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.

1234
  1. 1Medicare inpatient stays 1,862
  2. 2Charge ÷ paid, inpatient 4.22×
  3. 3Rank in TX (highest ratio = 1) 139 of 190
  4. 4CMS price-transparency actions 0
DRG 871$43,264DRG 291$32,686DRG 280$42,658DRG 193$34,872DRG 274$214,107DRG 189$30,285DRG 065$26,488DRG 177$41,862DRG 322$104,753DRG 378$27,113
Average charge per stay at Ascension Providence Depaul, its 10 most frequent DRGs, bars to scale. Source: CMS DY2024.

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.

DRGStaysAvg chargevs USAvg paid
871 Septicemia or Severe Sepsis without MV >96 Hours with MCC220$43,264-52%$14,696
291 Heart Failure and Shock with MCC165$32,686-42%$10,325
280 Acute Myocardial Infarction, Discharged Alive with MCC99$42,658-44%$12,352
193 Simple Pneumonia and Pleurisy with MCC96$34,872-42%$10,116
274 Percutaneous and Other Intracardiac Procedures without MCC87$214,107+37%$24,597
189 Pulmonary Edema and Respiratory Failure61$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 MCC50$41,862-41%$13,058
322 Percutaneous Cardiovascular Procedures with Intraluminal...49$104,753-9%$14,368
378 Gastrointestinal Hemorrhage with CC49$27,113-44%$8,349
682 Renal Failure with MCC44$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 CC36$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 MCC31$27,437-44%$8,521
281 Acute Myocardial Infarction, Discharged Alive with CC29$44,214-12%$7,508
377 Gastrointestinal Hemorrhage with MCC28$54,373-36%$13,619
481 Hip and Femur Procedures except Major Joint with CC26$71,433-29%$16,209
689 Kidney and Urinary Tract Infections with MCC26$24,023-53%$9,574
455 Combined Anterior and Posterior Spinal Fusion without CC/MCC25$157,336-22%$35,048
069 Transient Ischemia without Thrombolytic24$23,903-53%$7,073
308 Cardiac Arrhythmia and Conduction Disorders with MCC24$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 MCC23$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 MCC22$18,688-51%$6,905
064 Intracranial Hemorrhage or Cerebral Infarction with MCC21$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 Collapse19$21,099-54%$7,459
389 Gastrointestinal Obstruction with CC19$19,841-49%$6,888
194 Simple Pneumonia and Pleurisy with CC18$23,807-38%$7,163
310 Cardiac Arrhythmia and Conduction Disorders without CC/MCC18$40,252+40%$7,299
236 Coronary Bypass without Cardiac Catheterization without MCC17$143,818-32%$30,471
309 Cardiac Arrhythmia and Conduction Disorders with CC17$19,125-47%$6,276
331 Major Small and Large Bowel Procedures without CC/MCC17$53,257-38%$13,064
390 Gastrointestinal Obstruction without CC/MCC17$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 MCC16$152,921-48%$36,380
242 Permanent Cardiac Pacemaker Implant with MCC16$142,222-11%$23,210
419 Laparoscopic Cholecystectomy without C.D.E. without CC/MCC15$43,003-45%$9,872
603 Cellulitis without MCC15$19,984-46%$7,424
039 Extracranial Procedures without CC/MCC14$53,165-17%$9,280
100 Seizures with MCC14$39,589-58%$14,568
638 Diabetes with CC14$21,476-48%$7,917
811 Red Blood Cell Disorders with MCC14$36,169-47%$11,066
070 Other Cerebrovascular Disorders with MCC13$35,089-54%$11,773
286 Circulatory Disorders except AMI, with Cardiac...13$46,435-59%$16,128
314 Other Circulatory System Diagnoses with MCC13$42,403-55%$15,617
418 Laparoscopic Cholecystectomy without C.D.E. with CC13$55,340-41%$11,779
329 Major Small and Large Bowel Procedures with MCC12$157,688-27%$32,945
330 Major Small and Large Bowel Procedures with CC12$72,716-39%$16,569
391 Esophagitis, Gastroenteritis and Miscellaneous Digestive...12$29,914-51%$10,270
243 Permanent Cardiac Pacemaker Implant with CC11$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.