M.pneumon dna quant at Ascension Providence
6901 Medical Pkwy, Waco, TX · Ascension · · NPI 1093708679
not published by hospital
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.
not published by hospital
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.
$35.99 with WELLPOINT STAR vs $1,334.55 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 |
|---|---|---|---|
| WELLPOINT STAR | 815_WELLPOINT (AMERIGROUP) STAR INPATIENT 20240901 | $35.99 | — |
| MEDICAID REPLACEMENT 100% | 816_MEDICAID REPLACEMENT 100% INPATIENT 20240901 | $35.99 | — |
| SWHP RIGHTCARE STAR | 818_SWHP RIGHTCARE STAR INPATIENT 20240901 | $35.99 | — |
| BCBS STAR | 974_BCBS STAR INPATIENT 20240901 | $35.99 | — |
| MOLINA MEDICAID REPLACEMENT CHIP | 891_MOLINA CHIP INPATIENT 20240901 | $35.99 | — |
| MCLENNAN COUNTY INDIGENT | 933_MCLENNAN COUNTY INDIGENT INPATIENT 20250601 | $35.99 | — |
| SUPERIOR CHIP/CHIP PERINATE | 898_SUPERIOR CHIP INPATIENT 20240901 | $35.99 | — |
| SUPERIOR STAR | 817_SUPERIOR STAR INPATIENT 20240901 | $35.99 | — |
| SUPERIOR STAR PLUS | 856_SUPERIOR STAR PLUS INPATIENT 20240901 | $35.99 | — |
| UHC STAR | 929_UHC STAR INPATIENT 20250701 | $35.99 | — |
| UHC STAR KIDS | 894_UHC STAR KIDS INPATIENT 20240901 | $35.99 | — |
| UHC STAR PLUS | 852_UHC STAR PLUS INPATIENT 20240901 | $35.99 | — |
| FIRSTCARE FOCUS NETWORK | 130_FIRSTCARE FOCUS NETWORK 20131001 | $61.63 | — |
| FIRSTCARE HMO | 839_FIRSTCARE HMO 20241001 | $69.36 | — |
| WELLPOINT STAR | 902_WELLPOINT (AMERIGROUP) STAR OUTPATIENT 20241201 | $254.20 | — |
| MOLINA MEDICAID REPLACEMENT CHIP | 908_MOLINA CHIP OUTPATIENT 20241201 | $254.20 | — |
| SUPERIOR CHIP/CHIP PERINATE | 910_SUPERIOR CHIP OUTPATIENT 20241201 | $254.20 | — |
| MEDICAID REPLACEMENT 100% | 903_MEDICAID REPLACEMENT 100% OUTPATIENT 20241201 | $254.20 | — |
| SWHP RIGHTCARE STAR | 905_SWHP RIGHTCARE STAR OUTPATIENT 20241201 | $254.20 | — |
| UHC STAR KIDS | 909_UHC STAR KIDS OUTPATIENT 20241201 | $254.20 | — |
| SUPERIOR STAR | 904_SUPERIOR STAR OUTPATIENT 20241201 | $254.20 | — |
| BCBS STAR | 975_BCBS STAR OUTPATIENT 20241201 | $254.20 | — |
| SUPERIOR STAR PLUS | 907_SUPERIOR STAR PLUS OUTPATIENT 20241201 | $254.20 | — |
| UHC STAR PLUS | 906_UHC STAR PLUS OUTPATIENT 20241201 | $254.20 | — |
| UHC STAR | 928_UHC STAR OUTPATIENT 20250701 | $254.20 | — |
| WELLCARE ALLWELL MEDICARE ADVANTAGE | 994_WELLCARE ALLWELL MEDICARE ADVANTAGE INPATIENT 20251001 | $302.62 | — |
| TRICARE | 986_TRICARE INPATIENT 20251001 | $302.62 | — |
| VA | 887_VETERANS ADMINISTRATION OUTPATIENT 20250101 | $302.62 | — |
| VA | 992_VETERANS ADMINISTRATION INPATIENT 20251001 | $302.62 | — |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 920_MEDICARE ADVANTAGE ASCENSION COMPLETE OUTPATIENT 20250101 | $302.62 | — |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 995_MEDICARE ADVANTAGE ASCENSION COMPLETE INPATIENT 20251001 | $302.62 | — |
| MEDICARE ADVANTAGE 100 PERCENT | 879_MEDICARE ADVANTAGE 100% OUTPATIENT 20250101 | $302.62 | — |
| MEDICARE ADVANTAGE 100 PERCENT | 988_MEDICARE ADVANTAGE 100% INPATIENT 20251001 | $302.62 | — |
| WELLCARE ALLWELL MEDICARE ADVANTAGE | 918_WELLCARE ALLWELL MEDICARE ADVANTAGE OUTPATIENT 20250101 | $302.62 | — |
| TRICARE | 877_TRICARE OUTPATIENT 20250101 | $302.62 | — |
| AETNA MEDICARE REPLACEMENT | 880_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 | $308.67 | — |
| UHC MEDICARE REPLACEMENT | 883_MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT 20250101 | $308.67 | — |
| UHC MEDICARE REPLACEMENT | 991_MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 20251001 | $308.67 | — |
| AETNA MEDICARE REPLACEMENT | 989_MEDICARE ADVANTAGE AETNA INPATIENT 20251001 | $308.67 | — |
| SWHP MEDICARE REPLACEMENT | 882_MEDICARE ADVANTAGE SCOTT AND WHITE OUTPATIENT 20250101 | $311.70 | — |
| SWHP MEDICARE REPLACEMENT | 990_MEDICARE ADVANTAGE SCOTT AND WHITE INPATIENT 20251001 | $311.70 | — |
| SMARTHEALTH | 875_SMARTHEALTH OUTPATIENT 20250101 | $423.67 | — |
| SMARTHEALTH | 984_SMARTHEALTH INPATIENT 20251001 | $423.67 | — |
| SUPERIOR AMBETTER | 985_SUPERIOR AMBETTER INPATIENT 20251001 | $453.93 | — |
| GREEN IMAGING | 932_GREEN IMAGING OUTPATIENT 20250101 | $453.93 | — |
| SUPERIOR AMBETTER | 876_SUPERIOR AMBETTER OUTPATIENT 20250101 | $453.93 | — |
| BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $565.90 | — |
| BCBS ADVANTAGE HMO | 871_BLUE CROSS BLUE SHIELD ADVANTAGE HMO 20250101 | $705.10 | — |
| BCBS ESSENTIALS HMO | 870_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $1,222.58 | — |
| BCBS PPO | 869_BLUE CROSS BLUE SHIELD PPO 20250101 | $1,334.55 | — |
Visitor-reported prices
Comments
M.pneumon dna quant at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Adventhealth Rollins Brook | Lampasas | not published | $272.36 – $1,165.09 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $249.12 – $1,244.79 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $254.20 – $1,244.79 |
| Covenant Children's Hospital | Lubbock | not published | $660.92 – $1,319.42 |
| HCA HOUSTON CONROE | CONROE | not published | $249.12 – $1,244.79 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $249.12 – $1,244.79 |
| HCA HOUSTON NORTHWEST | SPRING | not published | $254.20 – $1,244.79 |
| HCA HOUSTON PEARLAND | Pearland | not published | $254.20 – $1,244.79 |