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 |
|---|---|---|---|---|
| X-ray pelvis complete > 3 views CPT 72190 | $137.28 | $572.00 | $90.93 – $265.22 | 66 |
| X-ray retrograde pyelogram with or without kidney ureter bladder w/supervision & interpretation CPT 74420 | $433.44 | $1,806.00 | $305.39 – $890.71 | 66 |
| X-ray ribs 2 views left CPT 71100 | $93.60 | $390.00 | $75.29 – $219.60 | 66 |
| X-ray ribs 3 views bilateral CPT 71110 | $219.12 | $913.00 | $90.93 – $265.22 | 66 |
| X-ray ribs w/posterior anterior chest 3 views left CPT 71101 | $145.44 | $606.00 | $90.93 – $265.22 | 66 |
| X-ray ribs w/posterior anterior chest > 4 views bilateral CPT 71111 | $219.12 | $913.00 | $90.93 – $265.22 | 66 |
| X-ray sacroiliac joints >= 3 views CPT 72202 | $111.60 | $465.00 | $90.93 – $265.22 | 66 |
| X-ray sacrum/coccyx >= 2 views CPT 72220 | $111.60 | $465.00 | $75.29 – $219.60 | 66 |
| X-ray scapula complete (both sides) CPT 73010 | $111.60 | $465.00 | $90.93 – $265.22 | 66 |
| X-ray shoulder 1 view (both sides) CPT 73020 | $97.20 | $405.00 | $75.29 – $219.60 | 66 |
| X-ray sinuses paranasal complete > 3 views CPT 70220 | $136.08 | $567.00 | $75.29 – $219.60 | 66 |
| X-ray sinus tract/fistula/abscess CPT 76080 | $300.48 | $1,252.00 | $468.85 – $1,367.49 | 66 |
| X-ray skull < 4 views CPT 70250 | $107.52 | $448.00 | $90.93 – $265.22 | 66 |
| X-ray skull > 4 views complete CPT 70260 | $136.08 | $567.00 | $90.93 – $265.22 | 66 |
| X-ray small bowel multi serial images abdominal radiographs(s)&delayed images single contrast study CPT 74250 | $171.36 | $714.00 | $152.23 – $444.00 | 66 |
| X-ray small intestine follow-through study CPT 74248 | $167.52 | $698.00 | $69.23 – $69.23 | 1 |
| X-ray spine single view CPT 72020 | $97.20 | $405.00 | $75.29 – $219.60 | 66 |
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $107.52 | $448.00 | $75.29 – $219.60 | 66 |
| X-ray sternum > 2 views CPT 71120 | $123.36 | $514.00 | $75.29 – $219.60 | 66 |
| X-ray surgical specimen CPT 76098 | $363.60 | $1,515.00 | $468.85 – $1,367.49 | 66 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $151.44 | $631.00 | $152.23 – $444.00 | 66 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $137.28 | $572.00 | $75.29 – $219.60 | 66 |
| X-ray thoracic spine 2 views CPT 72070 | $123.36 | $514.00 | $90.93 – $265.22 | 66 |
| X-ray thoracic spine 3 views CPT 72072 | $133.92 | $558.00 | $90.93 – $265.22 | 66 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $119.28 | $497.00 | $75.29 – $219.60 | 66 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $95.28 | $397.00 | $75.29 – $219.60 | 66 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $105.60 | $440.00 | $90.93 – $265.22 | 66 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | $111.12 | $463.00 | $75.29 – $219.60 | 66 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | $97.20 | $405.00 | $75.29 – $219.60 | 66 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $348.96 | $1,454.00 | $152.23 – $444.00 | 66 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $308.40 | $1,285.00 | $152.23 – $444.00 | 66 |
| X-ray wrist 2 views (both sides) CPT 73100 | $97.20 | $405.00 | $75.29 – $219.60 | 66 |
| Zika virus igm antibody CPT 86794 | $11.04 | $46.00 | $16.18 – $47.18 | 67 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $20.90 | $87.07 | $7.43 – $7.43 | 1 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $291.60 | $1,215.00 | $6.47 – $6.47 | 1 |
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.