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 |
|---|---|---|---|---|
| MRA w/cont, lwr ext HCPCS C8912 | $1,821.96 | $5,061.00 | $381.85 – $1,546.49 | 5 |
| Mra, w/dye, spinal canal HCPCS C8931 | $1,040.49 | $2,890.25 | $381.85 – $1,546.49 | 5 |
| Mra, w/dye, upper extremity HCPCS C8934 | $1,040.49 | $2,890.25 | $381.85 – $1,546.49 | 5 |
| MRA without cont, abd HCPCS C8901 | $1,523.97 | $4,233.25 | $233.04 – $943.81 | 5 |
| MRA without cont, lwr ext HCPCS C8913 | $1,517.22 | $4,214.50 | $233.04 – $943.81 | 5 |
| Mra, without dye, spinal canal HCPCS C8932 | $697.86 | $1,938.50 | $233.04 – $943.81 | 5 |
| Mra, without dye, upper extr HCPCS C8935 | $697.86 | $1,938.50 | $233.04 – $943.81 | 5 |
| MRA without fol w/cont, abd HCPCS C8902 | $2,009.43 | $5,581.75 | $381.85 – $1,546.49 | 5 |
| MRA without fol w/cont, lwr ext HCPCS C8914 | $1,676.34 | $4,656.50 | $381.85 – $1,546.49 | 5 |
| MRA without fol w/cont, pelvis HCPCS C8920 | $1,779.12 | $4,942.00 | $381.85 – $1,546.49 | 5 |
| Mra, w/o&w/dye, spinal canal HCPCS C8933 | $1,176.75 | $3,268.75 | $381.85 – $1,546.49 | 5 |
| Mra, w/o&w/dye, upper extr HCPCS C8936 | $1,176.75 | $3,268.75 | $381.85 – $1,546.49 | 5 |
| Mr elastography CPT 76391 | $375.66 | $1,043.50 | $171.68 – $1,750.00 | 31 |
| Mrgfus strtctc ablt trgt icr CPT 61715 | not published | not published | $969.15 – $11,971.50 | 3 |
| MRI brain w/dye CPT 70558 | $1,821.96 | $5,061.00 | $201.82 – $5,311.46 | 13 |
| MRI brain without dye CPT 70557 | $1,222.20 | $3,395.00 | $250.20 – $3,199.01 | 13 |
| MRI brain without & w/dye CPT 70559 | $2,061.00 | $5,725.00 | $201.82 – $31,802.41 | 13 |
| MRI breast c- unilateral CPT 77046 | $1,222.20 | $3,395.00 | $167.61 – $1,750.00 | 13 |
| MRI breast c-+ w/cad uni CPT 77048 | not published | not published | $276.08 – $2,703.78 | 12 |
| MRI breast without cont bi CPT 77047 | $1,825.38 | $5,070.50 | $166.60 – $1,750.00 | 13 |
| MRI breast w IV cont bi CPT 77049 | not published | not published | $274.73 – $2,690.55 | 12 |
| MRI cardiac morph & func wo IV cont CPT 75557 | $1,222.20 | $3,395.00 | $221.90 – $2,375.92 | 36 |
| MRI cardiac morph & func wwo IV cont CPT 75561 | $1,704.42 | $4,734.50 | $318.11 – $3,466.76 | 36 |
| MRI cardiac morph & func wwo IV cont w/stress img CPT 75563 | $4,866.66 | $13,518.50 | $383.89 – $6,083.32 | 36 |
| MRI chest without contrast CPT 71550 | $1,167.39 | $3,242.75 | $232.31 – $3,197.98 | 36 |
| MRI chest without & w/contrast CPT 71552 | $1,373.31 | $3,814.75 | $368.43 – $5,309.32 | 36 |
| MRI chest w IV cont CPT 71551 | $1,315.98 | $3,655.50 | $385.36 – $4,373.90 | 36 |
| MRI fetal ea addl gestation CPT 74713 | $227.07 | $630.75 | $150.60 – $1,750.00 | 31 |
| MRI fetal sngl/1st gestation CPT 74712 | $453.87 | $1,260.75 | $121.20 – $3,197.98 | 33 |
| MRI guid ndl plc s&i CPT 77021 | $820.08 | $2,278.00 | $329.60 – $3,866.75 | 14 |
| MRI guid parenchymal tiss ablation CPT 77022 | $1,276.47 | $3,545.75 | $221.64 – $5,574.41 | 9 |
| MRI loex nonjt w IV cont CPT 73719 | $1,334.97 | $3,708.25 | $252.74 – $3,104.91 | 36 |
| MRI lower extremity other than joint without contrast (both sides) CPT 73718 | $1,135.53 | $3,154.25 | $232.31 – $2,689.74 | 36 |
| MRI lower extremity other than joint without & w/contrast (both sides) CPT 73720 | $1,977.03 | $5,491.75 | $330.60 – $3,755.52 | 36 |
| MRI orbit/face/neck without contrast CPT 70540 | $1,288.44 | $3,579.00 | $211.62 – $3,197.98 | 36 |
| MRI orbit/face/neck without & w/contrast CPT 70543 | $2,584.35 | $7,178.75 | $308.55 – $4,520.84 | 36 |
| MRI orbit fac&nck w IV cont CPT 70542 | $1,470.42 | $4,084.50 | $249.75 – $3,773.32 | 36 |
| MRI tmj CPT 70336 | $1,210.32 | $3,362.00 | $232.31 – $2,904.03 | 35 |
| MRI upper extremity other than joint without contrast (both sides) CPT 73218 | $1,103.76 | $3,066.00 | $232.31 – $2,689.74 | 36 |
| MRI upper extremity other than joint without & w/contrast (both sides) CPT 73220 | $2,041.20 | $5,670.00 | $368.43 – $3,726.09 | 36 |
| MRI upper extremity w/dye CPT 73219 | $1,592.82 | $4,424.50 | $334.65 – $3,798.56 | 36 |
| MRI w/cont, breast, bi HCPCS C8906 | $1,821.96 | $5,061.00 | $381.85 – $1,546.49 | 5 |
| MRI w/cont, breast, uni HCPCS C8903 | $1,652.94 | $4,591.50 | $182.22 – $1,126.42 | 6 |
| MRI without fol w/cont, breast HCPCS C8908 | $835.20 | $2,320.00 | $381.85 – $1,546.49 | 5 |
| MRI without fol w/cont, brst, un HCPCS C8905 | $2,061.00 | $5,725.00 | $381.85 – $1,546.49 | 6 |
| Mr safety determination physician/other qhp CPT 76016 | $120.51 | $334.75 | $149.33 – $292.33 | 2 |
| Mr safety implant elec prepj CPT 76018 | $125.19 | $347.75 | $155.66 – $304.74 | 2 |
| Mr safety implant&/fb assmt clin staff ea add 30 CPT 76015 | not published | not published | $178.88 – $178.88 | 1 |
| Mr safety implt pos&/immoblj CPT 76019 | $81.63 | $226.75 | $100.73 – $197.21 | 2 |
| Mr sfty implt&/fb asmt stf 1 CPT 76014 | $33.48 | $93.00 | $41.53 – $81.31 | 2 |
| Mr sfty med physics xm cstmz CPT 76017 | $329.31 | $914.75 | $409.94 – $802.51 | 2 |
| Mr spectroscopy CPT 76390 | $2,136.51 | $5,934.75 | $149.33 – $4,412.72 | 17 |
| Msh2 gene dup/delete variant CPT 81297 | not published | not published | $127.12 – $1,162.48 | 30 |
| Msh2 gene full seq CPT 81295 | not published | not published | $127.12 – $2,080.26 | 30 |
| Msh2 gene known variants CPT 81296 | not published | not published | $108.54 – $1,840.63 | 30 |
| Msh6 gene dup/delete variant CPT 81300 | not published | not published | $135.48 – $1,297.10 | 30 |
| Msh6 gene full seq CPT 81298 | not published | not published | $241.17 – $3,498.08 | 30 |
| Msh6 gene known variants CPT 81299 | not published | not published | $135.11 – $1,678.60 | 30 |
| Mt bone graft microvasc CPT 20957 | not published | not published | $969.15 – $3,361.88 | 7 |
| Mthfr gene analy common variants CPT 81291 | $212.94 | $591.50 | $50.02 – $356.10 | 35 |
| M.tuberculo dna dir probe CPT 87555 | not published | not published | $22.58 – $149.11 | 30 |
| M.tuberculo dna quant CPT 87557 | not published | not published | $32.43 – $233.48 | 30 |
| Mucin synovial fluid CPT 83872 | not published | not published | $4.92 – $43.60 | 30 |
| Mucopolysaccharides CPT 83864 | $431.37 | $1,198.25 | $18.88 – $155.32 | 35 |
| Mucormycosis antibody CPT 86732 | not published | not published | $10.29 – $98.10 | 30 |
| Mult fam adapt bhv tx gdn CPT 97157 | not published | not published | $46.72 – $113.38 | 5 |
| Multi family grp psychotherapy CPT 90849 | not published | not published | $30.62 – $272.49 | 3 |
| Multifocal erg w/i&r CPT 92274 | not published | not published | $54.71 – $265.35 | 6 |
| Multiple sleep latency test CPT 95805 | $1,731.69 | $4,810.25 | $387.45 – $1,524.05 | 7 |
| Mumps antibody igg CPT 86735 | $106.38 | $295.50 | $10.96 – $97.01 | 35 |
| Muscle-skin graft arm CPT 15736 | not published | not published | $709.01 – $1,898.61 | 20 |
| Muscle-skin graft leg CPT 15738 | not published | not published | $969.15 – $3,483.43 | 20 |
| Muscle-skin graft trunk CPT 15734 | not published | not published | $969.15 – $3,483.43 | 20 |
| Muscle test cran nerv unilat CPT 95867 | $229.77 | $638.25 | $61.66 – $528.12 | 7 |
| Muscle test hemidiaphragm CPT 95866 | not published | not published | $70.11 – $574.15 | 7 |
| Muscle test larynx CPT 95865 | not published | not published | $65.70 – $452.47 | 7 |
| Muscle test one fiber CPT 95872 | not published | not published | $44.01 – $265.35 | 7 |
| Muscle transfers CPT 23397 | not published | not published | $969.15 – $6,998.88 | 20 |
| Muscle transfer shoulder/arm CPT 23395 | not published | not published | $969.15 – $6,998.88 | 20 |
| Musc myoq/fscq flp h&n pedcl CPT 15733 | not published | not published | $969.15 – $3,483.43 | 19 |
| Musc/tdn transfer upr a/e 1 CPT 24301 | not published | not published | $743.61 – $6,998.88 | 20 |
| Mycobacteria dna amp probe CPT 87551 | not published | not published | $16.84 – $262.91 | 30 |
| Mycobacteria dna dir probe CPT 87550 | not published | not published | $16.84 – $149.11 | 30 |
| Mycobacteria dna quant CPT 87552 | not published | not published | $29.48 – $233.48 | 30 |
| Mycophenolate mofetil 250 mg capsule HCPCS J7517 | $5.31 | $14.75 | $0.72 – $0.72 | 1 |
| Mycophenolic acid HCPCS J7518 | $5.67 | $15.75 | $3.13 – $3.13 | 1 |
| Mycoplasma antibody igm CPT 86738 | $99.09 | $275.25 | $11.08 – $98.48 | 35 |
| Myd88 gene p.leu265pro vrnt CPT 81305 | $436.41 | $1,212.25 | $189.84 – $955.93 | 13 |
| Myelogphy 2/> spine regions CPT 72270 | $682.65 | $1,896.25 | $62.38 – $2,757.32 | 36 |
| Myelography l-s spine CPT 72265 | $656.10 | $1,822.50 | $52.47 – $2,757.32 | 36 |
| Myelography neck spine CPT 72240 | $727.83 | $2,021.75 | $54.30 – $2,757.32 | 36 |
| Myelography thoracic spine CPT 72255 | $727.83 | $2,021.75 | $53.56 – $2,757.32 | 36 |
| Myelography via inj w/s&i 2+ regions CPT 62305 | $1,210.23 | $3,361.75 | $125.87 – $1,339.89 | 8 |
| Myelography via inj w/s&i cervical CPT 62302 | $1,210.23 | $3,361.75 | $122.75 – $1,339.89 | 8 |
| Myelography via inj w/s&i lumbosacral CPT 62304 | $1,503.09 | $4,175.25 | $120.63 – $1,339.89 | 8 |
| Myelography via inj w/s&i thoracic CPT 62303 | $1,391.67 | $3,865.75 | $122.75 – $1,339.89 | 8 |
| Myeloperoxidase ab multi step qualitative/semiquantitative CPT 83516 | $139.50 | $387.50 | $9.69 – $85.78 | 35 |
| Myocardial resection 33542 CPT 33542 | not published | not published | $969.15 – $3,213.45 | 7 |
| Myocrd img pet 1std rst/strs CPT 78491 | not published | not published | $923.92 – $6,457.50 | 12 |
| Myocrd img pet 1 std w/ct CPT 78429 | not published | not published | $85.41 – $2,568.57 | 5 |
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.