Supplies, drugs & other prices at Dayton Children's Hospital
Dayton, OH · every code in this section with a posted price and a Medicare benchmark.
34 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admin hepatitis b vaccine (G0010) | $30.80 | $44 | 0.7× |
| Admin influenza virus vac (G0008) | $30.80 | $44 | 0.7× |
| Admin pneumococcal vaccine (G0009) | $30.80 | $44 | 0.7× |
| Ant resin-based cmpst crown (D2390) | $1,091.01 | $1,558.59 | 1.7× |
| Bia whole body composition assessment w/i&r (0358T) | $138.60 | $198 | 4.9× |
| Catheterize for urine spec (P9612) range across 2 matching MRF lines |
$2.80–$8.40 | $4–$12 | varies |
| Collagen Cross-Linking Cornea&Pachymetry (0402T) | $1,828.40 | $2,612 | 0.8× |
| Covid-19 lab test non-cdc (U0002) | $81.90 | $117 | 1.6× |
| Diab manage trn per indiv (G0108) | $123.90 | $177 | 2.2× |
| Diab manage trn ind/group (G0109) | $106.40 | $152 | 6.6× |
| Direct refer hospital observ (G0379) | $960.40 | $1,372 | 1.6× |
| Drug test def 1-7 classes (G0480) | $94.50 | $135 | 0.8× |
| Drug test def 15-21 classes (G0482) | $149.10 | $213 | 0.8× |
| Drug test def 22+ classes (G0483) | $149.10 | $213 | 0.6× |
| Drug test def 8-14 classes (G0481) | $149.10 | $213 | 1.0× |
| Extraction erupted tooth/exr (D7140) | $1,909.98 | $2,728.54 | 3.0× |
| Group behave couns 2-10 (G0473) | $266 | $380 | 7.2× |
| Hdr electronic brachytherapy ntrstl/intrcav (0395T) | $1,757 | $2,510 | 2.6× |
| Home sleep test/type 3 porta (G0399) | $2,026.50 | $2,895 | 9.6× |
| Hospital outpt clinic visit (G0463) range across 3 matching MRF lines |
$132.82–$200.34 | $189.74–$286.20 | varies |
| Lev 5 hosp type b ed visit (G0384) | $1,043.70 | $1,491 | 2.6× |
| Pathogen test for platelets (P9100) | $1,085.70 | $1,551 | 18.8× |
| Post 1 srfc resinbased cmpst (D2391) | $1,909.98 | $2,728.54 | 3.0× |
| Post 2 srfc resinbased cmpst (D2392) | $888.04 | $1,268.63 | 1.4× |
| Post 3 srfc resinbased cmpst (D2393) | $1,909.98 | $2,728.54 | 3.0× |
| Prefab stnlss steel crwn pri (D2930) | $1,285.54 | $1,836.49 | 2.0× |
| Resin 4/> surf or w incis an (D2335) | $1,236 | $1,765.71 | 2.0× |
| Resin one surface-anterior (D2330) | $1,909.98 | $2,728.54 | 3.0× |
| Resin three surfaces-anterio (D2332) | $834.88 | $1,192.68 | 1.3× |
| Resin two surfaces-anterior (D2331) | $834.88 | $1,192.68 | 1.3× |
| Space maintainer fxd unilat (D1510) | $1,091.01 | $1,558.59 | 1.7× |
| Therapeutic apheresis with selective HDL delipidation and plasma reinfusion (0342T) | $5,962.60 | $8,518 | 1.4× |
| Therapeutic pulpotomy (D3220) | $834.88 | $1,192.68 | 1.3× |
| Trauma respons w/hosp criti (G0390) range across 3 matching MRF lines |
$4,415.60–$6,720 | $6,308–$9,600 | varies |
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.