $91.75 | 0.7× |
| Diab manage trn per indiv (G0108) | $47.79 | $132.75 | 0.9× |
| Diab manage trn ind/group (G0109) | $25.65 | $71.25 | 1.6× |
| Elec stim other than wound (G0283) | $32.31 | $89.75 | 2.5× |
| Esophag muc integ w/eso egd (C9777) | $3,025.71 | $8,404.75 | 0.8× |
| Fern test (Q0114) | $11.34 | $31.50 | 1.2× |
| Hbot, full body chamber, 30m (G0277) | $167.67 | $465.75 | 1.2× |
| Mra w/o cont, chest (C8910) | $940.36 | $2,612.12 | 3.9× |
| Mra w/o fol w/cont, chest (C8911) | $940.36 | $2,612.12 | 2.7× |
| Mra, w/o&w/dye, upper extr (C8936) | $940.36 | $2,612.12 | 2.7× |
| Oth resp proc, indiv (G0238) | $13.86 | $38.50 | 0.5× |
| Pathogen test for platelets (P9100) | $44.28 | $123 | 0.7× |
| Perq Sacral Augmt Bilat Inj (0201T) unusually low: confirm this is the full procedure |
$3,423.56 | $9,509.88 | 0.5× |
| Perq Sacral Augmt Unilat Inj (0200T) likely a partial charge, not the full procedure |
$1,769.67 | $4,915.75 | 0.2× |
| Pne flu hepb cov home admin (M0201) | $28.80 | $80 | 0.8× |
| Psa screening (G0103) | $56.30 | $156.38 | 2.9× |
| Qmrcp w/dx MRI same anatomy (0724T) | $805.32 | $2,237 | 0.9× |
| Qmrcp w/o dx MRI sm anat ses (0723T) | $805.32 | $2,237 | 0.9× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $1,228.14 | $3,411.50 | 1.3× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $1,228.14 | $3,411.50 | 1.3× |
| Revasc lith-sten-ath tib/per (C9775) | $18,793.58 | $52,204.38 | 1.0× |
| Revasc lithotr-ather tib/per (C9774) | $18,793.58 | $52,204.38 | 1.0× |
| Revasc lithotr-stent tib/per (C9773) | $18,793.58 | $52,204.38 | 1.0× |
| Revasc lithotrip tibi/perone (C9772) | $11,754.40 | $32,651.12 | 1.0× |
| Therapeutic procd strg endur (G0237) | $13.86 | $38.50 | 0.5× |
| Tomosynthesis, mammo (G0279) | $37.04 | $102.88 | 2.9× |
| Trauma respons w/hosp criti (G0390) | $4,111.92 | $11,422 | 3.1× |