CMS Price Transparency Data

Hip or knee replacement (inpatient stay)

Facility: Ascension Providence

Billing Code: 470 (MS-DRG)

The BaseRate · fair price high confidence
A fair price for this
$18,116
about 1.3× the $14,044 Medicare rate · typically $11,585–$20,146
modeled estimate · not a bill or quote
What this hospital charges insurers
$12,323
Below the fair price — a good deal
about $5,793 under the fair price · 0.9× Medicare
Medicare pays $14,044 Fair price $18,116 This hospital $12,323

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $8,277 Priciest $12,323

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Hip or knee replacement (inpatient stay) is about $18,116 (about 1.3× the $14,044 Medicare rate). Ascension Providence charges insurers about $12,323 — below the fair price — a good deal. Located in Waco, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $12,323 88%
Blue Cross Blue Shieldmajor $20,523 - $27,018 146%
Aetnamajor $12,323 88%
Ambetter (Centene) $18,122 129%
+ 4 smaller / regional plans $6,439 - $16,914
Government programs also on file: Medicare, Military & VA.
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6901 Medical Parkway, Waco, TX 76712
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals