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 |
|---|---|---|---|---|
| Skel musc relaxant 3 or more CPT 80370 | $89.04 | $371.00 | $0.01 – $32.00 | 3 |
| Skin Biopsy CPT 11102 | $179.52 | $748.00 | $169.91 – $495.57 | 66 |
| Sleep study attended CPT 95807 | $522.00 | $2,175.00 | $453.72 – $1,323.36 | 66 |
| Sleep Study (Polysomnography) CPT 95810 | $1,282.80 | $5,345.00 | $869.98 – $2,537.44 | 66 |
| Sleep study unattended CPT 95806 | $116.64 | $486.00 | $133.80 – $390.24 | 66 |
| Slitting of prepuce CPT 54001 | $604.80 | $2,520.00 | $1,751.70 – $5,109.13 | 66 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $32.40 | $135.00 | $5.17 – $15.09 | 67 |
| Smear gram stain CPT 87205 | $52.32 | $218.00 | $4.10 – $11.96 | 67 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $37.92 | $158.00 | $5.75 – $24.80 | 67 |
| Smear wet mount CPT 87210 | $22.56 | $94.00 | $5.59 – $16.30 | 67 |
| Sodium 24 hour urine CPT 84300 | $41.28 | $172.00 | $4.86 – $14.17 | 67 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $143.52 | $598.00 | $2.57 – $2.57 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | $132.48 | $552.00 | $1.28 – $1.28 | 1 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | $49.68 | $207.00 | $0.64 – $0.64 | 1 |
| Sodium chloride 3 % ivpb HCPCS J7131 | $9.90 | $41.25 | $0.15 – $0.15 | 1 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | $14.47 | $60.30 | $2.19 – $2.19 | 1 |
| Sodium serum/plasma/whole blood CPT 84295 | $38.88 | $162.00 | $4.62 – $13.47 | 67 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $178.20 | $742.50 | $0.60 – $0.77 | 3 |
| Specific gravity body fluid CPT 84315 | $2.16 | $9.00 | $3.15 – $9.18 | 67 |
| Spinal puncture lumbar diagnostic w/fluoroscopic or CT guidance CPT 62328 | $504.00 | $2,100.00 | $592.19 – $1,727.21 | 66 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $208.56 | $869.00 | $266.28 – $776.66 | 66 |
| Split blood or products CPT 86985 | $49.92 | $208.00 | $33.00 – $427.39 | 67 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $72.00 | $300.00 | $60.36 – $108.00 | 3 |
| Staph a dna amp probe CPT 87640 | $37.92 | $158.00 | $33.69 – $98.25 | 67 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $85.44 | $356.00 | $108.76 – $111.12 | 3 |
| Stent bili dbl pgtl 10fx5cm HCPCS C2617 | $103.92 | $433.00 | $193.55 – $193.55 | 1 |
| St evaluate speech sound production CPT 92522 | $70.08 | $292.00 | $61.52 – $105.00 | 3 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $144.24 | $601.00 | $126.63 – $217.00 | 3 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $192.00 | $800.00 | $94.52 – $98.70 | 3 |
| St evaluation swallow function CPT 92610 | $135.36 | $564.00 | $72.77 – $76.84 | 3 |
| Stimulants synthetic CPT 80371 | $18.24 | $76.00 | $0.01 – $26.00 | 3 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $44.88 | $187.00 | $134.93 – $393.54 | 66 |
| Strapping of chest CPT 29200 | $52.08 | $217.00 | $134.93 – $393.54 | 66 |
| Strapping of hand or finger CPT 29280 | $35.28 | $147.00 | $50.79 – $148.15 | 67 |
| Strapping of knee CPT 29530 | $67.68 | $282.00 | $110.23 – $321.50 | 67 |
| Strapping of toes 29550 CPT 29550 | $35.28 | $147.00 | $50.79 – $148.15 | 67 |
| Strep b dna amp probe CPT 87653 | $37.92 | $158.00 | $33.69 – $98.25 | 67 |
| Streptomycin injection HCPCS J3000 | $69.83 | $290.94 | $32.75 – $32.75 | 1 |
| Stress test pulmonary CPT 94618 | $53.76 | $224.00 | $110.23 – $321.50 | 67 |
| St treatment speech individual CPT 92507 | $208.32 | $868.00 | $42.13 – $81.00 | 3 |
| St treatment swallow dysfunction/oral CPT 92526 | $175.92 | $733.00 | $88.06 – $91.64 | 3 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | $50.22 | $209.25 | $0.82 – $0.82 | 1 |
| Sulfonylurea screen qn-sendout CPT 80377 | $74.16 | $309.00 | $0.01 – $36.00 | 3 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | $41.64 | $173.49 | $62.50 – $62.50 | 1 |
| Surg dx exam anorectal CPT 45990 | not published | not published | $2,345.05 – $6,839.73 | 66 |
| Surgical pathology level 1 gross examination only CPT 88300 | $9.12 | $38.00 | $20.23 – $61.07 | 67 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $15.12 | $63.00 | $33.56 – $97.89 | 67 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $33.36 | $139.00 | $45.69 – $133.25 | 67 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $33.36 | $139.00 | $45.69 – $133.25 | 67 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $119.76 | $499.00 | $306.33 – $897.18 | 67 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | $252.48 | $1,052.00 | $470.74 – $2,037.42 | 67 |
| Susceptibility agar dilution per agent CPT 87181 | $37.68 | $157.00 | $4.56 – $13.30 | 67 |
| Susceptibility mic per plate CPT 87186 | $53.28 | $222.00 | $8.30 – $24.22 | 67 |
| Suscept studies macrobroth dilution ea CPT 87188 | $5.04 | $21.00 | $6.37 – $18.59 | 67 |
| Sweat collection by iontophoresis CPT 89230 | $38.88 | $162.00 | $4.16 – $133.25 | 67 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $45.84 | $191.00 | $4.22 – $12.32 | 67 |
| T3 (triiodothyronine) free CPT 84481 | $124.08 | $517.00 | $16.26 – $47.43 | 67 |
| T3 (triiodothyronine) total CPT 84480 | $79.20 | $330.00 | $13.61 – $39.70 | 67 |
| T4 (thyroxine) free CPT 84439 | $58.32 | $243.00 | $8.66 – $25.26 | 67 |
| T4 (thyroxine) total CPT 84436 | $55.44 | $231.00 | $6.60 – $19.24 | 67 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | $3.13 | $13.06 | $0.26 – $0.26 | 1 |
| Tacrolimus therapeutic drug level CPT 80197 | $216.00 | $900.00 | $13.18 – $38.44 | 67 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $985.32 | $4,105.50 | $11.52 – $39.12 | 68 |
| Target gsa panel hmtlmph neop CPT 81450 | $443.52 | $1,848.00 | $729.15 – $2,126.68 | 67 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,773.36 | $7,389.00 | $2,802.82 – $8,174.88 | 67 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $172.56 | $719.00 | $59.50 – $173.54 | 67 |
| Tc-99m disofenin HCPCS A9510 | $107.62 | $448.42 | $69.72 – $69.72 | 1 |
| Tc-99m mebrofenin HCPCS A9537 | $37.80 | $157.50 | $55.10 – $55.10 | 1 |
| Tc-99m medronate HCPCS A9503 | $30.38 | $126.60 | $12.95 – $12.95 | 1 |
| Tc-99m mertiatide HCPCS A9562 | $253.44 | $1,056.00 | $732.05 – $732.05 | 1 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | $115.12 | $479.68 | $63.79 – $63.79 | 1 |
| Tc-99m sestamibi p study dose HCPCS A9500 | $51.86 | $216.09 | $106.32 – $106.32 | 1 |
| Tc-99m tilmanocept diag HCPCS A9520 | $375.84 | $1,566.00 | $658.93 – $658.93 | 1 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $116.88 | $487.00 | $45.10 – $131.54 | 67 |
| T cells absolute cd 4 count CPT 86361 | $53.28 | $222.00 | $25.71 – $74.98 | 67 |
| T cells total count CPT 86359 | $88.08 | $367.00 | $36.22 – $105.64 | 67 |
| Telehealth original site facility fee HCPCS Q3014 | $16.56 | $69.00 | $27.02 – $30.00 | 3 |
| Temozolomide HCPCS J8700 | $140.20 | $584.15 | $0.27 – $0.27 | 1 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | $954.62 | $3,977.58 | $28.34 – $82.66 | 68 |
| Tenotomy length/rls abductor hallucis musc 28240 CPT 28240 | not published | not published | $2,774.50 – $8,092.28 | 66 |
| Tenotomy open tndn flxr toe sgl tndn spx CPT 28232 | $1,039.68 | $4,332.00 | $1,368.53 – $3,991.54 | 66 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | $9.00 | $37.50 | $2.27 – $2.27 | 1 |
| Test for urine cystines CPT 82615 | $9.12 | $38.00 | $9.17 – $26.74 | 67 |
| Test stress cardiovascular tracing only CPT 93017 | $241.44 | $1,006.00 | $266.28 – $776.66 | 66 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | $591.60 | $2,465.00 | $729.15 – $2,126.68 | 67 |
| Tgsap so/hl 51/< rna alys CPT 81456 | $2,273.52 | $9,473.00 | $2,802.82 – $8,174.88 | 67 |
| Tgsap so neo 5-50 rna alys CPT 81449 | $465.84 | $1,941.00 | $573.99 – $1,674.15 | 67 |
| Theophylline therapeutic drug level CPT 80198 | $67.92 | $283.00 | $13.57 – $39.59 | 67 |
| Therapeutic procd strg endur HCPCS G0237 | $19.44 | $81.00 | $20.94 – $61.07 | 66 |
| Therapy nutrition individual initial f2f w/patient each 15 minutes CPT 97802 | $24.00 | $100.00 | $34.45 – $45.05 | 3 |
| Ther/proph/diag inj ia CPT 96373 | $88.32 | $368.00 | $180.16 – $525.48 | 66 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | $16.57 | $69.03 | $1.79 – $1.79 | 1 |
| Thiotepa injection HCPCS J9340 | $1,565.27 | $6,521.97 | $212.88 – $620.90 | 68 |
| Thoracentesis pleural space needle/catheter aspiration with imaging guidance (both sides) CPT 32555 | $558.24 | $2,326.00 | $528.68 – $1,541.99 | 66 |
| Thoracotomy w/expl CPT 32100 | $697.44 | $2,906.00 | $698.08 – $698.08 | 1 |
| Thrombin time CPT 85670 | $49.68 | $207.00 | $5.54 – $16.16 | 67 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $49.68 | $207.00 | $6.21 – $18.12 | 67 |
| Thyroglobulin antibody CPT 86800 | $96.48 | $402.00 | $15.27 – $44.55 | 67 |
| Thyroid imaging CPT 78013 | $318.24 | $1,326.00 | $343.61 – $1,002.20 | 66 |
| Thyroid (TSH) Test CPT 84443 | $97.44 | $406.00 | $16.13 – $47.04 | 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.