Texas / Ascension Providence Depaul
CMS certification 450042 · Waco, TX
Ascension Providence Depaul: charges and Medicare payments
Ascension Providence Depaul reported 1,862 Medicare inpatient stays across 57 DRGs in 2024. Across them it charged 4.22 times what it was paid — among the lower ratios in Texas, number 139 of 190 hospitals with at least 100 stays (state median 5.35×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 220 stays at an average charge of $43,264, 52% below the national average. It also billed 2,037 outpatient services, charging 8.64 times what Medicare paid.
- 1Medicare inpatient stays 1,862
- 2Charge ÷ paid, inpatient 4.22×
- 3Rank in TX (highest ratio = 1) 139 of 190
- 4CMS price-transparency actions 0
Inpatient stays
For the 57 DRGs that can be compared with the national average, Ascension Providence Depaul charged more than the national average in 4 (7%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 220 | $43,264 | -52% | $14,696 |
| 291 Heart Failure and Shock with MCC | 165 | $32,686 | -42% | $10,325 |
| 280 Acute Myocardial Infarction, Discharged Alive with MCC | 99 | $42,658 | -44% | $12,352 |
| 193 Simple Pneumonia and Pleurisy with MCC | 96 | $34,872 | -42% | $10,116 |
| 274 Percutaneous and Other Intracardiac Procedures without MCC | 87 | $214,107 | +37% | $24,597 |
| 189 Pulmonary Edema and Respiratory Failure | 61 | $30,285 | -47% | $10,302 |
| 065 Intracranial Hemorrhage or Cerebral Infarction with CC or... | 50 | $26,488 | -52% | $8,088 |
| 177 Respiratory Infections and Inflammations with MCC | 50 | $41,862 | -41% | $13,058 |
| 322 Percutaneous Cardiovascular Procedures with Intraluminal... | 49 | $104,753 | -9% | $14,368 |
| 378 Gastrointestinal Hemorrhage with CC | 49 | $27,113 | -44% | $8,349 |
| 682 Renal Failure with MCC | 44 | $34,043 | -48% | $11,152 |
| 853 Infectious and Parasitic Diseases with O.R. Procedures with... | 38 | $99,760 | -56% | $34,233 |
| 683 Renal Failure with CC | 36 | $25,035 | -38% | $7,040 |
| 392 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 33 | $26,926 | -33% | $7,138 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 31 | $27,437 | -44% | $8,521 |
| 281 Acute Myocardial Infarction, Discharged Alive with CC | 29 | $44,214 | -12% | $7,508 |
| 377 Gastrointestinal Hemorrhage with MCC | 28 | $54,373 | -36% | $13,619 |
| 481 Hip and Femur Procedures except Major Joint with CC | 26 | $71,433 | -29% | $16,209 |
| 689 Kidney and Urinary Tract Infections with MCC | 26 | $24,023 | -53% | $9,574 |
| 455 Combined Anterior and Posterior Spinal Fusion without CC/MCC | 25 | $157,336 | -22% | $35,048 |
| 069 Transient Ischemia without Thrombolytic | 24 | $23,903 | -53% | $7,073 |
| 308 Cardiac Arrhythmia and Conduction Disorders with MCC | 24 | $34,026 | -40% | $10,242 |
| 321 Percutaneous Cardiovascular Procedures with Intraluminal... | 24 | $147,857 | -10% | $25,246 |
| 698 Other Kidney and Urinary Tract Diagnoses with MCC | 23 | $36,454 | -50% | $12,395 |
| 640 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 22 | $24,457 | -59% | $10,625 |
| 690 Kidney and Urinary Tract Infections without MCC | 22 | $18,688 | -51% | $6,905 |
| 064 Intracranial Hemorrhage or Cerebral Infarction with MCC | 21 | $33,339 | -67% | $15,226 |
| 208 Respiratory System Diagnosis with Ventilator Support <=96... | 21 | $70,066 | -48% | $20,101 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 21 | $17,780 | -52% | $6,475 |
| 470 Major Hip and Knee Joint Replacement or Reattachment of... | 20 | $88,649 | -5% | $16,282 |
| 312 Syncope and Collapse | 19 | $21,099 | -54% | $7,459 |
| 389 Gastrointestinal Obstruction with CC | 19 | $19,841 | -49% | $6,888 |
| 194 Simple Pneumonia and Pleurisy with CC | 18 | $23,807 | -38% | $7,163 |
| 310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC | 18 | $40,252 | +40% | $7,299 |
| 236 Coronary Bypass without Cardiac Catheterization without MCC | 17 | $143,818 | -32% | $30,471 |
| 309 Cardiac Arrhythmia and Conduction Disorders with CC | 17 | $19,125 | -47% | $6,276 |
| 331 Major Small and Large Bowel Procedures without CC/MCC | 17 | $53,257 | -38% | $13,064 |
| 390 Gastrointestinal Obstruction without CC/MCC | 17 | $17,508 | -37% | $5,302 |
| 522 Hip Replacement with Principal Diagnosis of Hip Fracture... | 17 | $76,478 | -25% | $14,561 |
| 235 Coronary Bypass without Cardiac Catheterization with MCC | 16 | $152,921 | -48% | $36,380 |
| 242 Permanent Cardiac Pacemaker Implant with MCC | 16 | $142,222 | -11% | $23,210 |
| 419 Laparoscopic Cholecystectomy without C.D.E. without CC/MCC | 15 | $43,003 | -45% | $9,872 |
| 603 Cellulitis without MCC | 15 | $19,984 | -46% | $7,424 |
| 039 Extracranial Procedures without CC/MCC | 14 | $53,165 | -17% | $9,280 |
| 100 Seizures with MCC | 14 | $39,589 | -58% | $14,568 |
| 638 Diabetes with CC | 14 | $21,476 | -48% | $7,917 |
| 811 Red Blood Cell Disorders with MCC | 14 | $36,169 | -47% | $11,066 |
| 070 Other Cerebrovascular Disorders with MCC | 13 | $35,089 | -54% | $11,773 |
| 286 Circulatory Disorders except AMI, with Cardiac... | 13 | $46,435 | -59% | $16,128 |
| 314 Other Circulatory System Diagnoses with MCC | 13 | $42,403 | -55% | $15,617 |
| 418 Laparoscopic Cholecystectomy without C.D.E. with CC | 13 | $55,340 | -41% | $11,779 |
| 329 Major Small and Large Bowel Procedures with MCC | 12 | $157,688 | -27% | $32,945 |
| 330 Major Small and Large Bowel Procedures with CC | 12 | $72,716 | -39% | $16,569 |
| 391 Esophagitis, Gastroenteritis and Miscellaneous Digestive... | 12 | $29,914 | -51% | $10,270 |
| 243 Permanent Cardiac Pacemaker Implant with CC | 11 | $119,731 | +8% | $17,039 |
| 267 Endovascular Cardiac Valve Replacement and Supplement... | 11 | $378,946 | +71% | $49,382 |
| 287 Circulatory Disorders except AMI, with Cardiac... | 11 | $50,087 | -22% | $8,816 |
Outpatient services
Against the Texas average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Ascension Providence Depaul charged $43,264 on average, 61% less than the Texas average of $111,133, and was paid $14,696 against a state average of $16,694. For Heart Failure and Shock with MCC (DRG 291), Ascension Providence Depaul charged $32,686 on average, 52% less than the Texas average of $67,944, and was paid $10,325 against a state average of $11,820. For Acute Myocardial Infarction, Discharged Alive with MCC (DRG 280), Ascension Providence Depaul charged $42,658 on average, 54% less than the Texas average of $92,713, and was paid $12,352 against a state average of $13,694. For Simple Pneumonia and Pleurisy with MCC (DRG 193), Ascension Providence Depaul charged $34,872 on average, 53% less than the Texas average of $73,756, and was paid $10,116 against a state average of $11,597. For Level 1 Intraocular Procedures (outpatient APC 5491), its average charge of $10,911 was 34% below the state average of $16,442. For Level 5 Musculoskeletal Procedures (outpatient APC 5115), its average charge of $82,715 was 16% below the state average of $98,771. For Level 1 Laparoscopy and Related Services (outpatient APC 5361), its average charge of $32,748 was 36% below the state average of $50,995. For Level 2 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5072), its average charge of $7,114 was 50% below the state average of $14,089.
Price-transparency record
No action in CMS's price-transparency enforcement list (July 2026) matches this hospital's exact name, city and state. That can mean CMS has not reviewed it, or that it is listed under a different name.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.