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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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $1,365.30 | $3,792.50 | 13.0× |
| MRI brain without contrast (70551) | $830.02 | $2,305.62 | 3.5× |
| 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) | $248.22 | $689.50 | 2.4× |
| 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) | $744.16 | $2,067.12 | 3.1× |
| CT abdomen and pelvis with contrast (74177) | $3,527.50 | $9,798.62 | 10.1× |
| Ultrasound, abdomen complete (76700) | $272.74 | $757.62 | 2.6× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $711.99 | $1,977.75 | 6.8× |
| Ultrasound, transvaginal (76830) | $269.78 | $749.38 | 2.6× |
| 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) | $21.96 | $61 | 6.3× |
| 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) | $65.88 | $183 | 10.2× |
| Prothrombin time (PT) (85610) | $105.21 | $292.25 | 24.5× |
| Partial thromboplastin time (PTT) (85730) | $115.65 | $321.25 | 19.2× |
| 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) | $53.68 | $149.12 | 1.8× |
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.
More prices at this hospital
- Imaging: 267 codes with posted prices and Medicare benchmarks
- Lab & pathology: 845 codes with posted prices and Medicare benchmarks
- Visits & medical services: 166 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 57 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 41 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 68.5 MB) ↓ — captured 2026-07-18
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