Supplies, drugs & other prices at Liberty Dayton Regional Medical Center
Liberty, TX · every code in this section with a posted price and a Medicare benchmark.
15 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) | $39 | $56 | 1.0× |
| Admin influenza virus vac (G0008) range across 2 matching MRF lines |
$42–$80 | $60–$114 | varies |
| Admin pneumococcal vaccine (G0009) range across 2 matching MRF lines |
$42–$84 | $60–$120 | varies |
| Ca screen;pelvic/breast exam (G0101) | $88 | $125 | 0.9× |
| Catheterize for urine spec (P9612) | $13 | $18 | 1.4× |
| Direct refer hospital observ (G0379) | $1,190 | $1,700 | 2.0× |
| Drug test def 1-7 classes (G0480) | $655 | $935 | 5.7× |
| Drug test def 15-21 classes (G0482) | $1,145 | $1,635 | 5.8× |
| Drug test def 22+ classes (G0483) | $1,422 | $2,031 | 5.8× |
| Drug test def 8-14 classes (G0481) | $902 | $1,288 | 5.8× |
| Initial preventive exam (G0402) | $345 | $493 | 2.6× |
| Obtaining screen pap smear (Q0091) | $92 | $132 | 3.2× |
| Ppps, initial visit (G0438) range across 3 matching MRF lines |
$351–$373 | $501–$533 | varies |
| Ppps, subseq visit (G0439) range across 3 matching MRF lines |
$251–$253 | $359–$362 | varies |
| Psa screening (G0103) | $43 | $61 | 2.2× |
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.