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 |
|---|---|---|---|---|
| Tbs i&r fx rsk qhp CPT 77092 | not published | not published | $10.81 – $43.78 | 4 |
| Tbs techl calculation only CPT 77091 | $123.30 | $342.50 | $86.13 – $348.83 | 5 |
| Tbs techl prep&transmis data CPT 77090 | $123.30 | $342.50 | $85.77 – $347.37 | 5 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $581.22 | $1,614.50 | $4.76 – $667.35 | 35 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $440.73 | $1,224.25 | $5.16 – $460.85 | 35 |
| Tc-99m bicisate HCPCS A9557 | $626.49 | $1,740.25 | $1,245.22 – $1,552.81 | 4 |
| Tc-99m maa HCPCS A9540 | $69.66 | $193.50 | $100.40 – $125.20 | 4 |
| Tc-99m medronate HCPCS A9503 | $53.28 | $148.00 | $43.51 – $54.26 | 4 |
| Tc-99m pentetate dtpa HCPCS A9539 | $105.12 | $292.00 | $104.87 – $130.77 | 4 |
| Tc-99m pertechnetate per mci HCPCS A9512 | $97.20 | $270.00 | $13.20 – $16.47 | 4 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $73.17 | $203.25 | $167.33 – $189.74 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $177.48 | $493.00 | $457.40 – $468.29 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | $459.54 | $1,276.50 | $178.95 – $223.16 | 4 |
| Tca peel dermal 15789 CPT 15789 | not published | not published | $180.82 – $1,038.13 | 9 |
| Tcd emboli detect w/inj CPT 93893 | not published | not published | $88.95 – $465.13 | 20 |
| Tcd emboli detect without inj CPT 93892 | not published | not published | $88.95 – $465.13 | 20 |
| Tcd vasoreactivity study CPT 93890 | not published | not published | $96.28 – $967.12 | 18 |
| T-cell depletion of harvest CPT 38210 | not published | not published | $83.51 – $1,012.30 | 9 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $197.73 | $549.25 | $31.69 – $349.35 | 35 |
| T cells absolute cd 4 count CPT 86361 | $125.46 | $348.50 | $22.50 – $199.09 | 35 |
| T cells total count CPT 86359 | $167.13 | $464.25 | $22.50 – $280.46 | 35 |
| Tcranial magn stim tx deli CPT 90868 | $165.33 | $459.25 | $43.14 – $548.92 | 7 |
| Tcranial magn stim tx plan CPT 90867 | $306.81 | $852.25 | $212.89 – $773.09 | 7 |
| Tcran magn stim redetemine CPT 90869 | $165.33 | $459.25 | $212.89 – $799.88 | 3 |
| Tdh sdrl/ventr pnxr CPT 61105 | not published | not published | $350.56 – $1,000.00 | 7 |
| Teaec w/wo patch graft iliofemoral CPT 35355 | not published | not published | $775.33 – $1,259.91 | 7 |
| Team conf without pat by hc pro CPT 99368 | not published | not published | $36.56 – $158.53 | 5 |
| Team conf without pat by phys CPT 99367 | not published | not published | $56.18 – $240.78 | 5 |
| Team conf w/pat by hc prof CPT 99366 | not published | not published | $41.81 – $177.99 | 5 |
| Tee w or without fol w/cont,cong HCPCS C8926 | $1,079.73 | $2,999.25 | $648.25 – $2,825.40 | 5 |
| Tee w or without fol w/cont, mon HCPCS C8927 | $807.84 | $2,244.00 | $648.25 – $1,164.20 | 2 |
| Telethx isodose plan cplx CPT 77307 | not published | not published | $147.83 – $1,313.73 | 16 |
| Telethx isodose plan simple CPT 77306 | not published | not published | $81.77 – $1,000.01 | 16 |
| Temozolomide HCPCS J8700 | $325.53 | $904.25 | $0.75 – $2.66 | 2 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | $433.35 | $1,203.75 | $6.84 – $43.28 | 16 |
| Temperature gradient studies CPT 93740 | not published | not published | $5.48 – $574.15 | 7 |
| Temple bne implnt w/stimulat CPT 69715 | not published | not published | $969.15 – $1,549.00 | 4 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $81.18 | $225.50 | $33.64 – $184.49 | 16 |
| Tendon lengthening CPT 26476 | not published | not published | $572.55 – $3,202.82 | 20 |
| Tendon lngth upr a/e ea tdn CPT 24305 | not published | not published | $571.04 – $3,202.82 | 20 |
| Tendon shortening CPT 26477 | not published | not published | $560.07 – $3,202.82 | 20 |
| Tendon transfer with graft CPT 26492 | not published | not published | $857.26 – $3,202.82 | 20 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | $4,954.68 | $13,763.00 | $93.96 – $505.94 | 16 |
| Tenodesis biceps tdn at elbw CPT 24340 | not published | not published | $605.14 – $6,998.88 | 20 |
| Tenolysis extensor tendon hand/finger each CPT 26445 | not published | not published | $551.79 – $3,202.82 | 20 |
| Tenolysis triceps CPT 24332 | not published | not published | $606.37 – $3,202.82 | 20 |
| Tenoplasty elbow to sho 1 CPT 24320 | not published | not published | $767.87 – $6,998.88 | 20 |
| Tenosynovectomy radic 26145 CPT 26145 | not published | not published | $506.98 – $1,585.81 | 20 |
| Tenotomy hip flexor open CPT 27005 | not published | not published | $539.72 – $1,000.00 | 7 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $298.14 – $3,202.82 | 20 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | not published | not published | $188.91 – $1,406.01 | 20 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $58.05 | $161.25 | $3.18 – $3.18 | 1 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $200.44 – $1,009.34 | 13 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $5.05 – $44.64 | 30 |
| Test for porphobilinogen CPT 84106 | $68.31 | $189.75 | $4.86 – $44.77 | 35 |
| Test for urine cystines CPT 82615 | $74.61 | $207.25 | $8.02 – $62.33 | 35 |
| Testicular imaging w/vasc flow CPT 78761 | $1,180.80 | $3,280.00 | $182.72 – $1,729.44 | 35 |
| Testosterone response panel CPT 80414 | not published | not published | $43.38 – $383.95 | 30 |
| Test pathogen(s) for platelets reference HCPCS P9100 | $45.72 | $127.00 | $53.39 – $53.39 | 1 |
| Test stress cardiovascular tracing only CPT 93017 | $907.74 | $2,521.50 | $32.40 – $1,050.37 | 7 |
| Test urine for lactose CPT 83633 | not published | not published | $5.31 – $61.31 | 30 |
| Test urine for porphyrins CPT 84119 | not published | not published | $9.84 – $72.81 | 30 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.72 – $24.36 | 30 |
| Tetanus ig im CPT 90389 | not published | not published | $1,780.46 – $2,220.28 | 4 |
| Tetanus immune globulin inj HCPCS J1670 | $131.22 | $364.50 | $255.21 – $255.70 | 2 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | $1,569.51 | $4,359.75 | $18.73 – $18.73 | 4 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $148.28 – $746.65 | 13 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $638.01 – $3,577.39 | 18 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,452.46 – $13,751.32 | 17 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $502.24 – $2,816.16 | 18 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $30.31 – $675.89 | 11 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $30.31 – $675.89 | 11 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $26.99 – $675.89 | 11 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $30.31 – $503.31 | 11 |
| Thaw preserved stem cells CPT 38208 | not published | not published | $29.91 – $1,000.00 | 9 |
| Theophylline therapeutic drug level CPT 80198 | $105.03 | $291.75 | $11.88 – $105.19 | 35 |
| Therapeutic procd strg endur HCPCS G0237 | $50.22 | $139.50 | $9.40 – $88.09 | 7 |
| Therapy activation ipnss CPT 93150 | not published | not published | $155.66 – $382.75 | 5 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $41.22 | $114.50 | $33.22 – $143.59 | 6 |
| Therapy nutrition individual reassessment/intervention f2f w/patient each 15 minutes CPT 97803 | $27.36 | $76.00 | $28.13 – $122.63 | 6 |
| Therapy photodnmc lght dstr lsn skn by staff rx per day CPT 96567 | not published | not published | $113.84 – $725.13 | 7 |
| Ther fx nasal inf turbinate CPT 30930 | not published | not published | $117.95 – $3,064.57 | 20 |
| Ther nma rdctj intus/obstrcj CPT 74283 | $285.57 | $793.25 | $110.54 – $1,588.05 | 36 |
| Ther/proph/diag inj ia CPT 96373 | $361.17 | $1,003.25 | $18.24 – $357.31 | 7 |
| Ther radiology tx plng cplx CPT 77263 | not published | not published | $165.57 – $1,485.45 | 12 |
| Ther radiology tx plng intrm CPT 77262 | not published | not published | $107.20 – $1,006.29 | 12 |
| Ther radiology tx plng smpl CPT 77261 | not published | not published | $71.07 – $672.03 | 12 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $4.32 | $12.00 | $2.76 – $2.76 | 1 |
| Thorabd diaphr hern repair CPT 43336 | not published | not published | $969.15 – $1,847.70 | 7 |
| Thorabd diaphr hern repair CPT 43337 | not published | not published | $969.15 – $1,880.17 | 7 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | not published | not published | $112.95 – $1,048.53 | 21 |
| Thoracic aortic graft 33875 CPT 33875 | not published | not published | $969.15 – $3,361.46 | 7 |
| Thoracic duct procedure CPT 38380 | not published | not published | $422.96 – $1,000.00 | 7 |
| Thoracic duct procedure CPT 38381 | not published | not published | $602.26 – $1,000.00 | 7 |
| Thoracic duct procedure CPT 38382 | not published | not published | $503.91 – $1,000.00 | 7 |
| Thoracic lymphadenect/thoracotomy 38746 CPT 38746 | not published | not published | $161.65 – $1,000.00 | 7 |
| Thoracoabdominal graft 33877 CPT 33877 | not published | not published | $969.15 – $4,433.73 | 7 |
| Thoracoscop w/esoph musc exc CPT 32665 | not published | not published | $915.71 – $1,488.03 | 7 |
| Thoracoscopy bilobectomy 32670 CPT 32670 | not published | not published | $969.15 – $1,951.43 | 7 |
| Thoracoscopy diagnostic 32601 CPT 32601 | not published | not published | $306.86 – $5,655.44 | 8 |
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.