Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
RX MNTR 14+ DRUGS & SBSTS
Waco, TX
See all hospitals reporting CPT 0054U →Price type
Ascension Providence’s median price of $203 is about the same as the median hospital's median price ($204), higher than 45% of the 1,266 hospitals reporting CPT 0054U. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 14 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Tricare 877_tricare outpatient 20250101 other · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 2 | Tricare 986_tricare inpatient 20251001 other · inpatient | $199 | $199 | — | — | — | $199 – $199 |
| 3 | WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient | $199 | $199 | — | — | — | $199 – $199 |
| 4 | WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient | $199 | $199 | — | — | — | $199 – $199 |
| 5 | Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 6 | Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient | $203 | $203 | — | — | — | $203 – $203 |
| 7 | UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 8 | UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient | $203 | $203 | — | — | — | $203 – $203 |
| 9 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient | $279 | $279 | — | — | — | $279 – $279 |
| 10 | Ambetter 876_superior ambetter outpatient 20250101 other · outpatient | $298 | $298 | — | — | — | $298 – $298 |
| 11 | Ambetter 985_superior ambetter inpatient 20251001 other · inpatient | $298 | $298 | — | — | — | $298 – $298 |
| 12 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 other · outpatient | $347 | $347 | — | — | — | $347 – $347 |
| 13 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $602 | $602 | — | — | — | $602 – $602 |
| 14 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $657 | $657 | — | — | — | $657 – $657 |
Last updated: Jan 1, 2026
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