Biliary endo perq dx w/speci at Ascension Providence
6901 Medical Pkwy, Waco, TX · Ascension · · NPI 1093708679
$1,286.28
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.
$3,573.00
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.
$758.25 with FIRSTCARE FOCUS NETWORK vs $5,876.65 with BCBS PPO — 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 |
|---|---|---|---|
| FIRSTCARE FOCUS NETWORK | 130_FIRSTCARE FOCUS NETWORK 20131001 | $758.25 | ↓ -41% |
| MEDICAID REPLACEMENT 100% | 903_MEDICAID REPLACEMENT 100% OUTPATIENT 20241201 | $1,151.54 | ↓ -10% |
| BCBS STAR | 975_BCBS STAR OUTPATIENT 20241201 | $1,151.54 | ↓ -10% |
| SUPERIOR CHIP/CHIP PERINATE | 910_SUPERIOR CHIP OUTPATIENT 20241201 | $1,151.54 | ↓ -10% |
| SUPERIOR STAR | 904_SUPERIOR STAR OUTPATIENT 20241201 | $1,151.54 | ↓ -10% |
| SUPERIOR STAR PLUS | 907_SUPERIOR STAR PLUS OUTPATIENT 20241201 | $1,151.54 | ↓ -10% |
| UHC STAR | 928_UHC STAR OUTPATIENT 20250701 | $1,151.54 | ↓ -10% |
| UHC STAR KIDS | 909_UHC STAR KIDS OUTPATIENT 20241201 | $1,151.54 | ↓ -10% |
| UHC STAR PLUS | 906_UHC STAR PLUS OUTPATIENT 20241201 | $1,151.54 | ↓ -10% |
| WELLPOINT STAR | 902_WELLPOINT (AMERIGROUP) STAR OUTPATIENT 20241201 | $1,151.54 | ↓ -10% |
| SWHP RIGHTCARE STAR | 905_SWHP RIGHTCARE STAR OUTPATIENT 20241201 | $1,151.54 | ↓ -10% |
| MOLINA MEDICAID REPLACEMENT CHIP | 908_MOLINA CHIP OUTPATIENT 20241201 | $1,151.54 | ↓ -10% |
| BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $2,487.56 | ↑ +93% |
| FIRSTCARE PPO | 840_FIRSTCARE PPO 20241001 | $2,501.10 | ↑ +94% |
| BCBS ADVANTAGE HMO | 871_BLUE CROSS BLUE SHIELD ADVANTAGE HMO 20250101 | $3,109.34 | ↑ +142% |
| BCBS ESSENTIALS HMO | 870_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $5,285.88 | ↑ +311% |
| BCBS PPO | 869_BLUE CROSS BLUE SHIELD PPO 20250101 | $5,876.65 | ↑ +357% |
Visitor-reported prices
Comments
Biliary endo perq dx w/speci at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| HCA HOUSTON KINGWOOD | HUMBLE | $4,262.78 | $1,128.51 – $6,535.84 |
| St. Luke's Health - Patients Medical Center | Pasadena | $1,414.67 | $2,425.14 – $3,031.43 |
| Baylor St Luke's Medical Center | Houston | $6,238.05 | $1,285.00 – $17,823.00 |
| St. Luke's Health - Springwoods Village Hospital | Spring | $6,238.05 | $1,285.00 – $17,823.00 |
| St. Luke's Health - Sugar Land Hospital | Sugar Land | $6,238.05 | $1,285.00 – $17,823.00 |
| St. Luke's Health - Lakeside Hospital | The Woodlands | $6,238.05 | $4,812.21 – $17,823.00 |
| St. Luke's Health - The Vintage Hospital | Houston | $6,238.05 | $1,285.00 – $17,823.00 |
| Texas Health Hospital Mansfield | Mansfield | $17,730.45 | $3,283.46 – $13,006.64 |