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 | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| Adm of soc dtr assess 5-15 m (G0136) | $39 | $56 | 1.0× |
| Admin influenza virus vac (G0008) | $61 | $87 | 1.3× |
| Admin pneumococcal vaccine (G0009) | $63 | $90 | 1.3× |
| 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) | $373 | $533 | 2.1× |
| Ppps, subseq visit (G0439) | $253 | $362 | 1.8× |
| Psa screening (G0103) | $43 | $61 | 2.2× |