Procedures & surgery prices at Liberty Dayton Regional Medical Center (Liberty, TX)

211 codes. Prices are the hospital's own posted facility charges.

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Procedure	Posted cash	Posted gross	× Medicare
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)	$1,969	$2,813	2.2×
Application cast elbow finger short arm (29075) range across 3 matching MRF lines	$190–$558	$272–$797	varies
Application finger splint static (29130) range across 2 matching MRF lines	$91–$271	$130–$387	varies
Application long arm splint shoulder hand (29105) range across 3 matching MRF lines	$91–$331	$130–$473	varies
Application Long Leg Splint (29505) range across 4 matching MRF lines	$114–$331	$163–$473	varies
Application of long leg cast (29345)	$295	$421	1.0×
Application short arm splint forearm-hand static (29125) range across 6 matching MRF lines	$87–$2,714	$124–$3,877	varies
Application short leg splint calf foot (29515) range across 4 matching MRF lines	$107–$331	$153–$473	varies
Apply long arm cast (29065)	$211	$301	0.8×
Apply Short Leg Cast (29405)	$174	$249	0.6×
Arterial puncture (36600) range across 2 matching MRF lines	$31–$271	$44–$387	varies
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines	$79–$620	$113–$886	varies
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines	$98–$620	$140–$886	varies
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines	$77–$620	$110–$886	varies
Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines	$188–$1,324	$268–$1,891	varies
Aspirate/Inj Ganglion Cyst (20612)	$137	$196	0.4×
Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines	$113–$417	$162–$596	varies
Bladder Scan (51798)	$305	$435	5.1×
Blood Transfusion Service (36430)	$918	$1,312	2.1×
Catheter aspiration nasotracheal spx (31720) range across 2 matching MRF lines	$113–$427	$161–$610	varies
Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines	$112–$511	$160–$730	varies
Chemical Cautery Tissue (17250)	$179	$256	0.9×
Chest tube placement (32551) range across 2 matching MRF lines	$334–$3,425	$477–$4,893	varies
Clear outer ear canal (69200) range across 2 matching MRF lines	$179–$271	$256–$387	varies
Closed Rx Spontaneous Hip Disloc (27256) range across 2 matching MRF lines	$504–$531	$720–$758	varies
Closed tx ankle dislocation w/o anesthesia (27840)	$858	$1,226	3.5×
Closed tx knee dislocation w/o anesthesia (27550) range across 4 matching MRF lines	$782–$1,040	$1,117–$1,485	varies
Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines	$504–$760	$720–$1,085	varies
Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines	$504–$669	$720–$955	varies
Closed tx radial shaft fracture w/manipulation (25505) range across 2 matching MRF lines	$1,061–$1,268	$1,516–$1,812	varies
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 2 matching MRF lines	$504–$576	$720–$823	varies
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines	$1,032–$3,361	$1,474–$4,801	varies
Closed tx radial&ulnar shaft fractures w/o man (25560) range across 2 matching MRF lines	$579–$594	$827–$849	varies
Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines	$69–$504	$98–$720	varies
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 2 matching MRF lines	$310–$573	$443–$818	varies
Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines	$504–$720	$720–$1,029	varies
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 2 matching MRF lines	$504–$528	$720–$754	varies
Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines	$671–$741	$959–$1,059	varies
Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines	$504–$853	$720–$1,219	varies
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines	$427–$504	$610–$720	varies
Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines	$683–$721	$975–$1,030	varies
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines	$1,132–$3,361	$1,617–$4,801	varies
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines	$264–$504	$377–$720	varies
Cltx hip dislocation traumatic w/o anesthesia (27250) range across 2 matching MRF lines	$396–$504	$565–$720	varies
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines	$207–$504	$295–$720	varies
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 2 matching MRF lines	$788–$819	$1,126–$1,170	varies
Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines	$589–$601	$842–$859	varies
Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines	$661–$692	$944–$989	varies
Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines	$639–$653	$913–$933	varies
Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines	$881–$3,361	$1,258–$4,801	varies
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines	$679–$717	$970–$1,024	varies
Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines	$504–$925	$720–$1,321	varies
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines	$170–$504	$243–$720	varies
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines	$890–$3,361	$1,271–$4,801	varies
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines	$1,261–$1,369	$1,801–$1,956	varies
Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines	$504–$718	$720–$1,025	varies
Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines	$993–$3,361	$1,419–$4,801	varies
Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines	$654–$684	$934–$977	varies
Collect Blood From Catheter Venous Nos (36592)	$271	$387	2.0×
Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines	$18–$19	$26–$27	varies
Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines	$122–$271	$175–$387	varies
Cryotherapy Co2 Slush Liquid N2 Acne (17340)	$116	$166	2.0×
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines	$229–$271	$327–$387	varies
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines	$286–$488	$409–$697	varies
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)	$122	$175	0.3×
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) range across 2 matching MRF lines	$643–$1,478	$919–$2,111	varies
Debride nail 1-5 (11720)	$73	$104	1.2×
Debride nail 6 or more (11721)	$99	$142	1.7×
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines	$130–$839	$185–$1,199	varies
Destruct B9 Lesion 1-14 (17110)	$145	$207	0.7×
Destruction Benign Lesions 15/> (17111)	$275	$393	1.4×
Destruction Premalignant Lesion 15/> (17004)	$214	$305	0.5×
Destruction premalignant lesion 1st (17000)	$117	$167	0.6×
Drainage of finger abscess simple (26010) range across 3 matching MRF lines	$305–$462	$436–$660	varies
Drainage of gum lesion (41800) range across 2 matching MRF lines	$271–$335	$387–$478	varies
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines	$253–$3,403	$362–$4,861	varies
Drainage of nose lesion (30000) range across 2 matching MRF lines	$260–$488	$372–$697	varies
Drainage of scrotal wall abscess (55100)	$3,403	$4,861	2.1×
Draw Blood Off Venous Device (36591)	$271	$387	2.0×
Drg Absc Submaxillary/Sublingual Intraoral (42310) range across 2 matching MRF lines	$287–$1,070	$410–$1,528	varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines	$287–$839	$410–$1,199	varies
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines	$183–$417	$261–$596	varies
Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600)	$1,870	$2,671	2.1×
Endometrial Biopsy (58100)	$211	$302	1.0×
Escharotomy; initial incision (16035)	$426	$609	1.0×
Evacuation of subungual hematoma (11740) range across 2 matching MRF lines	$69–$271	$98–$387	varies
Exc arm/elbow les sc < 3 cm (24075)	$1,177	$1,681	0.7×
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400)	$188	$268	0.3×
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)	$454	$649	0.3×
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)	$319	$456	0.4×
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)	$380	$543	0.5×
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)	$276	$394	0.2×
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)	$331	$473	0.5×
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)	$398	$569	0.2×
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)	$698	$997	0.4×
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)	$239	$342	0.6×
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 3 matching MRF lines	$247–$1,478	$353–$2,111	varies
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)	$475	$679	0.7×
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602)	$510	$728	1.2×
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640)	$422	$603	0.6×
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621)	$317	$453	0.4×
Fine needle aspiration without imaging guidance (10021)	$839	$1,199	2.1×
Foreskin manipulation (54450)	$511	$730	2.0×
I&d abscess peritonsillar (42700)	$488	$697	2.1×
I&d abscess simple (10060) range across 4 matching MRF lines	$226–$417	$323–$596	varies
I&d perianal abscess superficial (46050)	$1,914	$2,735	2.0×
I&d pilonidal cyst simple (10080) range across 2 matching MRF lines	$226–$1,478	$323–$2,111	varies
Incise external hemorrhoid (46083)	$511	$730	2.0×
Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines	$394–$839	$563–$1,199	varies
Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines	$225–$839	$322–$1,199	varies
Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines	$244–$423	$349–$604	varies
Incision and drainage of vulva or perineal abscess (56405) range across 3 matching MRF lines	$307–$639	$439–$913	varies
Incision of rectal abscess (46040)	$2,476	$3,537	2.1×
Incision&Drainage Upper Arm/Elbow Bursa (23931)	$417	$595	0.3×
Incisional biopsy skin single lesion (11106)	$140	$200	0.2×
Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines	$99–$417	$141–$596	varies
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines	$83–$620	$119–$886	varies
Injection aa&/strd axillary nerve w/img gdn (64417)	$1,870	$2,671	2.1×
Injection aa&/strd intercostal nrv ea addl lvl (64421)	$1,870	$2,671	2.1×
Injection single tendon origin/insertion (20551)	$131	$187	0.4×
Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines	$78–$620	$112–$886	varies
Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines	$90–$620	$128–$886	varies
Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines	$122–$620	$175–$886	varies
Injection, anesthetic agent; brachial plexus, single (64415)	$1,870	$2,671	2.1×
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines	$91–$1,455	$130–$2,078	varies
Injection, intralesional; up to and including 7 lesions (11900)	$119	$170	0.6×
Insert Drug Implant Device (11981)	$309	$442	2.3×
Insert non-tunnel cv cath (36556) range across 2 matching MRF lines	$181–$5,940	$258–$8,486	varies
Insert Temp Bladder Cath (51702) range across 3 matching MRF lines	$55–$271	$78–$387	varies
Insert,Non-Indwelling Bladder Catheter (51701)	$271	$387	2.0×
Insertion Picc W/Rs&I 5 Yr/> (36573) range across 3 matching MRF lines	$174–$3,427	$249–$4,896	varies
Insj Picc Rs&I <5 Yr (36572) range across 2 matching MRF lines	$172–$1,299	$246–$1,855	varies
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines	$202–$3,425	$289–$4,893	varies
Intraoral i&d tongue/floor lingual (41000) range across 2 matching MRF lines	$227–$1,077	$324–$1,538	varies
Intraoral i&d tongue/floor submental space (41007) range across 2 matching MRF lines	$474–$3,111	$677–$4,444	varies
Intubation endotracheal emergency procedure (31500) range across 3 matching MRF lines	$303–$488	$433–$697	varies
Irrigation of corpora cavernosa for priapism (54220)	$511	$730	2.0×
N block inj intercost sng (64420)	$1,455	$2,078	2.1×
N Block Inj Plantar Digit (64455)	$109	$156	0.4×
Nasal/Orogastric W/Tube Plmt (43752)	$838	$1,197	1.9×
Njx Anes Trigeminal Nrv Any Div/Branch (64400)	$620	$886	2.0×
Njx Sclrsnt Spider Veins (36468)	$53	$75	0.1×
Occipital Nerve Block (64405)	$858	$1,225	2.8×
Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines	$129–$838	$184–$1,197	varies
Punch biopsy skin single lesion (11104)	$115	$165	0.3×
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines	$206–$839	$294–$1,199	varies
Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines	$283–$1,478	$404–$2,111	varies
Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines	$34–$125	$48–$178	varies
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines	$115–$125	$165–$178	varies
Removal implantable contraceptive capsules (11976)	$319	$455	0.4×
Removal of nail bed (11750) range across 4 matching MRF lines	$216–$839	$308–$1,199	varies
Removal skn tags mlt fibrq tags any area upw/15 (11200)	$160	$228	0.8×
Remove drug implant device (11982)	$343	$490	0.8×
Remove foreign body from eye (65205)	$271	$387	2.0×
Remove Nasal Foreign Body (30300) range across 2 matching MRF lines	$262–$271	$374–$387	varies
Remove/Insert Drug Implant (11983)	$568	$811	1.3×
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines	$705–$1,285	$1,007–$1,836	varies
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines	$514–$839	$734–$1,199	varies
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines	$640–$1,285	$914–$1,836	varies
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines	$490–$1,285	$700–$1,836	varies
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines	$546–$1,285	$780–$1,836	varies
Repair extensor tendon finger w/o graft each (26418) range across 2 matching MRF lines	$1,341–$3,361	$1,915–$4,801	varies
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines	$361–$839	$515–$1,199	varies
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines	$424–$839	$605–$1,199	varies
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 2 matching MRF lines	$458–$839	$654–$1,199	varies
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines	$472–$839	$674–$1,199	varies
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines	$309–$839	$441–$1,199	varies
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines	$416–$839	$594–$1,199	varies
Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines	$519–$839	$742–$1,198	varies
Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines	$321–$839	$459–$1,199	varies
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 3 matching MRF lines	$403–$839	$576–$1,199	varies
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines	$622–$1,285	$889–$1,836	varies
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines	$438–$839	$625–$1,199	varies
Repair Laceration Palate </2 Cm (42180)	$1,070	$1,528	2.0×
Repair of nail bed (11760) range across 2 matching MRF lines	$234–$1,285	$334–$1,836	varies
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)	$838	$1,197	1.9×
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)	$483	$690	0.3×
Rplc Gtube No Revj Trc (43762)	$559	$798	2.2×
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines	$207–$417	$295–$596	varies
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) range across 2 matching MRF lines	$1,387–$6,592	$1,982–$9,417	varies
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines	$280–$839	$400–$1,199	varies
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines	$121–$417	$173–$596	varies
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines	$127–$417	$181–$596	varies
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines	$165–$417	$235–$596	varies
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines	$97–$417	$139–$596	varies
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines	$315–$417	$450–$596	varies
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines	$161–$417	$230–$596	varies
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 3 matching MRF lines	$128–$417	$183–$596	varies
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines	$208–$839	$297–$1,199	varies
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines	$253–$839	$362–$1,199	varies
Spinal puncture lumbar diagnostic (62270)	$1,455	$2,078	2.1×
Strapping hand/finger (29280) range across 2 matching MRF lines	$43–$125	$62–$178	varies
Strapping shoulder (29240) range across 4 matching MRF lines	$37–$271	$53–$387	varies
Strapping toes (29550) range across 2 matching MRF lines	$24–$125	$34–$178	varies
Strapping Unna Boot (29580)	$131	$187	0.8×
Tangential biopsy skin single lesion (11102)	$90	$129	0.2×
Thrombolytic Therapy Stroke (37195)	$697	$995	2.1×
Tracheostomy Emergency Cricothyroid Membrane (31605)	$778	$1,112	3.3×
Tracheostomy planned (31600) range across 2 matching MRF lines	$660–$6,034	$943–$8,620	varies
Treat humerus fracture (24500) range across 2 matching MRF lines	$504–$881	$720–$1,259	varies
Treat Humerus Fracture (24505) range across 2 matching MRF lines	$996–$3,361	$1,423–$4,801	varies
Treat Knuckle Dislocation (26700) range across 2 matching MRF lines	$700–$718	$1,000–$1,025	varies
Treat Metatarsal Fracture (28475) range across 2 matching MRF lines	$501–$504	$716–$720	varies
Treat Thumb Dislocation (26641) range across 2 matching MRF lines	$504–$847	$720–$1,210	varies
Treat toe dislocation (28630) range across 2 matching MRF lines	$241–$504	$345–$720	varies
Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines	$764–$789	$1,091–$1,127	varies
Trim skin lesion (11055)	$144	$206	0.7×
Tx Gastro Intub W/Asp (43753)	$654	$934	3.0×
Tx superficial wound dehiscence w/packing (12021)	$368	$526	0.9×
Unlisted Procedure Tongue Floor Mouth (41599)	$376	$537	1.6×
Wedge excision skin nail fold (11765) range across 3 matching MRF lines	$197–$839	$281–$1,199	varies

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.