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 |
|---|---|---|---|---|
| Psychophysiological therapy CPT 90875 | not published | not published | $60.81 – $60.81 | 1 |
| Psychophysiological therapy CPT 90876 | not published | not published | $96.31 – $96.31 | 1 |
| Psychotherapy group therapy CPT 90853 | $126.27 | $350.75 | $24.88 – $156.87 | 3 |
| Psychotherapy patient individual therapy 30 minutes CPT 90832 | not published | not published | $62.59 – $272.49 | 3 |
| Psychotherapy patient individual therapy 45 minutes CPT 90834 | not published | not published | $83.55 – $272.49 | 3 |
| Psychotherapy patient individual therapy 60 minutes CPT 90837 | not published | not published | $120.81 – $272.49 | 3 |
| Psych test eval svc phys/qhp 1st hr CPT 96130 | not published | not published | $110.00 – $574.15 | 6 |
| Psych test eval svc phys/qhp ea addl hr CPT 96131 | not published | not published | $83.80 – $352.96 | 5 |
| Psycl/nrpsyc tech 1st CPT 96138 | not published | not published | $36.46 – $676.74 | 6 |
| Psy evaluation of records CPT 90885 | not published | not published | $49.53 – $49.53 | 1 |
| Psy/npsy phys/qhp 2> tst 1st 30 min CPT 96136 | not published | not published | $24.74 – $218.61 | 6 |
| Psy/npsy phys/qhp 2> tst ea l 30 min CPT 96137 | not published | not published | $19.52 – $82.25 | 5 |
| Psy/npsy tst admin tech 2> ea l 30 min CPT 96139 | not published | not published | $36.46 – $161.52 | 5 |
| Psytx complex interactive CPT 90785 | not published | not published | $13.87 – $13.87 | 1 |
| Psytx pt w/e&m 16-37 min CPT 90833 | not published | not published | $65.19 – $65.19 | 1 |
| Psytx pt w/e&m 38-52 min CPT 90836 | not published | not published | $82.60 – $82.60 | 1 |
| Psytx pt w/e&m 53+ min CPT 90838 | not published | not published | $109.14 – $109.14 | 1 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $64.80 | $180.00 | $14.71 – $86.33 | 15 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $31.41 | $87.25 | $6.17 – $28.26 | 13 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $71.37 | $198.25 | $20.47 – $146.09 | 15 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $52.38 | $145.50 | $12.95 – $66.35 | 15 |
| Pt application of modality traction mechanical CPT 97012 | $41.49 | $115.25 | $14.71 – $71.78 | 15 |
| Pt/caregiver traing home inr CPT 93792 | not published | not published | $49.93 – $221.36 | 5 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $73.40 – $1,635.00 | 30 |
| Pten gene full sequence CPT 81321 | not published | not published | $503.33 – $3,273.82 | 30 |
| Pten gene known fam variant CPT 81322 | not published | not published | $39.14 – $318.28 | 30 |
| Pterygomaxillary fossa surg any appr 31040 CPT 31040 | not published | not published | $760.14 – $2,628.46 | 20 |
| Pt evaluation high complexity patient/family CPT 97163 | $154.35 | $428.75 | $83.55 – $462.00 | 12 |
| Pt evaluation low complexity patient/family CPT 97161 | $115.74 | $321.50 | $83.55 – $462.00 | 12 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $135.09 | $375.25 | $83.55 – $462.00 | 12 |
| Pt-focused hlth risk assmt CPT 96160 | not published | not published | $3.04 – $50.52 | 6 |
| Pt init/spiromet rec/review/interp 94016 CPT 94016 | not published | not published | $25.40 – $107.69 | 7 |
| Pt re-evaluation patient/family CPT 97164 | $67.50 | $187.50 | $56.62 – $316.84 | 12 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $82.98 | $230.50 | $37.64 – $160.02 | 7 |
| Pt stimulation electrial unattended >= 1 area other than wound care part of therapy plan HCPCS G0283 | $38.61 | $107.25 | $14.06 – $59.84 | 7 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $51.48 | $143.00 | $28.93 – $137.33 | 15 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $70.65 | $196.25 | $27.04 – $135.77 | 15 |
| Pt wheelchair management each 15 minutes CPT 97542 | $72.54 | $201.50 | $31.09 – $148.54 | 15 |
| Pul art balloon repr percut CPT 92997 | $2,864.07 | $7,955.75 | $657.57 – $11,592.92 | 6 |
| Pul art balloon repr percut CPT 92998 | $2,229.75 | $6,193.75 | $325.34 – $325.34 | 1 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $10,450.00 – $25,905.00 | 4 |
| Pulm endartercomy w/bypass 33916 CPT 33916 | not published | not published | $969.15 – $5,193.56 | 7 |
| Pulmonary decortication partial 32225 CPT 32225 | not published | not published | $744.19 – $1,209.31 | 7 |
| Pulmonary vent imaging CPT 78579 | $284.40 | $790.00 | $163.80 – $1,599.75 | 35 |
| Pulse ox continuous overnight monitoring CPT 94762 | $189.63 | $526.75 | $23.95 – $574.15 | 7 |
| Pulse ox multiple CPT 94761 | $40.50 | $112.50 | $4.00 – $17.93 | 5 |
| Pulse ox single CPT 94760 | $3.87 | $10.75 | $2.31 – $10.46 | 5 |
| Punc of shunt for asp or inj CPT 61070 | $658.44 | $1,829.00 | $56.66 – $1,174.46 | 20 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $20.34 | $56.50 | $15.78 – $969.15 | 8 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $374.76 | $1,041.00 | $57.59 – $969.15 | 20 |
| Puncture/clear windpipe 31612 CPT 31612 | not published | not published | $48.30 – $3,822.10 | 20 |
| Puncture spinal lumbar diagnostic CPT 62270 | not published | not published | $77.53 – $1,174.46 | 21 |
| Pvb thoracic 2nd+ inj site CPT 64462 | not published | not published | $51.69 – $1,000.00 | 3 |
| Pvb thoracic cont infusion CPT 64463 | not published | not published | $69.37 – $1,174.46 | 21 |
| Pvb thoracic single inj site CPT 64461 | not published | not published | $58.99 – $1,174.46 | 21 |
| Pyelotomy complicated CPT 50135 | not published | not published | $842.54 – $1,369.12 | 6 |
| Pyelotomy w/drg pyelostomy CPT 50125 | not published | not published | $737.70 – $1,198.77 | 7 |
| Pyelotomy w/exploration CPT 50120 | not published | not published | $712.53 – $1,157.87 | 7 |
| Pyelotomy w/removal calculus CPT 50130 | not published | not published | $775.07 – $1,259.49 | 7 |
| Pyloroplasty 43800 CPT 43800 | not published | not published | $700.34 – $1,138.06 | 7 |
| Pyridoxine hcl 100 mg HCPCS J3415 | $19.44 | $54.00 | $9.65 – $9.65 | 1 |
| Pyruvate CPT 84210 | $237.69 | $660.25 | $12.16 – $80.71 | 35 |
| Pyruvate kinase CPT 84220 | $242.19 | $672.75 | $7.93 – $70.20 | 35 |
| Quan puplmtry phy/qhp uni/bi CPT 95919 | not published | not published | $218.61 – $546.88 | 5 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $613.35 | $1,703.75 | $228.60 – $2,580.84 | 35 |
| Quant diff pulm perf w/imaging CPT 78597 | $440.28 | $1,223.00 | $163.80 – $1,636.38 | 35 |
| Quest t3 uptake CPT 84479 | $58.95 | $163.75 | $5.43 – $50.17 | 35 |
| Quinupristin/dalfopristin HCPCS J2770 | $139.68 | $388.00 | $311.04 – $311.04 | 1 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $250.09 – $1,589.43 | 11 |
| Rabies ig ht&sol human im/sc CPT 90377 | $1,470.24 | $4,084.00 | $234.09 – $1,589.43 | 9 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $6,561.63 | $18,226.75 | $284.68 – $1,358.06 | 11 |
| Rabies vaccine id CPT 90676 | not published | not published | $255.14 – $665.37 | 9 |
| Radial keratotomy CPT 65771 | not published | not published | $479.78 – $1,000.00 | 6 |
| Radiation handling CPT 77790 | not published | not published | $14.49 – $384.93 | 11 |
| Radiation physics consult CPT 77336 | not published | not published | $76.09 – $778.41 | 17 |
| Radiation therapy dose plan CPT 77300 | not published | not published | $36.29 – $384.60 | 18 |
| Radiation therapy management CPT 77431 | not published | not published | $102.21 – $912.87 | 12 |
| Radiation treatment aid(s) CPT 77332 | not published | not published | $32.01 – $568.75 | 18 |
| Radiation treatment aid(s) CPT 77333 | not published | not published | $58.67 – $909.63 | 18 |
| Radiation treatment aid(s) CPT 77334 | not published | not published | $72.68 – $1,000.01 | 18 |
| Radiation treatment delivery CPT 77401 | not published | not published | $23.61 – $363.53 | 15 |
| Radiation treatment delivery CPT 77402 | not published | not published | $106.60 – $1,277.46 | 15 |
| Radiation treatment delivery CPT 77412 | not published | not published | $187.78 – $2,202.57 | 15 |
| Radiation tx management x5 CPT 77427 | not published | not published | $186.38 – $1,663.38 | 12 |
| Radical abdominal hysterectomy 58210 CPT 58210 | not published | not published | $969.15 – $2,252.50 | 7 |
| Radical rescj tumor clavicle CPT 23200 | not published | not published | $969.15 – $1,840.12 | 7 |
| Radical rescj tumor prox hum CPT 23220 | not published | not published | $969.15 – $2,375.19 | 7 |
| Radical rescj tumor scapula CPT 23210 | not published | not published | $969.15 – $2,161.41 | 7 |
| Radical resection of elbow CPT 24149 | not published | not published | $969.15 – $6,998.88 | 20 |
| Radical resection sternum 21630 CPT 21630 | not published | not published | $919.35 – $1,493.94 | 7 |
| Radic resect abd tumor<5cm 22904 CPT 22904 | not published | not published | $815.20 – $2,713.10 | 20 |
| Radic resect shoulder tumor 5cm/> 23078 CPT 23078 | not published | not published | $815.20 – $2,713.10 | 20 |
| Radiesse injection HCPCS Q2026 | $519.75 | $1,443.75 | $167.36 – $167.36 | 4 |
| Radiology port images(s) CPT 77417 | not published | not published | $10.76 – $126.72 | 11 |
| Radiotherapy dose plan imrt CPT 77301 | not published | not published | $992.06 – $14,374.35 | 17 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,578.69 | $4,385.25 | $288.69 – $2,690.55 | 34 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $2,900.88 | $8,058.00 | $536.98 – $5,984.82 | 34 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,645.38 | $4,570.50 | $643.66 – $6,111.18 | 28 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $2,290.77 | $6,363.25 | $300.21 – $3,287.61 | 34 |
| Radphm lcl tumor plr sgl day CPT 78800 | $1,263.87 | $3,510.75 | $167.22 – $2,195.10 | 35 |
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.