Liberty Dayton Regional Medical Center

Liberty, TX · Critical Access Hospital

Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.

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ProcedurePosted cashPosted gross× Medicare
CT head/brain without contrast (70450) $664 $948 6.3×
MRI brain without contrast (70551) $1,269 $1,813 5.3×
MRI brain with contrast (70552) $1,341 $1,916 3.8×
MRI brain without and with contrast (70553) $1,775 $2,535 5.1×
X-ray lower spine, 4+ views (72110) $239 $341 2.3×
MRI lumbar spine without contrast (72148) $1,269 $1,813 5.3×
CT pelvis with contrast (72193) $904 $1,292 5.1×
MRI lower-extremity joint without contrast (73721) $1,269 $1,813 5.3×
CT abdomen and pelvis with contrast (74177) $1,236 $1,766 3.5×
Ultrasound, abdomen complete (76700) $466 $666 4.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $466 $666 4.4×
Ultrasound, transvaginal (76830) $383 $547 3.6×
Basic metabolic panel (80048)
range across 2 matching MRF lines
$37–$50 $53–$72 varies
Comprehensive metabolic panel (80053)
range across 2 matching MRF lines
$49–$63 $70–$90 varies
Lipid panel (80061)
range across 2 matching MRF lines
$92–$173 $132–$247 varies
Renal function panel (80069)
range across 2 matching MRF lines
$41–$55 $58–$78 varies
Hepatic function panel (80076)
range across 2 matching MRF lines
$39–$48 $56–$69 varies
Urinalysis, non-automated, with microscopy (81000) $10 $14 2.5×
PSA, total (84153)
range across 2 matching MRF lines
$43–$77 $61–$110 varies
Thyroid stimulating hormone (TSH) (84443)
range across 6 matching MRF lines
$18–$92 $25–$132 varies
CBC with automated differential (85025)
range across 3 matching MRF lines
$19–$38 $27–$54 varies
Prothrombin time (PT) (85610)
range across 2 matching MRF lines
$9–$22 $13–$31 varies
Partial thromboplastin time (PTT) (85730)
range across 2 matching MRF lines
$32–$34 $46–$48 varies
Psychotherapy, 30 minutes (90832) $168 $240 0.9×
Psychotherapy, 45 minutes (90834) $222 $317 1.2×
Psychotherapy, 60 minutes (90837) $326 $465 1.8×
Family psychotherapy, without patient (50 min) (90846) $212 $303 1.2×
Family psychotherapy, with patient (50 min) (90847) $220 $314 1.2×
Group psychotherapy (90853) $59 $84 0.6×
Physical therapy, therapeutic exercise (per 15 min) (97110) $76 $108 2.6×
Office visit, new patient (low complexity, ~30 min) (99203)
range across 4 matching MRF lines
$165–$242 $235–$346 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 3 matching MRF lines
$109–$466 $155–$666 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 3 matching MRF lines
$368–$452 $526–$646 varies
Office consultation (low complexity, ~30 min) (99243) $165 $235 1.2×
Office consultation (moderate complexity, ~40 min) (99244) $279 $399 2.1×
Preventive visit, new patient (age 18–39) (99385) $271 $387 —
Preventive visit, new patient (age 40–64) (99386) $328 $469 —

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.

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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Download the machine-readable file (JSON, 4.6 MB) ↓ — captured 2026-07-18

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