Quick answers
- Does Dayton Childrens Hospital have an emergency room?
- Yes. Medicare (CMS) data lists emergency services at Dayton Childrens Hospital. In a medical emergency, call 911.
- Where is Dayton Childrens Hospital?
- 1 Childrens PLZ, Dayton, OH 45404, in Montgomery County, Ohio.
- What is the phone number of Dayton Childrens Hospital?
- (937) 641-5509, as listed by Medicare (CMS).
- What is the Medicare star rating of Dayton Childrens Hospital?
- CMS does not show an overall star rating for this hospital. This is common, for example when a hospital reports too few quality measures or is not part of the rating program.
Specialties and care areas[4][9][10][12][18]
- Emergency medicine
- Anesthesiology
- Cardiology
- Child advocacy
- Critical care
- Dentistry
- Fetal care medicine
- Hematology oncology
- Hospital medicine
- Infectious diseases
- Laboratory medicine and pathology
- Medical genetics
- Neurosurgery
- Neonatal intensive care (NICU)
- Clinical nutrition
- Ophthalmology
- Occupational therapy
- Orthopedics
- Pediatric ENT
- Pediatric surgery
- Physical medicine and rehabilitation
- Physical therapy
- Pulmonary medicine
- Sleep medicine
- Speech-language pathology
- Adolescent gynecology
- Mental health
- Neurology
- Developmental pediatrics
- Radiology
Conditions treated[7][8][9][12][13][14][15][16][17][19][21]
- Heart murmur
- Arrhythmia
- Atrial septal defect
- Coarctation of the aorta
- Congenital heart disease
- Tetralogy of Fallot
- Ventricular septal defect
- Hypoplastic left heart syndrome
- Kawasaki disease
- Patent ductus arteriosus
- Cardiomyopathy
- Endocarditis
- Epilepsy
- Seizures
- Infantile spasms
- Chronic headaches
- Autism spectrum disorder
- Developmental delay
- Down syndrome
- Cerebral palsy
- Spina bifida (myelomeningocele)
- Brain and spinal cord tumors
- Hydrocephalus
- Chiari malformation
- Craniosynostosis
- Concussion
- Tics and Tourette syndrome
- Movement disorders
- Neurofibromatosis
- Myasthenia gravis
- Muscular dystrophy
- Spinal muscular atrophy
- Scoliosis
- Clubfoot
- Hip dysplasia
- Slipped capital femoral epiphysis
- Perthes disease
- Fractures
- ACL tear
- Osteosarcoma
- Ewing sarcoma
- Hearing loss
- Chronic ear infections
- Sleep apnea
- Enlarged tonsils
- Laryngomalacia
- Subglottic stenosis
- Cleft palate
- Feeding and swallowing disorders
Treatments[7][8][9][11][12][13][14][15][16][18][21]
- Ketogenic diet therapy
- Video EEG
- Electroencephalogram (EEG)
- Electromyogram (EMG)
- Nerve conduction velocity testing
- Epilepsy surgery
- Vagus nerve stimulation
- Selective dorsal rhizotomy
- Minimally invasive neurosurgery
- Peripheral nerve surgery
- Botox injections
- Nerve blocks
- Fetal echocardiogram
- Cardiac MRI
- Cochlear implants
- Bone-anchored hearing aids
- ApiFix (minimally invasive orthopedic procedure)
- Ear tube surgery
- Tonsillectomy and adenoidectomy
- Airway reconstruction
- Sedation-free MRI (STAR program)
Programs and centers[7][8][9][11][12][13][14][15][19][20][21]
- Epilepsy center
- Ketogenic diet program
- Refractory headache clinic
- Complex movement disorders clinic
- Neurocutaneous clinic
- Adult congenital heart disease clinic
- Preventive cardiology clinic
- Heart surgery and procedure program
- Fetal cardiac clinic
- Cerebral palsy program
- Myelomeningocele clinic
- Autism diagnostic clinic
- High-risk newborn follow-up clinic
- Hearing loss clinic
- Cleft lip and cleft palate program
- Craniofacial program
- Fetal to Newborn Care Center
- Center for the Female Athlete
- ENT Fast Track program
- Aerodigestive disorders clinic
Emergency care (hospital website)[4][5][14]
| Emergency room | Yes |
|---|---|
| Trauma designation | Level 1 pediatric trauma center |
Visiting and practical information
Recognition[6]
- U.S. News & World Report Best Children's Hospital, orthopedics and neonatology 2026
Doctors and clinicians (24)
24 doctors and other clinicians list Dayton Childrens Hospital as a hospital where they work, in Medicare's official clinician data (updated 2026-10-02). It is not a complete staff list.
Main specialties
- Diagnostic Radiology5
- Hematology/Oncology3
- Cardiovascular Disease (Cardiology)2
- Neurology2
- Pediatric Medicine2
- Physical Medicine and Rehabilitation2
- Orthopedic Surgery1
- Gastroenterology1
- Plastic and Reconstructive Surgery1
- Internal Medicine1
- Pulmonary Disease1
- Endocrinology1
Doctors with a page on this site (24)
- Alexander Loomis, DODiagnostic Radiology
- Deborah MoweryPhysical Medicine and Rehabilitation
- Evelyn S. Rawcliffe-Kimbrell, DOMedical Genetics and Genomics
- Francis R. Pianki, DODiagnostic Radiology
- Gogi Kumar, MDNeurology
- Hari M. Polenakovik, MDHospitalist
- John Karl L. De Dios, MDPediatric Medicine
- John Roebel, MDPediatric Medicine
- Joseph E. RossCardiovascular Disease (Cardiology)
- Lionel M. Chow, MDHematology/Oncology
- Lubabatu AbdurrahmanCardiovascular Disease (Cardiology)
- Luke McCoy, MDInternal Medicine
- Mahesh Chikkannaiah, MDNeurology
- Mark E. MinorPulmonary Disease
- Mark T. Warren, DODiagnostic Radiology
- Michael Bates, MDGastroenterology
- Michael C. Albert, MDOrthopedic Surgery
- Michelle A. Potts, MDPhysical Medicine and Rehabilitation
- Mukund Dole, MDHematology/Oncology
- Rachael A. Courtney, DOHematology/Oncology
- Rosario A. Carrasco, MDDiagnostic Radiology
- Salim N. Mancho, DOPlastic and Reconstructive Surgery
- Sean Kelleher, MDDiagnostic Radiology
- Yelena Nicholson, DOEndocrinology
Names link to the doctor’s page on this site when there is one, otherwise to the official NPI Registry record (U.S. Department of Health and Human Services). Find a doctor · Source: CMS Facility Affiliation Data
Other emergency rooms nearby
Hospitals that list emergency services, by straight-line distance (not driving distance).
- Kettering Health Dayton1.8 mi · Dayton, OH · Acute Care Hospital
- Miami Valley Hospital2.3 mi · Dayton, OH · Acute Care Hospital
- Dayton VA Medical Center4.8 mi · Dayton, OH · Federal/VA Acute Care Hospital
- Kettering Health Main Campus5.3 mi · Kettering, OH · Acute Care Hospital
- Soin Medical Center5.6 mi · Beaver Creek, OH · Acute Care Hospital
Other hospitals nearby
- Shriners Hospitals for Children0.0 mi · Dayton, OH · Children's Hospital
- The Rehabilitation Institute of Ohio2.1 mi · Dayton, OH · Inpatient Rehabilitation Hospital
- Kindred Hospitals-Dayton2.4 mi · Dayton, OH · Long-Term Acute Care Hospital
Nursing homes, hospice, home health and dialysis nearby
Medicare-certified providers within 25 miles, by straight-line distance. Hospice and home health care is given at home: their address is the office.
Nursing homes
- Widows Home of Dayton1.0 mi · Dayton, OH · 2 of 5 stars
- Gem City Healthcare and Rehabilitation Center1.7 mi · Dayton, OH · 3 of 5 stars
- Grafton Oaks Nursing Center2.0 mi · Dayton, OH · 4 of 5 stars
All nursing homes in the state →
Hospice providers
- Hospice of Dayton4.4 mi · Dayton, OH · 4 of 5 stars
- Ohio Valley Hospice4.6 mi · Beavercreek, OH · 4 of 5 stars
- Caretenders Hospice6.1 mi · Moraine, OH
All hospice providers in the state →
Home health agencies
- Betterliving Homehealth Solutions1.3 mi · Dayton, OH
- Children's Home Care of Dayton1.3 mi · Dayton, OH
- Selective Nursing LLC1.3 mi · Dayton, OH
All home health agencies in the state →
Dialysis facilities
- DaVita Wright Field Dialysis1.9 mi · Dayton, OH · 3 of 5 stars
- DaVita Five Rivers Dialysis2.8 mi · Dayton, OH · 3 of 5 stars
- DaVita Buckeye Dialysis3.8 mi · Kettering, OH · 3 of 5 stars
Outpatient surgery centers nearby
Medicare-certified ambulatory surgery centers within 25 miles, by straight-line distance.
- Colonoscopy and Endoscopy Center LLC2.2 mi · Dayton, OH
- Kunesh Eye Surgery Center4.1 mi · Dayton, OH
- Greater Dayton Surgery Center4.4 mi · Dayton, OH
Community care nearby
Health centers, clinics, urgent care and pharmacies closest to this hospital, by straight-line distance, from official HRSA, Medicare and NPI Registry data. In a medical emergency, call 911.
Community health centers
- Community Health Centers of Greater Dayton - East Dayton Health Center0.8 mi · Dayton, OH · Community health center
- Equitas Health at the Greater Dayton School0.9 mi · Dayton, OH · Community health center
- First Flight Health Centers1.3 mi · Dayton, OH · Community health center
Clinics and urgent care
- Alliance Physicians Inc4.6 mi · Beavercreek, OH · Urgent care center
- Premier Health Urgent Care, Inc.5.0 mi · Dayton, OH · Urgent care center
- Miami Valley Urgent Care LLC5.0 mi · Dayton, OH · Urgent care center
Pharmacies
- Community Health Centers of Greater Dayton1.3 mi · Dayton, OH · Community/retail pharmacy
- Kroger Limited Partnership I1.3 mi · Dayton, OH · Community/retail pharmacy
- Dayton Children's Hospital1.3 mi · Dayton, OH · Community/retail pharmacy
Assisted living nearby
Licensed homes from the official state licence list, by straight-line distance.
- Brookdale Oakwood4.1 mi · Dayton, OH
- Living Center at 10 Wilmington4.4 mi · Dayton, OH
- The Sanctuary at Wilmington Place4.4 mi · Dayton, OH
- Ashford at Beavercreek4.6 mi · Beavercreek, OH
About the Medicare star rating
CMS (the federal Medicare agency) gives many hospitals an overall rating from 1 to 5 stars, based on measures of mortality, safety, readmissions, patient experience and timely care. It is one piece of information: ask your doctor what matters for your care. See the full Medicare profile →
Medicare quality data
What Dayton Childrens Hospital reported to Medicare (CMS), the federal agency that publishes these results for hospitals nationwide. These are averages for many patients, not a prediction for any one person: ask your doctor what matters for your care. In a medical emergency, call 911.
What patients said (patient survey)
What this means: Patients who stayed overnight answered a national survey (HCAHPS) about their stay. More stars mean patients reported a better experience than at other hospitals. The percentages show how often patients gave the best answer, next to the national average.
Not reported to Medicare
Source: Patient survey (HCAHPS) - Hospital — CMS, released July 22, 2026; patients discharged October 2024 to September 2025.
Infections caught in the hospital
What this means: CMS compares the number of infections patients caught in this hospital with the number expected for a hospital like it. The number shown is that ratio: below 1 means fewer infections than expected, above 1 means more. “Better” or “worse” is shown only when the difference is clear in the data.
| Central line bloodstream infections (CLABSI) | Not reported to Medicare |
|---|---|
| Catheter-associated urinary tract infections (CAUTI) | Not reported to Medicare |
| Surgical site infections after colon surgery | Not reported to Medicare |
| Surgical site infections after abdominal hysterectomy | Not reported to Medicare |
| MRSA bloodstream infections | Not reported to Medicare |
| Clostridioides difficile (C. diff) intestinal infections | Not reported to Medicare |
Source: Healthcare Associated Infections - Hospital — CMS, released July 22, 2026.
Complications and deaths
What this means: Death rates are the share of patients who died within 30 days of going into the hospital for that condition, adjusted for how sick they were. PSI-90 combines several serious complications (a lower number is better). “No different from the national rate” is the most common result and means the hospital is in line with hospitals nationwide.
| Deaths within 30 days: heart attack patients | Not reported to Medicare |
|---|---|
| Deaths within 30 days: heart failure patients | Not reported to Medicare |
| Deaths within 30 days: pneumonia patients | Not reported to Medicare |
| Deaths within 30 days: COPD patients | Not reported to Medicare |
| Deaths within 30 days: stroke patients | Not reported to Medicare |
| Deaths within 30 days: coronary bypass surgery (CABG) | Not reported to Medicare |
| Serious complications (patient safety indicator PSI-90) | Not reported to Medicare |
| Complications after hip or knee replacement | Not reported to Medicare |
Source: Complications and Deaths - Hospital — CMS, released September 10, 2026.
Return visits to the hospital (readmissions)
What this means: The share of patients who had to be admitted to a hospital again within 30 days after going home, adjusted for how sick they were. A lower percentage is better.
| Returned to any hospital within 30 days (all patients) | Not reported to Medicare |
|---|---|
| Readmitted within 30 days: heart attack | Not reported to Medicare |
| Readmitted within 30 days: heart failure | Not reported to Medicare |
| Readmitted within 30 days: pneumonia | Not reported to Medicare |
| Readmitted within 30 days: COPD | Not reported to Medicare |
| Readmitted within 30 days: coronary bypass surgery | Not reported to Medicare |
| Readmitted within 30 days: hip or knee replacement | Not reported to Medicare |
Source: Unplanned Hospital Visits - Hospital — CMS, released September 10, 2026.
Emergency room times and sepsis care
What this means: ER time is the middle (median) time from arriving at the emergency room to leaving it; busier ERs usually have longer times, so the ER volume is shown too. Leaving before being seen: a lower percentage is better. Sepsis is a life-threatening reaction to an infection; a higher percentage means more patients got every recommended early step.
| Average (median) time patients spent in the emergency room before leaving (OP-18b) | Not reported to Medicare |
|---|---|
| Patients who left the emergency room before being seen (OP-22) | Not reported to Medicare |
| Sepsis patients who got all the recommended early care (SEP-1) | Not reported to Medicare |
Source: Timely and Effective Care - Hospital — CMS, released July 22, 2026.
ER wait times and Medicare ratings nearby
How this hospital compares with others in the area, ranked only by official Medicare (CMS) numbers.
Prices
Every US hospital must publish its standard charges in a file that follows a federal (CMS) format. Below are 58 common services exactly as Dayton Childrens Hospital lists them in its file. This is not a quote: what you pay depends on your insurance and plan, the doctors involved and the care you actually receive. Prices change: ask the hospital for an estimate before you schedule care (if you are uninsured or paying yourself, you have the right to a written “good faith estimate”). In a medical emergency, call 911.
What the prices mean
- Hospital charge
- The hospital’s list price (“gross charge”) before any discount or insurance. Few people pay this amount.
- Cash price
- The price the hospital offers if you pay yourself, without insurance (“discounted cash price”).
- Insurance rates
- The lowest and highest amounts the hospital has agreed with any insurance plan for the service (“de-identified minimum and maximum”), and some of the rates it lists by insurer and plan. Your share depends on your deductible, copay and coinsurance.
- Hospital and doctor fees
- A service can have a hospital (facility) fee and a separate doctor (professional) fee; the total for your care can include both, plus other services.
How to use hospital prices: estimates, financial assistance and your rights →
Office and emergency visits
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW LOW 30 MIN | $164 | $114.80 | $70.42 – $105.63 |
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 30–44 minutes) CPT 99203 · Outpatient (no overnight stay) In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-44 MINUTES | $152.87 | $107.01 | $70.42 – $105.63 |
New patient office visit (about 30–44 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW MOD 45 MIN | $632 | $442.40 | $115.05 – $172.58 |
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 45–59 minutes) CPT 99204 · Outpatient (no overnight stay) In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 45-59 MINUTES | $440.96 | $308.67 | $115.05 – $172.58 |
New patient office visit (about 45–59 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) In the file: OFFICE O/P NEW HI 60 MIN | $664 | $464.80 | $157.69 – $236.54 |
New patient office visit (about 60–74 minutes): 10 of 14 insurance plan rates
| |||
| New patient office visit (about 60–74 minutes) CPT 99205 · Outpatient (no overnight stay) · modifier 25 In the file: NEW PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 60-74 MINUTES | $620.10 | $434.07 | $157.69 – $236.53 |
New patient office visit (about 60–74 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: OFFICE O/P EST LOW 20 MIN | $203 | $142.10 | $56.51 – $84.77 |
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $154.55 | $108.19 | $56.51 – $84.76 |
Established patient office visit (about 20–29 minutes): 10 of 14 insurance plan rates
| |||
| Established patient office visit (about 20–29 minutes) CPT 99213 · Outpatient (no overnight stay) · modifier 25 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 20-29 MINUTES | $189.74 | $132.82 | $56.51 – $84.76 |
Established patient office visit (about 20–29 minutes): 10 of 15 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: OFFICE O/P EST MOD 30 MIN | $632 | $442.40 | $83.17 – $124.75 |
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $217.08 | $151.96 | $83.17 – $124.75 |
Established patient office visit (about 30–39 minutes): 10 of 14 insurance plan rates
| |||
| Established patient office visit (about 30–39 minutes) CPT 99214 · Outpatient (no overnight stay) · modifier 25 In the file: ESTABLISHED PATIENT OFFICE OR OTHER OUTPATIENT VISIT; 30-39 MINUTES | $217.08 | $151.96 | $83.17 – $124.75 |
Established patient office visit (about 30–39 minutes): 10 of 15 insurance plan rates
| |||
| Preventive checkup, new patient, age 18–39 CPT 99385 · Outpatient (no overnight stay) In the file: PREV VISIT NEW AGE 18-39 | $102 | $71.40 | Not listed in the file |
Preventive checkup, new patient, age 18–39: 10 of 11 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT LOW MDM | $675 | $472.50 | $266.22 – $399.33 |
Emergency room visit (moderate): 10 of 14 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $614.74 | $430.32 | $266.22 – $399.33 |
Emergency room visit (moderate): 10 of 14 insurance plan rates
| |||
| Emergency room visit (moderate) CPT 99283 · Outpatient (no overnight stay) · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF MODERATE SEVERITY | $614.74 | $430.32 | $266.22 – $399.33 |
Emergency room visit (moderate): 10 of 15 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT MOD MDM | $375 | $262.50 | $406.93 – $610.40 |
Emergency room visit (moderately high): 10 of 14 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $921.16 | $644.81 | $406.93 – $610.40 |
Emergency room visit (moderately high): 10 of 14 insurance plan rates
| |||
| Emergency room visit (moderately high) CPT 99284 · Outpatient (no overnight stay) · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR PROBLEM OF HIGH SEVERITY | $921.16 | $644.81 | $406.93 – $610.40 |
Emergency room visit (moderately high): 10 of 15 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY DEPT VISIT HI MDM | $669 | $468.30 | $580.78 – $871.17 |
Emergency room visit (high): 10 of 14 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $1,393.75 | $975.63 | $580.78 – $871.17 |
Emergency room visit (high): 10 of 14 insurance plan rates
| |||
| Emergency room visit (high) CPT 99285 · Outpatient (no overnight stay) · modifier 25 In the file: EMERGENCY DEPARTMENT VISIT FOR LIFE THREATENING OR FUNCTIONING SEVERITY | $1,393.75 | $975.63 | $580.78 – $871.17 |
Emergency room visit (high): 10 of 15 insurance plan rates
| |||
Lab tests
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: METABOLIC PANEL TOTAL CA | $79 | $55.30 | $8.46 – $12.69 |
Basic metabolic panel (blood test): 10 of 14 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $74.18 | $51.93 | $8.46 – $12.69 |
Basic metabolic panel (blood test): 10 of 14 insurance plan rates
| |||
| Basic metabolic panel (blood test) CPT 80048 · Outpatient (no overnight stay) · modifier 91 In the file: BLOOD TEST; BASIC GROUP OF BLOOD CHEMICALS (CALCIUM; TOTAL) | $74.18 | $51.93 | $8.46 – $12.69 |
Basic metabolic panel (blood test): 10 of 15 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: COMPREHEN METABOLIC PANEL | $79 | $55.30 | $10.56 – $15.84 |
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $74.18 | $51.93 | $10.56 – $15.84 |
Comprehensive metabolic panel (blood test): 10 of 14 insurance plan rates
| |||
| Comprehensive metabolic panel (blood test) CPT 80053 · Outpatient (no overnight stay) · modifier 91 In the file: BLOOD TEST; COMPREHENSIVE GROUP OF BLOOD CHEMICALS | $74.18 | $51.93 | $10.56 – $15.84 |
Comprehensive metabolic panel (blood test): 10 of 15 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: LIPID PANEL | $79 | $55.30 | $13.39 – $20.08 |
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $74.18 | $51.93 | $13.39 – $20.08 |
Cholesterol panel (lipid panel): 10 of 14 insurance plan rates
| |||
| Cholesterol panel (lipid panel) CPT 80061 · Outpatient (no overnight stay) · modifier 91 In the file: BLOOD TEST; LIPIDS (CHOLESTEROL AND TRIGLYCERIDES) | $74.18 | $51.93 | $13.39 – $20.08 |
Cholesterol panel (lipid panel): 10 of 15 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: RENAL FUNCTION PANEL | $79 | $55.30 | $8.68 – $13.02 |
Kidney function panel: 10 of 14 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) In the file: KIDNEY FUNCTION BLOOD TEST PANEL | $74.18 | $51.93 | $8.68 – $13.02 |
Kidney function panel: 10 of 14 insurance plan rates
| |||
| Kidney function panel CPT 80069 · Outpatient (no overnight stay) · modifier 59 In the file: KIDNEY FUNCTION BLOOD TEST PANEL | $74.18 | $51.93 | $8.68 – $13.02 |
Kidney function panel: 10 of 15 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: HEPATIC FUNCTION PANEL | $79 | $55.30 | $8.17 – $12.26 |
Liver function panel: 10 of 14 insurance plan rates
| |||
| Liver function panel CPT 80076 · Outpatient (no overnight stay) In the file: LIVER FUNCTION BLOOD TEST PANEL | $74.18 | $51.93 | $8.17 – $12.26 |
Liver function panel: 10 of 14 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/SCOPE | $24 | $16.80 | $3.17 – $4.76 |
Urine test (automated, with microscope): 10 of 14 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $22.13 | $15.49 | $3.17 – $4.76 |
Urine test (automated, with microscope): 10 of 14 insurance plan rates
| |||
| Urine test (automated, with microscope) CPT 81001 · Outpatient (no overnight stay) · modifier 59 In the file: MANUAL URINALYSIS TEST WITH EXAMINATION USING MICROSCOPE; AUTOMATED | $22.13 | $15.49 | $3.17 – $4.76 |
Urine test (automated, with microscope): 10 of 15 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS NONAUTO W/O SCOPE | $24 | $16.80 | $3.48 – $5.22 |
Urine test (manual, without microscope): 10 of 14 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) In the file: URINALYSIS; MANUAL TEST | $22.13 | $15.49 | $3.48 – $5.22 |
Urine test (manual, without microscope): 10 of 14 insurance plan rates
| |||
| Urine test (manual, without microscope) CPT 81002 · Outpatient (no overnight stay) · modifier 59 In the file: URINALYSIS; MANUAL TEST | $22.13 | $15.49 | $3.48 – $5.22 |
Urine test (manual, without microscope): 10 of 15 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: URINALYSIS AUTO W/O SCOPE | $24 | $16.80 | $2.25 – $3.38 |
Urine test (automated, without microscope): 10 of 14 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) In the file: AUTOMATED URINALYSIS TEST | $22.13 | $15.49 | $2.25 – $3.38 |
Urine test (automated, without microscope): 10 of 14 insurance plan rates
| |||
| Urine test (automated, without microscope) CPT 81003 · Outpatient (no overnight stay) · modifier 59 In the file: AUTOMATED URINALYSIS TEST | $22.13 | $15.49 | $2.25 – $3.38 |
Urine test (automated, without microscope): 10 of 15 insurance plan rates
| |||
| PSA (prostate specific antigen) blood test CPT 84153 · Outpatient (no overnight stay) In the file: ASSAY OF PSA TOTAL | $59 | $41.30 | $18.39 – $27.59 |
PSA (prostate specific antigen) blood test: 10 of 14 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: ASSAY THYROID STIM HORMONE | $85 | $59.50 | $16.80 – $25.20 |
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $79.89 | $55.92 | $16.80 – $25.20 |
Thyroid stimulating hormone (TSH) test: 10 of 14 insurance plan rates
| |||
| Thyroid stimulating hormone (TSH) test CPT 84443 · Outpatient (no overnight stay) · modifier 91 In the file: BLOOD TEST; THYROID STIMULATING HORMONE (TSH) | $79.89 | $55.92 | $16.80 – $25.20 |
Thyroid stimulating hormone (TSH) test: 10 of 15 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: COMPLETE CBC W/AUTO DIFF WBC | $32 | $22.40 | $7.77 – $11.66 |
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates
| |||
| Complete blood count (CBC) with differential CPT 85025 · Outpatient (no overnight stay) In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT | $29.47 | $20.63 | $7.77 – $11.65 |
Complete blood count (CBC) with differential: 10 of 14 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: COMPLETE CBC AUTOMATED | $32 | $22.40 | $6.47 – $9.70 |
Complete blood count (CBC), automated: 10 of 14 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $29.47 | $20.63 | $6.47 – $9.70 |
Complete blood count (CBC), automated: 10 of 14 insurance plan rates
| |||
| Complete blood count (CBC), automated CPT 85027 · Outpatient (no overnight stay) · modifier 59 In the file: COMPLETE BLOOD CELL COUNT (RED CELLS; WHITE BLOOD CELL; PLATELETS); AUTOMATED TEST | $29.47 | $20.63 | $6.47 – $9.70 |
Complete blood count (CBC), automated: 10 of 15 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: PROTHROMBIN TIME | $32 | $22.40 | $4.29 – $6.44 |
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) In the file: BLOOD TEST; CLOTTING TIME | $30.23 | $21.16 | $4.29 – $6.43 |
Blood clotting time test (prothrombin time, PT): 10 of 14 insurance plan rates
| |||
| Blood clotting time test (prothrombin time, PT) CPT 85610 · Outpatient (no overnight stay) · modifier 91 In the file: BLOOD TEST; CLOTTING TIME | $30.23 | $21.16 | $4.29 – $6.43 |
Blood clotting time test (prothrombin time, PT): 10 of 15 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: THROMBOPLASTIN TIME PARTIAL | $32 | $22.40 | $6.01 – $9.02 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $30.23 | $21.16 | $6.01 – $9.02 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 14 insurance plan rates
| |||
| Blood clotting test (partial thromboplastin time, PTT) CPT 85730 · Outpatient (no overnight stay) · modifier 91 In the file: COAGULATION ASSESSMENT BLOOD TEST; PLASMA OR WHOLE BLOOD | $30.23 | $21.16 | $6.01 – $9.02 |
Blood clotting test (partial thromboplastin time, PTT): 10 of 15 insurance plan rates
| |||
Imaging (X-ray, CT, MRI, ultrasound, mammogram)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT HEAD/BRAIN W/O DYE | $1,582 | $1,107.40 | $101.96 – $152.94 |
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $1,590 | $1,113 | $101.96 – $152.94 |
CT scan of the head or brain, without contrast: 10 of 14 insurance plan rates
| |||
| CT scan of the head or brain, without contrast CPT 70450 · Outpatient (no overnight stay) · modifier 59 In the file: CT SCAN HEAD OR BRAIN WITHOUT CONTRAST | $1,590 | $1,113 | $101.96 – $152.94 |
CT scan of the head or brain, without contrast: 10 of 15 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI BRAIN STEM W/O & W/DYE | $4,501 | $3,150.70 | $340.23 – $510.35 |
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
| |||
| MRI of the brain, before and after contrast CPT 70553 · Outpatient (no overnight stay) In the file: MRI SCAN OF BRAIN BEFORE AND AFTER CONTRAST | $5,982.07 | $4,187.45 | $340.23 – $510.34 |
MRI of the brain, before and after contrast: 10 of 14 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-RAY EXAM CHEST 2 VIEWS | $365 | $255.50 | $84.87 – $127.31 |
Chest X-ray, 2 views: 10 of 14 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) In the file: X-RAY OF CHEST; 2 VIEWS | $354.74 | $248.32 | $84.87 – $127.31 |
Chest X-ray, 2 views: 10 of 14 insurance plan rates
| |||
| Chest X-ray, 2 views CPT 71046 · Outpatient (no overnight stay) · modifier 59 In the file: X-RAY OF CHEST; 2 VIEWS | $354.74 | $248.32 | $84.87 – $127.31 |
Chest X-ray, 2 views: 10 of 15 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-RAY EXAM L-2 SPINE 4/>VWS | $385 | $269.50 | $101.96 – $152.94 |
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates
| |||
| X-ray of the lower spine, at least 4 views CPT 72110 · Outpatient (no overnight stay) In the file: X-RAY OF LOWER AND SACRAL SPINE; MINIMUM OF 4 VIEWS | $669.56 | $468.69 | $101.96 – $152.94 |
X-ray of the lower spine, at least 4 views: 10 of 14 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI LUMBAR SPINE W/O DYE | $2,771 | $1,939.70 | $232.69 – $349.04 |
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates
| |||
| MRI of the lower back (lumbar spine), without contrast CPT 72148 · Outpatient (no overnight stay) In the file: MRI SCAN OF LOWER SPINAL CANAL WITHOUT CONTRAST | $4,382.81 | $3,067.97 | $232.69 – $349.04 |
MRI of the lower back (lumbar spine), without contrast: 10 of 14 insurance plan rates
| |||
| CT scan of the pelvis, with contrast CPT 72193 · Outpatient (no overnight stay) In the file: CT PELVIS W/DYE | $3,545 | $2,481.50 | $171.06 – $256.59 |
CT scan of the pelvis, with contrast: 10 of 14 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI JNT OF LWR EXTRE W/O DYE | $5,667 | $3,966.90 | $232.69 – $349.04 |
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates
| |||
| MRI of a leg joint (such as the knee), without contrast CPT 73721 · Outpatient (no overnight stay) In the file: MRI SCAN OF LEG JOINT WITHOUT CONTRAST | $3,393.08 | $2,375.16 | $232.69 – $349.04 |
MRI of a leg joint (such as the knee), without contrast: 10 of 14 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT ABD & PELVIS W/CONTRAST | $4,078 | $2,854.60 | $340.23 – $510.34 |
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates
| |||
| CT scan of the abdomen and pelvis, with contrast CPT 74177 · Outpatient (no overnight stay) In the file: CT SCAN OF ABDOMEN AND PELVIS WITH CONTRAST | $6,576.36 | $4,603.45 | $340.23 – $510.35 |
CT scan of the abdomen and pelvis, with contrast: 10 of 14 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: US EXAM ABDOM COMPLETE | $722 | $505.40 | $101.96 – $152.94 |
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates
| |||
| Ultrasound of the abdomen, complete CPT 76700 · Outpatient (no overnight stay) In the file: COMPLETE ULTRASOUND SCAN OF ABDOMEN | $1,723.63 | $1,206.54 | $101.96 – $152.94 |
Ultrasound of the abdomen, complete: 10 of 14 insurance plan rates
| |||
| Pregnancy ultrasound (after the first trimester) CPT 76805 · Outpatient (no overnight stay) In the file: OB US >= 14 WKS SNGL FETUS | $1,476 | $1,033.20 | $101.96 – $152.94 |
Pregnancy ultrasound (after the first trimester): 10 of 14 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: TRANSVAGINAL US NON-OB | $541 | $378.70 | $101.96 – $152.94 |
Transvaginal ultrasound: 10 of 14 insurance plan rates
| |||
| Transvaginal ultrasound CPT 76830 · Outpatient (no overnight stay) In the file: ULTRASOUND SCAN OF UTERUS; OVARIES; TUBES; CERVIX AND PELVIC AREA THROUGH VAGINA | $1,462.95 | $1,024.07 | $101.96 – $152.94 |
Transvaginal ultrasound: 10 of 14 insurance plan rates
| |||
Heart tests and sleep study
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Electrocardiogram (ECG/EKG) with reading CPT 93000 · Outpatient (no overnight stay) In the file: ELECTROCARDIOGRAM COMPLETE | $68 | $47.60 | Not listed in the file |
Electrocardiogram (ECG/EKG) with reading: 10 of 11 insurance plan rates
| |||
| Left heart catheterization (diagnostic) CPT 93452 · Outpatient (no overnight stay) In the file: LEFT HRT CATH W/VENTRCLGRPHY | $6,284 | $4,398.80 | $3,161.64 – $4,742.46 |
Left heart catheterization (diagnostic): 10 of 14 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: POLYSOM 6/> YRS 4/> PARAM | $4,960 | $3,472 | $837.48 – $1,256.22 |
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $4,635.45 | $3,244.82 | $837.48 – $1,256.22 |
Sleep study (overnight, in a sleep lab): 10 of 14 insurance plan rates
| |||
| Sleep study (overnight, in a sleep lab) CPT 95810 · Outpatient (no overnight stay) · modifier 52 In the file: SLEEP STUDY IN SLEEP LAB (6 YEARS OR OLDER) | $4,635.45 | $3,244.82 | $418.74 – $628.11 |
Sleep study (overnight, in a sleep lab): 10 of 15 insurance plan rates
| |||
Physical therapy and mental health
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) In the file: THERAPEUTIC EXERCISES | $106 | $74.20 | $27.87 – $41.80 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 14 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier 59_GP In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $297.27 | $208.09 | $27.87 – $41.80 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
| |||
| Physical therapy: therapeutic exercise (each 15 minutes) CPT 97110 · Outpatient (no overnight stay) · modifier 59_GP_GT In the file: THERAPY PROCEDURE USING EXERCISE TO DEVELOP STRENGTH; ENDURANCE; RANGE OF MOTION; AND FLEXIBILITY; EACH 15 MINUTES | $198.18 | $138.73 | $27.87 – $41.80 |
Physical therapy: therapeutic exercise (each 15 minutes): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) In the file: PT EVAL LOW COMPLEX 20 MIN | $340 | $238 | $93.86 – $140.79 |
Physical therapy evaluation (low complexity): 10 of 14 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier 59_GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $265 | $185.50 | $93.86 – $140.79 |
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (low complexity) CPT 97161 · Outpatient (no overnight stay) · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 20 MINUTES | $175.96 | $123.17 | $93.86 – $140.79 |
Physical therapy evaluation (low complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) In the file: PT EVAL MOD COMPLEX 30 MIN | $397 | $277.90 | $93.86 – $140.79 |
Physical therapy evaluation (moderate complexity): 10 of 14 insurance plan rates
| |||
| Physical therapy evaluation (moderate complexity) CPT 97162 · Outpatient (no overnight stay) · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 30 MINUTES | $371 | $259.70 | $93.86 – $140.79 |
Physical therapy evaluation (moderate complexity): 10 of 15 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) In the file: PT EVAL HIGH COMPLEX 45 MIN | $510 | $357 | $93.86 – $140.79 |
Physical therapy evaluation (high complexity): 10 of 14 insurance plan rates
| |||
| Physical therapy evaluation (high complexity) CPT 97163 · Outpatient (no overnight stay) · modifier GP In the file: EVALUATION FOR PHYSICAL THERAPY; TYPICALLY 45 MINUTES | $477 | $333.90 | $93.86 – $140.79 |
Physical therapy evaluation (high complexity): 10 of 15 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYTX W PT 30 MINUTES | $317 | $221.90 | $173.10 – $259.65 |
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY; 30 MINUTES | $352.66 | $246.86 | $173.10 – $259.65 |
Psychotherapy, 30 minutes: 10 of 13 insurance plan rates
| |||
| Psychotherapy, 30 minutes CPT 90832 · Outpatient (no overnight stay) · modifier 95 In the file: PSYCHOTHERAPY; 30 MINUTES | $352.66 | $246.86 | $173.10 – $259.65 |
Psychotherapy, 30 minutes: 10 of 14 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYTX W PT 45 MINUTES | $225 | $157.50 | $173.10 – $259.65 |
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY; 45 MINUTES | $220.35 | $154.25 | $173.10 – $259.65 |
Psychotherapy, 45 minutes: 10 of 13 insurance plan rates
| |||
| Psychotherapy, 45 minutes CPT 90834 · Outpatient (no overnight stay) · modifier 95 In the file: PSYCHOTHERAPY; 45 MINUTES | $220.35 | $154.25 | $173.10 – $259.65 |
Psychotherapy, 45 minutes: 10 of 14 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYTX W PT 60 MINUTES | $250 | $175 | $173.10 – $259.65 |
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) In the file: PSYCHOTHERAPY; 1 HOUR | $302.02 | $211.41 | $173.10 – $259.65 |
Psychotherapy, 60 minutes: 10 of 13 insurance plan rates
| |||
| Psychotherapy, 60 minutes CPT 90837 · Outpatient (no overnight stay) · modifier 59 In the file: PSYCHOTHERAPY; 1 HOUR | $302.02 | $211.41 | $173.10 – $259.65 |
Psychotherapy, 60 minutes: 10 of 14 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/O PT 50 MIN | $300 | $210 | $173.10 – $259.65 |
Family psychotherapy, without the patient: 10 of 14 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY WITHOUT PATIENT; 50 MINUTES | $183.25 | $128.28 | $173.10 – $259.65 |
Family psychotherapy, without the patient: 10 of 14 insurance plan rates
| |||
| Family psychotherapy, without the patient CPT 90846 · Outpatient (no overnight stay) · modifier AH In the file: FAMILY PSYCHOTHERAPY WITHOUT PATIENT; 50 MINUTES | $183.25 | $128.28 | $173.10 – $259.65 |
Family psychotherapy, without the patient: 10 of 15 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYCHOTHERAPY WITH PATIENT; 50 MINUTES | $200.21 | $140.15 | $173.10 – $259.65 |
Family psychotherapy, with the patient: 10 of 14 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) In the file: FAMILY PSYTX W/PT 50 MIN | $300 | $210 | $173.10 – $259.65 |
Family psychotherapy, with the patient: 10 of 13 insurance plan rates
| |||
| Family psychotherapy, with the patient CPT 90847 · Outpatient (no overnight stay) · modifier AH In the file: FAMILY PSYCHOTHERAPY WITH PATIENT; 50 MINUTES | $200.21 | $140.15 | $173.10 – $259.65 |
Family psychotherapy, with the patient: 10 of 15 insurance plan rates
| |||
| Group psychotherapy CPT 90853 · Outpatient (no overnight stay) In the file: GROUP PSYCHOTHERAPY | $336 | $235.20 | $99.07 – $148.60 |
Group psychotherapy: 10 of 13 insurance plan rates
| |||
Procedures and surgery
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Knee arthroscopy: removal of torn cartilage (meniscus) CPT 29881 · Outpatient (no overnight stay) In the file: REMOVAL OF KNEE CARTILAGE USING AN ENDOSCOPE | $12,425.87 | $8,698.11 | $3,190.97 – $4,786.45 |
Knee arthroscopy: removal of torn cartilage (meniscus): 10 of 14 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVE TONSILS AND ADENOIDS | $412 | $288.40 | $5,773.22 – $8,659.83 |
Removal of tonsils and adenoids (under age 12): 10 of 14 insurance plan rates
| |||
| Removal of tonsils and adenoids (under age 12) CPT 42820 · Outpatient (no overnight stay) In the file: REMOVAL OF TONSILS AND ADENOID GLANDS (YOUNGER THAN 12 YEARS) | $4,337.54 | $3,036.28 | $5,773.22 – $8,659.83 |
Removal of tonsils and adenoids (under age 12): 10 of 14 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: EGD BIOPSY SINGLE/MULTIPLE | $1,764 | $1,234.80 | $884.52 – $1,326.78 |
Upper GI endoscopy with biopsy: 10 of 14 insurance plan rates
| |||
| Upper GI endoscopy with biopsy CPT 43239 · Outpatient (no overnight stay) In the file: BIOPSY OF ESOPHAGUS; STOMACH; AND/OR UPPER SMALL BOWEL USING A FLEXIBLE ENDOSCOPE | $6,409.02 | $4,486.31 | $884.52 – $1,326.78 |
Upper GI endoscopy with biopsy: 10 of 14 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: COLONOSCOPY AND BIOPSY | $1,328 | $929.60 | $1,167 – $1,750.50 |
Colonoscopy with biopsy: 10 of 14 insurance plan rates
| |||
| Colonoscopy with biopsy CPT 45380 · Outpatient (no overnight stay) In the file: BIOPSY OF LARGE BOWEL USING A FLEXIBLE ENDOSCOPE | $3,204.51 | $2,243.16 | $1,167 – $1,750.50 |
Colonoscopy with biopsy: 10 of 14 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $2,670.18 | $1,869.13 | $3,491.74 – $5,237.61 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 14 insurance plan rates
| |||
| Groin (inguinal) hernia repair, age 5 or older CPT 49505 · Outpatient (no overnight stay) · modifier RT In the file: REPAIR OF GROIN HERNIA (5 YEARS OR OLDER) | $6,212.93 | $4,349.05 | $3,491.74 – $5,237.61 |
Groin (inguinal) hernia repair, age 5 or older: 10 of 15 insurance plan rates
| |||
| Prostate biopsy CPT 55700 · Outpatient (no overnight stay) In the file: BIOPSY OF PROSTATE | $7,047 | $4,932.90 | Not listed in the file |
Prostate biopsy: 10 of 11 insurance plan rates
| |||
| Spinal injection, lower back (epidural), with imaging guidance CPT 62323 · Outpatient (no overnight stay) In the file: NJX INTERLAMINAR LMBR/SAC | $1,708 | $1,195.60 | $688.40 – $1,032.60 |
Spinal injection, lower back (epidural), with imaging guidance: 10 of 14 insurance plan rates
| |||
Hospital stays (whole stay, MS-DRG)
| Service | Hospital charge | Cash price | Insurance rates (lowest – highest) |
|---|---|---|---|
| Heart valve or major heart-chest surgery with heart catheterization, with major complications MS-DRG 216 · Inpatient (hospital stay) In the file: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC | Not listed in the file | Not listed in the file | Not listed in the file |
Heart valve or major heart-chest surgery with heart catheterization, with major complications: 10 of 13 insurance plan rates
| |||
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 · Inpatient (hospital stay) In the file: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC | Not listed in the file | Not listed in the file | Not listed in the file |
Hip or knee replacement (major joint of the leg), without major complications: 10 of 13 insurance plan rates
| |||
| Neck (cervical) spinal fusion, without complications MS-DRG 473 · Inpatient (hospital stay) In the file: CERVICAL SPINAL FUSION WITHOUT CC/MCC | Not listed in the file | Not listed in the file | Not listed in the file |
Neck (cervical) spinal fusion, without complications: 10 of 13 insurance plan rates
| |||
| Uterus and ovary surgery (not for cancer), without complications MS-DRG 743 · Inpatient (hospital stay) In the file: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC | Not listed in the file | Not listed in the file | Not listed in the file |
Uterus and ovary surgery (not for cancer), without complications: 10 of 13 insurance plan rates
| |||
Source: Dayton Childrens Hospital’s standard charges file (apim.services.craneware.com, CSV, CMS template 3.0.0; it can be a very large file), last updated by the hospital on March 2, 2026; retrieved November 1, 2026. The hospital’s price transparency page →
Found through the hospital’s cms-hpt.txt file, as required by the federal hospital price transparency rule (CMS). We show a selection of common services; the file has every item and service.
Hospital information
| Hospital type | Children's Hospital |
|---|---|
| Address | 1 Childrens PLZ, Dayton, OH 45404 |
| County | Montgomery County |
| State | Ohio |
| Phone | (937) 641‑5509 |
| Emergency services | Yes |
| Ownership | Voluntary non-profit - Private |
| Medicare overall rating | Not rated by CMS |
| CMS Certification Number | 363306 |
| Name in Medicare records | DAYTON CHILDRENS HOSPITAL |
| Profile level | Medicare data + hospital website |
| Main phone on the hospital’s website | (937) 641‑3000[4] |
| Name on the hospital’s website | Dayton Children's Hospital, Main Campus |
| Official website | childrensdayton.org |
| Corrections | Report an error or suggest an update → |
Sources
- Hospital General Information — Centers for Medicare & Medicaid Services (CMS), data updated 2026-07-22, retrieved 2026-10-29
- Medicare Care Compare — official Medicare profile of this hospital
- U.S. Census Bureau Geocoder — map position used for distances
From the hospital’s website
Numbers match the citations above. Checked 2026-10-30.
- Dayton Children's Hospital - Main Campus — childrensdayton.org
- Dayton Children’s Main Campus Care & Services — childrensdayton.org
- Awards & Accreditations: Nationally Recognized Care | DCH — childrensdayton.org
- Pediatric Cardiology Care | Expert Heart Care for Kids — childrensdayton.org
- Lifelong Care for Congenital Heart Disease Patients | DCH — childrensdayton.org
- Pediatric Neurology & Epilepsy Care | Dayton Children’s — childrensdayton.org
- View All Pediatric Services at Dayton Children's Hospital — childrensdayton.org
- What is the Ketogenic Diet? Guide from Dayton Children's | DCH — childrensdayton.org
- Developmental Clinic: Diagnosis & Care for Delays | DCH — childrensdayton.org
- Level 3 Epilepsy Center: Leading Pediatric Care | DCH — childrensdayton.org
- Pediatric Neurosurgery - Dayton Children’s Hospital — childrensdayton.org
- Refractory Headache Clinic for Kids in Dayton, OH | DCH — childrensdayton.org
- Pediatric Orthopedic Care | Bone and Joint Treatment — childrensdayton.org
- Bone and Muscle Cancers in Dayton, OH | DCH — childrensdayton.org
- Pediatric Radiology Services | Dayton Children’s — childrensdayton.org
- Cerebral Palsy Program: Specialized Pediatric Care | DCH — childrensdayton.org
- The Center for the Female Athlete | Dayton Children’s — childrensdayton.org
- Pediatric ENT Clinic Visit in Dayton, OH | DCH — childrensdayton.org