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 |
|---|---|---|---|---|
| Destruction 2-14 lesions 17003 CPT 17003 | not published | not published | $2.40 – $1,000.00 | 3 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $129.11 – $1,363.45 | 20 |
| Destruction anal lesion(s) CPT 46924 | not published | not published | $180.25 – $2,742.69 | 20 |
| Destruction anal lesion(s) smpl chem 46900 CPT 46900 | not published | not published | $111.65 – $1,000.00 | 21 |
| Destruction benign lesions < 14 lesions CPT 17110 | not published | not published | $67.36 – $1,000.00 | 9 |
| Destruction by injection tx of nerve 64630 CPT 64630 | not published | not published | $189.62 – $1,509.87 | 21 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $59.94 – $1,000.00 | 4 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $221.23 – $2,011.64 | 20 |
| Destruction ciliary body CPT 66700 | not published | not published | $387.14 – $2,365.58 | 20 |
| Destruction ciliary body CPT 66720 | not published | not published | $401.97 – $2,264.18 | 20 |
| Destruction ciliary body CPT 66740 | not published | not published | $387.14 – $2,264.18 | 20 |
| Destruction cryosurgery anal lesion(s) simpl 46916 CPT 46916 | not published | not published | $58.43 – $1,000.00 | 21 |
| Destruction laser surgery anal lesions 46917 CPT 46917 | not published | not published | $128.98 – $2,742.69 | 20 |
| Destruction les conjunctiva CPT 68135 | not published | not published | $60.88 – $1,353.74 | 20 |
| Destruction mal lsn s/n/h/f/g 2.1-3cm CPT 17273 | not published | not published | $93.80 – $1,000.00 | 21 |
| Destruction mal lsn s/n/h/f/g 3.1-4cm CPT 17274 | not published | not published | $105.75 – $1,000.00 | 21 |
| Destruction mal lsn t/a/l 3.1-4cm CPT 17264 | not published | not published | $95.10 – $1,000.00 | 21 |
| Destruction mal lsn t/a/l >4cm CPT 17266 | not published | not published | $104.72 – $1,000.00 | 21 |
| Destruction penis lesion(s) chem 54050 CPT 54050 | not published | not published | $105.12 – $1,000.00 | 9 |
| Destruction penis lesion(s) exten 54065 CPT 54065 | not published | not published | $171.84 – $1,898.61 | 20 |
| Destruction premal lesions 15/> 17004 CPT 17004 | not published | not published | $77.70 – $1,000.00 | 21 |
| Destruction rectal tumor 45190 CPT 45190 | not published | not published | $696.04 – $2,742.69 | 20 |
| Destruction vag lesions complex 57065 CPT 57065 | not published | not published | $175.63 – $2,922.78 | 20 |
| Destruction vag lesions simple 57061 CPT 57061 | not published | not published | $66.00 – $1,798.19 | 20 |
| Destruct penis les/smp/electrodesi 54055 CPT 54055 | not published | not published | $50.23 – $1,363.45 | 20 |
| Detect agent nos dna dir CPT 87797 | $228.60 | $635.00 | $22.92 – $229.05 | 35 |
| Detect agnt mult dna direc CPT 87800 | not published | not published | $36.68 – $298.22 | 31 |
| Developmental screen/score/document 96110 CPT 96110 | $165.69 | $460.25 | $9.41 – $41.87 | 5 |
| Devel tst phys/qhp 1st hr CPT 96112 | not published | not published | $127.04 – $574.15 | 6 |
| Device hemospray 7frx220cm endo hemostat min access HCPCS C1052 | $2,069.28 | $5,748.00 | $11.87 – $14.39 | 3 |
| Dev tst admin phys/qhp ea addl 30 min CPT 96113 | not published | not published | $58.01 – $246.76 | 5 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | not published | not published | $17.91 – $207.90 | 31 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $4.23 | $11.75 | $0.07 – $0.28 | 11 |
| Dexamethasone intra implant HCPCS J7312 | $2,142.45 | $5,951.25 | $180.91 – $798.15 | 19 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $743.31 | $2,064.75 | $113.90 – $794.26 | 16 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $19.35 | $53.75 | $0.95 – $0.95 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $31.05 | $86.25 | $2.17 – $2.17 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | $20.88 | $58.00 | $4.23 – $4.23 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $180.99 | $502.75 | $18.67 – $165.30 | 35 |
| Diabetes (HbA1c) Test CPT 83036 | $78.03 | $216.75 | $8.16 – $79.09 | 35 |
| Diag bronchoscope/catheter CPT 31643 | not published | not published | $178.33 – $1,673.81 | 20 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $324.84 – $5,655.44 | 20 |
| Diagnostic anoscopy CPT 46601 | not published | not published | $54.04 – $1,000.00 | 9 |
| Diagnostic anoscopy & biopsy CPT 46607 | not published | not published | $126.58 – $1,174.94 | 8 |
| Diagnostic anoscopy spx 46600 CPT 46600 | $40.23 | $111.75 | $40.66 – $969.15 | 8 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | not published | not published | $8.29 – $738.96 | 10 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | not published | not published | $94.06 – $576.60 | 9 |
| Diagnostic laryngoscopy 31505 CPT 31505 | not published | not published | $46.25 – $1,000.00 | 21 |
| Diagnostic laryngoscopy 31575 CPT 31575 | not published | not published | $56.95 – $1,000.00 | 21 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $189.45 | $526.25 | $120.37 – $1,112.49 | 15 |
| Diagnostic Mammogram (one breast) CPT 77065 | $146.88 | $408.00 | $94.06 – $869.67 | 16 |
| Diagnostic radio unlisted proc CPT 76499 | $86.04 | $239.00 | $58.74 – $323.23 | 26 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | not published | not published | $203.51 – $1,000.00 | 3 |
| Dialysis one evaluation CPT 90945 | $936.27 | $2,600.75 | $84.83 – $722.16 | 3 |
| Diathermy eg microwave CPT 97024 | $17.37 | $48.25 | $6.46 – $33.15 | 15 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | $2.52 | $7.00 | $0.08 – $0.38 | 6 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $105.12 | $292.00 | $6.85 – $25.98 | 4 |
| Diffusing capacity CPT 94729 | $239.31 | $664.75 | $47.32 – $194.43 | 5 |
| Digital analysis of eeg CPT 95957 | $983.70 | $2,732.50 | $190.84 – $698.45 | 5 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $11.97 | $33.25 | $5.75 – $5.75 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $98.64 | $274.00 | $11.16 – $112.84 | 35 |
| Dilate biliary duct/ampulla CPT 47542 | not published | not published | $138.28 – $1,000.00 | 3 |
| Dilate esophagus CPT 43453 | not published | not published | $86.69 – $1,822.16 | 20 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $80.08 – $1,590.03 | 21 |
| Dilate ic vasospasm ea add vsl diff territory CPT 61642 | not published | not published | $255.33 – $1,000.00 | 7 |
| Dilate ic vasospasm ea add vsl same territory CPT 61641 | not published | not published | $127.66 – $1,000.00 | 7 |
| Dilate ic vasospasm init CPT 61640 | not published | not published | $363.54 – $1,000.00 | 7 |
| Dilate tear duct opening CPT 68801 | not published | not published | $76.63 – $1,000.00 | 9 |
| Dilate urethra stricture CPT 53600 | not published | not published | $28.32 – $1,000.00 | 21 |
| Dilate urethra stricture CPT 53601 | not published | not published | $39.07 – $1,000.00 | 21 |
| Dilate urethra stricture CPT 53605 | not published | not published | $65.36 – $2,072.71 | 20 |
| Dilate urethra stricture CPT 53621 | not published | not published | $64.44 – $1,000.00 | 21 |
| Dilation/female urethra/initial 53660 CPT 53660 | not published | not published | $31.70 – $1,000.00 | 21 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $167.73 – $1,605.27 | 20 |
| Dilation of cervical canal 57800 CPT 57800 | not published | not published | $29.10 – $1,798.19 | 20 |
| Dilation of rectal stricture 45910 CPT 45910 | not published | not published | $190.91 – $1,605.27 | 20 |
| Dilation of salivary duct CPT 42660 | not published | not published | $54.31 – $1,000.00 | 21 |
| Dilation of urethra CPT 53661 | not published | not published | $29.60 – $1,000.00 | 21 |
| Dilation of urethra CPT 53665 | not published | not published | $39.10 – $2,072.71 | 20 |
| Dilation of vagina CPT 57400 | not published | not published | $132.23 – $2,922.78 | 20 |
| Dilation salivary duct 42650 CPT 42650 | not published | not published | $35.60 – $1,000.00 | 20 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | not published | not published | $62.88 – $1,131.99 | 21 |
| Dilat xst trc ndurlgc px CPT 50436 | not published | not published | $152.56 – $2,072.71 | 19 |
| Dilat xst trc new access rcs CPT 50437 | not published | not published | $254.97 – $3,531.69 | 19 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $2.97 | $8.25 | $0.27 – $0.27 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $2.79 | $7.75 | $0.66 – $0.66 | 1 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $126.20 – $157.38 | 4 |
| Dir nsl mucous membrane test CPT 95065 | not published | not published | $24.97 – $138.73 | 7 |
| Disability dlco CPT 94727 | $160.74 | $446.50 | $32.98 – $574.15 | 7 |
| Disaccharidases CPT 82657 | $318.06 | $883.50 | $18.62 – $134.23 | 35 |
| Disarticulation sho sec clsr CPT 23921 | not published | not published | $462.15 – $1,898.61 | 20 |
| Discectomy ant dcmprn cord thoracic 1 ntrspc 63077 CPT 63077 | not published | not published | $969.15 – $1,865.41 | 7 |
| Discectomy ant dcmprn cord thoracic ea ntrsp 63078 CPT 63078 | not published | not published | $157.25 – $1,000.00 | 7 |
| Discography cerv/thor spine CPT 72285 | $3,947.94 | $10,966.50 | $53.93 – $8,790.80 | 35 |
| Dise eval slp do brth flx dx CPT 42975 | not published | not published | $61.39 – $1,000.00 | 18 |
| Dissolve clot heart vessel CPT 92975 | $751.05 | $2,086.25 | $284.91 – $462.98 | 5 |
| Dist revas ligation hemo CPT 36838 | not published | not published | $969.15 – $5,377.54 | 8 |
| Diverticulectomy/hypophar/esoph 43130 CPT 43130 | not published | not published | $781.53 – $5,675.12 | 20 |
| Division of fallopian tube 58605 CPT 58605 | not published | not published | $242.62 – $1,000.00 | 7 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $0.04 – $42.08 | 18 |
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.