Visits & medical services prices at Liberty Dayton Regional Medical Center
Liberty, TX · every code in this section with a posted price and a Medicare benchmark.
103 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Admn Sarscov2 Vacc 1 Dose (90480) range across 2 matching MRF lines |
$35–$56 | $50–$80 | varies |
| Airway Inhalation Treatment (94640) range across 3 matching MRF lines |
$42–$372 | $60–$532 | varies |
| Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) | $44 | $63 | 3.1× |
| Application Modality 1/> Areas Diathermy (97024) | $15 | $22 | 2.0× |
| Behavral qualit analys voice (92524) | $242 | $346 | 2.2× |
| Brncdilat rspse spmtry pre&post-brncdilat admn (94060) | $654 | $934 | 1.7× |
| Cardiopulmonary resuscitation (92950) range across 3 matching MRF lines |
$457–$654 | $653–$934 | varies |
| Cardioversion (92960) | $1,374 | $1,963 | 2.1× |
| Cbt 1st hour (94644) | $271 | $387 | 2.0× |
| Chest Wall Manipulation (94668) | $271 | $387 | 2.0× |
| Color/duplex Doppler, complete (93975) | $624 | $891 | 2.6× |
| Color/duplex Doppler, limited (93976) | $241 | $344 | 2.3× |
| Cont gluc mntr physician/qhp provided equiptment (95250) | $312 | $445 | 2.3× |
| Cont Gluc Mntr Pt Prov Eqp (95249) | $139 | $198 | 2.3× |
| Continuous Pulse Ox (94762) | $328 | $469 | 2.5× |
| Cpap Ventilation Cpap Initiation&Mgmt (94660) range across 2 matching MRF lines |
$405–$427 | $579–$610 | varies |
| Cpt initial (94667) | $271 | $387 | 2.0× |
| Critical care first hour (99291) range across 2 matching MRF lines |
$463–$1,775 | $661–$2,536 | varies |
| Debridement Open Wound 20 Sq Cm< (97597) range across 2 matching MRF lines |
$74–$417 | $105–$596 | varies |
| Dup-scan aorta ivc iliac vascl/bpgs complete (93978) | $545 | $778 | 2.3× |
| Dup-scan lxtr art/artl bpgs compl bi study (93925) | $624 | $891 | 2.6× |
| Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) | $473 | $676 | 4.5× |
| Dup-Scan Xtr Veins Complete Bilateral Study (93970) | $566 | $808 | 2.4× |
| Dup-scan xtr veins unilateral/limited study (93971) | $412 | $589 | 3.9× |
| Duplex up extrem art bilat (93930) | $624 | $891 | 2.6× |
| Duplex up extrem art unilat/ltd (93931) | $473 | $676 | 4.5× |
| Electrical Stimulation Ea 15 Min (97032) | $43 | $62 | 2.9× |
| Electrocardiogram Tracing (93005) range across 3 matching MRF lines |
$74–$125 | $105–$179 | varies |
| Emergency Dept Visit Level 2 (99282) range across 2 matching MRF lines |
$91–$333 | $130–$475 | varies |
| Emergency Dept Visit Level 3 (99283) range across 2 matching MRF lines |
$157–$582 | $224–$831 | varies |
| Emergency Dept Visit Level 4 (99284) range across 2 matching MRF lines |
$263–$894 | $376–$1,277 | varies |
| Er level 1 (99281) range across 2 matching MRF lines |
$26–$185 | $37–$264 | varies |
| Er level v (99285) range across 2 matching MRF lines |
$383–$1,287 | $547–$1,839 | varies |
| Evaluate pt use of inhaler (94664) range across 3 matching MRF lines |
$372–$427 | $532–$610 | varies |
| Evaluate Speech Production (92522) | $246 | $351 | 2.2× |
| Evaluate Swallowing Function (92610) | $188 | $269 | 2.2× |
| Evaluation of speech fluency (92521) | $293 | $418 | 2.2× |
| Extracranial Bilat Study (93880) | $511 | $730 | 2.1× |
| Extracranial Uni/Ltd Study (93882) range across 2 matching MRF lines |
$374–$395 | $534–$564 | varies |
| Group Therapeutic Procedures (97150) | $41 | $58 | 2.3× |
| Icd Device Interrogate (93289) | $158 | $226 | 4.2× |
| Im Adm Intransl/Oral 1 Vaccine (90473) | $10 | $14 | 0.1× |
| Immunization administration (90471) range across 3 matching MRF lines |
$10–$150 | $14–$214 | varies |
| Iontophoresis 15 min (97033) | $69 | $98 | 3.6× |
| Irrig Drug Delivery Device (96523) | $119 | $170 | 2.0× |
| IV infusion hydration each additional hour (96361) | $97 | $138 | 2.1× |
| IV infusion hydration initial 31 min-1 hour (96360) | $442 | $632 | 2.1× |
| IV infusion ther proph addl sequential to 1 hr (96367) | $150 | $214 | 2.1× |
| IV infusion therapy prophylaxis/dx ea hour (96366) | $97 | $138 | 2.1× |
| IV push initial (96374) | $442 | $632 | 2.1× |
| Laryngeal Function Studies (92520) | $190 | $272 | 1.4× |
| Lung Function Test (Mbc/Mvv) (94200) | $127 | $181 | 2.1× |
| Multiple Family Group Psychotherapy (90849) | $76 | $109 | 0.4× |
| Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) | $839 | $1,199 | 2.1× |
| Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) range across 2 matching MRF lines |
$93–$417 | $133–$596 | varies |
| Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) range across 2 matching MRF lines |
$111–$839 | $158–$1,199 | varies |
| Neuromuscular Reeducation (97112) | $78 | $111 | 2.4× |
| Oral Function Therapy (92526) | $180 | $257 | 2.1× |
| Ot Contrast Bath Ea 15 Min (97034) | $32 | $46 | 2.3× |
| Ot eval high complexity (97167) | $234 | $334 | 2.3× |
| Ot Eval Low Complex (97165) | $234 | $334 | 2.3× |
| Ot Eval Moderate Complexity (97166) | $234 | $334 | 2.3× |
| Ot manual therapy 15 min (97140) | $71 | $102 | 2.6× |
| Ot paraffin bath (97018) | $35 | $50 | 5.8× |
| Ot Re-Eval Est Plan Care (97168) | $162 | $231 | 2.4× |
| Plethysmography (94726) | $654 | $934 | 1.7× |
| Prof Svcs Allg Immntx X W/Prv Allgic Xtrcs 1 Njx (95115) | $22 | $32 | 0.5× |
| Prof svcs allg immntx x w/prv allgic xtrcs njxs (95117) | $25 | $36 | 0.5× |
| Psych diag eval w/med srvcs (90792) | $433 | $618 | 2.4× |
| Psychiatric diagnostic evaluation (90791) | $386 | $552 | 2.2× |
| Psytx Crisis Initial 60 Min (90839) | $312 | $445 | 1.7× |
| Pt Eval High Complex (97163) | $209 | $298 | 2.1× |
| Pt eval low complex 20 min (97161) | $209 | $298 | 2.1× |
| Pt Eval Mod Complex (97162) | $209 | $298 | 2.1× |
| Pt gait training 15 min (97116) | $67 | $96 | 2.3× |
| Pt mechanical traction (97012) | $40 | $57 | 2.8× |
| Pt Re-Eval Est Plan Care (97164) | $144 | $205 | 2.1× |
| Pulmonary service/procedure (94799) range across 3 matching MRF lines |
$111–$700 | $158–$1,000 | varies |
| Respiratory flow volume loop (94375) | $654 | $934 | 3.0× |
| Self Care Mngment Training (97535) | $74 | $106 | 2.3× |
| Sensory Integration Ea 15 Min (97533) | $143 | $204 | 2.4× |
| Speech sound lang comprehen (92523) | $500 | $714 | 2.2× |
| Spirometry (94010) | $328 | $469 | 1.5× |
| Temp transcutaneous pacing (92953) | $1,374 | $1,963 | 2.1× |
| Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) | $50 | $71 | 2.2× |
| Ther Ivntj Ea Addl 15 Min (97130) | $48 | $69 | 2.3× |
| Ther Px 1/> Areas Each 15 Minutes Massage (97124) | $69 | $99 | 2.3× |
| Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) | $230 | $328 | 2.2× |
| Ther/Proph/Diag Inj Ia (96373) | $442 | $632 | 2.1× |
| Ther/Proph/Diag Inj Sc/Im (96372) range across 4 matching MRF lines |
$7–$150 | $10–$214 | varies |
| Ther/Proph/Diag Iv Inf Init (96365) | $442 | $632 | 2.1× |
| Therapeutic Activities (97530) range across 6 matching MRF lines |
$81–$83 | $115–$118 | varies |
| Tobacco Use Cessation Intermediate 3-10 Minutes (99406) | $62 | $89 | 1.6× |
| Trans Care Mgmt 14 Day Disch (99495) | $422 | $603 | 3.2× |
| Trans Care Mgmt 7 Day Disch (99496) | $557 | $796 | 4.2× |
| Tte w/doppler, complete (93306) | $1,155 | $1,650 | 2.1× |
| Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) | $169 | $241 | 2.2× |
| Tx/Pro/Dx Inj New Drug Addon (96375) | $97 | $138 | 2.1× |
| Upr/L Xtremity Art 2 Levels (93922) | $307 | $439 | 2.3× |
| Vasopneumatic device (97016) | $27 | $39 | 2.2× |
| Vent Mgmt Inpat Init Day (94002) range across 2 matching MRF lines |
$961–$1,388 | $1,373–$1,983 | varies |
| Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) range across 2 matching MRF lines |
$961–$1,388 | $1,373–$1,983 | varies |
| Wheelchair Mgmt Ea 15 Min (97542) | $69 | $99 | 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.