Prolng off/op e/m ea 15 min 99417 at Ascension Providence
6901 Medical Pkwy, Waco, TX · Ascension · · NPI 1093708679
$24.75
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.
$68.75
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.
$55.64 with BCBS MYBLUEHEALTH vs $82.79 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 |
|---|---|---|---|
| BCBS MYBLUEHEALTH | 872_BLUE CROSS BLUE SHIELD MYBLUEHEATH 20250101 | $55.64 | ↑ +125% |
| BCBS ADVANTAGE HMO | 871_BLUE CROSS BLUE SHIELD ADVANTAGE HMO 20250101 | $69.72 | ↑ +182% |
| BCBS ESSENTIALS HMO | 870_BLUE CROSS BLUE SHIELD HMO ESSENTIALS 20250101 | $75.08 | ↑ +203% |
| BCBS PPO | 869_BLUE CROSS BLUE SHIELD PPO 20250101 | $82.79 | ↑ +235% |
Visitor-reported prices
Comments
Prolng off/op e/m ea 15 min 99417 at other Texas hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Covenant Hospital Plainview | Plainview | $31.50 | $70.73 – $70.73 |
| Covenant Hospital Levelland | Levelland | $31.50 | $80.11 – $80.11 |
| Adventhealth Rollins Brook | Lampasas | not published | $129.05 – $129.05 |
| HCA HOUSTON CLEAR LAKE | FRIENDSWOOD | not published | $25.17 – $78.44 |
| HCA HOUSTON MEDICAL CENTER | Houston | not published | $25.17 – $78.44 |
| Covenant Children's Hospital | Lubbock | not published | $114.30 – $114.30 |
| HCA HOUSTON CONROE | CONROE | not published | $22.12 – $78.44 |
| HCA HOUSTON KINGWOOD | HUMBLE | not published | $22.97 – $78.44 |