Dayton Childrens Hospital
Dayton Childrens Hospital in Dayton, OH publishes cash prices for 49 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
1 Childrens Plz,Dayton,OH,45404 Collected Sep 22, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABD & PELVIS W/CONTRAST | $2,854.60 | $4,078.00 | 30% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $4,603.45 | $6,576.36 | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD/BRAIN W/O DYE | $1,107.40 | $1,582.00 | 30% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $1,113.00 | $1,590.00 | 30% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $2,481.50 | $3,545.00 | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $2,375.16 | $3,393.08 | 30% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MRI JNT OF LWR EXTRE W/O DYE | $3,966.90 | $5,667.00 | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI JOINT LWR EXTR W/O&W/DYE | $2,807.00 | $4,010.00 | 30% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MRI SCAN OF LEG JOINT BEFORE AND AFTER CONTRAST | $3,184.09 | $4,548.70 | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI BRAIN STEM W/O DYE | $1,554.70 | $2,221.00 | 30% |
| MRI of the brain, no contrast dye CPT 70551 MRI SCAN OF BRAIN WITHOUT CONTRAST | $2,963.02 | $4,232.89 | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI BRAIN STEM W/O & W/DYE | $3,150.70 | $4,501.00 | 30% |
| MRI of the brain, with and without contrast dye CPT 70553 MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $4,187.45 | $5,982.07 | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MRI LUMBAR SPINE W/O DYE | $1,939.70 | $2,771.00 | 30% |
| MRI of the lower back, no contrast dye CPT 72148 MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $3,067.97 | $4,382.81 | 30% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 OB US >= 14 WKS SNGL FETUS | $1,033.20 | $1,476.00 | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $3,244.82 | $4,635.45 | 30% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOM 6/> YRS 4/> PARAM | $3,472.00 | $4,960.00 | 30% |
| Transvaginal pelvic ultrasound CPT 76830 TRANSVAGINAL US NON-OB | $378.70 | $541.00 | 30% |
| Transvaginal pelvic ultrasound CPT 76830 ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $1,024.07 | $1,462.95 | 30% |
| Ultrasound of the abdomen, complete CPT 76700 US EXAM ABDOM COMPLETE | $505.40 | $722.00 | 30% |
| Ultrasound of the abdomen, complete CPT 76700 COMPLETE ULTRASOUND SCAN OF ABDOMEN | $1,206.54 | $1,723.63 | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY EXAM L-2 SPINE 4/>VWS | $269.50 | $385.00 | 30% |
| X-ray of the lower back, 4 or more views CPT 72110 X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $468.69 | $669.56 | 30% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $51.93 | $74.18 | 30% |
| Basic metabolic panel (blood test) CPT 80048 METABOLIC PANEL TOTAL CA | $55.30 | $79.00 | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $51.93 | $74.18 | 30% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $55.30 | $79.00 | 30% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $20.63 | $29.47 | 30% |
| Complete blood count (CBC) with differential CPT 85025 COMPLETE CBC W/AUTO DIFF WBC | $22.40 | $32.00 | 30% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $20.63 | $29.47 | 30% |
| Complete blood count (CBC), no differential CPT 85027 COMPLETE CBC AUTOMATED | $22.40 | $32.00 | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $51.93 | $74.18 | 30% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHEN METABOLIC PANEL | $55.30 | $79.00 | 30% |
| Kidney function blood test panel CPT 80069 KIDNEY FUNCTION BLOOD TEST PANEL | $51.93 | $74.18 | 30% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $55.30 | $79.00 | 30% |
| Liver function blood test panel CPT 80076 LIVER FUNCTION BLOOD TEST PANEL | $51.93 | $74.18 | 30% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $55.30 | $79.00 | 30% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 ASSAY OF PSA TOTAL | $41.30 | $59.00 | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $21.16 | $30.23 | 30% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 THROMBOPLASTIN TIME PARTIAL | $22.40 | $32.00 | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 BLOOD TEST; CLOTTING TIME | $21.16 | $30.23 | 30% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $22.40 | $32.00 | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $55.92 | $79.89 | 30% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 ASSAY THYROID STIM HORMONE | $59.50 | $85.00 | 30% |
| Urinalysis with microscope exam, automated CPT 81001 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $15.49 | $22.13 | 30% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO W/SCOPE | $16.80 | $24.00 | 30% |
| Urinalysis with microscope exam, manual CPT 81000 MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; NON-AUTOMATED | $15.49 | $22.13 | 30% |
| Urinalysis with microscope exam, manual CPT 81000 URINALYSIS NONAUTO W/SCOPE | $16.80 | $24.00 | 30% |
| Urinalysis without microscope exam, automated CPT 81003 AUTOMATED URINALYSIS TEST | $15.49 | $22.13 | 30% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O SCOPE | $16.80 | $24.00 | 30% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS; MANUAL TEST | $15.49 | $22.13 | 30% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS NONAUTO W/O SCOPE | $16.80 | $24.00 | 30% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with tissue sample CPT 45380 COLONOSCOPY AND BIOPSY | $929.60 | $1,328.00 | 30% |
| Colonoscopy with tissue sample CPT 45380 BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $2,243.16 | $3,204.51 | 30% |
| Inguinal (groin) hernia repair, age 5 or older CPT 49505 REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $1,869.13 | $2,670.18 | 30% |
| Knee arthroscopy with meniscus trim CPT 29881 REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $8,698.11 | $12,425.87 | 30% |
| Left heart catheterization, diagnostic one side CPT 93452 LEFT HRT CATH W/VENTRCLGRPHY | $4,398.80 | $6,284.00 | 30% |
| Lower-back epidural injection, with imaging guidance CPT 62323 NJX INTERLAMINAR LMBR/SAC | $1,195.60 | $1,708.00 | 30% |
| Lower-back epidural injection, without imaging guidance CPT 62322 NJX INTERLAMINAR LMBR/SAC | $1,482.60 | $2,118.00 | 30% |
| Prostate biopsy CPT 55700 BIOPSY OF PROSTATE | $4,932.90 | $7,047.00 | 30% |
| Tonsil and adenoid removal, child under 12 CPT 42820 REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $3,036.28 | $4,337.54 | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 EGD BIOPSY SINGLE/MULTIPLE | $1,234.80 | $1,764.00 | 30% |
| Upper endoscopy (EGD) with biopsy CPT 43239 BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $4,486.31 | $6,409.02 | 30% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 ELECTROCARDIOGRAM COMPLETE | $47.60 | $68.00 | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYCHOTHERAPY WITH PATIENT; 50 MINUTES | $140.15 | $200.21 | 30% |
| Family therapy with the patient, 50 minutes CPT 90847 FAMILY PSYTX W/PT 50 MIN | $210.00 | $300.00 | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYCHOTHERAPY WITHOUT PATIENT; 50 MINUTES | $128.28 | $183.25 | 30% |
| Family therapy without the patient, 50 minutes CPT 90846 FAMILY PSYTX W/O PT 50 MIN | $210.00 | $300.00 | 30% |
| Group psychotherapy session CPT 90853 GROUP PSYCHOTHERAPY | $235.20 | $336.00 | 30% |
| New patient office visit, about 30 minutes CPT 99203 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $107.01 | $152.87 | 30% |
| New patient office visit, about 30 minutes CPT 99203 OFFICE O/P NEW LOW 30 MIN | $114.80 | $164.00 | 30% |
| New patient office visit, about 45 minutes CPT 99204 NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $308.67 | $440.96 | 30% |
| New patient office visit, about 45 minutes CPT 99204 OFFICE O/P NEW MOD 45 MIN | $442.40 | $632.00 | 30% |
| New patient office visit, about 60 minutes CPT 99205 OFFICE O/P NEW HI 60 MIN | $464.80 | $664.00 | 30% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXERCISES | $74.20 | $106.00 | 30% |
| Preventive checkup, new patient aged 18–39 CPT 99385 PREV VISIT NEW AGE 18-39 | $71.40 | $102.00 | 30% |
| Psychotherapy session, 30 minutes CPT 90832 PSYTX W PT 30 MINUTES | $221.90 | $317.00 | 30% |
| Psychotherapy session, 30 minutes CPT 90832 PSYCHOTHERAPY; 30 MINUTES | $246.86 | $352.66 | 30% |
| Psychotherapy session, 45 minutes CPT 90834 PSYCHOTHERAPY; 45 MINUTES | $154.25 | $220.35 | 30% |
| Psychotherapy session, 45 minutes CPT 90834 PSYTX W PT 45 MINUTES | $157.50 | $225.00 | 30% |
| Psychotherapy session, 60 minutes CPT 90837 PSYTX W PT 60 MINUTES | $175.00 | $250.00 | 30% |
| Psychotherapy session, 60 minutes CPT 90837 PSYCHOTHERAPY; 1 HOUR | $211.41 | $302.02 | 30% |
Source file: https://apim.services.craneware.com/api-pricing-transparency/api/public/e4321d67b76f7bd1057463296792b027/charges/mrf