Home › Hospitals › Liberty Dayton Regional Medical Center Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Cash price Gross charge × 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) $43.50
$62.50
5.1×
Comprehensive metabolic panel (80053) $56
$80
5.3×
Lipid panel (80061) $132.50
$189.50
9.9×
Renal function panel (80069) $48
$68
5.5×
Hepatic function panel (80076) $43.50
$62.50
5.3×
Urinalysis, non-automated, with microscopy (81000) $10
$14
2.5×
PSA, total (84153) $60
$85.50
3.3×
Thyroid stimulating hormone (TSH) (84443) $56.50
$80.50
3.4×
CBC with automated differential (85025) $37
$53
4.8×
Prothrombin time (PT) (85610) $15.50
$22
3.6×
Partial thromboplastin time (PTT) (85730) $33
$47
5.5×
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) $203.50
$291
1.5×
Office visit, new patient (moderate complexity, ~45 min) (99204) $281
$402
2.1×
Office visit, new patient (high complexity, ~60 min) (99205) $382
$546
2.9×
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
—
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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