Home › Hospitals › Dayton General Hospital Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450) $2,052.90
$2,281
17.6×
MRI brain without contrast (70551) $4,279.50
$4,755
16.1×
MRI brain with contrast (70552) $4,581.90
$5,091
11.8×
MRI brain without and with contrast (70553) $6,289.20
$6,988
16.2×
X-ray lower spine, 4+ views (72110) $665.10
$739
5.7×
MRI lumbar spine without contrast (72148) $4,186.80
$4,652
15.7×
CT pelvis with contrast (72193) $3,303.90
$3,671
16.9×
MRI lower-extremity joint without contrast (73721) $3,713.40
$4,126
14.0×
CT abdomen and pelvis with contrast (74177) $6,211.80
$6,902
16.0×
Ultrasound, abdomen complete (76700) $942.30
$1,047
8.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $844.20
$938
7.2×
Ultrasound, transvaginal (76830) $962.10
$1,069
8.3×
Basic metabolic panel (80048) $170.10
$189
20.1×
Comprehensive metabolic panel (80053) $217.80
$242
20.6×
Lipid panel (80061) $185.40
$206
13.8×
Renal function panel (80069) $215.10
$239
24.8×
Hepatic function panel (80076) $144.90
$161
17.7×
Urinalysis, non-automated, without microscopy (81002) $40.50
$45
11.6×
PSA, total (84153) $211.50
$235
11.5×
Thyroid stimulating hormone (TSH) (84443) $190.80
$212
11.4×
CBC with automated differential (85025) $150.30
$167
19.3×
CBC, automated (85027) $132.30
$147
20.4×
Prothrombin time (PT) (85610) $68.85
$76.50
16.0×
Partial thromboplastin time (PTT) (85730) $135
$150
22.5×
Psychotherapy, 30 minutes (90832) $132.30
$147
0.7×
Psychotherapy, 45 minutes (90834) $174.60
$194
0.9×
Psychotherapy, 60 minutes (90837) $261
$290
1.3×
Family psychotherapy, without patient (50 min) (90846) $212.40
$236
1.1×
Family psychotherapy, with patient (50 min) (90847) $217.80
$242
1.1×
Electrocardiogram (ECG), complete (93000) $278.10
$309
4.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $146.70
$163
5.0×
Office visit, new patient (low complexity, ~30 min) (99203) $377.10
$419
2.5×
Office visit, new patient (moderate complexity, ~45 min) (99204) $521.10
$579
3.5×
Office visit, new patient (high complexity, ~60 min) (99205) $659.70
$733
4.4×
Office consultation (low complexity, ~30 min) (99243) $459.90
$511
3.1×
Office consultation (moderate complexity, ~40 min) (99244) $651.60
$724
4.4×
Preventive visit, new patient (age 18–39) (99385) $404.10
$449
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Preventive visit, new patient (age 40–64) (99386) $442.80
$492
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As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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