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 simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | not published | not published | $113.84 – $1,000.00 | 21 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | not published | not published | $74.72 – $1,000.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | not published | not published | $72.90 – $1,000.00 | 9 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | not published | not published | $58.43 – $1,000.00 | 21 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | not published | not published | $74.34 – $1,000.00 | 21 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | not published | not published | $74.34 – $1,000.00 | 21 |
| Ghs sleep study unattended CPT 95800 | not published | not published | $125.36 – $536.93 | 7 |
| Ghs somatosensory testing lower extremit CPT 95926 | $394.29 | $1,095.25 | $106.76 – $528.12 | 7 |
| Ghs somatosensory testing upper & lower limbs CPT 95938 | $550.17 | $1,528.25 | $311.40 – $1,266.79 | 7 |
| Ghs speech-gen aug dev eval iii, st CPT 92608 | $139.68 | $388.00 | $51.16 – $219.87 | 7 |
| Ghs sphenopalatine ganglion block CPT 64505 | not published | not published | $37.55 – $1,000.00 | 21 |
| Ghs spont nystagmus CPT 92541 | not published | not published | $3.58 – $452.47 | 7 |
| Ghs sp train/fitting sp device - kx CPT 92609 | $108.99 | $302.75 | $107.21 – $460.65 | 7 |
| Ghs st - eval for alt comm CPT 92567 | $51.75 | $143.75 | $10.87 – $138.73 | 7 |
| Ghs strapping shoulder - 29240 CPT 29240 | $88.29 | $245.25 | $19.02 – $969.15 | 8 |
| Ghs st - re-eval for alt comm CPT 92597 | $193.95 | $538.75 | $72.15 – $308.10 | 7 |
| Ghs subcutaneous infus, for therapy ea. add. hr CPT 96370 | $72.00 | $200.00 | $15.23 – $78.24 | 7 |
| Ghs subcutaneous infus. for therapy init 1 hr CPT 96369 | $205.20 | $570.00 | $158.91 – $701.43 | 7 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $263.25 | $731.25 | $186.75 – $1,038.13 | 20 |
| Ghs superficial wnd dehis w packing12021 CPT 12021 | not published | not published | $137.18 – $1,000.00 | 21 |
| Ghs tracheostomy emergency - transtracheal CPT 31603 | not published | not published | $322.80 – $1,578.73 | 20 |
| Ghs trypsin (fecal) CPT 84488 | $85.14 | $236.50 | $6.13 – $54.28 | 35 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | not published | not published | $85.32 – $1,000.00 | 21 |
| Ghs tx sp hip disloc abd splnt/trac wo CPT 27256 | not published | not published | $76.26 – $1,000.00 | 21 |
| Ghs urine, hydroxproline total CPT 83505 | $155.97 | $433.25 | $20.41 – $180.78 | 35 |
| Ghs urine, porphyrins quant CPT 84120 | $438.48 | $1,218.00 | $11.22 – $109.38 | 35 |
| Ghs vaginal delivery only CPT 59409 | not published | not published | $941.59 – $2,922.78 | 8 |
| Ghs veeg 12-26 hr intmt mont CPT 95715 | $690.93 | $1,919.25 | $830.39 – $2,015.28 | 5 |
| Ghs windowing of cast CPT 29730 | not published | not published | $23.39 – $1,000.00 | 21 |
| Giardia ag if CPT 87269 | $25.11 | $69.75 | $11.43 – $89.16 | 35 |
| Giardia lamblia antibody CPT 86674 | $164.97 | $458.25 | $11.89 – $109.44 | 35 |
| Gi endoscopic ultrasound CPT 76975 | not published | not published | $102.64 – $943.81 | 26 |
| Gi inhouse confirmation CPT 87045 | $276.57 | $768.25 | $7.93 – $70.20 | 35 |
| Gingivoplasty each quadrant CPT 41872 | not published | not published | $241.14 – $3,822.10 | 20 |
| Gi protein loss CPT 78282 | not published | not published | $43.14 – $2,031.49 | 25 |
| Gi tract capsule endoscopy (pillcam) 91110 CPT 91110 | $1,761.03 | $4,891.75 | $699.79 – $3,160.27 | 25 |
| Gi trc img intral colon i&r CPT 91113 | not published | not published | $831.04 – $3,418.36 | 18 |
| Gi trc img intral esophagus CPT 91111 | not published | not published | $611.73 – $3,160.27 | 20 |
| Gi wireless capsule measure CPT 91112 | $1,761.03 | $4,891.75 | $302.60 – $4,892.19 | 25 |
| Gjb2 gene full sequence CPT 81252 | not published | not published | $84.94 – $710.28 | 28 |
| Gjb2 gene known fam variants CPT 81253 | not published | not published | $51.68 – $335.28 | 28 |
| Gjb6 gene com variants CPT 81254 | not published | not published | $29.40 – $190.75 | 28 |
| Glaucoma surgery CPT 66150 | not published | not published | $862.73 – $4,467.45 | 20 |
| Glaucoma surgery CPT 66155 | not published | not published | $862.02 – $4,467.45 | 20 |
| Glaucoma surgery CPT 66160 | not published | not published | $849.94 – $2,365.58 | 20 |
| Glaucoma surgery CPT 66170 | not published | not published | $849.94 – $2,365.58 | 20 |
| Glucagon plasma - sendout CPT 82943 | $98.64 | $274.00 | $10.00 – $77.88 | 35 |
| Glucagon tolerance panel CPT 80422 | not published | not published | $38.70 – $342.59 | 30 |
| Glucagon tolerance panel CPT 80424 | not published | not published | $42.42 – $375.45 | 30 |
| Glucagon tolerance test CPT 82946 | not published | not published | $14.93 – $100.99 | 30 |
| Glucose 1 hr post dose CPT 82950 | $40.59 | $112.75 | $3.99 – $35.32 | 36 |
| Glucose-6-phosphate dhydrogenase screen CPT 82960 | $55.62 | $154.50 | $5.08 – $47.36 | 35 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $15.66 | $43.50 | $3.55 – $17.88 | 17 |
| Glucose blood quantitative CPT 82947 | $36.54 | $101.50 | $3.30 – $39.26 | 36 |
| Glucose body fluid CPT 82945 | $65.16 | $181.00 | $3.30 – $45.79 | 35 |
| Glucose monitoring continual min 72hr pt CPT 95249 | not published | not published | $52.58 – $233.31 | 6 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $67.05 | $186.25 | $10.81 – $95.70 | 36 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $30.96 | $86.00 | $3.29 – $29.16 | 35 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $2.07 | $5.75 | $2.28 – $2.85 | 4 |
| Golimumab 12.5 mg/ml intravenous solution HCPCS J1602 | $3,078.36 | $8,551.00 | $13.29 – $148.12 | 16 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $138.33 | $384.25 | $15.61 – $138.16 | 35 |
| Gonadotropin hormone panel CPT 80426 | $1,355.58 | $3,765.50 | $124.66 – $1,605.26 | 35 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $129.96 | $361.00 | $15.56 – $137.67 | 35 |
| Gonioscopy CPT 92020 | not published | not published | $21.05 – $452.47 | 7 |
| Goniotomy CPT 65820 | not published | not published | $744.73 – $4,467.45 | 20 |
| Goserelin 10.8 mg subcutaneous implant HCPCS J9202 | $513.81 | $1,427.25 | $281.05 – $1,002.54 | 12 |
| Graft hand or finger tendon CPT 26416 | not published | not published | $858.48 – $3,202.82 | 8 |
| Graft jckt xpress 2ml flowable scaffold-q4113-cost per sq cm HCPCS Q4113 | $727.83 | $2,021.75 | $190.05 – $811.17 | 3 |
| Graft repair of spine defect 63710 CPT 63710 | not published | not published | $819.96 – $1,332.44 | 7 |
| Graft sft tiss grafix amnio prime 3x4cm 12sqcm-q4133-cost per sq cm HCPCS Q4133 | $357.84 | $994.00 | $134.11 – $134.11 | 1 |
| Granisetron hcl injection HCPCS J1626 | $21.42 | $59.50 | $0.35 – $0.35 | 1 |
| Granulocyte pheresis ea unit HCPCS P9050 | $365.94 | $1,016.50 | $53.44 – $53.44 | 2 |
| Great toe-hand transfer CPT 26551 | not published | not published | $969.15 – $3,990.14 | 7 |
| Great toe with reduction 28495 CPT 28495 | not published | not published | $78.45 – $1,000.00 | 21 |
| Grfg autol fat lipo 25 cc/< CPT 15773 | not published | not published | $709.01 – $1,898.61 | 18 |
| Grfg autol fat lipo 50 cc/< CPT 15771 | not published | not published | $969.15 – $3,483.43 | 18 |
| Grfg autol fat lipo ea addl CPT 15772 | not published | not published | $969.15 – $1,000.00 | 2 |
| Grfg autol soft tiss dir exc CPT 15769 | not published | not published | $969.15 – $3,483.43 | 18 |
| Group health education CPT 99078 | not published | not published | $135.63 – $135.63 | 1 |
| Growth hormone antibody CPT 86277 | not published | not published | $10.12 – $117.01 | 30 |
| Growth hormone panel CPT 80428 | not published | not published | $56.03 – $495.95 | 30 |
| Growth hormone panel CPT 80430 | not published | not published | $89.71 – $704.85 | 30 |
| Growth stimulation gene 2 CPT 83006 | not published | not published | $25.21 – $412.02 | 28 |
| Grp adapt bhv tx by phy/qhp CPT 97158 | not published | not published | $46.72 – $113.38 | 5 |
| Grp adapt bhv tx by tech CPT 97154 | not published | not published | $46.72 – $113.38 | 5 |
| Gstrct prtl dstl w/roux-en-y rcnstj 43633 CPT 43633 | not published | not published | $969.15 – $2,353.27 | 7 |
| Gstr rstcv oth/thn v-band CPT 43843 | not published | not published | $949.70 – $1,543.27 | 7 |
| Gstr rstcv px shrt roux-en-y CPT 43846 | not published | not published | $969.15 – $1,982.21 | 7 |
| Gstr rstcv px sm int rcnstj CPT 43847 | not published | not published | $969.15 – $2,196.84 | 7 |
| Gstr rstcv px v-banded gstp CPT 43842 | not published | not published | $897.54 – $1,458.51 | 7 |
| Gstrst open wo constj tube CPT 43830 | not published | not published | $697.63 – $1,913.41 | 8 |
| G-tube reposition CPT 43761 | $1,166.13 | $3,239.25 | $103.95 – $969.15 | 20 |
| Gu dilat ureter/urethra s&i CPT 74485 | $497.43 | $1,381.75 | $69.01 – $7,174.78 | 35 |
| Guided cath fluid drainage 10030 CPT 10030 | not published | not published | $62.34 – $1,193.24 | 21 |
| Guid loc target vol rad tx CPT 77387 | not published | not published | $58.71 – $525.61 | 10 |
| Gum graft CPT 41870 | not published | not published | $420.64 – $3,822.10 | 19 |
| Gynecomastia (males) 19300 CPT 19300 | not published | not published | $410.47 – $3,544.57 | 20 |
| Hair removal by electrolysis 17380 CPT 17380 | not published | not published | $180.82 – $1,038.13 | 8 |
| Hair trnspl 1-15 punch grfts CPT 15775 | not published | not published | $217.92 – $1,000.00 | 9 |
| Hair trnspl >15 punch grafts CPT 15776 | not published | not published | $217.92 – $1,000.00 | 9 |
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.