Ascension Providence
6901 Medical Pkwy, Waco, TX · Ascension · · NPI 1093708679
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $19.17 | $53.25 | $3.29 – $17.29 | 29 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $57.51 | $159.75 | $15.61 – $81.94 | 29 |
| Gonadotropin hormone panel CPT 80426 | not published | not published | $124.66 – $654.49 | 29 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $64.17 | $178.25 | $15.56 – $81.67 | 29 |
| Gonioscopy CPT 92020 | not published | not published | $126.33 – $269.30 | 15 |
| Goniotomy CPT 65820 | not published | not published | $556.05 – $7,216.64 | 16 |
| Graft apligraf 3in 44sqcm-q4101-cost per sq cm HCPCS Q4101 | $33.57 | $93.25 | $83.74 – $88.18 | 2 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $859.35 – $5,173.78 | 5 |
| Graft impl ult thck 6x12cm -cost per sq cm HCPCS Q4116 | $8,845.92 | $24,572.00 | $122.46 – $122.46 | 1 |
| Graft primatrix xcr 6cm x6cm n-q4110-cost per sq cm HCPCS Q4110 | $2,682.18 | $7,450.50 | $184.05 – $184.05 | 1 |
| Graft puraplyam antimicrob 1.6-q4196-cost per sq cm HCPCS Q4196 | $143.37 | $398.25 | $150.53 – $168.00 | 3 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $911.11 – $2,152.41 | 4 |
| Great toe-hand transfer CPT 26551 | not published | not published | $2,728.41 – $6,445.62 | 4 |
| Great toe with reduction 28495 CPT 28495 | $125.91 | $349.75 | $85.32 – $352.65 | 26 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $709.01 – $3,066.98 | 15 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $1,457.62 – $5,627.08 | 15 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $1,457.62 – $5,627.08 | 15 |
| Growth hormone antibody CPT 86277 | not published | not published | $10.12 – $69.41 | 29 |
| Growth hormone panel CPT 80428 | not published | not published | $56.03 – $294.15 | 29 |
| Growth hormone panel CPT 80430 | not published | not published | $108.64 – $570.35 | 29 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $63.50 – $333.40 | 27 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $29.20 – $67.48 | 15 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $29.20 – $67.48 | 15 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $1,609.13 – $3,801.43 | 4 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $1,055.26 – $2,492.97 | 4 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $1,355.41 – $3,202.04 | 4 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $1,502.17 – $3,548.74 | 4 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $997.31 – $2,356.06 | 4 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $1,245.97 – $2,943.49 | 4 |
| G-tube reposition CPT 43761 | not published | not published | $110.15 – $556.05 | 27 |
| Gu dilat ureter/urethra s&i CPT 74485 | $317.61 | $882.25 | $87.54 – $4,340.30 | 19 |
| Guided cath fluid drainage 10030 CPT 10030 | $697.59 | $1,937.75 | $257.60 – $1,152.92 | 26 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $200.36 – $279.30 | 4 |
| Gum graft CPT 41870 | not published | not published | $420.64 – $2,550.25 | 15 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $963.66 – $5,725.85 | 16 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $200.92 – $899.91 | 15 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $255.61 – $859.35 | 16 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $255.61 – $859.35 | 16 |
| Haloperidol decanoate 50 mg/ml intramuscular solution HCPCS J1631 | $138.06 | $383.50 | $15.98 – $41.78 | 6 |
| Haloperidol lactate 5 mg/ml injection solution HCPCS J1630 | $38.16 | $106.00 | $0.90 – $13.78 | 6 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | not published | not published | $22.91 – $54.02 | 4 |
| Hand tendon/muscle transfer CPT 26494 | not published | not published | $859.35 – $5,173.78 | 16 |
| Hand tendon reconstruction CPT 26500 | not published | not published | $1,061.55 – $11,305.89 | 16 |
| Hand tendon reconstruction CPT 26502 | not published | not published | $1,061.55 – $5,173.78 | 16 |
| Hand X-ray CPT 73130 | $115.20 | $320.00 | $30.08 – $195.53 | 30 |
| Haptoglobin quantitative CPT 83010 | $55.17 | $153.25 | $10.57 – $55.48 | 29 |
| Harvest allogeneic stem cell CPT 38205 | not published | not published | $68.62 – $162.11 | 4 |
| Harvest auto stem cells CPT 38206 | not published | not published | $564.62 – $2,501.64 | 16 |
| Harvest cultured skin graft 15040 CPT 15040 | not published | not published | $709.01 – $3,066.98 | 16 |
| Harvest eye tissue alograft CPT 68371 | not published | not published | $758.25 – $3,657.53 | 5 |
| Harvest stem cell concentrte CPT 38215 | not published | not published | $310.44 – $733.40 | 15 |
| Hast w/i&r phys/qhp CPT 94452 | not published | not published | $126.33 – $269.30 | 15 |
| Hast w/oxygen titrate CPT 94453 | not published | not published | $126.33 – $269.30 | 15 |
| Hba1/hba2 full gene sequence CPT 81259 | not published | not published | $504.00 – $2,646.00 | 27 |
| Hba1/hba2 gene dup/del vrnts CPT 81269 | not published | not published | $170.02 – $892.58 | 27 |
| Hba1/hba2 gene fam vrnt CPT 81258 | not published | not published | $315.21 – $1,654.85 | 27 |
| Hbb full gene sequence CPT 81364 | not published | not published | $272.65 – $1,431.40 | 27 |
| Hbb gene com variants CPT 81361 | not published | not published | $146.84 – $770.91 | 27 |
| Hbb gene dup/del variants CPT 81363 | not published | not published | $170.02 – $892.58 | 27 |
| Hbb gene known fam variant CPT 81362 | not published | not published | $315.21 – $1,654.85 | 27 |
| Hb glycosylated a1c home dev CPT 83037 | not published | not published | $8.16 – $42.82 | 29 |
| Hbot, full body chamber, 30m HCPCS G0277 | $167.67 | $465.75 | $191.00 – $284.20 | 4 |
| Hc ea ha check monaural CPT 92594 | not published | not published | $28.72 – $42.73 | 4 |
| Hc fl sm bowel enteroclss tube w kub double contrast CPT 74251 | not published | not published | $106.64 – $446.44 | 29 |
| Hcg free betachain test CPT 84704 | $41.22 | $114.50 | $12.64 – $67.43 | 29 |
| Hcg qualitative CPT 84703 | $44.46 | $123.50 | $6.32 – $33.16 | 29 |
| Hcg quantitative CPT 84702 | $75.15 | $208.75 | $9.57 – $66.37 | 29 |
| Hc hearing aid chck binaurl CPT 92593 | not published | not published | $41.88 – $62.32 | 4 |
| Hc hearing aid chck monarl CPT 92592 | not published | not published | $28.72 – $42.73 | 4 |
| Hc hearing aid exam both ears CPT 92591 | not published | not published | $116.66 – $173.59 | 4 |
| Hc hearing aid exam one ear CPT 92590 | not published | not published | $77.77 – $115.72 | 4 |
| Hc metata joint dislocation anes CPT 28635 | not published | not published | $556.05 – $2,561.69 | 16 |
| Hc mohs micrographic h/n/h/f/g 1st stage 5 blocks CPT 17311 | not published | not published | $200.92 – $899.91 | 26 |
| Hc mohs trunk/arm/leg 1st stage 5 blocks CPT 17313 | not published | not published | $200.92 – $899.91 | 26 |
| Hc nm cardiac blood pool planar 1 stdy wal motn eject fract CPT 78481 | not published | not published | $166.74 – $791.32 | 29 |
| Hc nm fusion spect CT unlisted CPT 78999 | not published | not published | $100.77 – $901.92 | 27 |
| Hc nm kidney imaging with flow CPT 78701 | $440.46 | $1,223.50 | $206.49 – $633.98 | 30 |
| Hc nm myocard infarct avid plnr tomo spect w/wo quant CPT 78469 | $870.21 | $2,417.25 | $315.44 – $791.32 | 17 |
| Hc pet myocardial imaging metabolic eval single study CPT 78459 | not published | not published | $2,065.25 – $3,011.76 | 4 |
| Hdr rdncl ntrstl/icav brchtx CPT 77770 | not published | not published | $395.80 – $1,019.99 | 15 |
| Hdr rdncl ntrstl/icav brchtx CPT 77771 | not published | not published | $679.99 – $1,019.99 | 15 |
| Hdr rdncl ntrstl/icav brchtx CPT 77772 | not published | not published | $679.99 – $1,523.77 | 15 |
| Hdr rdncl skn surf brachytx CPT 77767 | not published | not published | $257.74 – $429.63 | 15 |
| Hdr rdncl skn surf brachytx CPT 77768 | not published | not published | $257.74 – $686.71 | 15 |
| Head CT scan (with and without contrast) CPT 70470 | $889.11 | $2,469.75 | $174.47 – $1,340.78 | 28 |
| Head CT scan (with contrast) CPT 70460 | $760.41 | $2,112.25 | $153.36 – $1,146.70 | 28 |
| Head CT scan (without contrast) CPT 70450 | $695.25 | $1,931.25 | $104.22 – $1,048.37 | 28 |
| Hearing loss dup/del analys CPT 81431 | not published | not published | $679.57 – $2,996.90 | 15 |
| Hearing loss sequence analys CPT 81430 | not published | not published | $3,038.77 – $7,166.25 | 4 |
| Heart first pass add-on CPT 78496 | $287.64 | $799.00 | $33.90 – $639.09 | 6 |
| Heart first pass multiple CPT 78483 | not published | not published | $224.54 – $791.32 | 29 |
| Heart image spect CPT 78494 | $870.21 | $2,417.25 | $214.18 – $639.09 | 29 |
| Heart infarct image CPT 78466 | not published | not published | $174.09 – $590.75 | 29 |
| Heart infarct image (ef) CPT 78468 | not published | not published | $183.10 – $791.32 | 29 |
| Heart revascularize (tmr) CPT 33140 | not published | not published | $1,302.36 – $3,076.71 | 4 |
| Heart tmr w/other procedure 33141 CPT 33141 | not published | not published | $109.56 – $258.84 | 4 |
| Heavy metal qual any number CPT 83015 | not published | not published | $17.59 – $92.35 | 29 |
| Heinz bodies direct CPT 85441 | not published | not published | $3.53 – $18.52 | 29 |
| Heinz bodies induced CPT 85445 | not published | not published | $5.73 – $30.08 | 29 |
| Helicobacter pylori antibody igm CPT 86677 | not published | not published | $10.29 – $74.31 | 29 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.