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 |
|---|---|---|---|---|
| Crystal identification light microscopy CPT 89060 | $48.06 | $133.50 | $4.22 – $53.19 | 35 |
| C-Section Delivery (full care) CPT 59510 | not published | not published | $969.15 – $2,825.11 | 7 |
| C-section delivery incl p/p care 59515 CPT 59515 | not published | not published | $944.51 – $1,534.83 | 7 |
| Csf leakage imaging CPT 78650 | $1,360.08 | $3,778.00 | $252.60 – $2,848.23 | 34 |
| Csf shunt reprogram 62252 CPT 62252 | not published | not published | $25.21 – $1,000.00 | 21 |
| Csf ventriculography CPT 78635 | not published | not published | $314.75 – $3,008.25 | 30 |
| CT 3d report other modality w/workstation CPT 76377 | $473.49 | $1,315.25 | $31.71 – $1,610.00 | 15 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,732.41 | $4,812.25 | $180.34 – $2,663.55 | 36 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,527.57 | $4,243.25 | $180.34 – $2,661.93 | 36 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $2,867.67 | $7,965.75 | $180.34 – $2,555.64 | 36 |
| Cta neck without &/or w/contrast CPT 70498 | $1,284.57 | $3,568.25 | $180.34 – $2,663.55 | 36 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $3,269.34 | $9,081.50 | $252.74 – $3,559.32 | 36 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,250.37 | $3,473.25 | $180.34 – $2,549.16 | 36 |
| CT Angiogram of the Head CPT 70496 | $1,284.57 | $3,568.25 | $180.34 – $2,663.55 | 36 |
| CT angio hrt w/3d image CPT 75574 | $1,151.10 | $3,197.50 | $180.34 – $2,026.08 | 36 |
| CT angio pelvis CPT 72191 | $1,527.57 | $4,243.25 | $180.34 – $2,663.55 | 36 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,049.85 | $2,916.25 | $180.34 – $2,258.19 | 36 |
| CT bone density axial CPT 77078 | $321.75 | $893.75 | $58.74 – $1,610.00 | 36 |
| CT colonography dx CPT 74261 | $267.12 | $742.00 | $106.88 – $1,610.00 | 36 |
| CT colonography dx w/dye CPT 74262 | $376.38 | $1,045.50 | $180.34 – $2,271.24 | 35 |
| CT colonography screening CPT 74263 | $391.68 | $1,088.00 | $409.94 – $6,295.50 | 16 |
| CT guidance for needle placement CPT 77012 | $240.48 | $668.00 | $69.74 – $1,610.00 | 15 |
| CT guidance for percutaneous drain w/catheter placement supervision & interpretation CPT 75989 | $85.68 | $238.00 | $63.79 – $1,610.00 | 14 |
| CT guid cryo ablat intramuscular CPT 20999 | not published | not published | $155.26 – $1,406.01 | 8 |
| CT guid parench tis ablat CPT 77013 | $794.43 | $2,206.75 | $196.77 – $2,418.06 | 9 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $45.18 | $125.50 | $12.27 – $1,610.00 | 35 |
| CT hrt c+ strux cgen hrt ds CPT 75573 | $905.31 | $2,514.75 | $180.34 – $2,026.08 | 36 |
| CT hrt w/3d image CPT 75572 | $905.31 | $2,514.75 | $180.34 – $1,859.31 | 36 |
| CT limited or localized follow-up study CPT 76380 | $321.75 | $893.75 | $58.74 – $1,610.00 | 36 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $981.90 | $2,727.50 | $173.08 – $1,637.01 | 36 |
| CT lower extremity without contrast (both sides) CPT 73700 | $851.49 | $2,365.25 | $106.88 – $1,610.00 | 36 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,052.28 | $2,923.00 | $180.34 – $2,156.85 | 36 |
| CT neck soft tissue w/contrast CPT 70491 | $1,293.93 | $3,594.25 | $138.84 – $1,620.72 | 36 |
| CT neck soft tissue without contrast CPT 70490 | $958.59 | $2,662.75 | $106.88 – $1,610.00 | 36 |
| CT neck soft tissue without & w/contrast CPT 70492 | $1,389.24 | $3,859.00 | $169.72 – $2,013.03 | 36 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $2,192.22 | $6,089.50 | $180.34 – $2,307.24 | 36 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,261.08 | $3,503.00 | $180.34 – $2,052.27 | 36 |
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $1,121.31 | $3,114.75 | $106.88 – $1,610.00 | 36 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | not published | not published | $87.58 – $1,000.00 | 21 |
| CT scan for therapy guide CPT 77014 | $375.12 | $1,042.00 | $77.12 – $1,610.00 | 15 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $3,543.57 | $9,843.25 | $252.74 – $2,701.91 | 36 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $3,447.00 | $9,575.00 | $228.53 – $3,282.19 | 36 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $2,440.26 | $6,778.50 | $117.52 – $2,589.30 | 36 |
| CT thoracic spine w/contrast CPT 72129 | $3,241.80 | $9,005.00 | $174.13 – $1,637.01 | 36 |
| CT thoracic spine without contrast CPT 72128 | $3,200.13 | $8,889.25 | $106.88 – $1,610.00 | 36 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $113.85 | $316.25 | $80.90 – $418.89 | 24 |
| CT t-spine w /wo contrast CPT 72130 | $3,587.40 | $9,965.00 | $180.34 – $2,065.32 | 36 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $1,455.39 | $4,042.75 | $170.45 – $1,706.87 | 36 |
| CT upper extremity without contrast (both sides) CPT 73200 | $1,404.36 | $3,901.00 | $106.88 – $1,610.00 | 36 |
| CT uppr extremity w/o&w/dye CPT 73202 | $1,595.25 | $4,431.25 | $180.34 – $2,179.71 | 36 |
| Cultr oocyte/embryo <4 days CPT 89250 | not published | not published | $98.75 – $2,208.09 | 12 |
| Cultr oocyte/embryo <4 days CPT 89251 | not published | not published | $202.34 – $2,296.28 | 12 |
| Cult skin graft fnhfg 15155 CPT 15155 | not published | not published | $725.44 – $3,483.43 | 20 |
| Cult skin grft t/arm/leg CPT 15150 | not published | not published | $628.62 – $2,065.16 | 20 |
| Culture aerobic additional method definitive id each CPT 87077 | $60.93 | $169.25 | $6.79 – $60.11 | 35 |
| Culture afb any source CPT 87116 | $79.92 | $222.00 | $8.67 – $80.33 | 35 |
| Culture anaerobic additional method definitive id each CPT 87076 | $103.50 | $287.50 | $6.79 – $60.11 | 35 |
| Culture anaerobic except blood CPT 87075 | $276.12 | $767.00 | $7.93 – $73.80 | 35 |
| Culture bact stool aero addl path ea CPT 87046 | $34.47 | $95.75 | $7.93 – $70.20 | 35 |
| Culture body fluid CPT 87070 | $131.94 | $366.50 | $5.61 – $64.04 | 35 |
| Culture fungi definitive id mold CPT 87107 | $42.66 | $118.50 | $6.48 – $76.79 | 35 |
| Culture fungi definitive id yeast CPT 87106 | $115.56 | $321.00 | $6.80 – $76.79 | 35 |
| Culture fungi other (except blood) CPT 87102 | $141.21 | $392.25 | $7.06 – $156.49 | 35 |
| Culture fungi skin/hair/nail CPT 87101 | $53.28 | $148.00 | $5.57 – $57.33 | 35 |
| Culture mycobacteria definitive id each isolate CPT 87118 | $129.15 | $358.75 | $8.67 – $81.37 | 35 |
| Culture mycoplasma any source CPT 87109 | $160.20 | $445.00 | $7.06 – $87.53 | 35 |
| Culture quantitative aerobic other source CPT 87071 | $63.45 | $176.25 | $8.31 – $70.20 | 35 |
| Culture screening strep group a CPT 87081 | $131.94 | $366.50 | $5.57 – $49.32 | 35 |
| Culture typing added method CPT 87158 | $129.60 | $360.00 | $5.98 – $42.18 | 35 |
| Culture typing immunologic CPT 87147 | $40.86 | $113.50 | $4.35 – $38.48 | 35 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $99.72 | $277.00 | $88.00 – $1,027.06 | 23 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $26.73 | $74.25 | $4.68 – $260.89 | 35 |
| Culture urine each isolate CPT 87088 | $42.39 | $117.75 | $6.79 – $60.22 | 35 |
| Culture virus isolation CPT 87250 | $23.76 | $66.00 | $15.10 – $145.41 | 35 |
| Curette/treat cornea CPT 65435 | not published | not published | $32.47 – $1,642.57 | 21 |
| Curette/treat cornea CPT 65436 | not published | not published | $147.12 – $1,353.74 | 20 |
| Cv line/pic reposition CPT 36597 | $968.13 | $2,689.25 | $61.87 – $1,908.42 | 19 |
| Cv stress test i&r only 93018 CPT 93018 | not published | not published | $14.82 – $62.83 | 5 |
| Cv stress test/supervision only 93016 CPT 93016 | not published | not published | $22.20 – $94.21 | 5 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $162.18 | $450.50 | $12.03 – $202.72 | 35 |
| Cyanocobalamin (vit b-12) 1,000 mcg/ml injection solution HCPCS J3420 | $13.95 | $38.75 | $1.83 – $14.46 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $79.02 | $219.50 | $10.88 – $96.25 | 35 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $58.41 | $162.25 | $3.45 – $4.30 | 4 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $37.89 | $105.25 | $3.91 – $3.91 | 1 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $52.02 | $144.50 | $56.69 – $56.69 | 1 |
| Cyclosporine 2 hour CPT 80158 | $179.10 | $497.50 | $15.16 – $145.13 | 35 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $3.15 | $8.75 | $0.68 – $0.68 | 1 |
| Cyclosporine oral 100 mg HCPCS J7502 | $12.42 | $34.50 | $2.34 – $2.34 | 1 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $244.50 – $1,590.31 | 30 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $146.70 – $954.19 | 30 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $378.39 – $2,461.17 | 30 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $189.20 – $952.71 | 13 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $189.20 – $952.71 | 13 |
| Cystatin c CPT 82610 | $59.40 | $165.00 | $15.54 – $101.04 | 35 |
| Cystic fibrosis cftr CPT 81223 | $534.96 | $1,486.00 | $419.16 – $5,020.98 | 34 |
| Cystine urine quantitative CPT 82131 | $123.03 | $341.75 | $19.28 – $140.74 | 35 |
| Cysto cgen post urtl valves CPT 52400 | not published | not published | $482.02 – $3,531.69 | 20 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $770.85 | $2,141.25 | $22.69 – $1,546.49 | 36 |
| Cysto insj dev ischmc rmdlg CPT 53865 | not published | not published | $969.15 – $8,877.26 | 3 |
| Cystometrogram w/up 51727 CPT 51727 | $560.88 | $1,558.00 | $145.60 – $1,131.99 | 20 |
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.