Hospital · CCN 450143

Ascension Seton Smithville

1201 Hill Rd Attn: Fin Dir, Smithville, TX 78957 · Bastrop County
Part of Ascension Health · 8 beds · 2
Metropolitan area high commuting: primary flow 30% or more to a urbanized area of 50,000 and greater

1 admission types 14 outpatient services price file: ok

Billed per dollar paid, all admissions

2.27×

$828K billed against $364K paid across 20 Medicare discharges; the national figure is 5.03×.

10.3%

of adults in Bastrop County have medical debt in collections

20.8%

uninsured in the county · state 18.8%

$77K

median household income

2.3×

billed ÷ paid, inpatient, summed over the county's hospitals in the Medicare file (2 in the inpatient or outpatient file)ⓘ

40.2%

obesity in the countyⓘ

13.4%

diagnosed diabetes (PLACES)

6.5%

coronary heart disease (PLACES)

—

median age · — below poverty (ACS)

01 · Admissions

What it billed Medicare, by admission type

Average charge submitted and average total payment per discharge, 2024. Rows under 11 discharges are suppressed by CMS. The last column is the hospital's ratio against its state's for the same admission.

DRG

Admission

Discharges

Charge

Paid

Billed ÷ paid

690

Kidney and urinary tract infections without mcc

$41,382

$18,197

2.3× st 5.2×

02 · Outpatient

Outpatient services

Comprehensive APCs, Medicare's outpatient payment groups: submitted charge against what Medicare allowed, per service.

APC

Service

Services

Charge

Allowed

Billed ÷ allowed

5491

Level 1 Intraocular Procedures

$21,400

$1,997

10.7×

8011

Comprehensive Observation Services

$25,439

$2,409

10.6×

5431

Level 1 Nerve Procedures

—

5361

Level 1 Laparoscopy and Related Services

—

5341

Level 1 Abdominal/Peritoneal/Biliary and Related Procedures

—

5313

Level 3 Lower GI Procedures

—

5302

Level 2 Upper GI Procedures

—

5182

Level 2 Vascular Procedures

—

5114

Level 4 Musculoskeletal Procedures

—

5113

Level 3 Musculoskeletal Procedures

—

5112

Level 2 Musculoskeletal Procedures

—

5091

Level 1 Breast/Lymphatic Surgery and Related Procedures

—

5073

Level 3 Excision/ Biopsy/ Incision and Drainage

—

5072

Level 2 Excision/ Biopsy/ Incision and Drainage

—

03 · Its own price file

What the hospital's price-transparency file says

Found via /cms-hpt.txt, the file itself ↗ read as csv-tall, last updated 01/01/2026, template 3.0.0, 15,410,598 rows scanned, 23,198 distinct code–setting items kept. No rule fires against it.

Sources for this hospital

the files read, as fetched — not our copy of them

Medicare Inpatient Hospitals - by Provider and Service · CMS · 2024
MUP_INP_RY26_P03_V10_DY24_PrvSvc.CSV · 38.0M bytes · fetched 2026-08-21 · sha256 2ab6da15be4c… · publisher's page · public domain (US federal)
Medicare Outpatient Hospitals - by Provider and Service · CMS · 2024
MUP_OUT_RY26_P04_V10_DY24_Prov_Svc.csv · 28.1M bytes · fetched 2026-08-21 · sha256 f293918edbf6… · publisher's page · public domain (US federal)
AHRQ Compendium of U.S. Health Systems — hospital linkage file · AHRQ · 2023
chsp-hospital-linkage-2023.csv · 1.5M bytes · fetched 2026-08-21 · sha256 a86146f10c8d… · publisher's page · public; cite AHRQ Compendium of U.S. Health Systems
2020 ZCTA to County relationship file · US Census Bureau · 2020
tab20_zcta520_county20_natl.txt · 6.8M bytes · fetched 2026-08-21 · sha256 3ed41278d637… · publisher's page · public domain (US federal)
Ascension Seton Smithville — standard charges file · TX · updated 01/01/2026
· csv-tall · 243.3M bytes · fetched 2026-08-23 · sha256 b148b46e2a7d…

Every figure on this page is computed from these files by pipeline/prices/; the same rows are in the API.

Source rows for this hospital as JSON: inpatient · outpatient · price file. CMS, Medicare Inpatient and Outpatient Hospitals by Provider and Service, 2024.