Ascension Seton Highland Lakes (Ascension Seton)
3201 S Water St, Burnet, TX · Ascension · · NPI 1003833013
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $1,623.15 | $4,508.75 | $173.02 – $2,028.94 | 35 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $1,382.58 | $3,840.50 | $72.22 – $1,728.22 | 35 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,962.45 | $5,451.25 | $275.11 – $3,097.24 | 35 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,053.27 | $2,925.75 | $241.65 – $2,715.03 | 35 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $917.91 | $2,549.75 | $156.11 – $1,969.00 | 35 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $320.94 | $891.50 | $24.52 – $453.92 | 35 |
| Lower jaw bone graft CPT 21215 | not published | not published | $859.53 – $5,675.12 | 22 |
| Low frequency non-thermal Ultrasound CPT 97610 | $139.14 | $386.50 | $16.91 – $725.13 | 6 |
| Lsh uterus 250 g or less CPT 58541 | not published | not published | $708.28 – $5,655.44 | 22 |
| Lsh uterus above 250 g CPT 58543 | not published | not published | $818.22 – $9,843.34 | 8 |
| Lsh w/t/o ut 250 g or less CPT 58542 | not published | not published | $810.25 – $9,843.34 | 22 |
| Lsh w/t/o uterus above 250 g CPT 58544 | not published | not published | $887.96 – $9,843.34 | 8 |
| L/s ratio fetal lung CPT 83661 | $302.40 | $840.00 | $10.17 – $378.00 | 34 |
| Lumbar diskogram s&i CPT 72295 | not published | not published | $55.77 – $8,790.80 | 32 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $969.15 – $13,923.83 | 22 |
| Lung function test (mbc/mvv) CPT 94200 | $89.91 | $249.75 | $22.69 – $228.29 | 6 |
| Lung Function Test (Spirometry) CPT 94010 | $202.32 | $562.00 | $28.58 – $574.15 | 6 |
| Lung perfusion imaging CPT 78580 | $579.51 | $1,609.75 | $196.83 – $1,965.60 | 34 |
| Lung transplant double CPT 32853 | not published | not published | $969.15 – $5,629.97 | 7 |
| Lung transplant single CPT 32851 | not published | not published | $969.15 – $4,020.51 | 7 |
| Lung transplant with bypass CPT 32852 | not published | not published | $969.15 – $4,370.90 | 7 |
| Lung transplant with bypass CPT 32854 | not published | not published | $969.15 – $5,975.31 | 7 |
| Lung volume reduction 32491 CPT 32491 | not published | not published | $969.15 – $1,791.62 | 7 |
| Lw ntsty Ultrasound stimj bone healg CPT 20979 | not published | not published | $16.55 – $1,000.00 | 8 |
| Lyme dis dna dir probe CPT 87475 | not published | not published | $10.06 – $149.11 | 31 |
| Lymphadenect/stage/pelv/paraaortic 38562 CPT 38562 | not published | not published | $531.68 – $1,000.00 | 7 |
| Lymphatics/lymph node imaging CPT 78195 | $631.98 | $1,755.50 | $257.02 – $2,911.77 | 34 |
| Lymphocyte culture mixed CPT 86821 | not published | not published | $21.68 – $385.91 | 31 |
| Lymphocyte transformation mitogen CPT 86353 | $252.72 | $702.00 | $8.73 – $364.55 | 34 |
| Lymphocytotoxicity assay CPT 86805 | $314.28 | $873.00 | $14.15 – $1,032.83 | 34 |
| Lymphocytotoxicity assay CPT 86806 | not published | not published | $13.36 – $353.87 | 31 |
| Lymph vessel x-ray arm/leg CPT 75801 | not published | not published | $123.24 – $2,553.57 | 28 |
| Lymph vessel x-ray arms/legs CPT 75803 | not published | not published | $277.30 – $4,429.85 | 28 |
| Lymph vessel x-ray trunk CPT 75805 | not published | not published | $285.91 – $4,429.85 | 27 |
| Lymph vessel x-ray trunk CPT 75807 | not published | not published | $138.46 – $16,617.92 | 28 |
| Lysis intranasal synechia 30560 CPT 30560 | not published | not published | $135.48 – $1,000.00 | 22 |
| Lysis of labial adhesions CPT 56441 | not published | not published | $141.29 – $2,922.78 | 22 |
| Lysis penil circumic lesion CPT 54162 | not published | not published | $200.53 – $2,072.71 | 22 |
| Macro exam dissect molec study ea CPT 88387 | not published | not published | $6.15 – $45.34 | 16 |
| Macroscopic exam arthropod CPT 87168 | not published | not published | $3.59 – $31.72 | 31 |
| Macroscopic exam parasite CPT 87169 | not published | not published | $3.62 – $31.72 | 31 |
| Magnesium CPT 83735 | $134.01 | $372.25 | $5.63 – $167.51 | 34 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $57.51 | $159.75 | $0.64 – $0.64 | 1 |
| Magnetic image bone marrow CPT 77084 | not published | not published | $175.61 – $3,197.98 | 30 |
| Makena, 10 mg HCPCS J1726 | $22.86 | $63.50 | $14.74 – $14.74 | 4 |
| Malaria antibody CPT 86750 | not published | not published | $11.08 – $98.10 | 31 |
| Male sling procedure CPT 53440 | not published | not published | $758.59 – $9,439.48 | 22 |
| Management of liver hemorrhage 47361 CPT 47361 | not published | not published | $969.15 – $3,710.58 | 7 |
| Manipulate finger w/anesth CPT 26340 | not published | not published | $330.64 – $1,585.81 | 22 |
| Manipulate wrist w/anesthes CPT 25259 | not published | not published | $411.62 – $1,585.81 | 22 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $125.46 | $348.50 | $31.00 – $452.47 | 6 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $79.74 | $221.50 | $23.90 – $452.47 | 6 |
| Manipulation of hip joint CPT 27275 | not published | not published | $181.14 – $1,585.81 | 22 |
| Manipulation of spine CPT 22505 | not published | not published | $130.36 – $1,585.81 | 22 |
| Manipulat palm cord post inj CPT 26341 | not published | not published | $51.45 – $1,000.00 | 22 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $8.99 | $24.97 | $3.49 – $3.49 | 1 |
| Manual diff wbc count b-coat CPT 85009 | not published | not published | $3.19 – $27.69 | 31 |
| Mapping functional cort/subcort ea add'l hr CPT 95962 | not published | not published | $92.52 – $375.41 | 5 |
| Mapping io sentinel lymph node CPT 38900 | not published | not published | $137.79 – $1,000.00 | 3 |
| Map tachycard site(s) CPT 93609 | not published | not published | $499.18 – $1,432.00 | 5 |
| Marsupialization liver lesion 47300 CPT 47300 | not published | not published | $851.10 – $1,383.03 | 7 |
| Mastectomy partial CPT 19301 | not published | not published | $647.96 – $3,544.57 | 22 |
| Mast mod rad CPT 19307 | not published | not published | $969.15 – $6,127.63 | 8 |
| Mastoidectomy CPT 69501 | not published | not published | $710.88 – $5,675.12 | 22 |
| Mastoidectomy complete 69502 CPT 69502 | not published | not published | $943.75 – $5,675.12 | 22 |
| Mastoids complete CPT 70130 | $178.29 | $495.25 | $38.12 – $453.92 | 35 |
| Mastoid surgery revision CPT 69603 | not published | not published | $969.15 – $5,675.12 | 22 |
| Mastopexy CPT 19316 | not published | not published | $764.00 – $6,127.63 | 22 |
| Mast radical CPT 19305 | not published | not published | $849.28 – $1,380.09 | 7 |
| Mast rad urban type CPT 19306 | not published | not published | $899.88 – $1,462.31 | 7 |
| Mast simple complete CPT 19303 | not published | not published | $951.35 – $6,127.63 | 22 |
| M.avium-intra dna amp prob CPT 87561 | not published | not published | $22.58 – $260.89 | 31 |
| M.avium-intra dna dir prob CPT 87560 | not published | not published | $22.92 – $149.11 | 31 |
| M.avium-intra dna quant CPT 87562 | not published | not published | $32.43 – $233.48 | 31 |
| Maxillofacial fixation CPT 21100 | not published | not published | $390.15 – $5,675.12 | 22 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $158.22 | $439.50 | $12.15 – $197.78 | 34 |
| Mayo aathr protein s free CPT 85306 | $136.98 | $380.50 | $11.63 – $102.62 | 34 |
| Mayo activated protein c resistance assay CPT 85307 | $72.54 | $201.50 | $9.75 – $102.62 | 34 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | not published | not published | $32.40 – $210.21 | 25 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $101.07 | $280.75 | $0.04 – $126.34 | 23 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $62.01 | $172.25 | $0.04 – $82.75 | 23 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $111.06 | $308.50 | $6.94 – $138.82 | 34 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $111.69 | $310.25 | $0.04 – $139.61 | 23 |
| Mayo alpha 1 antitrypsin CPT 82103 | $131.58 | $365.50 | $11.29 – $99.90 | 34 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $64.53 | $179.25 | $12.67 – $112.05 | 34 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | not published | not published | $0.04 – $194.04 | 20 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $111.69 | $310.25 | $0.04 – $126.34 | 23 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $372.51 | $1,034.75 | $102.17 – $662.88 | 31 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $956.97 | $2,658.25 | $76.99 – $681.58 | 34 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | not published | not published | $115.08 – $746.65 | 27 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $1,785.87 | $4,960.75 | $974.40 – $6,322.00 | 32 |
| Mayo androstenedione CPT 82157 | $119.61 | $332.25 | $24.60 – $217.67 | 34 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $147.15 | $408.75 | $12.26 – $108.56 | 34 |
| Mayo antithrombin iii antigen CPT 85301 | $50.22 | $139.50 | $9.08 – $80.39 | 34 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $102.60 | $285.00 | $8.55 – $82.02 | 34 |
| Mayo avwpr vw factor activity CPT 85397 | $103.77 | $288.25 | $9.35 – $168.19 | 34 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | not published | not published | $29.48 – $165.27 | 19 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $111.69 | $310.25 | $0.04 – $110.34 | 23 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $12.60 | $35.00 | $8.55 – $60.82 | 34 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $330.03 | $916.75 | $121.67 – $1,076.87 | 34 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.