healthcosts.net

Ascension Seton Smithville (Ascension Seton)

1201 Hill Rd, Smithville, TX · Ascension · · NPI 1154612638

Source: hospital's published price file ↗ · Published Jan 1, 2026 · Ingested Sep 8, 2026

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
Unlisted px small intestine CPT 44799 not published not published $565.86 – $2,524.16 8
Unlisted px temporal bone CPT 69979 not published not published $124.92 – $1,000.00 8
Unlisted px ther rad tx plng CPT 77299 not published not published $103.76 – $564.59 8
Unlisted px tongue flr mouth CPT 41599 not published not published $124.92 – $1,000.00 8
Unlisted px vestibule mouth CPT 40899 not published not published $124.92 – $1,000.00 8
Unlisted reprod med lab proc CPT 89398 not published not published $46.14 – $233.00 6
Unlisted resp px dx nuc med CPT 78599 not published not published $196.83 – $1,490.93 18
Unlisted spec derm svc/px CPT 96999 not published not published $113.84 – $725.13 6
Unlisted surgical path px CPT 88399 $87.48 $243.00 $46.14 – $233.00 8
Unlisted transfusion med px CPT 86999 $242.73 $674.25 $12.27 – $208.43 8
Unlisted ultrasound procedure CPT 76999 $114.57 $318.25 $62.12 – $323.23 26
Unlisted urinalysis px CPT 81099 $25.02 $69.50 $40.64 – $148.73 2
Unlisted vasc endoscopy px CPT 37501 not published not published $453.97 – $1,048.53 8
Unlstd hematop ret/endo lymp CPT 78199 not published not published $257.02 – $1,490.93 18
Unlstd laps px mat care&dlvr CPT 59898 not published not published $969.15 – $5,655.44 7
Unlstd laps px sprmatic cord CPT 55559 not published not published $969.15 – $5,655.44 7
Unsched dialysis esrd pt hos HCPCS G0257 $625.95 $1,738.75 $528.17 – $1,094.45 2
Upgrade pm system CPT 33214 not published not published $477.94 – $19,719.00 21
Upper Back (Thoracic Spine) MRI (with and without contrast) CPT 72157 $2,556.09 $7,100.25 $276.95 – $3,113.99 36
Upper Back (Thoracic Spine) MRI (with contrast) CPT 72147 $1,821.96 $5,061.00 $243.86 – $2,727.65 36
Upper Back (Thoracic Spine) MRI (without contrast) CPT 72146 $1,271.34 $3,531.50 $156.48 – $1,969.00 36
Upper Endoscopy (EGD, diagnostic) CPT 43235 not published not published $124.26 – $1,590.03 21
Upper Endoscopy (EGD, with biopsy) CPT 43239 not published not published $140.61 – $1,590.03 21
Upper ext harvest for cabg1 seg 35600 CPT 35600 not published not published $192.79 – $1,000.00 7
Uppr gi scope w/submuc inj CPT 43236 not published not published $140.61 – $1,590.03 21
Urachal cyst/sinus excision 51500 CPT 51500 not published not published $640.56 – $5,655.44 20
Urea nitrogen CPT 84520 $64.26 $178.50 $3.32 – $29.38 35
Urea nitrogen 24 hour urine CPT 84540 $40.86 $113.50 $3.32 – $42.08 35
Urea nitrogen clearance CPT 84545 not published not published $4.31 – $49.10 30
Urea nitrogen semi-quant CPT 84525 not published not published $4.30 – $28.01 30
Ureteral embolization/occl CPT 50705 not published not published $199.46 – $1,000.00 3
Ureteral reflux study CPT 78740 $1,026.81 $2,852.25 $198.58 – $1,892.43 35
Ureter endoscopy CPT 50970 not published not published $374.38 – $3,531.69 20
Ureter endoscopy & biopsy CPT 50955 not published not published $356.08 – $4,951.00 20
Ureter endoscopy & biopsy CPT 50974 not published not published $478.09 – $4,951.00 20
Ureter endoscopy & catheter CPT 50972 not published not published $362.04 – $3,531.69 20
Ureter endoscopy & treatment CPT 50957 not published not published $358.15 – $4,951.00 20
Ureter endoscopy & treatment CPT 50961 not published not published $320.11 – $4,951.00 20
Ureter endoscopy & treatment CPT 50976 not published not published $471.76 – $4,951.00 20
Ureter endoscopy & treatment CPT 50980 not published not published $359.97 – $4,951.00 20
Ureteroneocystostomy 50780 CPT 50780 not published not published $829.82 – $1,348.46 7
Ureteroureterostomy 50760 CPT 50760 not published not published $846.95 – $1,376.29 7
Urethrcystgrphy rtrgrde s&i CPT 74450 $595.26 $1,653.50 $74.96 – $1,171.28 31
Urethrlys transvag with scope CPT 53500 not published not published $749.29 – $3,531.69 8
Urethrocystography void s&i CPT 74455 $698.58 $1,940.50 $68.27 – $943.81 36
Uric acid blood CPT 84550 $47.43 $131.75 $3.80 – $52.99 35
Uric acid urine CPT 84560 $42.39 $117.75 $4.27 – $47.02 35
Urinalysis glass test CPT 81020 not published not published $3.95 – $27.41 30
Urinalysis microscopic only CPT 81015 $18.09 $50.25 $2.56 – $22.62 35
Urinalysis qual/semiquant excpt ia CPT 81005 not published not published $1.82 – $16.13 30
Urinalysis (with microscopy) CPT 81001 $90.27 $250.75 $2.66 – $40.27 35
Urinalysis (without microscopy) CPT 81003 $50.49 $140.25 $1.89 – $23.96 35
Urinary bldr retent nuc study CPT 78730 not published not published $66.83 – $676.80 15
Urinary reflex study CPT 51792 not published not published $39.61 – $1,000.00 9
Urine Culture Test CPT 87086 $53.28 $148.00 $6.78 – $60.08 35
Urine flow measurement 51736 CPT 51736 $81.63 $226.75 $7.26 – $969.15 8
Urine pregnancy test CPT 81025 $50.49 $140.25 $7.23 – $47.03 35
Urine screen for bacteria CPT 81007 not published not published $2.93 – $163.39 30
Urine shunt to intestine CPT 50815 not published not published $917.78 – $1,491.40 7
Urography, antegrade CPT 74425 $637.38 $1,770.50 $69.81 – $1,966.48 34
Urography inf drip &/or bolus CPT 74410 not published not published $89.59 – $1,139.04 31
Use 1st target lesion CPT 76982 $594.45 $1,651.25 $63.17 – $686.79 31
Ustekinumab 130 mg/26 ml intravenous solution HCPCS J3358 $29,976.57 $83,268.25 $12.02 – $50.11 14
Vaccine covid-19 moderna >=12yrs 50mcg/0.5ml CPT 91322 not published not published $145.92 – $611.40 8
Vaccine covid-19 moderna 6mos-11yrs 25mcg/0.25ml CPT 91321 not published not published $145.92 – $611.40 8
Vaccine covid-19 pfizer tris-sucrose >=12yrs 30mcg/0.3ml im CPT 91320 not published not published $131.10 – $549.31 8
Vaccine covid-19 pfizer tris-sucrose 5yrs-11yrs 10mcg/0.3ml im CPT 91319 not published not published $87.78 – $367.80 8
Vaccine covid-19 pfizer tris-sucrose 6mos-4yrs 3mcg/0.3ml im CPT 91318 not published not published $65.36 – $273.86 7
Vaccine dtap < 7 years im CPT 90700 not published not published $92.94 – $115.90 4
Vaccine dtap-hep b-ipv im CPT 90723 not published not published $311.17 – $388.04 4
Vaccine dtap-ipv 4-6 years im CPT 90696 not published not published $204.89 – $255.51 4
Vaccine dtap-ipv/hib im CPT 90698 not published not published $377.93 – $471.29 4
Vaccine haemophilus influenzae type b (hib) prp-omp 3 dose im CPT 90647 not published not published $98.52 – $122.85 4
Vaccine haemophilus influenzae type b (hib) prp-t 4 dose im CPT 90648 not published not published $42.64 – $53.17 4
Vaccine hepatitis a (hepa) adult im CPT 90632 $107.10 $297.50 $59.65 – $281.40 5
Vaccine hepatitis a (hepa) hepatitis b (hepb) adult im CPT 90636 not published not published $337.18 – $420.47 4
Vaccine hepatitis a (hepa) pediatric/adolescent 2 dose im CPT 90633 not published not published $128.39 – $160.10 4
Vaccine hepatitis b (hepb) adolescent 2 dose im CPT 90743 not published not published $24.22 – $246.08 9
Vaccine hepatitis b (hepb) adult 3 dose im CPT 90746 $98.37 $273.25 $59.71 – $238.41 10
Vaccine hepatitis b (hepb) adult dosage 2 dose schedule im CPT 90739 $52.11 $144.75 $131.10 – $479.92 9
Vaccine hepatitis b (hepb) pediatric/adolescent 3 dose im CPT 90744 $63.54 $176.50 $24.22 – $95.66 10
Vaccine hpv types 6/11/16/18/31/33/45/52/58 nonvalent (9vhpv) 2 or 3 dose im CPT 90651 not published not published $685.17 – $854.42 4
Vaccine hpv types 6/11/16/18 quadrivalent (4vhpv) 3 dose im CPT 90649 not published not published $535.58 – $667.89 4
Vaccine influenza (iiv) preservative free antigen content im CPT 90662 $31.68 $88.00 $36.32 – $180.71 10
Vaccine influenza inactivated adjuvant im CPT 90653 not published not published $54.67 – $185.11 5
Vaccine influenza nos 0.5ml dose im CPT 90658 not published not published $52.55 – $65.53 4
Vaccine influenza preservative free trivalent (iiv3) 0.5ml dose im CPT 90656 not published not published $12.88 – $71.27 10
Vaccine influenza quadrivalent (iiv4) 0.5ml dose im CPT 90688 $56.97 $158.25 $17.84 – $66.08 10
Vaccine influenza quadrivalent (iiv4) inactivated adjuvanted preservative free 0.5ml dose im CPT 90694 not published not published $56.52 – $71.68 8
Vaccine influenza quadrivalent (iiv4) preservative free 0.25ml dose im CPT 90685 $24.57 $68.25 $21.81 – $78.44 6
Vaccine influenza quadrivalent (iiv4) preservative free 0.5ml dose im CPT 90686 $56.97 $158.25 $18.16 – $70.48 10
Vaccine influenza quadrivalent (iiv4) split virus 0.25 ml im CPT 90687 not published not published $9.13 – $34.82 10
Vaccine influenza quadrivalent live (laiv4) intranasal CPT 90672 not published not published $26.88 – $96.16 9
Vaccine influenza quadrivalent (riv4) rdna antibiotic/preservative free im CPT 90682 not published not published $53.37 – $191.69 9
Vaccine influenza trivalent (cciiv3) cell cultures subunit antibiotic free 0.5 ml im CPT 90661 not published not published $22.29 – $110.24 5
Vaccine influenza trivalent (iiv3) 0.25ml dose im CPT 90657 not published not published $6.02 – $66.45 9
Vaccine mengingoccocal serogroup b 2 dose im CPT 90620 not published not published $671.26 – $837.08 4
Vaccine mengingoccocal serogroup b 2 or 3 dose im CPT 90621 not published not published $548.49 – $683.98 4
Vaccine menigococcal serogroups a/c/w/y quadrivalent tetanus toxoid(menacwy-tt) im CPT 90619 not published not published $285.87 – $356.49 4
Vaccine meningococcal serogroups a/c/w/y quadrivalent diphtheria toxoid(menacwy-d/menacwy-crm) im CPT 90734 not published not published $285.87 – $356.49 4

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.