Antegrade kidney and ureter contrast imaging at Ascension Providence

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

NJX PX NFROSGRM &/URTRGRM

Waco, TX

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How this price compares nationally

Ascension Providence’s median price of $654 is 32% below the median hospital's median price ($960), higher than 19% of the 2,115 hospitals reporting CPT 50431. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 50431 at Ascension Providence

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	$445	$445	—	—	—	$445 – $445
2	Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 fee schedule · outpatient	$557	$557	—	—	—	$557 – $557
3	Tricare 877_tricare outpatient 20250101 other · outpatient	$654	$654	—	—	—	$654 – $654
4	Tricare 986_tricare inpatient 20251001 other · inpatient	$654	$654	—	—	—	$654 – $654
5	WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient	$654	$654	—	—	—	$654 – $654
6	WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient	$654	$654	—	—	—	$654 – $654
7	Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient	$667	$667	—	—	—	$667 – $667
8	Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient	$667	$667	—	—	—	$667 – $667
9	UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient	$667	$667	—	—	—	$667 – $667
10	UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient	$667	$667	—	—	—	$667 – $667
11	Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$946	$946	—	—	—	$946 – $946
12	Ambetter 876_superior ambetter outpatient 20250101 other · outpatient	$981	$981	—	—	—	$981 – $981
13	Ambetter 985_superior ambetter inpatient 20251001 other · inpatient	$981	$981	—	—	—	$981 – $981
14	Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k

Last updated: Jan 1, 2026

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