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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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| CT head/brain without contrast (70450) | $1,064.97 | $2,958.25 | 10.1× |
| MRI brain without contrast (70551) | $1,358.46 | $3,773.50 | 5.7× |
| MRI brain with contrast (70552) | $1,528.29 | $4,245.25 | 4.4× |
| MRI brain without and with contrast (70553) | $2,241.45 | $6,226.25 | 6.4× |
| X-ray lower spine, 4+ views (72110) | $281.52 | $782 | 2.7× |
| MRI lumbar spine without contrast (72148) | $1,193.67 | $3,315.75 | 5.0× |
| CT pelvis with contrast (72193) | $1,157.18 | $3,214.38 | 6.6× |
| MRI lower-extremity joint without contrast (73721) | $728.19 | $2,022.75 | 3.0× |
| CT abdomen and pelvis with contrast (74177) | $3,036.38 | $8,434.38 | 8.7× |
| Ultrasound, abdomen complete (76700) | $415.71 | $1,154.75 | 4.0× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $522.36 | $1,451 | 5.0× |
| Ultrasound, transvaginal (76830) | $243 | $675 | 2.3× |
| Mammography, one breast (diagnostic) (77065) | $146.88 | $408 | 1.7× |
| Mammography, both breasts (diagnostic) (77066) | $184.05 | $511.25 | 1.7× |
| Mammography, screening (bilateral) (77067) | $135.18 | $375.50 | 1.5× |
| Basic metabolic panel (80048) | $196.11 | $544.75 | 23.2× |
| Comprehensive metabolic panel (80053) | $85.36 | $237.12 | 8.1× |
| Lipid panel (80061) | $126.45 | $351.25 | 9.4× |
| Renal function panel (80069) | $192.15 | $533.75 | 22.1× |
| Hepatic function panel (80076) | $149.31 | $414.75 | 18.3× |
| Urinalysis, non-automated, without microscopy (81002) | $17.64 | $49 | 5.1× |
| PSA, total (84153) | $66.24 | $184 | 3.6× |
| Thyroid stimulating hormone (TSH) (84443) | $86.44 | $240.12 | 5.1× |
| CBC with automated differential (85025) | $60.62 | $168.38 | 7.8× |
| CBC, automated (85027) | $51.48 | $143 | 8.0× |
| Prothrombin time (PT) (85610) | $70.92 | $197 | 16.5× |
| Partial thromboplastin time (PTT) (85730) | $43.11 | $119.75 | 7.2× |
| 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) | $43.47 | $120.75 | 1.5× |
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: 393 codes with posted prices and Medicare benchmarks
- Lab & pathology: 855 codes with posted prices and Medicare benchmarks
- Visits & medical services: 329 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 131 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 76 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 243.3 MB) ↓ — captured 2026-07-18
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