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 |
|---|---|---|---|---|
| Reconstruction of eyelid CPT 67974 | not published | not published | $917.09 – $3,658.66 | 20 |
| Reconstruction of eyelid CPT 67975 | not published | not published | $675.33 – $2,264.18 | 20 |
| Reconstruction of hip socket CPT 27120 | not published | not published | $968.64 – $1,574.05 | 7 |
| Reconstruction of hip socket CPT 27122 | not published | not published | $824.11 – $1,339.18 | 7 |
| Reconstruction of jaw CPT 21245 | not published | not published | $947.39 – $5,675.12 | 20 |
| Reconstruction of jaw CPT 21246 | not published | not published | $877.60 – $5,675.12 | 20 |
| Reconstruction of jaw CPT 21248 | not published | not published | $874.70 – $5,675.12 | 8 |
| Reconstruction of jaw CPT 21249 | not published | not published | $969.15 – $5,675.12 | 8 |
| Reconstruction of jaw joint CPT 21240 | not published | not published | $969.15 – $5,675.12 | 20 |
| Reconstruction of jaw joint CPT 21242 | not published | not published | $969.15 – $5,675.12 | 20 |
| Reconstruction of jaw joint CPT 21243 | not published | not published | $969.15 – $18,656.91 | 20 |
| Reconstruction of lower jaw CPT 21244 | not published | not published | $969.15 – $5,675.12 | 20 |
| Reconstruction of midface CPT 21188 | not published | not published | $969.15 – $2,026.49 | 7 |
| Reconstruction of mouth CPT 40840 | not published | not published | $624.60 – $5,675.12 | 20 |
| Reconstruction of mouth CPT 40842 | not published | not published | $611.52 – $5,675.12 | 20 |
| Reconstruction of mouth CPT 40843 | not published | not published | $816.17 – $5,675.12 | 20 |
| Reconstruction of mouth CPT 40844 | not published | not published | $969.15 – $5,675.12 | 20 |
| Reconstruction of mouth CPT 40845 | not published | not published | $969.15 – $5,675.12 | 20 |
| Reconstruction of nail bed CPT 11762 | not published | not published | $119.22 – $1,363.45 | 20 |
| Reconstruction of nose CPT 30410 | not published | not published | $969.15 – $5,675.12 | 20 |
| Reconstruction of nose CPT 30420 | not published | not published | $969.15 – $5,675.12 | 20 |
| Reconstruction of orbit CPT 21256 | not published | not published | $969.15 – $5,675.12 | 8 |
| Reconstruction of throat CPT 42950 | not published | not published | $799.31 – $5,675.12 | 20 |
| Reconstruction of urethra CPT 53410 | not published | not published | $969.15 – $4,951.00 | 20 |
| Reconstruction of urethra CPT 53415 | not published | not published | $848.51 – $1,378.82 | 7 |
| Reconstruction of urethra CPT 53430 | not published | not published | $969.15 – $4,951.00 | 20 |
| Reconstruction of urethra CPT 54308 | not published | not published | $720.56 – $4,951.00 | 20 |
| Reconstruction of urethra CPT 54312 | not published | not published | $824.73 – $3,531.69 | 20 |
| Reconstruction of urethra CPT 54316 | not published | not published | $969.15 – $4,951.00 | 20 |
| Reconstruction of urethra CPT 54318 | not published | not published | $715.83 – $3,531.69 | 20 |
| Reconstruction of urethra CPT 54322 | not published | not published | $787.34 – $3,531.69 | 20 |
| Reconstruction of urethra CPT 54324 | not published | not published | $969.15 – $3,531.69 | 20 |
| Reconstruction of urethra CPT 54326 | not published | not published | $952.97 – $3,278.88 | 20 |
| Reconstruction tongue fold CPT 41520 | not published | not published | $244.58 – $3,822.10 | 20 |
| Reconstruct larynx & pharynx CPT 31395 | not published | not published | $969.15 – $3,643.97 | 7 |
| Reconstruct lip with flap CPT 40527 | not published | not published | $612.75 – $5,675.12 | 20 |
| Reconstruct lip w/local flap 40525 CPT 40525 | not published | not published | $547.43 – $3,064.57 | 20 |
| Reconstruct lower jaw bone CPT 21255 | not published | not published | $969.15 – $1,715.30 | 7 |
| Reconstruct lower jaw bone CPT 21247 | not published | not published | $969.15 – $1,983.48 | 7 |
| Reconstruct orbit/forehead CPT 21172 | not published | not published | $969.15 – $5,675.12 | 8 |
| Reconstruct shoulder joint CPT 23470 | not published | not published | $969.15 – $13,923.83 | 8 |
| Reconstruct shoulder joint CPT 23472 | not published | not published | $969.15 – $1,768.01 | 7 |
| Reconstruct ulna/radioulnar CPT 25337 | not published | not published | $880.89 – $6,998.88 | 20 |
| Reconstruct upper jaw bone CPT 21206 | not published | not published | $969.15 – $5,675.12 | 20 |
| Reconstruct urethra/bladder CPT 53431 | not published | not published | $969.15 – $4,951.00 | 20 |
| Reconstruct urethra stage 1 CPT 53420 | not published | not published | $848.15 – $4,951.00 | 20 |
| Reconstruct urethra stage 2 CPT 53425 | not published | not published | $944.63 – $4,951.00 | 20 |
| Reconstruct vena cava 34502 CPT 34502 | not published | not published | $969.15 – $1,883.97 | 7 |
| Reconstruct windpipe CPT 31780 | not published | not published | $890.02 – $1,446.28 | 7 |
| Reconstruct windpipe CPT 31781 | not published | not published | $969.15 – $1,681.99 | 7 |
| Rectal sensation test CPT 91120 | not published | not published | $125.36 – $1,721.46 | 7 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $440.46 | $1,223.50 | $178.10 – $178.10 | 1 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $487.17 | $1,353.25 | $145.35 – $429.91 | 4 |
| Red cell mass multiple CPT 78121 | not published | not published | $66.31 – $1,656.99 | 30 |
| Red cell mass single CPT 78120 | not published | not published | $63.43 – $1,656.99 | 30 |
| Red cell sequestration CPT 78140 | not published | not published | $87.21 – $1,656.99 | 30 |
| Red cell survival kinetics CPT 78135 | not published | not published | $279.32 – $2,959.38 | 20 |
| Red cell survival study CPT 78130 | not published | not published | $102.35 – $1,656.99 | 30 |
| Redo compl cardiac anomaly CPT 33622 | not published | not published | $969.15 – $4,217.00 | 7 |
| Redo endovas vena cava filtr CPT 37192 | not published | not published | $344.84 – $3,242.40 | 8 |
| Reduce bowel obstruction 44050 CPT 44050 | not published | not published | $703.71 – $1,143.53 | 7 |
| Reduce testis torsion CPT 54600 | not published | not published | $455.66 – $3,531.69 | 20 |
| Reduction of facial bones CPT 21209 | not published | not published | $662.91 – $5,675.12 | 20 |
| Reduction of procidentia 45900 CPT 45900 | not published | not published | $200.90 – $1,546.19 | 21 |
| Reduction of skull defect CPT 62115 | not published | not published | $969.15 – $2,074.97 | 7 |
| Reduction of skull defect CPT 62117 | not published | not published | $969.15 – $2,438.87 | 7 |
| Re-exploration of chest 32120 CPT 32120 | not published | not published | $653.11 – $1,061.31 | 7 |
| Reexploration pelvic wound 49014 CPT 49014 | not published | not published | $272.71 – $1,000.00 | 6 |
| Re-explore parathyroids CPT 60502 | not published | not published | $969.15 – $5,675.12 | 8 |
| Refill maint impl spine pump CPT 95991 | $250.65 | $696.25 | $39.90 – $500.62 | 7 |
| Refill/maint pump/resvr syst CPT 96522 | $369.63 | $1,026.75 | $114.27 – $505.51 | 7 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $109.98 | $305.50 | $57.73 – $57.73 | 1 |
| Reimplant artery each 35697 CPT 35697 | not published | not published | $111.58 – $1,000.00 | 7 |
| Reimplant ureter in bladder CPT 50782 | not published | not published | $806.21 – $1,310.08 | 7 |
| Reimplant ureter in bladder CPT 50783 | not published | not published | $846.69 – $1,375.87 | 7 |
| Reimplant ureter in bladder CPT 50785 | not published | not published | $911.82 – $1,481.70 | 7 |
| Reinforce clavicle CPT 23490 | not published | not published | $849.46 – $6,998.88 | 20 |
| Reinforce eye wall CPT 67250 | not published | not published | $698.30 – $2,264.18 | 20 |
| Reinforce/graft eye wall CPT 67255 | not published | not published | $672.14 – $2,365.58 | 20 |
| Reinforce hip bones CPT 27187 | not published | not published | $743.41 – $1,208.05 | 7 |
| Reinforce shoulder bones CPT 23491 | not published | not published | $969.15 – $13,923.83 | 20 |
| Reinforce thigh CPT 27495 | not published | not published | $843.57 – $1,370.81 | 7 |
| Reinforce tibia CPT 27745 | not published | not published | $747.91 – $6,998.88 | 20 |
| Reinnervate larynx CPT 31590 | not published | not published | $859.24 – $5,675.12 | 20 |
| Reinsertion of spinal fixation device 22849 CPT 22849 | not published | not published | $969.15 – $1,590.92 | 7 |
| Reinsert ocular implant CPT 65155 | not published | not published | $843.66 – $3,658.66 | 20 |
| Release encircling material CPT 67115 | not published | not published | $491.08 – $4,467.45 | 20 |
| Release eye tissue CPT 67343 | not published | not published | $642.33 – $2,264.18 | 20 |
| Release facial nerve CPT 69720 | not published | not published | $969.15 – $5,675.12 | 20 |
| Release facial nerve CPT 69725 | not published | not published | $969.15 – $5,675.12 | 8 |
| Release facial nerve CPT 69955 | not published | not published | $969.15 – $5,675.12 | 8 |
| Release finger contracture CPT 26525 | not published | not published | $593.04 – $1,585.81 | 20 |
| Release forearm/hand tendon CPT 26449 | not published | not published | $686.05 – $3,202.82 | 20 |
| Release inner ear canal CPT 69960 | not published | not published | $969.15 – $5,675.12 | 8 |
| Release knuckle contracture CPT 26520 | not published | not published | $622.74 – $3,202.82 | 20 |
| Release middle ear bone CPT 69650 | not published | not published | $786.54 – $3,064.57 | 20 |
| Release muscles of hand CPT 26593 | not published | not published | $579.25 – $3,202.82 | 20 |
| Release of eye fluid CPT 67015 | not published | not published | $573.78 – $2,365.58 | 20 |
| Release of foot tendon CPT 28220 | not published | not published | $205.28 – $1,406.01 | 20 |
| Release of foot tendon 28225 CPT 28225 | not published | not published | $265.06 – $3,202.82 | 20 |
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.