MRI
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Northwest — MRI| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Brain MRICPT 70551 · 123 plans in file | Published cash price$611–$1,493 | Typical insured rate$89824 plans | Lowest insured rate$204 |
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| Brain MRI with contrastCPT 70553 · 121 plans in file | Published cash price$1,749–$2,711 | Typical insured rate$1,47224 plans | Lowest insured rate$333 |
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| Neck MRICPT 72141 · 123 plans in file | Published cash price$1,871 | Typical insured rate$89824 plans | Lowest insured rate$198 |
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| Lower back MRICPT 72148 · 121 plans in file | Published cash price$1,144 | Typical insured rate$89824 plans | Lowest insured rate$199 |
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| Knee MRICPT 73721 · 123 plans in file | Published cash price$728 | Typical insured rate$89824 plans | Lowest insured rate$211 |
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| Shoulder MRICPT 73221 · 123 plans in file | Published cash price$775 | Typical insured rate$89824 plans | Lowest insured rate$211 |
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| Abdominal MRICPT 74183 · 123 plans in file | Published cash price$2,015 | Typical insured rate$1,47224 plans | Lowest insured rate$343 |
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| Pelvic MRICPT 72195 · 123 plans in file | Published cash price$1,351 | Typical insured rate$89824 plans | Lowest insured rate$232 |
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| Breast MRICPT 77049 · 14 plans in file | Published cash price— | Typical insured rate$1,75013 plans | Lowest insured rate$311 |
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CT scan
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Northwest — CT scan| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Head CTCPT 70450 · 123 plans in file | Published cash price$1,347 | Typical insured rate$43224 plans | Lowest insured rate$102 |
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| Chest CTCPT 71250 · 123 plans in file | Published cash price$378 | Typical insured rate$43224 plans | Lowest insured rate$102 |
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| Chest CT with contrastCPT 71260 · 123 plans in file | Published cash price$2,121 | Typical insured rate$70224 plans | Lowest insured rate$171 |
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| Abdomen and pelvis CTCPT 74176 · 123 plans in file | Published cash price$2,440 | Typical insured rate$81824 plans | Lowest insured rate$190 |
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| Abdomen and pelvis CT with contrastCPT 74177 · 123 plans in file | Published cash price$3,447 | Typical insured rate$1,40124 plans | Lowest insured rate$294 |
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X-ray
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Northwest — X-ray| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Chest X-rayCPT 71046 · 114 plans in file | Published cash price$288–$301 | Typical insured rate$17920 plans | Lowest insured rate$33.75 |
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| Knee X-rayCPT 73562 · 123 plans in file | Published cash price$367 | Typical insured rate$17724 plans | Lowest insured rate$33.75 |
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| Lower back X-rayCPT 72100 · 123 plans in file | Published cash price$347 | Typical insured rate$19924 plans | Lowest insured rate$33.08 |
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| Shoulder X-rayCPT 73030 · 123 plans in file | Published cash price$308 | Typical insured rate$17324 plans | Lowest insured rate$27.40 |
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Ultrasound
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Northwest — Ultrasound| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Abdominal ultrasoundCPT 76700 · 123 plans in file | Published cash price$292 | Typical insured rate$36124 plans | Lowest insured rate$102 |
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| Pelvic ultrasoundCPT 76856 · 123 plans in file | Published cash price$247–$257 | Typical insured rate$36124 plans | Lowest insured rate$96.28 |
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| Transvaginal ultrasoundCPT 76830 · 123 plans in file | Published cash price$266 | Typical insured rate$30924 plans | Lowest insured rate$88.30 |
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| Thyroid ultrasoundCPT 76536 · 123 plans in file | Published cash price$417 | Typical insured rate$36124 plans | Lowest insured rate$102 |
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| Breast ultrasoundCPT 76641 · 117 plans in file | Published cash price$157–$169 | Typical insured rate$35023 plans | Lowest insured rate$72.72 |
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Mammogram
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Northwest — Mammogram| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Screening mammogramCPT 77067 · 56 plans in file | Published cash price$135–$193 | Typical insured rate$32721 plans | Lowest insured rate$83.82 |
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| Diagnostic mammogramCPT 77066 · 55 plans in file | Published cash price$189 | Typical insured rate$39521 plans | Lowest insured rate$101 |
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Bone density test (DEXA)
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Northwest — Bone density test (DEXA)| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| DEXA scanCPT 77080 · 123 plans in file | Published cash price$301 | Typical insured rate$18324 plans | Lowest insured rate$30.63 |
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Lab tests
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Northwest — Lab tests| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| CMPCPT 80053 · 122 plans in file | Published cash price$95.13 | Typical insured rate$26.2524 plans | Lowest insured rate$8.87 |
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| BMPCPT 80048 · 122 plans in file | Published cash price$238 | Typical insured rate$21.0224 plans | Lowest insured rate$7.04 |
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| CBCCPT 85025 · 122 plans in file | Published cash price$35.28–$59.58 | Typical insured rate$19.3024 plans | Lowest insured rate$6.53 |
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| Lipid panelCPT 80061 · 123 plans in file | Published cash price$203 | Typical insured rate$33.2624 plans | Lowest insured rate$11.25 |
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| TSH testCPT 84443 · 122 plans in file | Published cash price$46.62 | Typical insured rate$41.7624 plans | Lowest insured rate$14.11 |
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| A1c testCPT 83036 · 122 plans in file | Published cash price$63.27–$70.20 | Typical insured rate$24.1124 plans | Lowest insured rate$8.16 |
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| UrinalysisCPT 81001 · 122 plans in file | Published cash price$90.27 | Typical insured rate$7.8824 plans | Lowest insured rate$2.66 |
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| Vitamin D testCPT 82306 · 122 plans in file | Published cash price$128–$142 | Typical insured rate$70.3324 plans | Lowest insured rate$24.86 |
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| PSA testCPT 84153 · 122 plans in file | Published cash price$89.37 | Typical insured rate$45.7124 plans | Lowest insured rate$15.45 |
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| Urine cultureCPT 87086 · 122 plans in file | Published cash price$48.06 | Typical insured rate$20.0624 plans | Lowest insured rate$6.78 |
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ER visit
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Northwest — ER visit| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| ER visit level 3CPT 99283 · 122 plans in file | Published cash price$522–$731 | Typical insured rate$86729 plans | Lowest insured rate$77.47 |
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| ER visit level 4CPT 99284 · 122 plans in file | Published cash price$1,082–$1,170 | Typical insured rate$1,36829 plans | Lowest insured rate$348 |
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| ER visit level 5CPT 99285 · 124 plans in file | Published cash price$2,007 | Typical insured rate$2,50929 plans | Lowest insured rate$435 |
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About this price file
- File:
741109643-1124137054_ascension-seton_standardcharges.csv, last updated January 1, 2026 (hospital's price transparency page). - The same file covers these locations: Ascension Seton Northwest (Ascension Seton). Their prices are the ones on this page.
- Financial assistance: we have not yet verified a link to this hospital's policy — ask the hospital's billing office.
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