Ascension Seton Edgar B Davis

Luling, TX · Critical Access Hospital

Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.

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ProcedurePosted cashPosted gross× Medicare
CT head/brain without contrast (70450) $1,365.30 $3,792.50 13.0×
MRI brain without contrast (70551)
range across 2 matching MRF lines
$565.83–$1,094.22 $1,571.75–$3,039.50 varies
MRI brain with contrast (70552) $1,276.20 $3,545 3.6×
MRI brain without and with contrast (70553) $1,579.32 $4,387 4.5×
X-ray lower spine, 4+ views (72110)
range across 3 matching MRF lines
$232.11–$248.22 $644.75–$689.50 varies
MRI lumbar spine without contrast (72148) $784.44 $2,179 3.3×
CT pelvis with contrast (72193) $2,049.03 $5,691.75 11.6×
MRI lower-extremity joint without contrast (73721)
range across 4 matching MRF lines
$711.81–$776.52 $1,977.25–$2,157 varies
CT abdomen and pelvis with contrast (74177)
range across 2 matching MRF lines
$2,754.09–$4,300.92 $7,650.25–$11,947 varies
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$235.89–$309.60 $655.25–$860 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$386.19–$1,037.79 $1,072.75–$2,882.75 varies
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines
$251.10–$288.45 $697.50–$801.25 varies
Mammography, one breast (diagnostic) (77065) $167.22 $464.50 1.9×
Mammography, both breasts (diagnostic) (77066) $264.51 $734.75 2.4×
Mammography, screening (bilateral) (77067) $223.56 $621 2.5×
Basic metabolic panel (80048) $284.13 $789.25 33.6×
Comprehensive metabolic panel (80053) $91.62 $254.50 8.7×
Lipid panel (80061) $144.72 $402 10.8×
Renal function panel (80069) $309.69 $860.25 35.7×
Hepatic function panel (80076) $196.29 $545.25 24.0×
Urinalysis, non-automated, without microscopy (81002)
range across 3 matching MRF lines
$21.96–$23.04 $61–$64 varies
PSA, total (84153) $52.47 $145.75 2.9×
Thyroid stimulating hormone (TSH) (84443) $62.10 $172.50 3.7×
CBC with automated differential (85025) $39.96 $111 5.1×
CBC, automated (85027)
range across 2 matching MRF lines
$37.71–$94.05 $104.75–$261.25 varies
Prothrombin time (PT) (85610) $105.21 $292.25 24.5×
Partial thromboplastin time (PTT) (85730)
range across 7 matching MRF lines
$14.22–$115.65 $39.50–$321.25 varies
Psychotherapy, 60 minutes (90837) $159.93 $444.25 0.9×
Family psychotherapy, with patient (50 min) (90847) $155.97 $433.25 0.9×
Group psychotherapy (90853) $159.93 $444.25 1.6×
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 8 matching MRF lines
$27.27–$63.45 $75.75–$176.25 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.

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Download the machine-readable file (CSV, 68.5 MB) ↓ — captured 2026-07-18

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