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
REM OCT RTA DEV SETUP&EDUCAJ
Waco, TX
See all hospitals reporting CPT 0604T →Price type
Ascension Providence’s median price of $250 is 35% above the median hospital's median price ($185), higher than 63% of the 776 hospitals reporting CPT 0604T. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 1 payer, 4 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 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient | $195 | $195 | — | — | — | $195 – $195 |
| 2 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 other · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 3 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $257 | $257 | — | — | — | $257 – $257 |
| 4 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $284 | $284 | — | — | — | $284 – $284 |
Last updated: Jan 1, 2026
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