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 |
|---|---|---|---|---|
| Ghs inj neurolytic other perph nerve CPT 64640 | not published | not published | $93.18 – $1,509.87 | 21 |
| Ghs inj tendon origin/insertion CPT 20551 | not published | not published | $19.75 – $1,000.00 | 21 |
| Ghs inj transforaminal cerv ea add bil CPT 64480 | $682.02 | $1,894.50 | $62.92 – $969.15 | 3 |
| Ghs inj transforaminal cerv single bil CPT 64479 | not published | not published | $131.20 – $1,509.87 | 21 |
| Ghs insertion of needle - bone CPT 36680 | not published | not published | $58.89 – $1,000.00 | 9 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | not published | not published | $143.08 – $1,000.00 | 21 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | not published | not published | $216.80 – $1,038.13 | 21 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | not published | not published | $324.31 – $1,898.61 | 20 |
| Ghs intro needle/intracath vein - 36000 CPT 36000 | $25.29 | $70.25 | $9.43 – $969.15 | 2 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | not published | not published | $110.15 – $1,000.00 | 21 |
| Ghs IV inf sq injection, on-body injector CPT 96377 | not published | not published | $19.60 – $158.16 | 6 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $369.18 | $1,025.50 | $193.04 – $969.15 | 7 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | not published | not published | $78.50 – $1,000.00 | 9 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | not published | not published | $116.24 – $1,000.00 | 21 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | not published | not published | $113.84 – $1,000.00 | 21 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | not published | not published | $116.24 – $1,000.00 | 21 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | not published | not published | $116.24 – $1,000.00 | 21 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | not published | not published | $116.24 – $1,000.00 | 21 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | not published | not published | $116.24 – $1,000.00 | 21 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | not published | not published | $143.08 – $1,000.00 | 21 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | not published | not published | $213.30 – $1,038.13 | 21 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | not published | not published | $113.84 – $1,000.00 | 21 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | not published | not published | $216.80 – $1,038.13 | 21 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | not published | not published | $143.08 – $1,000.00 | 21 |
| Ghs layered repair 20.1 - 30.0 cm -12046 CPT 12046 | not published | not published | $216.80 – $1,038.13 | 21 |
| Ghs layered repair 20.1 - 30.0 cm -12056 CPT 12056 | not published | not published | $113.84 – $1,000.00 | 21 |
| Ghs layered repair over 30.0 cm -12047 CPT 12047 | not published | not published | $342.93 – $1,898.61 | 20 |
| Ghs layered repair over 3.0 cm -12057 CPT 12057 | not published | not published | $143.08 – $1,000.00 | 21 |
| Ghs leukocyte alkaline phos (mayo) CPT 85540 | $78.03 | $216.75 | $7.22 – $70.31 | 35 |
| Ghs low level laser therapy CPT 97039 | not published | not published | $19.10 – $46.36 | 4 |
| Ghs mbp CPT 83873 | $311.49 | $865.25 | $4.92 – $127.91 | 35 |
| Ghs moderate sedation < 5 yr, 30 min CPT 99151 | $122.40 | $340.00 | $24.86 – $107.69 | 5 |
| Ghs moderate sedation < 5 yr, 30 min, other CPT 99155 | $145.53 | $404.25 | $89.19 – $379.89 | 5 |
| Ghs moderate sedation, > 5 yr, 30 min, other CPT 99156 | $141.12 | $392.00 | $76.30 – $335.03 | 5 |
| Ghs moderate sedation ea addtl 15 min CPT 99153 | $66.15 | $183.75 | $10.09 – $44.86 | 5 |
| Ghs moderate sedation ea addtl 15 min, other CPT 99157 | $123.30 | $342.50 | $58.25 – $272.20 | 5 |
| Ghs musc test done w/n test comp CPT 95886 | not published | not published | $47.05 – $203.39 | 5 |
| Ghs musc tst done w/nerv tst lim CPT 95885 | not published | not published | $41.90 – $177.99 | 5 |
| Ghs musc tst done w/n tst non ext CPT 95887 | not published | not published | $44.48 – $186.96 | 5 |
| Ghs myocardial strain img spckl track CPT 93356 | $421.02 | $1,169.50 | $12.25 – $49.61 | 4 |
| Ghs nailbed repair/nail removal CPT 11760 | not published | not published | $105.20 – $1,038.13 | 21 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | not published | not published | $92.28 – $1,509.87 | 21 |
| Ghs nerve blk intercostal, single level CPT 64420 | not published | not published | $66.98 – $1,174.46 | 21 |
| Ghs nerve block axillary nerve CPT 64417 | not published | not published | $70.89 – $1,509.87 | 21 |
| Ghs nerve block brachial plexus CPT 64415 | not published | not published | $65.90 – $1,509.87 | 21 |
| Ghs nerve block celiac plexus CPT 64530 | $787.32 | $2,187.00 | $91.77 – $1,509.87 | 20 |
| Ghs nerve block interscaline CPT 64510 | not published | not published | $74.21 – $1,509.87 | 21 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | not published | not published | $81.45 – $1,509.87 | 21 |
| Ghs nerve block sciatic nerve CPT 64445 | not published | not published | $56.06 – $1,174.46 | 21 |
| Ghs nerve block suprascapular CPT 64418 | not published | not published | $31.18 – $1,174.46 | 21 |
| Ghs ng placement w fluoro guidance CPT 43752 | $346.77 | $963.25 | $40.96 – $969.15 | 20 |
| Ghs o2 saturation CPT 82810 | $64.17 | $178.25 | $8.21 – $67.05 | 35 |
| Ghs o2 uptake rest & exercise CPT 94680 | $152.46 | $423.50 | $47.68 – $574.15 | 7 |
| Ghs o2 uptake rest & indirect CPT 94690 | $49.41 | $137.25 | $29.48 – $138.73 | 7 |
| Ghs ob unlisted IV or art inj or infusion CPT 96379 | not published | not published | $29.82 – $158.16 | 6 |
| Ghs opcc repair cvp without subq port CPT 36575 | not published | not published | $35.18 – $1,048.53 | 21 |
| Ghs opcc repair cvp w subq port CPT 36576 | not published | not published | $184.05 – $1,908.42 | 20 |
| Ghs optokenetic CPT 92544 | not published | not published | $2.47 – $265.35 | 7 |
| Ghs oscillating trac CPT 92545 | not published | not published | $2.47 – $528.12 | 7 |
| Ghs osteopathic manipulative tx, 1-2 regions CPT 98925 | $31.23 | $86.75 | $22.17 – $101.76 | 7 |
| Ghs osteopathic manipulative tx, 3-4 regions CPT 98926 | $76.23 | $211.75 | $22.17 – $101.76 | 7 |
| Ghs ot dds rom CPT 95851 | $57.15 | $158.75 | $7.74 – $39.55 | 7 |
| Ghs ot group caregiver training CPT 97552 | not published | not published | $37.08 – $94.21 | 5 |
| Ghs ot prosthetic training/15 min CPT 97761 | $76.41 | $212.25 | $33.57 – $173.51 | 7 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $71.82 | $199.50 | $35.09 – $280.13 | 14 |
| Ghs ot work hardening-additional hours CPT 97546 | not published | not published | $80.73 – $195.92 | 8 |
| Ghs pacing - transcutaneous CPT 92953 | $566.46 | $1,573.50 | $0.98 – $1,109.78 | 7 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $681.75 | $1,893.75 | $60.90 – $969.15 | 3 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $681.75 | $1,893.75 | $52.82 – $969.15 | 3 |
| Ghs path - pap (papanicolau) smear - vagina CPT 88141 | $111.15 | $308.75 | $31.26 – $173.53 | 16 |
| Ghs peritonsillar abscess i andd CPT 42700 | not published | not published | $87.58 – $1,000.00 | 21 |
| Ghs phenylketonurid CPT 84030 | $78.84 | $219.00 | $4.62 – $69.30 | 35 |
| Ghs picc line insert < 5 CPT 36568 | not published | not published | $75.55 – $1,000.00 | 20 |
| Ghs plngl fx pm cl CPT 26725 | not published | not published | $78.45 – $1,000.00 | 21 |
| Ghs plt ct-manual CPT 85032 | $48.78 | $135.50 | $3.62 – $31.99 | 35 |
| Ghs polysom <6 yrs 4/> parameters CPT 95782 | $2,056.95 | $5,713.75 | $821.65 – $3,300.83 | 7 |
| Ghs pos nystagmus CPT 92542 | not published | not published | $3.21 – $452.47 | 7 |
| Ghs ppd (tb intradermal) CPT 86580 | $11.88 | $33.00 | $8.06 – $108.28 | 18 |
| Ghs prostatic acid phosphatase (mayo) CPT 84066 | $41.40 | $115.00 | $6.42 – $71.83 | 35 |
| Ghs protein, misc fluid CPT 84160 | not published | not published | $3.36 – $38.48 | 30 |
| Ghs protoporphyrins fract CPT 84202 | $68.13 | $189.25 | $10.10 – $78.21 | 35 |
| Ghs pr without cont pulse ox CPT 94625 | not published | not published | $33.89 – $100.73 | 5 |
| Ghs pseudocholinesterase,dibucain-inhibi CPT 82638 | not published | not published | $10.29 – $91.07 | 30 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $61.02 | $169.50 | $160.23 – $388.86 | 8 |
| Ghs quinidine CPT 80194 | $68.40 | $190.00 | $12.26 – $108.56 | 35 |
| Ghs refill of implantable pump CPT 95990 | $250.65 | $696.25 | $88.41 – $562.52 | 7 |
| Ghs removal intranasal foreign body CPT 30300 | not published | not published | $78.50 – $1,000.00 | 9 |
| Ghs removal pharyngeal foreign body CPT 42809 | not published | not published | $88.09 – $1,000.00 | 9 |
| Ghs repair extensor tendon hand, ea tendon CPT 26410 | not published | not published | $542.63 – $1,585.81 | 20 |
| Ghs repair tendon ext forearm/wrist ea CPT 25270 | not published | not published | $483.50 – $3,202.82 | 20 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | not published | not published | $9.35 – $86.60 | 30 |
| Ghs reticulocyte count CPT 85044 | not published | not published | $3.62 – $31.99 | 30 |
| Ghs rsv eia (respir synctial vrs) CPT 87420 | $78.39 | $217.75 | $11.68 – $97.99 | 35 |
| Ghs sedimentation rate CPT 85651 | $31.86 | $88.50 | $3.59 – $39.83 | 35 |
| Ghs semen analysis fert CPT 89320 | $59.31 | $164.75 | $14.49 – $67.09 | 17 |
| Ghs semen analysis, post-vas CPT 89300 | not published | not published | $10.74 – $53.63 | 17 |
| Ghs sensitivity (per antimicro) CPT 87184 | $58.95 | $163.75 | $3.59 – $51.28 | 35 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | not published | not published | $94.63 – $1,000.00 | 21 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | not published | not published | $113.84 – $1,000.00 | 21 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | not published | not published | $113.84 – $1,000.00 | 21 |
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.