Hospital Profile Critical Access Hospitals Government - Hospital District or Authority

Liberty Dayton Regional Medical Center

1353 NORTH TRAVIS STREET, Liberty, TX 77575

CMS Overall Rating No CMS Rating

Liberty Dayton Regional Medical Center publishes prices for 82 shoppable procedures in Liberty, TX. It's classified by CMS as Critical Access Hospitals (Government - Hospital District or Authority). CMS has not published a star rating for it.

Facility Overview

Setting: urban Bed Count: 25 Beds Teaching Status: Non-Teaching Annual Discharges: 90

Patient Experience

Recommendation Rate: N/A High Patient Rating: N/A ER Wait Time (Med): 109 min Readmission Rate: same

Pricing & Transparency

Procedures Mapped: 82 codes Typical vs Fair BaseRate: — Price File In Index: Yes MRF Version: 3.0.0

Prices at Liberty Dayton Regional Medical Center

Every shoppable procedure, ranked by how far its price sits above the fair BaseRate. Fair BaseRate is the modeled typical charge; vs Fair is how many times higher this hospital's price is.

Search Procedures & Codes

Procedure & Code	Cash Price	This Hospital	Fair BaseRate	vs Fair
CT scan, head (with contrast) CPT Code: `70460`	$899	—	—	—
Echocardiogram (heart ultrasound) CPT Code: `93306`	$1,152	—	—	—
Blood test, clotting time (PT/INR) CPT Code: `85610`	$16	—	—	—
X-ray, chest (single view) CPT Code: `71045`	$194	—	—	—
X-ray, shoulder CPT Code: `73030`	$194	—	—	—
X-ray, hand CPT Code: `73130`	$194	—	—	—
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$239	—	—	—
CT scan, lower back (lumbar spine) CPT Code: `72131`	$659	—	—	—
Blood test, basic metabolic panel CPT Code: `80048`	$44	—	—	—
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$15	—	—	—
Ultrasound, abdomen (limited) CPT Code: `76705`	$356	—	—	—
Blood test, creatinine (kidney) CPT Code: `82565`	$37	—	—	—
Physical therapy (therapeutic exercise) CPT Code: `97110`	$76	—	—	—
Blood test, complete blood count (CBC) CPT Code: `85025`	$28	—	—	—
Blood test, calcium CPT Code: `82310`	$39	—	—	—
Office visit, established patient (20-29 min) CPT Code: `99213`	$191	—	—	—
Blood test, lipase CPT Code: `83690`	$45	—	—	—
Blood test, potassium CPT Code: `84132`	$30	—	—	—
New patient office visit (30-44 min) CPT Code: `99203`	$204	—	—	—
Occupational therapy (therapeutic activities) CPT Code: `97530`	$82	—	—	—
Urinalysis (automated, with microscopy) CPT Code: `81001`	$22	—	—	—
Ultrasound, pelvis CPT Code: `76856`	$463	—	—	—
Blood test, magnesium CPT Code: `83735`	$48	—	—	—
Blood test, vitamin B12 CPT Code: `82607`	$28	—	—	—
Blood antibody screen CPT Code: `86850`	$254	—	—	—
Blood test, clotting time (PTT) CPT Code: `85730`	$33	—	—	—
Hepatitis C antibody test CPT Code: `86803`	$201	—	—	—
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$78	—	—	—
CT scan, pelvis CPT Code: `72192`	$659	—	—	—
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$133	—	—	—
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,231	—	—	—
Ultrasound, thyroid and neck CPT Code: `76536`	$356	—	—	—
Blood test, liver function panel CPT Code: `80076`	$44	—	—	—
Blood test, comprehensive metabolic panel CPT Code: `80053`	$56	—	—	—
X-ray, foot CPT Code: `73630`	$194	—	—	—
CT scan, head (no contrast) CPT Code: `70450`	$954	—	—	—
Flu vaccine injection HCPCS Code: `G0008`	$61	—	—	—
X-ray, neck (cervical spine) CPT Code: `72040`	$185	—	—	—
Ultrasound, abdomen (complete) CPT Code: `76700`	$463	—	—	—
Culture, blood CPT Code: `87040`	$172	—	—	—
Blood test, thyroid (TSH) CPT Code: `84443`	$40	—	—	—
MRI, brain (no contrast) CPT Code: `70551`	$1,248	—	—	—
Hospital observation (per hour) HCPCS Code: `G0378`	$50	—	—	—
Blood test, amylase CPT Code: `82150`	$44	—	—	—
Pneumococcal vaccine HCPCS Code: `90732`	$187	—	—	—
Breathing treatment (nebulizer) CPT Code: `94640`	$235	—	—	—
Physical therapy (gait training) CPT Code: `97116`	$67	—	—	—
Blood test, PSA (prostate screen) CPT Code: `84153`	$60	—	—	—
Electrical stimulation therapy HCPCS Code: `G0283`	$44	—	—	—
Blood test, ferritin (iron stores) CPT Code: `82728`	$182	—	—	—
Speech therapy (language evaluation) CPT Code: `92507`	$169	—	—	—
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$899	—	—	—
Office visit, established patient (30-39 min) CPT Code: `99214`	$270	—	—	—
Hepatitis B vaccine HCPCS Code: `90744`	$158	—	—	—
Blood test, average blood sugar (A1c) CPT Code: `83036`	$53	—	—	—
Ultrasound, leg veins (duplex) CPT Code: `93970`	$562	—	—	—
X-ray, hip CPT Code: `73502`	$194	—	—	—
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$115	—	—	—
Physical therapy (manual therapy) CPT Code: `97140`	$71	—	—	—
MRI, lower back (no contrast) CPT Code: `72148`	$1,248	—	—	—
Culture, bacterial CPT Code: `87070`	$77	—	—	—
Blood test, sodium CPT Code: `84295`	$15	—	—	—
X-ray, ankle CPT Code: `73610`	$194	—	—	—
Occupational therapy (self-care training) CPT Code: `97535`	$73	—	—	—
CT scan, chest (no contrast) CPT Code: `71250`	$658	—	—	—
Drug screening test HCPCS Code: `G0480`	$655	—	—	—
CT scan, head (with and without contrast) CPT Code: `70470`	$1,028	—	—	—
X-ray, chest (two views) CPT Code: `71046`	$194	—	—	—
Pneumonia vaccine injection HCPCS Code: `G0009`	$63	—	—	—
CT scan, neck (cervical spine) CPT Code: `72125`	$659	—	—	—
Blood test, vitamin D CPT Code: `82306`	$109	—	—	—
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$126	—	—	—
MRI, knee or other leg joint CPT Code: `73721`	$1,248	—	—	—
MRI, brain (with and without contrast) CPT Code: `70553`	$1,754	—	—	—
CT scan, sinuses CPT Code: `70486`	$659	—	—	—
Blood transfusion CPT Code: `36430`	$918	—	—	—
X-ray, lower back CPT Code: `72110`	$237	—	—	—
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$130	—	—	—
X-ray, pelvis CPT Code: `72170`	$237	—	—	—
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$43	—	—	—
Blood test, glucose (blood sugar) CPT Code: `82947`	$32	—	—	—
Blood test, hemoglobin CPT Code: `85018`	$12	—	—	—