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Ascension Providence

ASCENSION PROVIDENCE in Waco, Texas charges 4.4x the Medicare reimbursement rate across 71 analyzed procedures, reflecting the pricing structure at this nonprofit-private hospital.

Waco, TX 76712 · Acute Care Hospitals · CMS Rating: 2/5

By Michael Glenn , Healthcare Data Analyst · ·
Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.
About the analyst

Michael Glenn reviews CMS datasets and drug pricing at BillRazor Research. He focuses on NADAC acquisition costs and procedure coding accuracy. Expertise: drug pricing, NADAC data, CPT coding.

71 procedures analyzed
CMS price transparency data
Updated 2026-04-03
Median 3.1x1.8x15.0x
4.4x
Medicare markup ratio
TX lowestAscension ProvidenceTX highest
4.4x
Avg markup ratio
4.0x
Median markup
71
Procedures
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Pricing grade

C

Average

Avg markup vs Medicare

4.38x

Charge / Medicare rate

Max markup

9.04x

Worst procedure

Procedures analyzed

71

With pricing data

Outlier procedures

0%

Above 90th percentile

Pricing grades reflect how this hospital's chargemaster (list) rates compare to Medicare reimbursement benchmarks within the same state. Grades measure pricing patterns only — not quality of care, patient outcomes, or clinical performance. A lower grade does not mean a hospital provides inferior care. Based on publicly available federal data. Not endorsed by or affiliated with any government agency.

ProcedureCodeGross chargeCash priceMedicareMarkup
PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC274$224,386$112,1939x
MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES483$119,046$59,5238x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITHOUT MCC247$101,427$50,7147.6x
MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC470$92,358$46,1797.5x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC243$130,824$65,4127.5x
ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC267$296,807$148,4037.1x
PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC244$82,256$41,1286.3x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC282$27,506$13,7536.2x
EXTRACRANIAL PROCEDURES WITHOUT CC/MCC039$46,746$23,3736x
PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC242$133,497$66,7485.8x
PERCUTANEOUS CARDIOVASCULAR PROCEDURES WITH DRUG-ELUTING STENT WITH MCC OR 4+ ARTERIES O246$127,966$63,9835.6x
CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC236$137,889$68,9455.6x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC066$22,034$11,0175.6x
MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC708$49,926$24,9635.5x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC481$73,082$36,5415.3x
HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC522$75,151$37,5755.3x
TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC069$27,159$13,5795x
OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC394$31,339$15,6694.8x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC331$53,446$26,7234.7x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC310$15,720$7,8604.6x
PULMONARY EDEMA AND RESPIRATORY FAILURE189$41,872$20,9364.6x
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC981$120,929$60,4654.6x
EXTRACRANIAL PROCEDURES WITH CC038$52,465$26,2324.5x
GASTROINTESTINAL HEMORRHAGE WITH CC378$26,924$13,4624.3x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC392$23,502$11,7514.3x
MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC330$64,832$32,4164.3x
RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC178$30,590$15,2954.3x
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC391$36,880$18,4404.2x
BRONCHITIS AND ASTHMA WITH CC/MCC202$26,376$13,1884.2x
HYPERTENSION WITHOUT MCC305$22,051$11,0264.2x
RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS208$69,468$34,7344.2x
SIMPLE PNEUMONIA AND PLEURISY WITH MCC193$37,287$18,6434.2x
GASTROINTESTINAL OBSTRUCTION WITH CC389$22,981$11,4904.1x
COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC455$130,691$65,3454.1x
HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC480$76,510$38,2554.1x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC308$31,431$15,7154x
SYNCOPE AND COLLAPSE312$23,348$11,6744x
MAJOR CHEST PROCEDURES WITH MCC163$125,602$62,8014x
ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC281$24,824$12,4123.9x
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC190$28,643$14,3213.9x
DIABETES WITH CC638$22,880$11,4403.8x
RENAL FAILURE WITH CC683$23,021$11,5113.8x
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC690$21,150$10,5753.8x
HEART FAILURE AND SHOCK WITH MCC291$32,895$16,4483.8x
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC309$18,807$9,4043.8x
CELLULITIS WITHOUT MCC603$22,410$11,2053.8x
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS065$24,545$12,2723.7x
LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC418$42,188$21,0943.7x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC641$16,311$8,1553.6x
MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC640$31,914$15,9573.6x

Showing 50 of 71 procedures

How ASCENSION PROVIDENCE compares to nearby hospitals

Comparison based on average markup ratios from federal hospital pricing data (FY 2024). Chargemaster rates are gross charges — they are not what most insured patients pay. Actual costs depend on your insurance plan, negotiated rates, and coverage terms. This comparison is for informational purposes only and does not constitute medical, financial, or legal advice. Verify costs directly with your provider and insurer.

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Pricing data from federal hospital transparency files and physician fee schedules. Last updated: . All data is publicly available under federal law.

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

Related pricing data

Data: Federal hospital pricing data, updated annually. All data publicly available under federal law.

Methodology: Hospital gross charges divided by Medicare payment for the same DRG. A ratio of 3.0x means the hospital's listed price is 3 times what Medicare pays. Chargemaster rates are list prices — they are not what most insured patients pay. Grades measure pricing patterns only — not quality of care or clinical performance.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use

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