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
NCNTC IFR SPCTRSC O/T PAD 1
Waco, TX
See all hospitals reporting CPT 0640T →Price type
Ascension Providence’s median price of $38 is 6% below the median hospital's median price ($41), higher than 29% of the 1,038 hospitals reporting CPT 0640T. 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 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient | $17 | $17 | — | — | — | $17 – $17 |
| 2 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 other · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 3 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 4 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 5 | Tricare 877_tricare outpatient 20250101 other · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 6 | Tricare 986_tricare inpatient 20251001 other · inpatient | $38 | $38 | — | — | — | $38 – $38 |
| 7 | WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient | $38 | $38 | — | — | — | $38 – $38 |
| 8 | WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient | $38 | $38 | — | — | — | $38 – $38 |
| 9 | Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 10 | Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient | $39 | $39 | — | — | — | $39 – $39 |
| 11 | UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient | $39 | $39 | — | — | — | $39 – $39 |
| 12 | UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient | $39 | $39 | — | — | — | $39 – $39 |
| 13 | Ambetter 876_superior ambetter outpatient 20250101 other · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 14 | Ambetter 985_superior ambetter inpatient 20251001 other · inpatient | $58 | $58 | — | — | — | $58 – $58 |
Last updated: Jan 1, 2026
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