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Liberty Dayton Regional Medical Center prices. From its own published file.

Liberty Dayton Regional Medical Center in Liberty, TX publishes its standard charges as required by federal rule. Here's what it lists for common services, and how to check your bill against it.

1,176prices published
—file last updated
$383cash price for emergency visit, highest (level 5) (list $1,193)

Common services

ServiceCash priceList priceInsurers pay
Emergency visit, moderate (level 3)
99283
$157$528$134–$789
Emergency visit, high (level 4)
99284
$263$827$226–$1,213
Emergency visit, highest (level 5)
99285
$383$1,193$328–$1,747
Comprehensive metabolic panel
80053
$49.00$90.00$42.00–$86.00
Basic metabolic panel
80048
$37.00$62.50$32.00–$68.00
Complete blood count (CBC)
85025
$19.00$40.00$16.00–$51.00
Blood draw (venipuncture)
36415
$18.00$26.50$16.00–$26.00
Urinalysis
81001
$22.00$32.00$19.00–$30.00
Troponin (heart test)
84484
$62.00$126$53.00–$302
EKG tracing
93005
$74.00$150$63.00–$170
Chest X-ray, 2 views
71046
$195$279$167–$265
CT head without contrast
70450
$664$948$569–$901
CT abdomen and pelvis with contrast
74177
$1,236$1,766$1,060–$1,678
MRI lower back without contrast
72148
$1,269$1,813$1,088–$1,722
Ultrasound, abdomen
76700
$466$666$400–$633
IV push, single drug
96374
$442$632$379–$600
IV fluids, first hour
96360
$442$632$379–$600
Ketorolac injection, 15 mg
J1885
$8.00$12.00$7.00–$11.00
Ondansetron injection
J2405
$4.00$8.00$3.00–$10.00

Cash price: the discounted price for self-pay patients. List price: the hospital's gross charge. Insurers pay: the lowest and highest rates it lists for insurance plans. Source: Liberty Dayton Regional Medical Center price transparency page.

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