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Ascension Seton Edgar B Davis

130 Hays Street, Luling, TX 78648 · (830) 875-7000

Critical Access HospitalsVoluntary non-profit - PrivateAustin, TX metroWebsite ↗Website taken from the domain of its price file

Price file

Prices published

File dated 2026-01-01

9,520 price rows for 68 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $156

$284
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 4 lines · metro median $3,447

$2,754
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $1,365

$1,365
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 4 lines · metro median $2,049

$2,049
cash
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Chlamydia test (DNA)

CPT 87491 · lowest of 22 lines · metro median $70

$62
cash
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Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $35

$40
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $95

$92
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines · metro median $265

$265
cash
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Family psychotherapy with the patient

CPT 90847 · metro median $155

$156
cash
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Gonorrhea test (DNA)

CPT 87591 · lowest of 22 lines · metro median $58

$62
cash
Group psychotherapy

CPT 90853 · lowest of 2 lines · metro median $97

$160
cash
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Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $150

$145
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $162

$196
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,749

$1,579
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 8 lines · metro median $728

$712
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,144

$784
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,871

$1,175
cash
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PSA test (prostate)

CPT 84153 · lowest of 4 lines · metro median $38

$52
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 14 lines · metro median $11

$14
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 14 lines · metro median $57

$27
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 4 lines · metro median $571

$386
cash
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Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $49

$105
cash
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Psychotherapy, 60 minutes

CPT 90837 · metro median $217

$160
cash
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Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines · metro median $196

$224
cash
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$1,647
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $45

$62
cash
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Transvaginal ultrasound

CPT 76830 · lowest of 4 lines · metro median $266

$251
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $416

$236
cash
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Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $78

$134
cash
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X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 4 lines · metro median $515

$232
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.