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 |
|---|---|---|---|---|
| #acylcarnitineprfl CPT 82017 | $1,021.32 | $2,837.00 | $11.40 – $91.94 | 35 |
| Acylcarnitines qual CPT 82016 | not published | not published | $13.85 – $98.86 | 30 |
| Adapt behavior tx phys/qhp CPT 97155 | not published | not published | $46.72 – $272.49 | 5 |
| Adapter b 8 channel 10cm HCPCS C1883 | $12,081.42 | $33,559.50 | $697.21 – $697.21 | 2 |
| Adding walker to prev cast CPT 29440 | not published | not published | $15.85 – $1,000.00 | 21 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | $106.83 | $296.75 | $0.81 – $0.81 | 1 |
| Adenovirus ag ia CPT 87301 | not published | not published | $10.06 – $89.16 | 30 |
| Adenovirus antibody,serum - quest CPT 86603 | $132.66 | $368.50 | $3.70 – $70.14 | 35 |
| Adenovirus assay w/optic CPT 87809 | $208.53 | $579.25 | $13.71 – $168.07 | 35 |
| Adhesiolysis tube ovary 58740 CPT 58740 | not published | not published | $662.72 – $1,076.91 | 7 |
| Adh-sendout CPT 84588 | $321.12 | $892.00 | $13.02 – $252.39 | 35 |
| Adj gastric band via subq port CPT 43999 | not published | not published | $565.86 – $1,590.03 | 8 |
| Adjmt/revj ext fixj sys anes CPT 20693 | not published | not published | $439.49 – $6,998.88 | 20 |
| Adj tis trans/see area/10.1-30sqcm 14041 CPT 14041 | not published | not published | $709.01 – $1,898.61 | 20 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $520.38 | $1,445.50 | $0.91 – $0.91 | 1 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $144.00 | $400.00 | $29.39 – $128.61 | 9 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $254.70 | $707.50 | $40.88 – $287.18 | 7 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $288.00 | $800.00 | $134.43 – $593.78 | 9 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $252.00 | $700.00 | $103.28 – $562.52 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic hormonal CPT 96402 | $172.17 | $478.25 | $29.78 – $250.95 | 7 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $127.35 | $353.75 | $75.94 – $250.95 | 7 |
| Administration immunization 1 vaccine CPT 90471 | $34.47 | $95.75 | $16.22 – $250.95 | 7 |
| Administration immunization each additional component CPT 90461 | $7.20 | $20.00 | $12.45 – $53.83 | 5 |
| Administration immunization each additional vaccine CPT 90472 | $34.20 | $95.00 | $12.45 – $53.83 | 5 |
| Administration immunization first component each vaccine CPT 90460 | $14.49 | $40.25 | $16.22 – $59.84 | 5 |
| Administration immunization intranasal/oral route 1 vaccine CPT 90473 | $19.26 | $53.50 | $16.22 – $250.95 | 7 |
| Administration immunization intranasal/oral route each additional vaccine CPT 90474 | $39.06 | $108.50 | $12.45 – $53.83 | 5 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | not published | not published | $68.40 – $166.00 | 4 |
| Administration vaccine influenza virus HCPCS G0008 | $67.05 | $186.25 | $19.91 – $98.73 | 7 |
| Administration vaccine pneumococcal HCPCS G0009 | $71.37 | $198.25 | $19.91 – $179.74 | 6 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | not published | not published | $68.40 – $166.00 | 4 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $6,118.02 | $16,994.50 | $29.21 – $127.42 | 16 |
| Adrenal cortex & medulla img CPT 78075 | $1,322.19 | $3,672.75 | $415.33 – $4,022.55 | 34 |
| Adrenalectomy expl w/exc retro tumor 60545 CPT 60545 | not published | not published | $917.27 – $1,490.56 | 7 |
| Advance care planning each additional 30 min 99498 CPT 99498 | not published | not published | $73.66 – $314.07 | 5 |
| Aep hearing status deter i&r CPT 92651 | $179.64 | $499.00 | $180.77 – $528.12 | 5 |
| Aep neurodiagnostic i&r CPT 92653 | $131.22 | $364.50 | $175.98 – $528.12 | 5 |
| Aep thrshld est mlt freq i&r CPT 92652 | $131.22 | $364.50 | $238.98 – $592.42 | 5 |
| _afb id by dna probe rflx ast CPT 87149 | $159.57 | $443.25 | $12.27 – $149.11 | 35 |
| #afb mycobacteria suscep. #1 CPT 87190 | $44.10 | $122.50 | $3.99 – $42.02 | 35 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $173.70 | $482.50 | $4.35 – $857.72 | 35 |
| Afo tib fx semi-rigid l2114 HCPCS L2114 | $556.74 | $1,546.50 | $584.48 – $584.48 | 1 |
| After cataract laser surgery CPT 66821 | not published | not published | $208.33 – $1,000.00 | 21 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | $7,759.89 | $21,555.25 | $158.04 – $697.47 | 16 |
| Air conduction bilat CPT 92552 | not published | not published | $30.03 – $452.47 | 7 |
| Air injection into abdomen 49400 CPT 49400 | not published | not published | $93.72 – $1,000.00 | 3 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $95.31 | $264.75 | $29.67 – $1,050.37 | 7 |
| Albumin body fluid quantitative each specimen CPT 82042 | $68.13 | $189.25 | $5.91 – $42.40 | 35 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $144.45 | $401.25 | $50.77 – $260.66 | 14 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | $73.26 | $203.50 | $20.98 – $104.25 | 14 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $169.11 | $469.75 | $51.98 – $260.66 | 14 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | $80.28 | $223.00 | $10.49 – $11.21 | 8 |
| Albumin ischemia modified CPT 82045 | not published | not published | $28.51 – $252.39 | 30 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $34.83 | $96.75 | $4.86 – $41.42 | 35 |
| Albumin serum plasma or whole blood CPT 82040 | $24.39 | $67.75 | $4.16 – $36.79 | 35 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | not published | not published | $14.51 – $81.34 | 18 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | $33,626.43 | $93,406.75 | $1,873.16 – $8,176.41 | 15 |
| Alkaline phosphatase CPT 84075 | $31.86 | $88.50 | $4.35 – $38.48 | 35 |
| Allergen alpha lactalbumin ige CPT 86008 | $36.00 | $100.00 | $4.38 – $97.72 | 31 |
| Allergen egg white ige CPT 86003 | $26.46 | $73.50 | $4.38 – $35.53 | 35 |
| Allergen specific ige qual multi scrn ea CPT 86005 | not published | not published | $6.57 – $59.30 | 30 |
| Allergy injections; 2 or more 95117 CPT 95117 | not published | not published | $10.09 – $158.16 | 7 |
| Allergy injection; single 95115 CPT 95115 | $10.08 | $28.00 | $8.74 – $158.16 | 7 |
| Allergy Skin Testing CPT 95004 | not published | not published | $4.02 – $3,772.14 | 7 |
| Allg patch or app # of tests 95044 CPT 95044 | not published | not published | $5.36 – $3,772.14 | 7 |
| Allgrft implnt knee w/scope CPT 29867 | not published | not published | $969.15 – $13,923.83 | 8 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $449.82 | $1,249.50 | $160.59 – $160.59 | 1 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | $91.89 | $255.25 | $90.12 – $90.12 | 1 |
| Allograft membrn amnio 1x2cm hu ambriodry HCPCS V2790 | $2,736.45 | $7,601.25 | $698.25 – $698.25 | 2 |
| All tstg perq&iq drugs/biol CPT 95018 | not published | not published | $7.15 – $138.73 | 7 |
| All tstg perq&iq w/venoms CPT 95017 | not published | not published | $3.82 – $95.41 | 7 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | $13.50 | $37.50 | $4.45 – $19.48 | 16 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $54.10 – $478.95 | 30 |
| Alpha-fetoprotein amniotic CPT 82106 | $88.74 | $246.50 | $14.28 – $124.75 | 35 |
| Alpha-fetoprotein tumor marker CPT 82105 | $127.44 | $354.00 | $14.09 – $124.75 | 35 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $3,069.00 | $8,525.00 | $73.74 – $89.15 | 6 |
| Alt/sgpt CPT 84460 | $30.06 | $83.50 | $1.41 – $39.35 | 35 |
| Aluminum - quest CPT 82108 | $218.52 | $607.00 | $21.40 – $189.44 | 35 |
| Alveoloplasty each quadrant CPT 41874 | not published | not published | $199.82 – $1,562.18 | 20 |
| Alys cplx sp/pn npgt w/prgrm CPT 95972 | not published | not published | $41.61 – $177.99 | 7 |
| Amantadine (symmetrel)-sendout CPT 80375 | not published | not published | $0.04 – $72.82 | 18 |
| Ambl bp mntr w/sw a/r CPT 93788 | $332.82 | $924.50 | $5.02 – $452.47 | 7 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | $19.89 | $55.25 | $1.22 – $1.22 | 1 |
| Amino acid screen, urine CPT 82128 | $53.64 | $149.00 | $11.65 – $98.86 | 35 |
| Amino acid single qual CPT 82127 | not published | not published | $11.91 – $98.86 | 30 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $11.40 – $106.87 | 30 |
| Aminolevulinic acid delta CPT 82135 | $78.30 | $217.50 | $13.82 – $122.35 | 35 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | $2.61 | $7.25 | $3.71 – $3.71 | 1 |
| Amitriptyline (elavil) -sendout CPT 80335 | not published | not published | $0.04 – $103.72 | 18 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | $234.90 | $652.50 | $19.63 – $83.51 | 8 |
| Ammonia CPT 82140 | $111.69 | $310.25 | $12.24 – $108.35 | 35 |
| Amniocentesisdiagnostic 59000 CPT 59000 | not published | not published | $47.29 – $1,476.70 | 21 |
| Amniocentesis therapeutic CPT 59001 | not published | not published | $98.49 – $1,000.00 | 21 |
| Amniotic fluid scan CPT 82143 | not published | not published | $7.85 – $51.07 | 30 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | not published | not published | $623.01 – $3,202.82 | 20 |
| Amphetamine confirm urine -sendout CPT 80324 | $115.92 | $322.00 | $0.04 – $98.97 | 23 |
| Amphetamines 5 or more CPT 80326 | $22.68 | $63.00 | $0.04 – $215.16 | 23 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | $20.79 | $57.75 | $37.51 – $37.51 | 1 |
| Amphotericin b lipid complex HCPCS J0287 | $29.52 | $82.00 | $6.16 – $41.90 | 16 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | $15.57 | $43.25 | $0.98 – $0.98 | 1 |
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.