Supplies, drugs & other prices at Ascension Seton Smithville
Smithville, TX · every code in this section with a posted price and a Medicare benchmark.
76 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| 2d tee w or w/o fol w/con,in (C8925) | $807.84 | $2,244 | 1.0× |
| 2d tte w or w/o fol w/con,co (C8923) range across 2 matching MRF lines |
$575.19–$1,357.02 | $1,597.75–$3,769.50 | varies |
| 2d tte w or w/o fol w/con,fu (C8924) range across 2 matching MRF lines |
$531.90–$575.19 | $1,477.50–$1,597.75 | varies |
| Admin influenza virus vac (G0008) range across 13 matching MRF lines |
$9.27–$67.05 | $25.75–$186.25 | varies |
| Admin pneumococcal vaccine (G0009) range across 8 matching MRF lines |
$20.70–$71.37 | $57.50–$198.25 | varies |
| Bdy surf activation mapg pm/cvdfb leads tm f/up (0696T) | $63.18 | $175.50 | 1.7× |
| Covid-19 lab test non-cdc (U0002) range across 4 matching MRF lines |
$69.48–$91.44 | $193–$254 | varies |
| Diab manage trn per indiv (G0108) | $61.92 | $172 | 1.1× |
| Direct refer hospital observ (G0379) | $156.33 | $434.25 | 0.3× |
| Drug test def 1-7 classes (G0480) range across 63 matching MRF lines |
$44.19–$455.94 | $122.75–$1,266.50 | varies |
| Elec stim other than wound (G0283) range across 5 matching MRF lines |
$38.25–$38.61 | $106.25–$107.25 | varies |
| Elec stim unattend for press (G0281) range across 4 matching MRF lines |
$39.78–$45.63 | $110.50–$126.75 | varies |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $5,416.20 | $15,045 | 1.7× |
| Followup eval of foot pt lop (G0246) | $125.64 | $349 | 0.9× |
| Hospital outpt clinic visit (G0463) range across 151 matching MRF lines |
$38.61–$1,018.80 | $107.25–$2,830 | varies |
| Initial foot exam pt lops (G0245) | $125.64 | $349 | 0.9× |
| Inj for sacroiliac jt anesth (G0260) range across 3 matching MRF lines |
$948.96–$1,112.85 | $2,636–$3,091.25 | varies |
| Insertion wrls car stimulator lv pacg compl sys (0515T) | $12,886.11 | $35,794.75 | 0.6× |
| Insertion/Replacement Complete Iims (0525T) | $20,256.57 | $56,268.25 | 1.0× |
| Insertion/Replacement Iims Electrode Only (0526T) | $15,181.47 | $42,170.75 | 1.8× |
| Insertion/Replacement Iims Implantable Mntr Only (0527T) | $15,181.47 | $42,170.75 | 1.8× |
| Insj Wcs Lv Eltrd Only (0516T) | $15,181.47 | $42,170.75 | 1.4× |
| Insj Wcs Lv Pg Compnt (0517T) | $15,181.47 | $42,170.75 | 1.4× |
| Intens cardiac rehab no exer (G0423) | $147.51 | $409.75 | 1.1× |
| Intens cardiac rehab w/exerc (G0422) | $226.98 | $630.50 | 1.8× |
| Interrog dev eval iims ip (0529T) | $76.23 | $211.75 | 2.0× |
| Interrog Dev Eval Wrls Car Stimulator in Person (0521T) | $35.28 | $98 | 1.2× |
| Mra w/cont, abd (C8900) range across 3 matching MRF lines |
$1,316.88–$1,602.54 | $3,658–$4,451.50 | varies |
| Mra w/cont, chest (C8909) range across 3 matching MRF lines |
$1,652.94–$1,821.96 | $4,591.50–$5,061 | varies |
| Mra w/cont, lwr ext (C8912) range across 6 matching MRF lines |
$1,652.94–$1,821.96 | $4,591.50–$5,061 | varies |
| Mra w/o cont, abd (C8901) range across 3 matching MRF lines |
$1,222.20–$1,523.97 | $3,395–$4,233.25 | varies |
| Mra w/o cont, chest (C8910) range across 3 matching MRF lines |
$1,222.20–$1,337.22 | $3,395–$3,714.50 | varies |
| Mra w/o cont, lwr ext (C8913) range across 8 matching MRF lines |
$1,108.80–$1,517.22 | $3,080–$4,214.50 | varies |
| Mra w/o fol w/cont, abd (C8902) range across 3 matching MRF lines |
$1,655.55–$2,009.43 | $4,598.75–$5,581.75 | varies |
| Mra w/o fol w/cont, chest (C8911) range across 3 matching MRF lines |
$2,077.11–$2,143.62 | $5,769.75–$5,954.50 | varies |
| Mra w/o fol w/cont, lwr ext (C8914) range across 6 matching MRF lines |
$1,264.77–$1,676.34 | $3,513.25–$4,656.50 | varies |
| Mra w/o fol w/cont, pelvis (C8920) range across 3 matching MRF lines |
$1,389.42–$1,779.12 | $3,859.50–$4,942 | varies |
| Mra, w/dye, spinal canal (C8931) | $1,040.49 | $2,890.25 | 3.0× |
| Mra, w/dye, upper extremity (C8934) range across 4 matching MRF lines |
$943.83–$1,040.49 | $2,621.75–$2,890.25 | varies |
| Mra, w/o dye, spinal canal (C8932) | $697.86 | $1,938.50 | 2.9× |
| Mra, w/o dye, upper extr (C8935) range across 2 matching MRF lines |
$632.97–$697.86 | $1,758.25–$1,938.50 | varies |
| Mra, w/o&w/dye, spinal canal (C8933) | $1,176.75 | $3,268.75 | 3.4× |
| Mra, w/o&w/dye, upper extr (C8936) range across 4 matching MRF lines |
$1,067.94–$1,176.75 | $2,966.50–$3,268.75 | varies |
| Mri w/cont, breast, bi (C8906) range across 2 matching MRF lines |
$1,652.94–$1,821.96 | $4,591.50–$5,061 | varies |
| Mri w/cont, breast, uni (C8903) range across 4 matching MRF lines |
$1,315.98–$1,652.94 | $3,655.50–$4,591.50 | varies |
| Mri w/o fol w/cont, breast, (C8908) | $835.20 | $2,320 | 2.4× |
| Mri w/o fol w/cont, brst, un (C8905) range across 6 matching MRF lines |
$761.85–$2,061 | $2,116.25–$5,725 | varies |
| Pathogen test for platelets (P9100) range across 2 matching MRF lines |
$34.74–$45.72 | $96.50–$127 | varies |
| Perc d-e cor revasc chro sin (C9607) | $26,911.80 | $74,755 | 1.5× |
| Perc d-e cor revasc t cabg s (C9604) | $26,911.80 | $74,755 | 2.3× |
| Perc d-e cor stent ather s (C9602) | $26,911.80 | $74,755 | 1.5× |
| Perc drug-el cor stent sing (C9600) | $26,911.80 | $74,755 | 2.3× |
| Pne flu hepb cov home admin (M0201) | $45.45 | $126.25 | 1.3× |
| Potassium hydroxide preps (Q0112) | $21.78 | $60.50 | 3.7× |
| Prgrmg dev eval iims ip (0528T) | $76.23 | $211.75 | 2.0× |
| Prgrmg device eval wrls car stimulator in person (0522T) | $76.23 | $211.75 | 2.0× |
| Prolonged iv inf, req pump (C8957) | $102.60 | $285 | 0.5× |
| Prostate biopsy, any mthd (G0416) range across 2 matching MRF lines |
$1,258.47–$2,546.55 | $3,495.75–$7,073.75 | varies |
| Quan MRI alys brain w/o diagnostic MRI same sess (0865T) range across 2 matching MRF lines |
$303.84–$313.20 | $844–$870 | varies |
| Quan MRI alys brain with diagnostic MRI (0866T) range across 2 matching MRF lines |
$303.84–$313.20 | $844–$870 | varies |
| Removal complete iims (0530T) | $6,418.89 | $17,830.25 | 1.7× |
| Removal iims electrode only (0531T) | $6,418.89 | $17,830.25 | 1.7× |
| Removal iims implt mntr only (0532T) | $6,418.89 | $17,830.25 | 1.7× |
| Rmvl & Rplcmt Pg Compnt Wcs (0519T) | $6,418.89 | $17,830.25 | 0.6× |
| Rmvl Pg Compnt Wcs (0518T) | $6,418.89 | $17,830.25 | 1.7× |
| Rmvl&Rplcmt Pg Wcs New Eltrd (0520T) | $45,101.43 | $125,281.75 | 4.3× |
| Routine footcare pt w lops (G0247) | $125.64 | $349 | 0.6× |
| Tee w or w/o fol w/cont, mon (C8927) | $807.84 | $2,244 | 1.0× |
| Tee w or w/o fol w/cont,cong (C8926) | $1,079.73 | $2,999.25 | 1.4× |
| Therapeutic procd strg endur (G0237) range across 2 matching MRF lines |
$5.40–$50.22 | $15–$139.50 | varies |
| Tomosynthesis, mammo (G0279) | $53.82 | $149.50 | 4.2× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$2,971.62–$3,357.54 | $8,254.50–$9,326.50 | varies |
| Tte w or w/o contr, cont ecg (C8930) | $1,974.24 | $5,484 | 2.5× |
| Tte w or w/o fol w/con,stres (C8928) range across 2 matching MRF lines |
$807.84–$1,875.24 | $2,244–$5,209 | varies |
| Tte w or wo fol wcon,doppler (C8929) range across 2 matching MRF lines |
$1,974.24–$2,389.50 | $5,484–$6,637.50 | varies |
| Unsched dialysis esrd pt hos (G0257) | $625.95 | $1,738.75 | 0.9× |
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.