Ascension Seton Smithville (Ascension Seton)
1201 Hill Rd, Smithville, TX · Ascension · · NPI 1154612638
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 |
|---|---|---|---|---|
| X-ray eye detection foreign body (both sides) CPT 70030 | $94.23 | $261.75 | $20.12 – $323.23 | 36 |
| X-ray facial bones complete > 3 views CPT 70150 | $294.03 | $816.75 | $28.94 – $453.92 | 36 |
| X-ray fallopian tube CPT 74742 | $386.73 | $1,074.25 | $31.71 – $338.00 | 8 |
| X-ray femur >=2 views (both sides) CPT 73552 | $130.32 | $362.00 | $24.16 – $323.23 | 33 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $233.55 | $648.75 | $26.00 – $323.23 | 36 |
| X-ray foot 2 views (both sides) CPT 73620 | $511.38 | $1,420.50 | $19.01 – $323.23 | 36 |
| X-ray forearm 2 views (both sides) CPT 73090 | $361.62 | $1,004.50 | $17.91 – $323.23 | 36 |
| X-ray hand 2 views (both sides) CPT 73120 | $522.27 | $1,450.75 | $20.49 – $453.92 | 36 |
| X-ray head for orthodontia CPT 70350 | $101.88 | $283.00 | $9.82 – $323.23 | 36 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $306.45 | $851.25 | $19.75 – $323.23 | 36 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $215.19 | $597.75 | $38.49 – $453.92 | 33 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $215.19 | $597.75 | $27.10 – $453.92 | 33 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $215.19 | $597.75 | $34.82 – $453.92 | 33 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $410.76 | $1,141.00 | $41.80 – $447.30 | 33 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $130.32 | $362.00 | $21.22 – $323.23 | 33 |
| X-ray humerus >= 2 views left CPT 73060 | $349.65 | $971.25 | $21.22 – $323.23 | 36 |
| X-ray joint survey 1 view CPT 77077 | $261.18 | $725.50 | $21.58 – $453.92 | 36 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $355.86 | $988.50 | $23.43 – $323.23 | 36 |
| X-ray knee 3 views (both sides) CPT 73562 | $392.85 | $1,091.25 | $27.10 – $323.23 | 36 |
| X-ray knee ap standing bilateral CPT 73565 | $297.72 | $827.00 | $27.84 – $323.23 | 36 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $212.22 | $589.50 | $19.75 – $323.23 | 36 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $253.71 | $704.75 | $30.41 – $453.92 | 36 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $514.71 | $1,429.75 | $34.08 – $453.92 | 36 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $585.36 | $1,626.00 | $46.58 – $457.29 | 36 |
| X-ray male genital tract CPT 74440 | not published | not published | $64.22 – $943.81 | 31 |
| X-ray mandible complete > 4 views CPT 70110 | $256.05 | $711.25 | $26.00 – $453.92 | 36 |
| X-ray mandible ltd <4 views CPT 70100 | $170.82 | $474.50 | $24.53 – $323.23 | 36 |
| X-ray measurement of pelvis CPT 74710 | not published | not published | $19.75 – $250.63 | 24 |
| X-ray nasal bones complete > 3 views CPT 70160 | $306.18 | $850.50 | $24.90 – $323.23 | 36 |
| X-ray neck soft tissue CPT 70360 | $309.24 | $859.00 | $20.49 – $323.23 | 36 |
| X-ray nose to rectum for foreign body child CPT 76010 | $192.60 | $535.00 | $17.55 – $323.23 | 36 |
| X-ray of mammary ducts CPT 77054 | not published | not published | $55.40 – $943.81 | 31 |
| X-ray optic foramina CPT 70190 | $151.20 | $420.00 | $25.27 – $323.23 | 36 |
| X-ray pelvis 1-2 views CPT 72170 | $313.47 | $870.75 | $23.79 – $453.92 | 36 |
| X-ray pelvis complete > 3 views CPT 72190 | $501.03 | $1,391.75 | $27.83 – $453.92 | 36 |
| Xray place dist ext thor ao CPT 75959 | not published | not published | $175.87 – $1,043.61 | 7 |
| Xray place prox ext thor ao CPT 75958 | not published | not published | $201.82 – $1,195.26 | 7 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $559.89 | $1,555.25 | $46.49 – $1,966.48 | 34 |
| X-ray ribs 2 views left CPT 71100 | $356.22 | $989.50 | $22.69 – $323.23 | 36 |
| X-ray ribs 3 views bilateral CPT 71110 | $303.93 | $844.25 | $26.00 – $453.92 | 36 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $266.31 | $739.75 | $25.27 – $453.92 | 36 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $468.18 | $1,300.50 | $31.51 – $453.92 | 36 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $199.26 | $553.50 | $24.16 – $453.92 | 36 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $175.50 | $487.50 | $20.12 – $323.23 | 36 |
| X-ray scapula complete (both sides) CPT 73010 | $357.75 | $993.75 | $21.95 – $453.92 | 36 |
| X-ray sella turcica CPT 70240 | $109.26 | $303.50 | $21.59 – $323.23 | 36 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $274.41 | $762.25 | $15.34 – $323.23 | 36 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $253.71 | $704.75 | $25.64 – $323.23 | 36 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $383.85 | $1,066.25 | $29.67 – $1,950.40 | 36 |
| X-ray skull < 4 views CPT 70250 | $214.20 | $595.00 | $24.53 – $453.92 | 36 |
| X-ray skull > 4 views complete CPT 70260 | $336.42 | $934.50 | $28.94 – $453.92 | 36 |
| X-ray slg plne bdy sect without urogr CPT 76100 | $112.68 | $313.00 | $62.02 – $639.90 | 36 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $410.76 | $1,141.00 | $82.60 – $843.12 | 36 |
| X-ray small intestine follow-through study CPT 74248 | not published | not published | $47.93 – $498.87 | 23 |
| X-ray spine single view CPT 72020 | $232.92 | $647.00 | $14.98 – $323.23 | 36 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $194.31 | $539.75 | $25.63 – $323.23 | 36 |
| X-ray sternum > 2 views CPT 71120 | $314.82 | $874.50 | $20.12 – $323.23 | 36 |
| X-ray surgical specimen CPT 76098 | $209.16 | $581.00 | $9.09 – $1,950.40 | 36 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $791.10 | $2,197.50 | $97.29 – $1,045.98 | 36 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $179.37 | $498.25 | $35.93 – $404.10 | 36 |
| X-ray thoracic spine 2 views CPT 72070 | $293.40 | $815.00 | $23.42 – $453.92 | 36 |
| X-ray thoracic spine 3 views CPT 72072 | $430.29 | $1,195.25 | $24.53 – $453.92 | 36 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $258.12 | $717.00 | $23.05 – $323.23 | 36 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $113.40 | $315.00 | $26.00 – $323.23 | 33 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $215.19 | $597.75 | $47.68 – $530.46 | 33 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $292.50 | $812.50 | $20.85 – $323.23 | 36 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $225.00 | $625.00 | $22.32 – $323.23 | 36 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $342.45 | $951.25 | $95.10 – $979.47 | 36 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $342.45 | $951.25 | $80.77 – $843.12 | 36 |
| X-ray upper gi delay w/kub CPT 74241 | not published | not published | $85.55 – $796.86 | 20 |
| X-ray upper gi&small intest CPT 74245 | not published | not published | $121.20 – $1,244.70 | 20 |
| X-ray wrist 2 views (both sides) CPT 73100 | $294.03 | $816.75 | $23.42 – $323.23 | 36 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | $247.77 | $688.25 | $62.02 – $737.99 | 36 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $205.31 – $508.96 | 4 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $85.81 – $375.41 | 6 |
| Xylose absorption test blood &/or urine CPT 84620 | $114.39 | $317.75 | $10.84 – $128.25 | 35 |
| Xyntha inj HCPCS J7185 | $6.03 | $16.75 | $1.24 – $4.23 | 16 |
| Yersinia antibody CPT 86793 | $55.80 | $155.00 | $9.35 – $71.89 | 35 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | $2.61 | $7.25 | $1.51 – $1.51 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | $96.39 | $267.75 | $35.08 – $279.64 | 31 |
| Zika virus igm antibody CPT 86794 | $61.02 | $169.50 | $14.15 – $91.83 | 31 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $42.75 | $118.75 | $17.89 – $17.89 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $1,849.32 | $5,137.00 | $10.55 – $34.97 | 2 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $714.57 – $891.09 | 4 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $338.19 – $3,577.39 | 5 |
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.