Ascension Seton Smithville

1201 Hill Rd, Smithville, TX 78957 · (512) 237-3214

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

Price file

Prices published

File dated 2026-01-01

15,522 price rows for 68 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines · metro median $156

$155

cash

$7 to $297

252 negotiated rates

$430

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $3,447

$2,626

cash

$229 to $4,309

251 negotiated rates

$7,294

list

CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines · metro median $1,365

$783

cash

$76 to $1,684

251 negotiated rates

$2,174

list

CT scan of the pelvis, with contrast

CPT 72193 · lowest of 8 lines · metro median $2,049

$956

cash

$174 to $1,701

413 negotiated rates

$2,655

list

Cataract surgery with lens implant

CPT 66984

—

cash

$630 to $2,366

42 negotiated rates

—

list

Cesarean delivery with prenatal and postpartum care

CPT 59510

—

cash

$969 to $2,825

9 negotiated rates

—

list

Cesarean section hospital stay, no complications

MS-DRG 788

—

cash

$2,209 to $11,802

50 negotiated rates

—

list

Chlamydia test (DNA)

CPT 87491 · lowest of 24 lines · metro median $70

$70

cash

$17 to $292

2066 negotiated rates

$195

list

Colonoscopy (diagnostic)

CPT 45378

—

cash

$188 to $1,546

43 negotiated rates

—

list

Colonoscopy with biopsy

CPT 45380

—

cash

$204 to $1,175

42 negotiated rates

—

list

Colonoscopy with polyp removal

CPT 45385

—

cash

$259 to $1,175

42 negotiated rates

—

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 6 lines · metro median $35

$35

cash

$2 to $107

418 negotiated rates

$98

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines · metro median $95

$76

cash

$9 to $119

252 negotiated rates

$210

list

Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 4 lines · metro median $265

$179

cash

$120 to $1,112

40 negotiated rates

$496

list

Electrocardiogram (ECG) with interpretation

CPT 93000

—

cash

$17 to $81

8 negotiated rates

—

list

Established patient office visit (about 40 minutes)

CPT 99215

—

cash

$110 to $468

7 negotiated rates

—

list

Family psychotherapy with the patient

CPT 90847

—

cash

$105 to $272

4 negotiated rates

—

list

Family psychotherapy without the patient

CPT 90846

—

cash

$101 to $272

4 negotiated rates

—

list

Gallbladder removal (laparoscopic)

CPT 47562

—

cash

$655 to $19,004

59 negotiated rates

—

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 30 lines · metro median $58

$50

cash

$17 to $292

1999 negotiated rates

$138

list

Group psychotherapy

CPT 90853 · metro median $97

$126

cash

$25 to $157

7 negotiated rates

$351

list

Hip or knee replacement, no major complications

MS-DRG 470

—

cash

$4,701 to $13,993

29 negotiated rates

—

list

Hospital stay for digestive disorders, no complications

MS-DRG 392

—

cash

$4,279 to $9,379

8 negotiated rates

—

list

Hysterectomy for non-cancer reasons, no complications

MS-DRG 743

—

cash

$4,937 to $9,379

17 negotiated rates

—

list

Inguinal hernia repair (age 5 and up)

CPT 49505

—

cash

$518 to $3,638

42 negotiated rates

—

list

Knee arthroscopy with meniscus repair

CPT 29881

—

cash

$535 to $3,203

42 negotiated rates

—

list

Laser treatment after cataract surgery (YAG)

CPT 66821

—

cash

$208 to $1,000

43 negotiated rates

—

list

Left heart catheterization

CPT 93452 · metro median $4,941

$3,702

cash

$610 to $14,841

56 negotiated rates

$10,283

list

Lipid panel (cholesterol test)

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

$156

cash

$11 to $195

255 negotiated rates

$433

list

Liver function panel

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

$163

cash

$7 to $204

252 negotiated rates

$454

list

MRI of the brain, with and without contrast

CPT 70553 · lowest of 12 lines · metro median $1,749

$1,620

cash

$274 to $3,389

597 negotiated rates

$4,499

list

MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 16 lines · metro median $728

$652

cash

$176 to $1,976

969 negotiated rates

$1,811

list

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

CPT 72148 · lowest of 4 lines · metro median $1,144

$1,144

cash

$156 to $1,969

255 negotiated rates

$3,179

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 4 lines · metro median $1,871

$1,243

cash

$156 to $2,339

255 negotiated rates

$3,453

list

Neck (cervical) spinal fusion, no complications

MS-DRG 473

—

cash

$4,701 to $15,399

29 negotiated rates

—

list

Nerve block injection, lower back, with imaging guidance

CPT 64483

—

cash

$111 to $1,510

43 negotiated rates

—

list

New patient office visit (about 30 minutes)

CPT 99203

—

cash

$75 to $322

7 negotiated rates

—

list

New patient office visit (about 45 minutes)

CPT 99204

—

cash

$127 to $544

7 negotiated rates

—

list

New patient office visit (about 60 minutes)

CPT 99205

—

cash

$166 to $710

7 negotiated rates

—

list

PSA test (prostate)

CPT 84153 · lowest of 6 lines · metro median $38

$37

cash

$15 to $137

414 negotiated rates

$102

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 18 lines · metro median $11

$11

cash

$5 to $102

1160 negotiated rates

$31

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 12 lines · metro median $57

$30

cash

$30 to $144

183 negotiated rates

$83

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · lowest of 6 lines · metro median $571

$286

cash

$92 to $896

519 negotiated rates

$794

list

Preventive visit, new patient age 18 to 39

CPT 99385

—

cash

$97 to $413

7 negotiated rates

—

list

Preventive visit, new patient age 40 to 64

CPT 99386

—

cash

$118 to $503

7 negotiated rates

—

list

Prostate biopsy

CPT 55700

—

cash

$132 to $2,073

42 negotiated rates

—

list

Prostate removal (laparoscopic)

CPT 55866

—

cash

$969 to $9,843

9 negotiated rates

—

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 8 lines · metro median $49

$49

cash

$4 to $89

501 negotiated rates

$136

list

Psychotherapy, 30 minutes

CPT 90832

—

cash

$63 to $272

4 negotiated rates

—

list

Psychotherapy, 45 minutes

CPT 90834

—

cash

$84 to $272

4 negotiated rates

—

list

Psychotherapy, 60 minutes

CPT 90837

—

cash

$121 to $272

4 negotiated rates

—

list

Removal of a breast lump (biopsy by excision)

CPT 19120

—

cash

$409 to $3,545

42 negotiated rates

—

list

Screening mammogram (both breasts)

CPT 77067 · lowest of 6 lines · metro median $196

$122

cash

$45 to $920

65 negotiated rates

$339

list

Shoulder arthroscopy with decompression

CPT 29826

—

cash

$175 to $1,549

5 negotiated rates

—

list

Sleep study (overnight, attended)

CPT 95810 · metro median $2,972

$1,528

cash

$524 to $2,505

46 negotiated rates

$4,245

list

Spinal injection, lower back, no imaging guidance

CPT 62322

—

cash

$86 to $1,510

44 negotiated rates

—

list

Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,105

$636

cash

$99 to $1,174

153 negotiated rates

$1,768

list

TSH test (thyroid)

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

$47

cash

$8 to $158

252 negotiated rates

$130

list

Tonsils and adenoids removal (under age 12)

CPT 42820

—

cash

$287 to $5,675

42 negotiated rates

—

list

Transvaginal ultrasound

CPT 76830 · lowest of 8 lines · metro median $266

$183

cash

$88 to $883

497 negotiated rates

$509

list

Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 4 lines · metro median $416

$416

cash

$86 to $928

435 negotiated rates

$1,155

list

Upper endoscopy (EGD)

CPT 43235

—

cash

$124 to $1,590

43 negotiated rates

—

list

Upper endoscopy with biopsy

CPT 43239

—

cash

$141 to $1,590

43 negotiated rates

—

list

Urinalysis with microscope

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

$90

cash

$3 to $113

252 negotiated rates

$251

list

Vaginal delivery after a previous cesarean

CPT 59610

—

cash

$969 to $2,674

9 negotiated rates

—

list

Vaginal delivery hospital stay, no complications

MS-DRG 807

—

cash

$1,962 to $10,594

54 negotiated rates

—

list

Vaginal delivery with prenatal and postpartum care

CPT 59400

—

cash

$969 to $2,548

9 negotiated rates

—

list

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

CPT 72110 · lowest of 6 lines · metro median $515

$223

cash

$34 to $643

437 negotiated rates

$619

list

Source files

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

https://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tx-csv/741109643-1154612638_ascension-seton_standardcharges.csv
Ascension Seton Smithville (Ascension Seton) · parsed · tall v3.0.0 · file dated 2026-01-01 · 232.1 MB · 15522 price rows read · read Nov 2026