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 |
|---|---|---|---|---|
| X-ray forearm 2 views (both sides) CPT 73090 | $134.37 | $373.25 | $24.39 – $212.75 | 30 |
| X-ray hand 2 views (both sides) CPT 73120 | $140.58 | $390.50 | $26.73 – $274.60 | 30 |
| X-ray head for orthodontia CPT 70350 | not published | not published | $16.38 – $195.53 | 29 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $127.08 | $353.00 | $25.73 – $201.21 | 30 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | not published | not published | $48.79 – $274.60 | 27 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $292.23 | $811.75 | $35.41 – $462.70 | 28 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $192.15 | $533.75 | $46.11 – $304.24 | 28 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $247.59 | $687.75 | $53.46 – $392.02 | 28 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $206.64 | $574.00 | $28.40 – $327.18 | 28 |
| X-ray humerus >= 2 views left CPT 73060 | $117.99 | $327.75 | $27.40 – $195.53 | 30 |
| X-ray joint survey 1 view CPT 77077 | not published | not published | $35.09 – $274.60 | 29 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $121.50 | $337.50 | $29.40 – $195.53 | 30 |
| X-ray knee 3 views (both sides) CPT 73562 | $134.37 | $373.25 | $33.75 – $212.75 | 30 |
| X-ray knee ap standing bilateral CPT 73565 | $243.09 | $675.25 | $33.75 – $384.89 | 30 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $134.37 | $373.25 | $39.26 – $212.75 | 30 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $151.11 | $419.75 | $38.43 – $274.60 | 30 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $236.52 | $657.00 | $46.11 – $374.49 | 30 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $221.22 | $614.50 | $58.14 – $350.26 | 30 |
| X-ray male genital tract CPT 74440 | not published | not published | $75.85 – $570.95 | 29 |
| X-ray mandible complete > 4 views CPT 70110 | $135.27 | $375.75 | $35.75 – $274.60 | 30 |
| X-ray mandible ltd <4 views CPT 70100 | $107.28 | $298.00 | $31.08 – $195.53 | 30 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $34.41 – $195.53 | 18 |
| X-ray nasal bones complete > 3 views CPT 70160 | $113.94 | $316.50 | $31.08 – $195.53 | 30 |
| X-ray neck soft tissue CPT 70360 | $164.70 | $457.50 | $26.73 – $260.77 | 30 |
| X-ray nose to rectum for foreign body child CPT 76010 | $108.72 | $302.00 | $41.57 – $195.53 | 30 |
| X-ray of mammary ducts CPT 77054 | $389.88 | $1,083.00 | $69.16 – $570.95 | 30 |
| X-ray optic foramina CPT 70190 | not published | not published | $33.75 – $195.53 | 29 |
| X-ray pelvis 1-2 views CPT 72170 | $123.12 | $342.00 | $28.06 – $274.60 | 30 |
| X-ray pelvis complete > 3 views CPT 72190 | $110.16 | $306.00 | $35.75 – $274.60 | 30 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $295.47 – $430.88 | 4 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $339.06 – $494.46 | 4 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $504.27 | $1,400.75 | $77.19 – $798.43 | 30 |
| X-ray ribs 2 views left CPT 71100 | $173.07 | $480.75 | $31.41 – $274.03 | 30 |
| X-ray ribs 3 views bilateral CPT 71110 | $166.32 | $462.00 | $37.76 – $274.60 | 30 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $189.27 | $525.75 | $36.09 – $299.68 | 30 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $181.17 | $503.25 | $44.44 – $286.85 | 30 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | not published | not published | $31.08 – $274.60 | 29 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $110.16 | $306.00 | $26.73 – $195.53 | 30 |
| X-ray scapula complete (both sides) CPT 73010 | $139.32 | $387.00 | $23.73 – $274.60 | 30 |
| X-ray sella turcica CPT 70240 | $63.90 | $177.50 | $29.08 – $195.53 | 30 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $96.39 | $267.75 | $21.71 – $195.53 | 30 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $145.98 | $405.50 | $35.41 – $231.13 | 30 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $188.10 | $522.50 | $51.79 – $1,179.87 | 30 |
| X-ray skull < 4 views CPT 70250 | $124.74 | $346.50 | $34.41 – $274.60 | 30 |
| X-ray skull > 4 views complete CPT 70260 | $198.81 | $552.25 | $43.10 – $314.78 | 30 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $209.16 | $581.00 | $86.54 – $331.17 | 30 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $257.85 | $716.25 | $97.56 – $446.44 | 30 |
| X-ray small intestine follow-through study CPT 74248 | $347.13 | $964.25 | $77.51 – $549.62 | 17 |
| X-ray spine single view CPT 72020 | $123.48 | $343.00 | $21.05 – $195.53 | 30 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $113.58 | $315.50 | $34.09 – $195.53 | 30 |
| X-ray sternum > 2 views CPT 71120 | $103.59 | $287.75 | $28.06 – $195.53 | 30 |
| X-ray surgical specimen CPT 76098 | $349.38 | $970.50 | $16.04 – $1,179.87 | 30 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $107.37 | $298.25 | $106.64 – $446.44 | 30 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $84.87 | $235.75 | $44.44 – $195.53 | 30 |
| X-ray thoracic spine 2 views CPT 72070 | $139.95 | $388.75 | $32.08 – $274.60 | 30 |
| X-ray thoracic spine 3 views CPT 72072 | $154.26 | $428.50 | $32.75 – $274.60 | 30 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $57.96 | $161.00 | $31.74 – $195.53 | 30 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $142.29 | $395.25 | $36.43 – $225.29 | 28 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $333.27 | $925.75 | $58.81 – $527.68 | 28 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $134.37 | $373.25 | $27.06 – $212.75 | 30 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $124.74 | $346.50 | $26.73 – $197.50 | 30 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $255.33 | $709.25 | $119.29 – $446.44 | 30 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $262.08 | $728.00 | $106.59 – $446.44 | 30 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $121.34 – $136.56 | 2 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $194.04 – $218.39 | 2 |
| X-ray wrist 2 views (both sides) CPT 73100 | $140.58 | $390.50 | $29.74 – $222.59 | 30 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $147.78 | $410.50 | $73.51 – $446.44 | 30 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $202.07 – $476.54 | 4 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $150.16 – $223.44 | 4 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $10.84 – $56.93 | 29 |
| Yersinia antibody CPT 86793 | not published | not published | $10.82 – $58.17 | 29 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $35.08 – $226.28 | 27 |
| Zika virus igm antibody CPT 86794 | not published | not published | $14.15 – $74.31 | 27 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $35.19 | $97.75 | $15.65 – $86.19 | 6 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $359.64 | $999.00 | $13.07 – $23.42 | 6 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $521.04 – $737.96 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $3,349.53 | 15 |
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.