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
RP LOCLZJ TUM WHBDY 1 D IMG
Waco, TX
See all hospitals reporting CPT 78802 →Price type
Ascension Providence’s median price of $310 is 74% below the median hospital's median price ($1.2k), higher than 8% of the 2,165 hospitals reporting CPT 78802. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 19 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 975_bcbs star outpatient 20241201 fee schedule · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 2 | Molina 908_molina chip outpatient 20241201 fee schedule · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 3 | Superior Healthplan 904_superior star outpatient 20241201 fee schedule · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 4 | Superior Healthplan 907_superior star plus outpatient 20241201 fee schedule · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 5 | UnitedHealthcare 906_uhc star plus outpatient 20241201 fee schedule · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 6 | UnitedHealthcare 909_uhc star kids outpatient 20241201 fee schedule · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 7 | UnitedHealthcare 928_uhc star outpatient 20250701 fee schedule · outpatient | $289 | $289 | — | — | — | $289 – $289 |
| 8 | Blue Cross Blue Shield 974_bcbs star inpatient 20240901 fee schedule · both | $310 | $310 | — | — | — | $310 – $310 |
| 9 | Molina 891_molina chip inpatient 20240901 fee schedule · both | $310 | $310 | — | — | — | $310 – $310 |
| 10 | Superior Healthplan 817_superior star inpatient 20240901 fee schedule · both | $310 | $310 | — | — | — | $310 – $310 |
| 11 | Superior Healthplan 856_superior star plus inpatient 20240901 fee schedule · both | $310 | $310 | — | — | — | $310 – $310 |
| 12 | UnitedHealthcare 852_uhc star plus inpatient 20240901 fee schedule · both | $310 | $310 | — | — | — | $310 – $310 |
| 13 | UnitedHealthcare 894_uhc star kids inpatient 20240901 fee schedule · both | $310 | $310 | — | — | — | $310 – $310 |
| 14 | UnitedHealthcare 929_uhc star inpatient 20250701 fee schedule · both | $310 | $310 | — | — | — | $310 – $310 |
| 15 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient | $491 | $491 | — | — | — | $491 – $491 |
| 16 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 other · outpatient | $614 | $614 | — | — | — | $614 – $614 |
| 17 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $649 | $649 | — | — | — | $649 – $649 |
| 18 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $716 | $716 | — | — | — | $716 – $716 |
| 19 | Cigna 930_cigna 20250701 percent of total billed charges · outpatientfrom % of charges | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
Last updated: Jan 1, 2026
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