Ph1 assmt&mgmt nqhp 11-20 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.
$23.50 with TRICARE vs $64.10 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 |
|---|---|---|---|
| TRICARE | 877_TRICARE OUTPATIENT 20250101 | $23.50 | — |
| TRICARE | 986_TRICARE INPATIENT 20251001 | $23.50 | — |
| VA | 887_VETERANS ADMINISTRATION OUTPATIENT 20250101 | $23.50 | — |
| VA | 992_VETERANS ADMINISTRATION INPATIENT 20251001 | $23.50 | — |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 920_MEDICARE ADVANTAGE ASCENSION COMPLETE OUTPATIENT 20250101 | $23.50 | — |
| ASCENSION COMPLETE MEDICARE REPLACEMENT | 995_MEDICARE ADVANTAGE ASCENSION COMPLETE INPATIENT 20251001 | $23.50 | — |
| MEDICARE ADVANTAGE 100 PERCENT | 879_MEDICARE ADVANTAGE 100% OUTPATIENT 20250101 | $23.50 | — |
| MEDICARE ADVANTAGE 100 PERCENT | 988_MEDICARE ADVANTAGE 100% INPATIENT 20251001 | $23.50 | — |
| WELLCARE ALLWELL MEDICARE ADVANTAGE | 918_WELLCARE ALLWELL MEDICARE ADVANTAGE OUTPATIENT 20250101 | $23.50 | — |
| WELLCARE ALLWELL MEDICARE ADVANTAGE | 994_WELLCARE ALLWELL MEDICARE ADVANTAGE INPATIENT 20251001 | $23.50 | — |
| UHC MEDICARE REPLACEMENT | 883_MEDICARE ADVANTAGE UNITED HEALTHCARE OUTPATIENT 20250101 | $23.97 | — |
| AETNA MEDICARE REPLACEMENT | 880_MEDICARE ADVANTAGE AETNA OUTPATIENT 20250101 | $23.97 | — |
| AETNA MEDICARE REPLACEMENT | 989_MEDICARE ADVANTAGE AETNA INPATIENT 20251001 | $23.97 | — |
| UHC MEDICARE REPLACEMENT | 991_MEDICARE ADVANTAGE UNITED HEALTHCARE INPATIENT 20251001 | $23.97 | — |
| SWHP MEDICARE REPLACEMENT | 990_MEDICARE ADVANTAGE SCOTT AND WHITE INPATIENT 20251001 | $24.21 | — |
| SWHP MEDICARE REPLACEMENT | 882_MEDICARE ADVANTAGE SCOTT AND WHITE OUTPATIENT 20250101 | $24.21 | — |
| SMARTHEALTH | 875_SMARTHEALTH OUTPATIENT 20250101 | $32.90 | — |
| SMARTHEALTH | 984_SMARTHEALTH INPATIENT 20251001 | $32.90 | — |
| SUPERIOR AMBETTER | 876_SUPERIOR AMBETTER OUTPATIENT 20250101 | $35.25 | — |
| GREEN IMAGING | 932_GREEN IMAGING OUTPATIENT 20250101 | $35.25 | — |
| SUPERIOR AMBETTER | 985_SUPERIOR AMBETTER INPATIENT 20251001 | $35.25 | — |
| BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $43.08 | — |
| BCBS ADVANTAGE HMO | 871_BLUE CROSS BLUE SHIELD ADVANTAGE HMO 20250101 | $53.98 | — |
| BCBS ESSENTIALS HMO | 870_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $58.13 | — |
| BCBS PPO | 869_BLUE CROSS BLUE SHIELD PPO 20250101 | $64.10 | — |
Visitor-reported prices
Comments
Ph1 assmt&mgmt nqhp 11-20 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| BAYLOR SCOTT & WHITE MEDICAL CENTER HILLCREST | Waco | $54.47 | $10.89 – $78.37 |
| BAYLOR UNIVERSITY MEDICAL CENTER | Dallas | $53.40 | $15.13 – $79.67 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM | Brenham | $54.47 | $11.21 – $81.70 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - BUDA | Suite 110 | $53.40 | $10.68 – $78.37 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - CENTENNIAL | Frisco | $53.40 | $14.24 – $75.65 |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - COLLEGE STATION | College Station | $54.47 | $17.48 – $95.76 |
| BAYLOR SCOTT & WHITE CONTINUING CARE HOSPITAL | Temple | $54.47 | $28.14 – $81.70 |
| BAYLOR SCOTT & WHITE EMERGENCY MEDICAL CENTER - CEDAR PARK | Cedar Park | $53.40 | $17.80 – $80.10 |