Outpatient pulmonary rehabilitation session without continuous oxygen monitoring 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

PHY/QHP OP PULM RHB W/O MNTR

Waco, TX

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How this price compares nationally

Ascension Providence’s median price of $58 is 36% below the median hospital's median price ($91), higher than 15% of the 1,994 hospitals reporting CPT 94625. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 94625 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 other · outpatient	$33	$33	—	—	—	$33 – $33
2	Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 other · outpatient	$41	$41	—	—	—	$41 – $41
3	Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
4	Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient	$49	$49	—	—	—	$49 – $49
5	Tricare 877_tricare outpatient 20250101 other · outpatient	$58	$58	—	—	—	$58 – $58
6	Tricare 986_tricare inpatient 20251001 other · inpatient	$58	$58	—	—	—	$58 – $58
7	WellCare 918_wellcare allwell medicare advantage outpatient 20250101 other · outpatient	$58	$58	—	—	—	$58 – $58
8	WellCare 994_wellcare allwell medicare advantage inpatient 20251001 other · inpatient	$58	$58	—	—	—	$58 – $58
9	Aetna 880_medicare advantage aetna outpatient 20250101 other · outpatient	$59	$59	—	—	—	$59 – $59
10	Aetna 989_medicare advantage aetna inpatient 20251001 other · inpatient	$59	$59	—	—	—	$59 – $59
11	UnitedHealthcare 883_medicare advantage united healthcare outpatient 20250101 other · outpatient	$59	$59	—	—	—	$59 – $59
12	UnitedHealthcare 991_medicare advantage united healthcare inpatient 20251001 other · inpatient	$59	$59	—	—	—	$59 – $59
13	Ambetter 876_superior ambetter outpatient 20250101 other · outpatient	$87	$87	—	—	—	$87 – $87
14	Ambetter 985_superior ambetter inpatient 20251001 other · inpatient	$87	$87	—	—	—	$87 – $87

Last updated: Jan 1, 2026

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