CT imaging
CT abdomen and pelvis with contrast
CPT 74177
$273 - $2,693
from 4 insurers · median $1,531
Typical for a hospital with this service line
Ascension Health · Luling, TX
32
In-network payers
312
Disclosed rate categories
24
Beds
Seton Edgar B. Davis Hospital is a 24-bed voluntary non-profit - private hospital in Luling, TX, affiliated with Ascension Health. Below you'll find publicly disclosed negotiated rates and facility details, including 32 in-network payers and 312 disclosed rate categories.
CCN (Medicare provider number)
451371
NPI
1356446686
Type
Critical Access Hospital
Ownership
Voluntary Non-Profit - Private
Beds
24
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.





The 24 services Seton Edgar B. Davis Hospital 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.
CT imaging
CPT 74177
$273 - $2,693
from 4 insurers · median $1,531
Typical for a hospital with this service line
CT imaging
CPT 70450
$281 - $1,610
from 4 insurers · median $717
Typical for a hospital with this service line
CT imaging
CPT 74176
$190 - $1,736
from 4 insurers · median $1,248
Typical for a hospital with this service line
Mammography
CPT 77067
$327 - $1,191
from 4 insurers · median $358
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$778 - $2,856
from 3 insurers · median $2,111
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93306
$258 - $2,308
from 4 insurers · median $1,011
Typical for a hospital with this service line
CT imaging
CPT 71275
$231 - $2,445
from 4 insurers · median $1,187
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$994 - $3,015
from 3 insurers · median $2,111
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$994 - $2,698
from 3 insurers · median $2,111
Typical for a hospital with this service line
MRI imaging
CPT 70553
$792 - $2,766
from 4 insurers · median $1,667
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$34 - $316
from 4 insurers · median $234
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$756 - $2,698
from 3 insurers · median $2,111
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$4,785 - $9,340
from 4 insurers · median $5,745
Typical for a hospital with this service line
MRI imaging
CPT 70551
$387 - $1,872
from 4 insurers · median $1,318
Typical for a hospital with this service line
MRI imaging
CPT 72148
$400 - $1,750
from 4 insurers · median $1,273
Typical for a hospital with this service line
Gynecology
CPT 58571
$4,078 - $8,329
from 3 insurers · median $6,545
Typical for a hospital with this service line
MRI imaging
CPT 73721
$393 - $1,762
from 4 insurers · median $1,318
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$2,002 - $3,834
from 3 insurers · median $2,628
Typical for a hospital with this service line
Ultrasound
CPT 76705
$112 - $808
from 4 insurers · median $373
Typical for a hospital with this service line
Medicine & Surgery · Inpatient
MS-DRG 470
$7,197 - $13,238
from 3 insurers · median $12,313
Hospital reports orthopedic surgery services to CMS
Orthopedics and pain
CPT 20610
$721 - $2,760
from 3 insurers · median $1,125
Typical for a hospital with this service line
Gynecology
CPT 58661
$3,633 - $6,348
from 3 insurers · median $4,785
Typical for a hospital with this service line
Urology
CPT 50590
$3,230 - $8,404
from 4 insurers · median $6,659
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$43 - $291
from 4 insurers · median $234
Typical for a hospital with this service line
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* | 17 | 403% | 9 | 3 |
| Insurer B* | 23 | 355% | 16 | 1 |
| Insurer C* | 23 | 309% | 8 | 12 |
| Insurer D* | 24 | 161% | 11 | 8 |
How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 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 Seton Edgar B. Davis Hospital.
130 Hays Street, Luling, TX 78648
(830) 875-7000
About Seton Edgar B. Davis Hospital's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Seton Edgar B. Davis Hospital range from $792 to $2,766 across 4 insurers. Cigna's rate is $1,750. The median at nearby comparable hospitals is $1,264. 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 Seton Edgar B. Davis Hospital range from $273 to $2,693 across 4 insurers. Aetna's rate is $2,693. The median at nearby comparable hospitals is $1,360. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Seton Edgar B. Davis Hospital range from $994 to $3,015 across 3 insurers. Blue Cross Blue Shield's rate is $994. The median at nearby comparable hospitals is $790. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Seton Edgar B. Davis Hospital range from $327 to $1,191 across 4 insurers. Cigna's rate is $327. The median at nearby comparable hospitals is $193. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Seton Edgar B. Davis Hospital range from $7,197 to $13,238 across 3 insurers. UnitedHealthcare's rate is $12,313. The median at nearby comparable hospitals is $14,643. What a patient pays depends on their plan's deductible, coinsurance and network status.
Seton Edgar B. Davis Hospital has 24 beds. Facility type: Critical Access Hospital.
Seton Edgar B. Davis Hospital is located at 130 Hays Street, Luling, TX 78648. Its main phone number is (830) 875-7000.
Seton Edgar B. Davis Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 451371.
The National Provider Identifier (NPI) on file for Seton Edgar B. Davis Hospital is 1356446686.
Seton Edgar B. Davis Hospital is affiliated with Ascension Health.
Seton Edgar B. Davis Hospital lists 32 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.
312 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.
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{
"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