CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$1,451 - $5,084
from 2 insurers · median $3,267
Common here, based on CMS Medicare volume
Ascension Health · Smithville, TX
Not rated by CMS
CMS star rating
8
Beds
303
Inpatient discharges a year
$23.4M
Net patient revenue a year
33
In-network payers
Ascension Seton Smithville is an 8-bed voluntary non-profit - church hospital in Smithville, TX, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 33 in-network payers and 298 disclosed rate categories.
The 24 services Ascension Seton Smithville most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data, or start a free trial.
CT imaging
CPT 74177
$1,451 - $5,084
from 2 insurers · median $3,267
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$893 - $3,637
from 2 insurers · median $2,265
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 66984
$1,524 - $4,185
from 3 insurers · median $2,022
88 Medicare claims in Level 1 Intraocular Procedures (CMS 2024)
Cardiology and vascular testing
CPT 93306
$481 - $2,352
from 3 insurers · median $1,542
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$327 - $365
from 3 insurers · median $355
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$786 - $2,157
from 3 insurers · median $2,045
Common here, based on CMS Medicare volume
CT imaging
CPT 70450
$281 - $1,372
from 3 insurers · median $429
Common here, based on CMS Medicare volume
CT imaging
CPT 71275
$730 - $1,423
from 2 insurers · median $1,076
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$1,004 - $1,856
from 3 insurers · median $1,836
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$994 - $1,856
from 3 insurers · median $1,836
Common here, based on CMS Medicare volume
X-ray and bone density
CPT 71046
$194 - $296
from 3 insurers · median $275
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$792 - $3,620
from 3 insurers · median $1,584
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$4,834 - $6,443
from 3 insurers · median $6,058
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$790 - $1,887
from 3 insurers · median $1,856
Common here, based on CMS Medicare volume
Gynecology
CPT 58571
$3,967 - $8,413
from 3 insurers · median $6,443
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $2,205
from 3 insurers · median $893
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$400 - $1,800
from 3 insurers · median $894
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$112 - $429
from 4 insurers · median $369
Common here, based on CMS Medicare volume
Orthopedics and pain
CPT 20610
$1,108 - $1,685
from 2 insurers · median $1,397
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$824 - $2,888
from 3 insurers · median $1,584
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 42820
$2,547 - $4,851
from 3 insurers · median $4,146
Typical for a hospital with this service line
Gynecology
CPT 58661
$3,834 - $6,152
from 3 insurers · median $4,834
Typical for a hospital with this service line
X-ray and bone density
CPT 77080
$106 - $350
from 3 insurers · median $289
Common here, based on CMS Medicare volume
Mammography
CPT 77066
$395 - $474
from 3 insurers · median $425
Common here, based on CMS Medicare volume
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 24 | 411% | 19 | 4 |
| Insurer B* | 6 | 327% | 5 | 0 |
| Insurer C* | 23 | 309% | 12 | 9 |
| Insurer D* | 16 | 155% | 0 | 9 |
How we chose these services: 1 appear in this hospital's own Medicare claims, 19 are common here based on CMS Medicare volume, and 4 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Ascension Seton Smithville, or start a free trial.
Acceptance varies by plan and service. Confirm coverage with your insurer or the hospital's billing department.





Quality
Not rated by CMS
Doctors and services
No Medicare-funded residents
Finances
$23.4M net patient revenue
The employer identification numbers (EINs) health plans and networks list for Ascension Seton Smithville in the in-network rate files they publish, with the organization NPIs billed under each.
| Tax ID (EIN) | Plans and networks listing it | Organization NPIs |
|---|---|---|
| 74-1109643(multi-state) Seton Northwest Hospital | 48Aetna, Cigna, United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health), Allied Benefit Systems, Ambetter and 43 more | 1447355771 Ascension Seton1093810327 Ascension Seton1538264866 Ascension Setonand 63 more |
Source: PayerPrice analysis of insurers' Transparency in Coverage in-network files. An EIN can cover several hospitals and clinics in a health system, and insurers sometimes list other organizations' NPIs under it.
1201 Hill Road, Smithville, TX 78957
(512) 237-3214
How Ascension Seton Smithville compares with other US facilities on the measures CMS publishes, mostly from Medicare patients.
Hospital-acquired condition penalty
Not penalized
Not among the worst-performing 25%
Medicare cuts payments 1% for the worst-performing 25% of hospitals on infections and injuries acquired in the hospital
| Measure | Result | Period |
|---|---|---|
| Hospital-acquired condition penaltyCMS: HAC Reduction Program payment reduction | Not penalized | 2026 |
Source: CMS Provider Data Catalog, released 2026-08-13. US comparisons rank this facility among every facility CMS reports for each measure. See Medicare Care Compare.
How Medicare adjusts Ascension Seton Smithville's inpatient payments for its readmissions, quality and cost results.
No penalty
Readmissions penalty
Hospital Readmissions Reduction Program adjustment for excess readmissions, as estimated in the FY 2026 IPPS final rule.
0.00% on Medicare payments
Value-based purchasing
Hospital Value-Based Purchasing bonus or reduction for quality and cost, as estimated in the FY 2026 IPPS final rule.
Source: CMS IPPS final rule Impact File (FY 2026).
Each result CMS publishes for Ascension Seton Smithville, beside the US median and the average of TX hospitals. The rank says what share of US hospitals the result is better or worse than; counts and confidence limits are not ranked.
Excess readmission ratios by condition; above 1 means more readmissions than expected.
| Measure | Ascension Seton Smithville | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| READM-30-AMI-HRRP2021-07-01 to 2024-06-30 | N/A | 1.013 | |||
| READM-30-CABG-HRRP2021-07-01 to 2024-06-30 | N/A | 1.01 | |||
| READM-30-COPD-HRRP2021-07-01 to 2024-06-30 | N/A | 0.999 | |||
| READM-30-HF-HRRP2021-07-01 to 2024-06-30 | N/A | 1 | |||
| READM-30-HIP-KNEE-HRRP2021-07-01 to 2024-06-30 | N/A | 1.006 | |||
| READM-30-PN-HRRP2021-07-01 to 2024-06-30 | N/A | 1.003 |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| READM-30-AMI-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-CABG-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-COPD-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HF-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-HIP-KNEE-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
| READM-30-PN-HRRP | N/A | N/A | N/A | N/A | N/A | N/A |
Infection ratios, the PSI 90 composite and the total score Medicare ranks hospitals on; lower is better.
| Measure | Ascension Seton Smithville | US median | TX average | CMS comparison | US rank |
|---|---|---|---|---|---|
| CAUTI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.4327 | |||
| CDI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.2562 | |||
| CLABSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.5596 | |||
| HAC Reduction Program payment reductionFY 2026 | No | ||||
| MRSA standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.6118 | |||
| Patient safety and adverse events composite (PSI 90)2022-07-01 to 2024-06-30 | N/A | 0.9684 | |||
| SSI standardized infection ratio2023-01-01 to 2024-12-31 | N/A | 0.7483 | |||
| Total HAC scoreFY 2026 | N/A | -0.1734 |
| By fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| HAC Reduction Program payment reduction | No | No | N/A | No | No | No |
| Total HAC score | 0.0846 | 0.1028 | 0 | N/A | N/A | N/A |
Source: CMS Care Compare hospital files, latest release 2026-08-13, with program results for earlier fiscal years from CMS's archived snapshots. US medians and ranks count every hospital CMS reports; state averages are plain means of the state's reporting hospitals, not CMS's patient-weighted state rates.
Source: CMS Provider of Services file, as reported by the hospital and state surveyors.
What Ascension Seton Smithville reported to Medicare in its latest cost report, covering Jul 1, 2024 to Aug 10, 2025.
303
Inpatient discharges
Medicare 25%, Medicaid 0%
1,101
Inpatient days
34% of available bed days used
63
Employees (full-time equivalent)
Source: CMS cost report (HCRIS) (report 826713). Figures cover the reporting period, which is not always 12 months, and are self-reported.
Inpatient days and discharges Ascension Seton Smithville reported by payer. Medicare and Medicaid include their managed care plans, shown separately below.
| Medicare | Medicaid | Other | Total | |
|---|---|---|---|---|
| Inpatient days | 230 | 5 | 866 | 1,101 |
| Discharges | 77 | 1 | 225 | 303 |
| Average length of stay | 3.0 days | 5.0 days | 3.8 days | 3.6 days |
| Average daily census | 0.6 | 0.0 | 2.1 | 2.7 |
356
Medicare Advantage days
104 discharges
304
Medicaid managed care days
67 discharges
384
Observation bed days
| Unit | Beds | Inpatient days | Medicare days | Occupancy |
|---|---|---|---|---|
| Adults & pediatrics | 8 | 1,101 | 230 | 34% |
Source: CMS cost report (HCRIS, Form 2552-10), report 826713, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheet S-3 Part I.
What Ascension Seton Smithville treats Medicare patients for most often, in 2024. 20 Medicare discharges in 1 published DRGs; 0% surgical; 0% in DRGs with complications (CC or MCC).
| Condition or procedure | Discharges | Average charges | Average Medicare payment | Estimated cost | DRG weight |
|---|---|---|---|---|---|
| Kidney and urinary tract infections without MCCMS-DRG 690, medical | 20 | $41,382 | $15,681 | $12,208 | 0.81 |
Source: CMS Medicare Inpatient Hospitals by Provider and Service (2024 data, released 2026-04-10), traditional Medicare only; CMS omits DRGs with fewer than 11 discharges. Estimated cost is average charges times the hospital's Medicare cost-to-charge ratio from the IPPS Impact File. Weights are the MS-DRG relative weights for the same year.
The comprehensive outpatient service groups (APCs) Ascension Seton Smithville billed Medicare for most in 2024: 122 services in all.
| Service group | Services | Patients | Average charges | Average Medicare payment | US average payment |
|---|---|---|---|---|---|
| Level 1 Intraocular ProceduresAPC 5491 | 88 | 53 | $21,400 | $1,580 | $1,752 |
| Comprehensive Observation ServicesAPC 8011 | 34 | 33 | $25,439 | $1,919 | $2,090 |
Source: CMS Medicare Outpatient Hospitals by Provider and Service (2024 data, released 2026-06-24), comprehensive APCs for traditional Medicare; CMS omits services with fewer than 11 claims. The US average weights every hospital by its services.
ZIP codes with the most Medicare inpatient stays at Ascension Seton Smithville in 2025. Market share is this hospital's part of every hospital's Medicare stays from the ZIP code. Its published Medicare stays went from 23 in 2020 to 64 in 2025.
| ZIP code | Stays | Of this hospital's stays | Days | Charges | Market share | Share in 2020 |
|---|---|---|---|---|---|---|
| 78602 | 23 | 36% | 78 | $767,033 | 1% | |
| 78945 | 22 | 34% | 67 | $794,461 | 3% | |
| 78957 | 19 | 30% | 58 | $626,634 | 3% | 5% |
Source: CMS Hospital Service Area file. Shares are of the 64 stays from ZIP codes CMS publishes; it omits ZIP codes with fewer than 11 stays, so market shares count published stays only.
Revenue, expenses and income Ascension Seton Smithville reported to Medicare for Jul 1, 2024 to Aug 10, 2025. Percentages are of net patient revenue.
| Line | Amount | Share |
|---|---|---|
| Gross patient revenue (charges) | $128.1M | 546.6% |
| Inpatient | $12M | 51.0% |
| Outpatient | $116.1M | 495.6% |
| Contractual allowances and discounts | -$104.6M | -446.6% |
| Net patient revenue | $23.4M | 100.0% |
| Operating expenses | -$22.8M | -97.1% |
| Operating income from patient care | $678,505 | 2.9% |
| Other income | $390,716 | 1.7% |
| Net income | $1.1M | 4.6% |
| Line | Amount | Share |
|---|---|---|
| Traditional Medicare | $24M | 18.5% |
| Medicaid (including managed care) | $7.8M | 6.0% |
| Other payers and self-pay | $97.9M | 75.5% |
| Total charges | $129.7M | 100.0% |
Source: CMS cost report (HCRIS, Form 2552-10), report 826713, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Traditional Medicare is the program charges on Worksheets D-3 and D Part V; Medicaid is from Worksheet S-10.
Computed from Ascension Seton Smithville's latest cost report, which covers 406 days; income and expense figures are scaled to a year.
2.9%
Operating margin
Operating income from patient care / net patient revenue
4.5%
Total margin
Net income / net patient revenue plus other income
5.5%
EBITDAR margin
Net income before interest, depreciation and leases (Worksheet A-7), / total revenue
47% of expenses
Personnel costs
Salaries, direct-care contract labor and core wage-related costs / operating expenses
$49.80
Average hourly wage
Adjusted salaries / paid hours (Worksheet S-3 Part II)
6.4%
Return on assets
Net income for a year / total assets
14.5%
Return on equity
Net income for a year / fund balance
0.93
Current ratio
Current assets / current liabilities
0.57
Quick ratio
Cash, temporary investments and net receivables / current liabilities
0 days
Days cash on hand
Cash and temporary investments / daily operating expenses excluding depreciation
52 days
Days in patient receivables
Net patient receivables / daily net patient revenue
95 days
Average payment period
Current liabilities / daily operating expenses excluding depreciation
1.44
Asset turnover
Total revenue for a year / total assets
26.2 years
Average age of plant
Accumulated depreciation / depreciation for a year
Source: CMS cost report (HCRIS, Form 2552-10), report 826713, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
What Ascension Seton Smithville owned and owed at the end of its reporting period (Aug 2025), across all fund types: $14.9M in total assets and a $6.6M fund balance.
| Line | Amount | Of total assets |
|---|---|---|
| Cash and temporary investments | $1,841 | 0.0% |
| Patient receivables, net | $3M | 20.0% |
| Inventory | $247,717 | 1.7% |
| Total current assets | $4.8M | 32.5% |
| Property and equipment, net of depreciation | $11.7M | 78.7% |
| Investments and other assets | -$1.7M | -11.1% |
| Total assets | $14.9M | 100.0% |
| Current liabilities | $5.2M | 35.0% |
| Total liabilities | $8.3M | 55.7% |
| Fund balance (net assets) | $6.6M | 44.3% |
Source: CMS cost report (HCRIS, Form 2552-10), report 826713, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Care Ascension Seton Smithville provided without full payment, as reported on Worksheet S-10 of its cost report.
$3.7M
Cost of charity care
Care for patients approved for charity care and uninsured discounts, at cost
$3.2M
Bad debt
Patient bills written off as uncollectible, at charges
$398,106
Medicaid shortfall
Cost of Medicaid patients (charges times the cost-to-charge ratio) minus Medicaid payments; negative means a surplus
$23,598
CHIP shortfall
Cost of stand-alone CHIP patients minus CHIP payments
$13,376
State and local indigent care shortfall
Cost of indigent care program patients minus program payments
$4.2M
Total unreimbursed and uncompensated care
18.6% of operating expenses
Medicaid, CHIP and indigent care shortfalls plus charity care and the cost of bad debt (Worksheet S-10 line 31)
$64,990
Government grants and appropriations
Government grants or transfers supporting hospital operations
Source: CMS cost report (HCRIS, Form 2552-10), report 826713, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Ascension Seton Smithville's full-year cost reports, by fiscal year end. Reports shorter than ten months are left out.
| Fiscal year ending | Jun 2020 | Jun 2021 | Jun 2022 | Jun 2023 | Jun 2024 | Aug 2025 |
|---|---|---|---|---|---|---|
| Net patient revenue | $9M | $11.3M | $14.1M | $16.5M | $22.7M | $23.4M |
| Operating expenses | $15.5M | $16.1M | $17.6M | $17.8M | $20.3M | $22.8M |
| Operating margin | -71.1% | -42.2% | -24.9% | -8.0% | 10.8% | 2.9% |
| Net income | -$6M | -$4.5M | -$2.1M | -$1.1M | $2.9M | $1.1M |
| Total assets | $9.9M | $5.1M | $3.6M | $15.9M | $18.5M | $14.9M |
| Discharges | 124 | 154 | 175 | 221 | 298 | 303 |
| Inpatient days | 398 | 1,257 | 1,523 | 1,622 | 1,221 | 1,101 |
| Medicare Advantage days | 18 | 121 | 109 | 97 | 208 | 356 |
| Beds | 8 | 8 | 8 | 8 | 8 | 8 |
| Employees (FTE) | 65 | 61 | 63 | 59 | 64 | 63 |
Source: CMS cost report (HCRIS, Form 2552-10), report 826713, as submitted. Hospitals report these figures themselves; they are not audited financial statements.
Each cost center Ascension Seton Smithville reports, largest first. Total cost includes its share of overhead; the cost-to-charge ratio is total cost / charges.
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Rural health clinic | $1.1M | $3.4M | $3.6M | 0.94 | |
| Emergency | $1.4M | $2.8M | $37.2M | 0.07 | 2,249 |
| Radiology-diagnostic | $1.2M | $2.7M | $38.6M | 0.07 | 3,040 |
| Operating room | $675,694 | $1.7M | $13.5M | 0.12 | 3,895 |
| Rural health clinic ii | $378,439 | $1.6M | $1.7M | 0.95 | |
| Medical supplies charged to patient | $137,273 | $1.1M | $821,252 | 1.39 | 1,305 |
| Clinic | $518,065 | $918,617 | $1.8M | 0.50 | |
| Drugs charged to patients | $117,586 | $907,912 | $6.5M | 0.14 | 364 |
| Laboratory | $907,827 | $9.7M | 0.09 | 1,563 | |
| Respiratory therapy | $526,167 | $872,845 | $1.8M | 0.48 | |
| Observation beds (non-distinct part | $754,049 | $1.8M | 0.42 | ||
| Physical therapy | $149,608 | $286,497 | $299,576 | 0.96 | |
| Impl. dev. charged to patients | $228,779 | $3M | 0.08 | 102 | |
| Whole blood & packed red blood cell | $144,159 | $169,749 | 0.85 | 281 | |
| Anesthesiology | $4,493 | $1.1M | 0.00 |
| Department | Salaries | Total cost | Charges | Cost-to-charge | Square feet |
|---|---|---|---|---|---|
| Adults & pediatrics | $1.2M | $2.9M | $7.9M | 0.37 | 5,289 |
| Department | Salaries | Direct cost | Paid hours | Average hourly wage | Square feet |
|---|---|---|---|---|---|
| Administrative & general | $777,606 | $4.7M | 16,115 | $51.87 | 11,107 |
| Operation of plant | $1.2M | 2,373 | |||
| Employee benefits department | $292,104 | $799,645 | |||
| Housekeeping | $402,723 | 517 | |||
| Nursing administration | $229,563 | $329,645 | 3,581 | $67.72 | |
| Cafeteria | $238,207 | ||||
| Cap rel costs-bldg & fixt | $166,979 | 33,968 | |||
| Cap rel costs-mvble equip | $85,073 | ||||
| Laundry & linen service | $50,166 | ||||
| Dietary | $42,640 | 1,883 | |||
| Social service | $34,624 | $37,090 | 891 | $38.84 |
Source: CMS cost report (HCRIS, Form 2552-10), report 826713, as submitted. Hospitals report these figures themselves; they are not audited financial statements. Worksheets A, B-1, C Part I and S-3 Part II.
The factors Medicare uses to set what it pays Ascension Seton Smithville for an inpatient stay.
1.05
Case mix index
Higher than 2% of hospitals paid under Medicare IPPS
Average Medicare DRG weight of its inpatient cases (FY 2026); higher means more complex, costlier care.
No Medicare-funded residents
Teaching status
Medicare-funded interns and residents per bed (FY 2026).
60.8%
Low-income patient share
Disproportionate share percentage: Medicaid and SSI patient days CMS uses for safety-net payments (FY 2026).
88
Medicare inpatient stays
Medicare claims CMS based FY 2026 payment rates on.
Urban (metro area)
Location type
Geographic area CMS assigns before any wage index reclassification (FY 2026).
| IPPS fiscal year | FY 2021 | FY 2022 | FY 2023 | FY 2024 | FY 2025 | FY 2026 |
|---|---|---|---|---|---|---|
| Case mix index | 1.04 | 1.04 | 1.00 | 1.07 | 1.05 | 1.05 |
| Wage index | 0.934 | 0.930 | 0.928 | 0.898 | 0.949 | 0.972 |
| Readmissions adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Value-based purchasing adjustment | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% | 0.00% |
| Medicare inpatient stays | 70 | 70 | 42 | 36 | 58 | 88 |
Source: CMS IPPS final rule Impact File (FY 2026).
The officers and board members on Ascension Seton Smithville's Medicare enrollment and on the IRS Form 990 filed under its tax ID.
Ascension Seton files the Form 990 for the tax ID insurers list for Ascension Seton Smithville, so these people may lead the wider organization rather than Ascension Seton Smithville alone.
| Name | Title |
|---|---|
| William A Davis | Ex-officio/ceo, Ministry Market |
| Scott Herndon | Assistant Treasurer/cfo, Ministry Market (end 8/2022) |
| Katherine C Henderson | President, Suburban Hospitals (end 1/2023) |
| Christopher Born | President, Dcmcct (end 10/2022) |
| Steven J Brockman-Weber RN | President, Rural Hospitals |
| Timothy Michael Brierty | President (end 4/2022) |
| Daniel W Huffine | Asst Treasurer/interim CFO, Mm (8/2022 - 10/2022)/CFO, Mm (start 10/2022) |
| Wesley K Tidwell | President, Ascension Seton Medical Center Austin (start 10/2022) |
| Joan K Ross | President, Ascension Seton Hays (start 4/2023) |
| Erik Pronske MD | Chair |
| Johnette Mckown Edd | Treasurer |
| Pat Atkins | Secretary |
Board members: Christann Marie Vasquez, Alexa Stuifbergen PhD RN, Chris Wheeler, Dave Clarke MD, George Macones MD, Jeffrey Manning MD, Terry Mattson.
Source: IRS Form 990 Part VII filed by Ascension Seton (EIN 74-1109643), via the IRS e-file data. A health system's return can cover several hospitals.
340B drug pricing program
Not participating
340B ID DSH450143, registered as a disproportionate share hospital. Authorizing official: Jace D Jones, Authorizing Official.
Source: HRSA 340B Office of Pharmacy Affairs Information System.
Ascension seton smithville health ce
CCN 673469, certified 2018, Medicare not participating
Ascension seton elgin healthcare
CCN 673484, certified 2020, Medicare not participating
Source: Worksheet S-2 Part I of Ascension Seton Smithville's latest Medicare cost report (HCRIS).
About Ascension Seton Smithville's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Ascension Seton Smithville range from $792 to $3,620 across 3 insurers. UnitedHealthcare's rate is $792. The median at nearby comparable hospitals is $853. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Ascension Seton Smithville range from $1,451 to $5,084 across 2 insurers. Aetna's rate is $5,084. The median at nearby comparable hospitals is $1,028. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Ascension Seton Smithville range from $1,004 to $1,856 across 3 insurers. Blue Cross Blue Shield's rate is $1,004. The median at nearby comparable hospitals is $2,250. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Ascension Seton Smithville range from $327 to $365 across 3 insurers. Cigna's rate is $327. The median at nearby comparable hospitals is $189. What a patient pays depends on their plan's deductible, coinsurance and network status.
CMS reports no Medicare-funded interns or residents at Ascension Seton Smithville for fiscal year 2026.
No. Ascension Seton Smithville has no Hospital Readmissions Reduction Program penalty in fiscal year 2026.
In 2024, the most common were kidney and urinary tract infections without mcc (20 discharges).
Ascension Seton Smithville's Medicare case mix index is 1.05 for fiscal year 2026, higher than 2% of hospitals paid under the inpatient prospective payment system.
Ascension Seton Smithville reported 303 inpatient discharges and 1,101 inpatient days from Jul 1, 2024 to Aug 10, 2025.
Ascension Seton Smithville reported 63 full-time-equivalent employees on payroll from Jul 1, 2024 to Aug 10, 2025.
Ascension Seton Smithville reported $23.4M in net patient revenue on $128.1M of gross charges for Jul 1, 2024 to Aug 10, 2025, an operating margin of 2.9%, and net income of $1.1M.
Ascension Seton Smithville reported $4.2M of unreimbursed and uncompensated care for Jul 1, 2024 to Aug 10, 2025, including $3.7M of charity care at cost.
Insurers' price transparency files list Ascension Seton Smithville under employer identification number 74-1109643 ((multi-state) Seton Northwest Hospital). 48 health plans and networks list 74-1109643 for it.
HRSA's 340B database lists Ascension Seton Smithville (340B ID DSH450143) as no longer participating since 2025.
CMS lists 18 services at Ascension Seton Smithville, including Alcohol and/or Drug Service, CARF Inpatient Rehabilitation (Commission On Accreditation Of Rehabilitation Facilities Inpatient Rehabilitation), Clinical Laboratory, CT Scan, Diagnostic Radiology, Dietary Care.
In CMS's 2025 Hospital Service Area file, the most Medicare inpatient stays at Ascension Seton Smithville came from ZIP codes 78602 (23), 78945 (22), 78957 (19).
Ascension Seton Smithville has 8 beds, including its psychiatric, rehabilitation and other subprovider units, in its latest Medicare cost report. Facility type: Short Term Acute Care Hospital.
Ascension Seton Smithville is located at 1201 Hill Road, Smithville, TX 78957. Its main phone number is (512) 237-3214.
Ascension Seton Smithville's CMS Certification Number (CCN), also called its Medicare provider number, is 450143.
The National Provider Identifier (NPI) on file for Ascension Seton Smithville is 1154612638.
Ascension Seton Smithville is affiliated with Ascension Health.
Ascension Seton Smithville lists 33 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
298 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers