MRI
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Smithville — MRI| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Brain MRICPT 70551 · 87 plans in file | Published cash price$566–$1,493 | Typical insured rate$1,41019 plans | Lowest insured rate$204 |
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| Brain MRI with contrastCPT 70553 · 87 plans in file | Published cash price$1,620–$2,711 | Typical insured rate$1,75019 plans | Lowest insured rate$333 |
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| Neck MRICPT 72141 · 87 plans in file | Published cash price$1,243–$1,871 | Typical insured rate$1,36219 plans | Lowest insured rate$198 |
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| Lower back MRICPT 72148 · 87 plans in file | Published cash price$1,144–$1,243 | Typical insured rate$1,36519 plans | Lowest insured rate$199 |
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| Knee MRICPT 73721 · 87 plans in file | Published cash price$652–$1,206 | Typical insured rate$1,53619 plans | Lowest insured rate$211 |
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| Shoulder MRICPT 73221 · 87 plans in file | Published cash price$775–$1,104 | Typical insured rate$1,54019 plans | Lowest insured rate$211 |
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| Abdominal MRICPT 74183 · 87 plans in file | Published cash price$2,015–$2,506 | Typical insured rate$1,75019 plans | Lowest insured rate$355 |
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| Pelvic MRICPT 72195 · 87 plans in file | Published cash price$1,351–$1,384 | Typical insured rate$1,75019 plans | Lowest insured rate$234 |
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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 Smithville — CT scan| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Head CTCPT 70450 · 87 plans in file | Published cash price$783–$1,347 | Typical insured rate$50719 plans | Lowest insured rate$107 |
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| Chest CTCPT 71250 · 87 plans in file | Published cash price$378–$505 | Typical insured rate$70619 plans | Lowest insured rate$107 |
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| Chest CT with contrastCPT 71260 · 87 plans in file | Published cash price$1,209–$2,121 | Typical insured rate$1,15719 plans | Lowest insured rate$173 |
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| Abdomen and pelvis CTCPT 74176 · 87 plans in file | Published cash price$2,071–$2,440 | Typical insured rate$94119 plans | Lowest insured rate$190 |
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| Abdomen and pelvis CT with contrastCPT 74177 · 87 plans in file | Published cash price$2,626–$3,447 | Typical insured rate$1,52319 plans | Lowest insured rate$294 |
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X-ray
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Smithville — X-ray| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Chest X-rayCPT 71046 · 78 plans in file | Published cash price$134–$301 | Typical insured rate$19415 plans | Lowest insured rate$33.75 |
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| Knee X-rayCPT 73562 · 87 plans in file | Published cash price$175–$367 | Typical insured rate$24119 plans | Lowest insured rate$33.75 |
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| Lower back X-rayCPT 72100 · 87 plans in file | Published cash price$183–$347 | Typical insured rate$21219 plans | Lowest insured rate$33.08 |
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| Shoulder X-rayCPT 73030 · 87 plans in file | Published cash price$144–$308 | Typical insured rate$19419 plans | Lowest insured rate$27.40 |
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Ultrasound
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Smithville — Ultrasound| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Abdominal ultrasoundCPT 76700 · 87 plans in file | Published cash price$292–$416 | Typical insured rate$41119 plans | Lowest insured rate$107 |
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| Pelvic ultrasoundCPT 76856 · 87 plans in file | Published cash price$134–$257 | Typical insured rate$41119 plans | Lowest insured rate$96.28 |
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| Transvaginal ultrasoundCPT 76830 · 87 plans in file | Published cash price$183–$266 | Typical insured rate$35019 plans | Lowest insured rate$88.30 |
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| Thyroid ultrasoundCPT 76536 · 87 plans in file | Published cash price$122–$417 | Typical insured rate$41119 plans | Lowest insured rate$107 |
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| Breast ultrasoundCPT 76641 · 81 plans in file | Published cash price$129–$157 | Typical insured rate$37218 plans | Lowest insured rate$72.72 |
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Mammogram
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Smithville — Mammogram| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| Screening mammogramCPT 77067 · 19 plans in file | Published cash price$122–$244 | Typical insured rate$34816 plans | Lowest insured rate$99.47 |
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| Diagnostic mammogramCPT 77066 · 18 plans in file | Published cash price$179–$189 | Typical insured rate$42116 plans | Lowest insured rate$120 |
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Bone density test (DEXA)
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Smithville — Bone density test (DEXA)| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| DEXA scanCPT 77080 · 87 plans in file | Published cash price$137–$301 | Typical insured rate$19019 plans | Lowest insured rate$30.63 |
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Lab tests
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Smithville — Lab tests| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| CMPCPT 80053 · 84 plans in file | Published cash price$75.60–$95.13 | Typical insured rate$30.5319 plans | Lowest insured rate$8.87 |
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| BMPCPT 80048 · 84 plans in file | Published cash price$155–$238 | Typical insured rate$24.4519 plans | Lowest insured rate$7.04 |
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| CBCCPT 85025 · 84 plans in file | Published cash price$35.28–$85.95 | Typical insured rate$22.4419 plans | Lowest insured rate$6.53 |
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| Lipid panelCPT 80061 · 85 plans in file | Published cash price$97–$156 | Typical insured rate$38.6719 plans | Lowest insured rate$11.25 |
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| TSH testCPT 84443 · 84 plans in file | Published cash price$47–$126 | Typical insured rate$48.5419 plans | Lowest insured rate$14.11 |
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| A1c testCPT 83036 · 84 plans in file | Published cash price$63.27–$78.03 | Typical insured rate$28.0319 plans | Lowest insured rate$8.16 |
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| UrinalysisCPT 81001 · 84 plans in file | Published cash price$32.22–$90.27 | Typical insured rate$9.1619 plans | Lowest insured rate$2.66 |
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| Vitamin D testCPT 82306 · 84 plans in file | Published cash price$128–$271 | Typical insured rate$78.4919 plans | Lowest insured rate$24.86 |
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| PSA testCPT 84153 · 84 plans in file | Published cash price$36.63–$89.37 | Typical insured rate$53.1519 plans | Lowest insured rate$15.45 |
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| Urine cultureCPT 87086 · 84 plans in file | Published cash price$48.06–$53.28 | Typical insured rate$23.3319 plans | Lowest insured rate$6.78 |
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ER visit
Published cash priceTypical insured rateLowest insured rate
Ascension Seton Smithville — ER visit| Procedure | Published cash price | Typical insured rate | Lowest insured rate |
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| ER visit level 3CPT 99283 · 86 plans in file | Published cash price$225–$731 | Typical insured rate$91424 plans | Lowest insured rate$77.47 |
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| ER visit level 4CPT 99284 · 86 plans in file | Published cash price$883–$1,170 | Typical insured rate$1,46124 plans | Lowest insured rate$348 |
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| ER visit level 5CPT 99285 · 90 plans in file | Published cash price$1,522–$2,007 | Typical insured rate$2,64824 plans | Lowest insured rate$435 |
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About this price file
- File:
741109643-1154612638_ascension-seton_standardcharges.csv, last updated January 1, 2026 (hospital's price transparency page). - The same file covers these locations: Ascension Seton Smithville (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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