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 |
|---|---|---|---|---|
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | $137.61 | $382.25 | $102.53 – $235.52 | 12 |
| ER Visit (level 1, minor) CPT 99281 | $282.33 | $784.25 | $11.12 – $756.00 | 20 |
| ER Visit (level 2) CPT 99282 | $548.37 | $1,523.25 | $11.12 – $531.03 | 18 |
| ER Visit (level 3) CPT 99283 | $731.43 | $2,031.75 | $11.12 – $1,301.00 | 23 |
| ER Visit (level 4) CPT 99284 | $1,170.00 | $3,250.00 | $211.98 – $1,710.00 | 20 |
| ER Visit (level 5, high severity) CPT 99285 | $2,007.00 | $5,575.00 | $365.17 – $3,416.00 | 20 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | $601.11 | $1,669.75 | $50.75 – $87.33 | 6 |
| Esophageal dilat s&i CPT 74360 | $420.66 | $1,168.50 | $28.83 – $548.11 | 8 |
| Esophageal lengthening add on code 43338 CPT 43338 | not published | not published | $87.44 – $1,000.00 | 7 |
| Esophageal motility CPT 78258 | not published | not published | $190.65 – $1,756.08 | 30 |
| Esophageal recording CPT 93615 | $7,178.13 | $19,939.25 | $816.45 – $4,098.37 | 6 |
| Esophageal recording CPT 93616 | $8,397.90 | $23,327.50 | $816.45 – $4,098.37 | 6 |
| Esophagomyotomy abdominal 43330 CPT 43330 | not published | not published | $969.15 – $1,631.81 | 7 |
| Esophagomyotomy thoracic 43331 CPT 43331 | not published | not published | $969.15 – $1,633.07 | 7 |
| Esophagosc dilate balloon 30 CPT 43214 | not published | not published | $194.84 – $1,822.16 | 20 |
| Esophagosc flex trnsn biopsy CPT 43198 | not published | not published | $99.36 – $1,590.03 | 21 |
| Esophagoscop mucosal resect CPT 43211 | not published | not published | $238.60 – $1,822.16 | 20 |
| Esophagoscop stent placement CPT 43212 | not published | not published | $191.81 – $5,593.57 | 20 |
| Esophagoscop ultrasound exam CPT 43231 | not published | not published | $161.76 – $1,822.16 | 20 |
| Esophagoscopy balloon <30mm CPT 43220 | not published | not published | $118.98 – $1,822.16 | 20 |
| Esophagoscopy control bleed CPT 43227 | not published | not published | $168.08 – $1,822.16 | 20 |
| Esophagoscopy flex biopsy CPT 43202 | not published | not published | $103.98 – $1,822.16 | 20 |
| Esophagoscopy/flex/diagnostic 43200 CPT 43200 | not published | not published | $87.57 – $1,590.03 | 21 |
| Esophagoscopy flex dx brush CPT 43197 | not published | not published | $83.24 – $1,590.03 | 21 |
| Esophagoscopy flex remove fb CPT 43215 | not published | not published | $143.35 – $1,822.16 | 20 |
| Esophagoscopy lesion ablate CPT 43229 | not published | not published | $200.45 – $3,508.92 | 20 |
| Esophagoscopy lesion removal CPT 43216 | not published | not published | $134.24 – $1,913.41 | 20 |
| Esophagoscopy retro balloon CPT 43213 | not published | not published | $262.48 – $1,822.16 | 20 |
| Esophagoscopy rigid balloon CPT 43195 | not published | not published | $184.45 – $3,508.92 | 20 |
| Esophagoscopy/rigid/diagnostic 43191 CPT 43191 | not published | not published | $154.77 – $1,822.16 | 20 |
| Esophagoscopy rigid trnso 43180 CPT 43180 | not published | not published | $545.75 – $5,675.12 | 20 |
| Esophagoscopy snare les remv CPT 43217 | not published | not published | $162.70 – $1,822.16 | 20 |
| Esophagoscopy w/us needle bx CPT 43232 | not published | not published | $202.62 – $1,822.16 | 20 |
| Esophagoscp guide wire dilat 43196 CPT 43196 | not published | not published | $196.61 – $3,508.92 | 20 |
| Esophagoscp rig trnso biopsy CPT 43193 | not published | not published | $169.10 – $1,822.16 | 20 |
| Esophagoscp rig trnso inject CPT 43192 | not published | not published | $169.10 – $1,822.16 | 20 |
| Esophagoscp rig trnso rem fb CPT 43194 | not published | not published | $193.56 – $1,822.16 | 20 |
| Esophagus endoscopy/ligation CPT 43205 | not published | not published | $143.43 – $1,822.16 | 20 |
| Esophagus motility study CPT 91010 | $1,623.42 | $4,509.50 | $114.58 – $899.85 | 7 |
| Esoph balloon distension tst CPT 91040 | not published | not published | $383.10 – $1,809.69 | 7 |
| Esoph egd dilation <30 mm CPT 43249 | not published | not published | $155.91 – $1,822.16 | 20 |
| Esoph endoscopy dilation CPT 43226 | not published | not published | $131.62 – $1,822.16 | 20 |
| Esoph fundoplasty lap 43327 CPT 43327 | not published | not published | $616.53 – $1,001.86 | 7 |
| Esoph fundoplasty thor 43328 CPT 43328 | not published | not published | $845.91 – $1,374.60 | 7 |
| Esophgl motil w/stim/perfus CPT 91013 | $1,461.51 | $4,059.75 | $16.54 – $68.81 | 5 |
| Esoph imped function test CPT 91037 | $331.38 | $920.50 | $115.68 – $528.12 | 7 |
| Esoph imped funct test > 1hr CPT 91038 | not published | not published | $383.10 – $1,634.73 | 7 |
| Esoph optical endomicroscopy CPT 43206 | not published | not published | $135.42 – $1,822.16 | 20 |
| Esoph scope w/sclerosis inj CPT 43204 | not published | not published | $137.53 – $1,822.16 | 20 |
| Esoph scope w/submucous inj CPT 43201 | not published | not published | $103.64 – $1,822.16 | 20 |
| Esphg dstl 2/3 w/laps moblj 43287 CPT 43287 | not published | not published | $969.15 – $4,391.14 | 7 |
| Essure 58565 CPT 58565 | not published | not published | $431.23 – $4,997.70 | 20 |
| Establish access to aorta CPT 36160 | not published | not published | $125.40 – $1,000.00 | 3 |
| Establish access to artery CPT 36100 | $190.98 | $530.50 | $156.51 – $969.15 | 2 |
| Establish brain cavity shunt CPT 62223 | not published | not published | $787.79 – $1,280.16 | 7 |
| Established Patient Office Visit (level 1) CPT 99211 | not published | not published | $9.14 – $38.89 | 5 |
| Established Patient Office Visit (level 2) CPT 99212 | not published | not published | $25.21 – $107.69 | 5 |
| Established Patient Office Visit (level 3) CPT 99213 | not published | not published | $50.49 – $215.39 | 5 |
| Established Patient Office Visit (level 4) CPT 99214 | not published | not published | $77.89 – $332.04 | 5 |
| Established Patient Office Visit (level 5) CPT 99215 | not published | not published | $109.75 – $468.12 | 5 |
| Estradiol total CPT 82670 | $573.30 | $1,592.50 | $23.47 – $207.75 | 35 |
| Estradiol valerate 10 mg inj HCPCS J1380 | $107.10 | $297.50 | $12.20 – $12.20 | 1 |
| Estrogens total-sendout CPT 82672 | not published | not published | $10.00 – $118.27 | 30 |
| Etanercept injection HCPCS J1438 | $231.03 | $641.75 | $330.81 – $330.81 | 1 |
| Ethmoidectomy extranasal total 31205 CPT 31205 | not published | not published | $886.62 – $3,064.57 | 20 |
| Ethylene glycol -sendout CPT 82693 | $77.40 | $215.00 | $12.52 – $110.74 | 35 |
| Etoposide 20 mg/ml intravenous solution HCPCS J9181 | $148.77 | $413.25 | $0.74 – $0.74 | 1 |
| Etoposide 50 mg cap HCPCS J8560 | $107.10 | $297.50 | $68.74 – $242.39 | 16 |
| Euglobulin lysis CPT 85360 | $110.52 | $307.00 | $3.60 – $62.46 | 35 |
| Evacuate mole of uterus CPT 59870 | not published | not published | $476.13 – $2,922.78 | 20 |
| Eval aud rehab status/first hr 92626 CPT 92626 | not published | not published | $75.89 – $574.15 | 7 |
| Eval/fit voice prosthesis iii, st CPT 92607 | $251.19 | $697.75 | $126.08 – $551.87 | 7 |
| Evaluation cervicovaginal fluid for specific amniotic fluid proteins qualitative each specimen CPT 84112 | $109.62 | $304.50 | $7.09 – $534.70 | 35 |
| Evaluation heart device CPT 93640 | $1,433.43 | $3,981.75 | $320.45 – $1,432.00 | 5 |
| Evaluation of speech fluency 92521 CPT 92521 | $265.50 | $737.50 | $109.48 – $480.11 | 10 |
| Evaluation psychiatric diagnostic CPT 90791 | not published | not published | $120.81 – $272.49 | 3 |
| Evasc prlng admn rx agnt 1st CPT 61650 | not published | not published | $417.77 – $1,000.00 | 7 |
| Evasc prlng admn rx agnt add CPT 61651 | not published | not published | $181.89 – $1,000.00 | 7 |
| Evasc repair of iliac artery; endograft 34718 CPT 34718 | not published | not published | $936.21 – $1,521.34 | 6 |
| Evasc rpr a-ao ndgft 34701 CPT 34701 | not published | not published | $930.24 – $1,511.64 | 7 |
| Evasc rpr a-ao ndgft rpt 34702 CPT 34702 | not published | not published | $969.15 – $2,257.55 | 7 |
| Evasc rpr a-biiliac ndgft rptr CPT 34706 | not published | not published | $969.15 – $2,820.05 | 7 |
| Evasc rpr a-iliac ndgft 34717 CPT 34717 | not published | not published | $335.77 – $1,000.00 | 6 |
| Evasc rpr a-unilac ndgft 34703 CPT 34703 | not published | not published | $969.15 – $1,701.81 | 7 |
| Evasc rpr a-unilac ndgft rpt CPT 34704 | not published | not published | $969.15 – $2,836.07 | 7 |
| Evasc rpr ilio-iliac ndgft CPT 34707 | not published | not published | $867.71 – $1,410.03 | 7 |
| Evasc rpr ilio-iliac rpt CPT 34708 | not published | not published | $969.15 – $2,263.46 | 7 |
| Evasc st rpr thrc/aa acrs br CPT 33894 | not published | not published | $739.00 – $1,200.88 | 6 |
| Evasc st rpr thrc/aa x crsg CPT 33895 | not published | not published | $587.99 – $1,000.00 | 6 |
| Event monitor CPT 93270 | $168.66 | $468.50 | $8.74 – $150.44 | 7 |
| Evoked auditory tst complete CPT 92588 | $67.50 | $187.50 | $3.94 – $528.12 | 7 |
| Evoked oa emissions ltd CPT 92587 | $91.89 | $255.25 | $3.21 – $528.12 | 7 |
| Evoked potentials auditory screening automated analysis CPT 92650 | not published | not published | $58.20 – $144.27 | 4 |
| Evoked potentials upper limbs CPT 95925 | $229.77 | $638.25 | $108.97 – $528.12 | 7 |
| Evoked potential visual not glaucoma CPT 95930 | $539.91 | $1,499.75 | $52.83 – $528.12 | 7 |
| Evok oa screening qual CPT 92558 | not published | not published | $62.89 – $90.51 | 2 |
| Exam of vagina w/scope 57420 CPT 57420 | not published | not published | $45.48 – $1,000.00 | 21 |
| Exam pelvic add-on CPT 99459 | not published | not published | $39.40 – $95.62 | 4 |
| Exam plvc w/anes othr thn lcl CPT 57410 | not published | not published | $105.74 – $2,922.78 | 20 |
| Ex arm/elbow tum deep < 5 cm CPT 24076 | not published | not published | $538.44 – $2,713.10 | 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.