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Dayton Childrens Hospital

1 Childrens Plz, Dayton, OH 45404 · (937) 641-5509

ChildrensVoluntary non-profit - PrivateDayton, OH metroWebsite ↗

Price file

Prices published

File dated 2026-03-02

595 price rows for 46 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $80

$52
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · lowest of 2 lines · metro median $1,604

$2,855
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 2 lines · metro median $637

$1,107
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,244

$2,482
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 2 lines · metro median $53

$89
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines · metro median $930

$930
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $46

$21
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 2 lines · metro median $111

$52
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $48

$48
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 2 lines · metro median $208

$203
cash
Family psychotherapy with the patient

CPT 90847 · lowest of 2 lines · metro median $226

$140
cash
Family psychotherapy without the patient

CPT 90846 · lowest of 2 lines · metro median $262

$128
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 2 lines · metro median $53

$89
cash
Group psychotherapy

CPT 90853 · metro median $206

$235
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $1,869

$1,869
cash
Knee arthroscopy with meniscus repair

CPT 29881 · metro median $8,698

$8,698
cash
Left heart catheterization

CPT 93452 · metro median $12,457

$4,399
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines · metro median $28

$52
cash
Liver function panel

CPT 80076 · lowest of 2 lines · metro median $86

$52
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines · metro median $1,302

$3,151
cash
MRI of the knee or other lower joint, no contrast

CPT 73721 · lowest of 2 lines · metro median $2,048

$2,375
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $965

$1,940
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines · metro median $1,033

$1,940
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $162

$107
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $208

$309
cash
New patient office visit (about 60 minutes)

CPT 99205 · metro median $208

$465
cash
PSA test (prostate)

CPT 84153 · metro median $102

$41
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $18

$21
cash
$74
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $515

$1,033
cash
Preventive visit, new patient age 18 to 39

CPT 99385 · metro median $71

$71
cash
Prostate biopsy

CPT 55700 · metro median $1,344

$4,933
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $14

$21
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 2 lines · metro median $132

$222
cash
Psychotherapy, 45 minutes

CPT 90834 · lowest of 2 lines · metro median $220

$154
cash
Psychotherapy, 60 minutes

CPT 90837 · lowest of 2 lines · metro median $246

$175
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $2,168

$3,245
cash
$1,483
cash
$1,196
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines · metro median $75

$56
cash
Tonsils and adenoids removal (under age 12)

CPT 42820 · lowest of 2 lines · metro median $288

$288
cash
Transvaginal ultrasound

CPT 76830 · lowest of 2 lines · metro median $84

$379
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines · metro median $674

$505
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $1,235

$1,235
cash
Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $26

$15
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines · metro median $222

$270
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.