64-0663760 BMH Booneville
100 Hospital Drive, Booneville, MS · Baptistonline · · NPI 1013974922
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Lanreotide 120 mg/0.5 ml subcutaneous syringe HCPCS J1930 | $4,458.28 | $18,576.18 | $43.18 – $125.94 | 68 |
| Lap enterolysis CPT 44180 | not published | not published | $4,989.02 – $14,551.32 | 66 |
| Lap ing hernia repair init CPT 49650 | not published | not published | $4,989.02 – $14,551.32 | 66 |
| Lead capillary CPT 83655 | $121.44 | $506.00 | $11.63 – $33.91 | 67 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $409.44 | $1,706.00 | $206.70 – $602.87 | 66 |
| Leishmania antibody CPT 86717 | $9.60 | $40.00 | $11.76 – $34.30 | 67 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $57.41 | $239.19 | $4.07 – $4.07 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | $1,188.08 | $4,950.33 | $9.20 – $14.91 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $39.78 | $165.75 | $0.06 – $0.06 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $119.28 | $497.00 | $12.72 – $37.10 | 67 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $35.48 | $147.83 | $1.15 – $1.15 | 1 |
| Liberta rc ipg HCPCS C1820 | not published | $0.01 | $1,630.18 – $1,630.18 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $14.16 | $59.00 | $14.10 – $41.13 | 67 |
| Ligation of abdomen artery 37617 CPT 37617 | not published | not published | $1,348.88 – $1,348.88 | 1 |
| Lincomycin injection HCPCS J2010 | $158.22 | $659.25 | $9.36 – $9.36 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $41.58 | $173.25 | $3.08 – $3.08 | 1 |
| Lipase CPT 83690 | $23.28 | $97.00 | $6.61 – $19.29 | 67 |
| Lipoprotein blood quant CPT 83704 | $42.00 | $175.00 | $32.82 – $95.73 | 67 |
| Lipoprotein direct measurement hdl CPT 83718 | $69.60 | $290.00 | $7.86 – $22.93 | 67 |
| Lipoprotein direct measurement ldl CPT 83721 | $29.52 | $123.00 | $10.08 – $29.40 | 67 |
| Lip surgery procedure CPT 40799 | $73.20 | $305.00 | $198.58 – $579.18 | 66 |
| Lithium therapeutic drug level CPT 80178 | $29.76 | $124.00 | $6.35 – $18.51 | 67 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $376.80 | $1,570.00 | $169.14 – $493.33 | 67 |
| Liver Function Test CPT 80076 | $135.84 | $566.00 | $7.84 – $22.88 | 67 |
| Liver/spleen imag static only CPT 78215 | $650.16 | $2,709.00 | $343.61 – $1,002.20 | 66 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $36.15 | $150.62 | $1.46 – $1.46 | 1 |
| Low cost skin substitute app HCPCS C5271 | $303.60 | $1,265.00 | $523.44 – $1,526.70 | 66 |
| Low cost skin substitute app HCPCS C5273 | $1,016.40 | $4,235.00 | $1,564.20 – $4,562.24 | 66 |
| Low cost skin substitute app HCPCS C5275 | $303.60 | $1,265.00 | $523.44 – $1,526.70 | 66 |
| Low cost skin substitute app HCPCS C5277 | $707.52 | $2,948.00 | $523.44 – $1,526.70 | 66 |
| Low cost skin substitute app HCPCS C5272 | $79.44 | $331.00 | $36.00 – $36.00 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $944.40 | $3,935.00 | $152.23 – $444.00 | 66 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $922.80 | $3,845.00 | $305.39 – $890.71 | 66 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $890.16 | $3,709.00 | $90.93 – $265.22 | 66 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,501.92 | $6,258.00 | $305.39 – $890.71 | 66 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,228.32 | $5,118.00 | $305.39 – $890.71 | 66 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,024.80 | $4,270.00 | $206.70 – $602.87 | 66 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $123.36 | $514.00 | $90.93 – $265.22 | 66 |
| Low frequency non-thermal Ultrasound CPT 97610 | $71.52 | $298.00 | $169.91 – $495.57 | 67 |
| L/s ratio fetal lung CPT 83661 | $88.80 | $370.00 | $21.11 – $61.57 | 67 |
| Lung Function Test (Spirometry) CPT 94010 | $202.08 | $842.00 | $133.80 – $390.24 | 66 |
| Lung perfusion imaging CPT 78580 | $457.68 | $1,907.00 | $343.61 – $1,002.20 | 66 |
| Lymphatics/lymph node imaging CPT 78195 | $579.36 | $2,414.00 | $460.28 – $1,342.49 | 66 |
| Lymphocyte transformation mitogen CPT 86353 | $88.80 | $370.00 | $47.07 – $137.28 | 67 |
| Macroscopic exam parasite CPT 87169 | $25.92 | $108.00 | $4.14 – $12.07 | 67 |
| Magnesium CPT 83735 | $66.00 | $275.00 | $6.43 – $18.76 | 67 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $58.77 | $244.88 | $0.47 – $0.47 | 1 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $59.52 | $248.00 | $110.23 – $321.50 | 67 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $62.88 | $262.00 | $110.23 – $321.50 | 67 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $10.08 | $42.00 | $2.61 – $2.61 | 1 |
| Marker biop eviva buckle ss HCPCS A4648 | $869.76 | $3,624.00 | $102.14 – $102.14 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $3,274.45 – $9,550.49 | 66 |
| Mast mod rad CPT 19307 | not published | not published | $5,576.57 – $16,265.00 | 66 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $65.28 | $272.00 | $13.88 – $40.49 | 67 |
| Mayo aathr protein s free CPT 85306 | $164.16 | $684.00 | $14.71 – $42.90 | 67 |
| Mayo activated protein c resistance assay CPT 85307 | $60.48 | $252.00 | $14.71 – $42.90 | 67 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $29.04 | $121.00 | $37.03 – $108.00 | 67 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $52.32 | $218.00 | $0.01 – $29.00 | 3 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $77.04 | $321.00 | $0.01 – $29.00 | 3 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $48.96 | $204.00 | $14.19 – $41.38 | 67 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $77.04 | $321.00 | $0.01 – $76.00 | 3 |
| Mayo alpha 1 antitrypsin CPT 82103 | $48.00 | $200.00 | $12.90 – $37.63 | 67 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $66.00 | $275.00 | $14.48 – $42.22 | 67 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $77.04 | $321.00 | $0.01 – $46.00 | 3 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $108.48 | $452.00 | $116.76 – $340.56 | 67 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $393.84 | $1,641.00 | $87.99 – $256.65 | 67 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $119.76 | $499.00 | $131.52 – $383.60 | 67 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $656.40 | $2,735.00 | $1,113.60 – $3,248.00 | 67 |
| Mayo androstenedione CPT 82157 | $136.08 | $567.00 | $28.11 – $81.98 | 67 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $130.56 | $544.00 | $14.02 – $40.88 | 67 |
| Mayo antithrombin iii antigen CPT 85301 | $9.12 | $38.00 | $10.38 – $30.27 | 67 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $31.44 | $131.00 | $14.45 – $42.14 | 67 |
| Mayo avwpr vw factor activity CPT 85397 | $348.48 | $1,452.00 | $29.63 – $86.41 | 67 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $27.12 | $113.00 | $33.69 – $98.25 | 67 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $77.04 | $321.00 | $0.01 – $23.00 | 3 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $19.68 | $82.00 | $9.77 – $28.50 | 67 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $134.88 | $562.00 | $139.05 – $405.55 | 67 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $83.52 | $348.00 | $12.38 – $36.12 | 67 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $17.52 | $73.00 | $12.66 – $36.93 | 67 |
| Mayo brcmg brucella antibody igm CPT 86622 | $48.48 | $202.00 | $8.57 – $25.00 | 67 |
| Mayo c1 esterase inhibitor CPT 83883 | $89.04 | $371.00 | $13.06 – $38.08 | 67 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $77.04 | $321.00 | $0.01 – $38.00 | 3 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $247.44 | $1,031.00 | $16.20 – $47.24 | 67 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $63.60 | $265.00 | $25.71 – $74.98 | 67 |
| Mayo ceruloplasmin CPT 82390 | $52.32 | $218.00 | $10.31 – $30.07 | 67 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $101.52 | $423.00 | $13.56 – $39.54 | 67 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $137.28 | $572.00 | $12.36 – $36.06 | 67 |
| Mayo chlap chlamydia pneumoniae antibody igg CPT 86631 | $69.60 | $290.00 | $11.35 – $33.10 | 67 |
| Mayo chlap chlamydia pneumoniae antibody igm CPT 86632 | $71.04 | $296.00 | $12.17 – $35.50 | 67 |
| Mayo chrcb tissue culture non-neoplastic disorders lymphocyte CPT 88230 | $231.12 | $963.00 | $111.83 – $326.17 | 67 |
| Mayo chromium CPT 82495 | $52.32 | $218.00 | $19.47 – $56.78 | 67 |
| Mayo cocaine definitive assay confirmation urine CPT 80353 | $77.04 | $321.00 | $0.01 – $34.00 | 3 |
| Mayo coccidioides antibody CPT 86635 | $50.88 | $212.00 | $11.01 – $32.12 | 67 |
| Mayo cocou cortisone urine CPT 82542 | $173.52 | $723.00 | $23.13 – $67.45 | 67 |
| Mayo cortisol free CPT 82530 | $84.96 | $354.00 | $16.04 – $46.79 | 67 |
| Mayo covid-19 antibody nucleocapsid total CPT 86769 | $44.64 | $186.00 | $40.44 – $117.96 | 67 |
| Mayo coxiella brunetii (q fever) igg antibody CPT 86638 | $41.52 | $173.00 | $11.64 – $33.94 | 67 |
| Mayo csmpu benzodiazepines definitive assay >=13 urine CPT 80347 | $77.04 | $321.00 | $0.01 – $38.00 | 3 |
| Mayo csmpu opiod/analogs definitive assay >=5 urine CPT 80364 | $66.96 | $279.00 | $0.01 – $36.00 | 3 |
| Mayo cyanide CPT 82600 | $97.20 | $405.00 | $18.62 – $54.32 | 67 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.