Ascension Seton Smithville

Smithville, 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)
range across 2 matching MRF lines
$782.73–$1,347.21 $2,174.25–$3,742.25 varies
MRI brain without contrast (70551)
range across 6 matching MRF lines
$565.83–$1,493.28 $1,571.75–$4,148 varies
MRI brain with contrast (70552)
range across 6 matching MRF lines
$678.60–$1,867.68 $1,885–$5,188 varies
MRI brain without and with contrast (70553)
range across 6 matching MRF lines
$1,619.55–$2,710.98 $4,498.75–$7,530.50 varies
X-ray lower spine, 4+ views (72110)
range across 4 matching MRF lines
$222.66–$514.71 $618.50–$1,429.75 varies
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$1,144.35–$1,242.99 $3,178.75–$3,452.75 varies
CT pelvis with contrast (72193)
range across 4 matching MRF lines
$955.71–$1,358.64 $2,654.75–$3,774 varies
MRI lower-extremity joint without contrast (73721)
range across 10 matching MRF lines
$652.05–$1,205.64 $1,811.25–$3,349 varies
CT abdomen and pelvis with contrast (74177)
range across 2 matching MRF lines
$2,625.75–$3,447 $7,293.75–$9,575 varies
Ultrasound, abdomen complete (76700)
range across 3 matching MRF lines
$292.23–$415.71 $811.75–$1,154.75 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 5 matching MRF lines
$285.66–$571.23 $793.50–$1,586.75 varies
Ultrasound, transvaginal (76830)
range across 5 matching MRF lines
$183.15–$265.68 $508.75–$738 varies
Mammography, one breast (diagnostic) (77065)
range across 5 matching MRF lines
$140.49–$146.88 $390.25–$408 varies
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
$178.65–$189.45 $496.25–$526.25 varies
Mammography, screening (bilateral) (77067)
range across 4 matching MRF lines
$121.95–$243.90 $338.75–$677.50 varies
Basic metabolic panel (80048)
range across 2 matching MRF lines
$154.71–$237.51 $429.75–$659.75 varies
Comprehensive metabolic panel (80053)
range across 2 matching MRF lines
$75.60–$95.13 $210–$264.25 varies
Lipid panel (80061)
range across 2 matching MRF lines
$96.93–$155.97 $269.25–$433.25 varies
Renal function panel (80069)
range across 2 matching MRF lines
$147.33–$236.97 $409.25–$658.25 varies
Hepatic function panel (80076)
range across 2 matching MRF lines
$135.27–$163.35 $375.75–$453.75 varies
Urinalysis, non-automated, without microscopy (81002)
range across 8 matching MRF lines
$11.16–$21.60 $31–$60 varies
PSA, total (84153)
range across 4 matching MRF lines
$36.63–$89.37 $101.75–$248.25 varies
Thyroid stimulating hormone (TSH) (84443)
range across 2 matching MRF lines
$46.62–$126.27 $129.50–$350.75 varies
CBC with automated differential (85025)
range across 4 matching MRF lines
$35.28–$85.95 $98–$238.75 varies
CBC, automated (85027)
range across 4 matching MRF lines
$30.87–$80.64 $85.75–$224 varies
Prothrombin time (PT) (85610)
range across 5 matching MRF lines
$48.78–$70.92 $135.50–$197 varies
Partial thromboplastin time (PTT) (85730)
range across 13 matching MRF lines
$10.17–$81.81 $28.25–$227.25 varies
Group psychotherapy (90853) $126.27 $350.75 1.2×
Left heart catheterization (93452) $3,701.79 $10,282.75 1.1×
Sleep study (attended polysomnography) (95810) $1,528.29 $4,245.25 1.8×
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 8 matching MRF lines
$29.70–$67.59 $82.50–$187.75 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, 243.3 MB) ↓ — captured 2026-07-18

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