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 |
|---|---|---|---|---|
| Insulin total CPT 83525 | $95.49 | $265.25 | $9.60 – $84.97 | 35 |
| Ins vag brachytx device CPT 57156 | not published | not published | $105.22 – $1,000.00 | 21 |
| Integra matrix wnd inj flowable 3cc-q4114-cost per sq cm HCPCS Q4114 | $1,912.68 | $5,313.00 | $1,822.37 – $1,822.37 | 2 |
| Integra os putty 2.5cc - cost per 0.5cc HCPCS C9359 | $2,755.62 | $7,654.50 | $133.24 – $133.24 | 2 |
| Intens cardiac rehab no exer HCPCS G0423 | $147.51 | $409.75 | $100.41 – $401.91 | 5 |
| Intens cardiac rehab w/exerc HCPCS G0422 | $226.98 | $630.50 | $100.41 – $490.57 | 7 |
| Intercalary algrft compl CPT 20934 | not published | not published | $712.56 – $1,000.00 | 3 |
| Interdental fixation CPT 21110 | not published | not published | $386.35 – $1,000.00 | 20 |
| Interdental wirg oth/thn fx CPT 21497 | not published | not published | $420.64 – $1,578.73 | 20 |
| Interdiscal perq aspir dx CPT 62267 | not published | not published | $159.13 – $1,193.24 | 21 |
| Interferon alfa-2b inj HCPCS J9214 | $21.24 | $59.00 | $24.05 – $55.74 | 9 |
| Interferon beta-1a 30 mcg/0.5 ml im injection (wrapper) HCPCS Q3027 | $104.31 | $289.75 | $40.52 – $240.84 | 15 |
| Intermediate visual field xm CPT 92082 | not published | not published | $27.47 – $228.29 | 7 |
| Internal nerve revision 64727 CPT 64727 | not published | not published | $183.16 – $1,000.00 | 4 |
| Interrogate subq defib CPT 93261 | not published | not published | $22.33 – $150.44 | 7 |
| Interrogation vad in person CPT 93750 | not published | not published | $46.27 – $197.42 | 7 |
| Interrog dev eval icpms ip CPT 93290 | not published | not published | $15.34 – $150.44 | 7 |
| Interrog dev eval scrms ip CPT 93291 | not published | not published | $14.98 – $95.41 | 7 |
| Interrog device eval heart CPT 93289 | not published | not published | $17.54 – $150.44 | 7 |
| Interrog evl pm/ldls pm ip CPT 93288 | $76.95 | $213.75 | $17.54 – $150.44 | 7 |
| Interrog&prgrmg ipnss CPT 93151 | not published | not published | $155.66 – $382.75 | 5 |
| Interrog&prgrmg ipnss polysm CPT 93152 | not published | not published | $486.65 – $1,181.05 | 5 |
| Interrog without prgrmg ipnss CPT 93153 | not published | not published | $155.66 – $382.75 | 5 |
| Interstitial brachy inter CPT 77799 | not published | not published | $106.60 – $1,044.33 | 8 |
| Interthoracoscplr amputation CPT 23900 | not published | not published | $969.15 – $1,685.36 | 7 |
| Intestinal stricturoplasty CPT 44615 | not published | not published | $808.03 – $1,313.04 | 7 |
| Intestine transplnt cadaver CPT 44135 | not published | not published | $969.15 – $3,739.68 | 6 |
| Int hrhc lig 1 hroid without img CPT 46945 | not published | not published | $223.93 – $1,605.27 | 20 |
| Int hrhc lig 2+hroid without img CPT 46946 | not published | not published | $223.30 – $2,742.69 | 20 |
| Intra-atrial pacing CPT 93610 | $5,644.35 | $15,678.75 | $1,432.00 – $6,886.28 | 6 |
| Intra-atrial recording CPT 93602 | $5,644.35 | $15,678.75 | $1,432.00 – $6,886.28 | 6 |
| Intracard echo interv w/s&i CPT 93662 | $270.18 | $750.50 | $250.82 – $608.72 | 4 |
| Intracran angioplsty w/stent CPT 61635 | not published | not published | $969.15 – $1,796.69 | 7 |
| Intracranial angioplasty CPT 61630 | not published | not published | $969.15 – $1,713.62 | 7 |
| Intracranial complete study CPT 93886 | $1,059.93 | $2,944.25 | $121.20 – $1,707.66 | 32 |
| Intracranial limited study CPT 93888 | $221.58 | $615.50 | $62.25 – $466.63 | 32 |
| Intracranial vessel surgery CPT 61680 | not published | not published | $969.15 – $2,787.15 | 7 |
| Intracranial vessel surgery CPT 61682 | not published | not published | $969.15 – $5,207.47 | 7 |
| Intracranial vessel surgery CPT 61684 | not published | not published | $969.15 – $3,506.08 | 7 |
| Intracranial vessel surgery CPT 61686 | not published | not published | $969.15 – $5,752.67 | 7 |
| Intracranial vessel surgery CPT 61690 | not published | not published | $969.15 – $2,684.69 | 7 |
| Intracranial vessel surgery CPT 61692 | not published | not published | $969.15 – $4,588.05 | 7 |
| Intranasal biopsy 30100 CPT 30100 | not published | not published | $66.68 – $1,000.00 | 20 |
| Intranasal reconstruction CPT 30620 | not published | not published | $625.65 – $5,675.12 | 20 |
| Intraop colon lavage add-on CPT 44701 | not published | not published | $170.13 – $1,000.00 | 3 |
| Intraop epicard/endocard/pace/map/ 93631 CPT 93631 | not published | not published | $708.09 – $1,718.47 | 5 |
| Intraop hipec px 1st 60 min CPT 96547 | not published | not published | $48.68 – $118.15 | 4 |
| Intraoral i+d tongue/floor lingual 41000 CPT 41000 | not published | not published | $78.99 – $1,000.00 | 21 |
| Intrapul surf admin endo tube CPT 94610 | $50.31 | $139.75 | $55.88 – $763.43 | 7 |
| Intrauterine transfusion ftl CPT 36460 | not published | not published | $279.39 – $1,000.00 | 9 |
| Intraventricular pacing CPT 93612 | $5,644.35 | $15,678.75 | $1,432.00 – $6,886.28 | 6 |
| Intrinsic factor antibody CPT 86340 | $132.66 | $368.50 | $12.67 – $112.05 | 35 |
| Intrm oph exam est patient CPT 92012 | not published | not published | $52.22 – $481.11 | 7 |
| Intro cath dialysis circuit CPT 36901 | not published | not published | $170.07 – $1,000.00 | 19 |
| Intro cath dialysis circuit w/pta CPT 36902 | not published | not published | $243.32 – $5,796.07 | 19 |
| Intro cath dialysis circuit w/stent plcmnt CPT 36903 | not published | not published | $321.43 – $11,592.92 | 19 |
| Intro catheter aorta CPT 36200 | $225.90 | $627.50 | $140.08 – $969.15 | 2 |
| Intro cath svc/ivc CPT 36010 | $115.74 | $321.50 | $110.81 – $969.15 | 2 |
| Intro long gi tube CPT 44500 | $560.70 | $1,557.50 | $19.65 – $1,590.03 | 20 |
| Intro long gi tube w/mult fluo CPT 74340 | $298.35 | $828.75 | $27.75 – $500.36 | 8 |
| Intro windpipe wire/tube CPT 31730 | not published | not published | $149.64 – $1,673.81 | 20 |
| Intrvasc Ultrasound noncoronary 1st vessel CPT 37252 | not published | not published | $91.66 – $1,000.00 | 3 |
| Intrvasc Ultrasound noncoronary addl vessel CPT 37253 | not published | not published | $73.63 – $1,000.00 | 3 |
| Intubation endotracheal emergency procedure CPT 31500 | $245.79 | $682.75 | $67.58 – $969.15 | 20 |
| Io anal gast n-stim init CPT 95980 | not published | not published | $45.54 – $45.54 | 1 |
| Io anal gast n-stim subsq CPT 95981 | not published | not published | $17.71 – $127.57 | 7 |
| Io ga n-stim subsq w/reprog CPT 95982 | not published | not published | $26.10 – $63.25 | 7 |
| Ionm in operatng room 15 min CPT 95940 | not published | not published | $32.58 – $139.11 | 5 |
| Ionm remote/>1 pt or per hr CPT 95941 | not published | not published | $130.30 – $768.75 | 5 |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution HCPCS Q9966 | $1.62 | $4.50 | $0.32 – $0.32 | 1 |
| Iopamidol 300 mg iodine/ml (61 %) intravenous solution HCPCS Q9967 | $2,307.24 | $6,409.00 | $0.12 – $1.34 | 6 |
| Io radiation tx management CPT 77469 | not published | not published | $314.94 – $2,797.56 | 11 |
| Io rad tx deliver by elctrns CPT 77425 | not published | not published | $473.57 – $23,753.44 | 10 |
| Io rad tx delivery by x-ray CPT 77424 | not published | not published | $437.04 – $23,753.44 | 10 |
| Ipilimumab 5 mg/ml intravenous solution (wrapper) HCPCS J9228 | $9,024.48 | $25,068.00 | $138.83 – $613.67 | 16 |
| Ip/obs cnsltj new/est low 45 CPT 99253 | not published | not published | $114.22 – $486.09 | 5 |
| Ip/obs cnsltj new/est mod 60 CPT 99254 | not published | not published | $165.88 – $705.92 | 5 |
| Ip/obs consltj new/est hi 80 CPT 99255 | not published | not published | $199.72 – $849.51 | 5 |
| Ip/obs consltj new/est sf 35 CPT 99252 | not published | not published | $74.22 – $315.57 | 5 |
| Irinotecan 20 mg/ml intravenous solution (wrapper) HCPCS J9206 | $327.87 | $910.75 | $2.83 – $2.83 | 1 |
| Irinotecan liposomal 4.3 mg/ml intravenous HCPCS J9205 | $1,067.90 | $2,966.40 | $45.75 – $178.79 | 15 |
| Iron CPT 83540 | $54.99 | $152.75 | $5.43 – $48.12 | 35 |
| Iron binding capacity CPT 83550 | $61.47 | $170.75 | $7.34 – $65.02 | 35 |
| Iron dextran 50 mg/ml injection solution HCPCS J1750 | $33.75 | $93.75 | $12.08 – $56.98 | 16 |
| Iron stain peripheral blood CPT 85536 | not published | not published | $5.78 – $48.12 | 30 |
| Iron sucrose 20 mg iron/ml intravenous solution (wrapper) HCPCS J1756 | $5.31 | $14.75 | $0.23 – $0.23 | 1 |
| Irradiation of blood product each unit reference CPT 86945 | $102.15 | $283.75 | $29.48 – $157.46 | 13 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $126.81 | $352.25 | $26.02 – $228.29 | 7 |
| Irrigation sphenoid sinus CPT 31002 | not published | not published | $185.51 – $1,000.00 | 20 |
| Irrigation vagina and/or appl medicament tx disease CPT 57150 | not published | not published | $26.16 – $1,000.00 | 9 |
| Island pedicle flap graft CPT 15740 | not published | not published | $709.01 – $1,898.61 | 20 |
| Ivc venogram s&i CPT 75825 | $919.26 | $2,553.50 | $81.50 – $11,223.68 | 35 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $145.80 | $405.00 | $30.07 – $131.60 | 7 |
| IV infusion therapy/prophylaxis/diagnosis concurrent infusion CPT 96368 | $169.29 | $470.25 | $20.27 – $88.23 | 5 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $94.68 | $263.00 | $20.97 – $91.22 | 7 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $315.00 | $875.00 | $68.55 – $357.31 | 7 |
| IV inj ra drug dx study CPT 78808 | $525.69 | $1,460.25 | $38.16 – $1,490.93 | 14 |
| IV njx tst vasc flo flap/grf CPT 15860 | not published | not published | $88.09 – $1,000.00 | 9 |
| Ivp w/nephrotomography CPT 74415 | not published | not published | $115.69 – $1,325.34 | 31 |
| Ivp w/wo kub w/wo tomography CPT 74400 | $354.51 | $984.75 | $88.12 – $1,095.84 | 36 |
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.