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 |
|---|---|---|---|---|
| Cilastatin sodium injection HCPCS J0743 | $35.28 | $147.00 | $6.96 – $6.96 | 1 |
| Cinacalcet 30 mg tablet HCPCS J0604 | $19.04 | $79.33 | $0.02 – $0.02 | 3 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $6.48 | $27.00 | $1.86 – $1.86 | 1 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | $2.28 | $9.48 | $22.09 – $31.82 | 4 |
| Circum 28 days or older CPT 54161 | not published | not published | $1,751.70 – $5,109.13 | 66 |
| Circumcision (newborn) CPT 54150 | $630.48 | $2,627.00 | $1,751.70 – $5,109.13 | 66 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | $333.04 | $1,387.65 | $2.37 – $2.37 | 1 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | $233.13 | $971.37 | $10.82 – $31.56 | 68 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $38.34 | $159.75 | $0.92 – $2.47 | 4 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | $1,687.03 | $7,029.30 | $8.12 – $23.69 | 68 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | $69.97 | $291.52 | $18.37 – $18.37 | 1 |
| Closed carpo/metacarpal disl thumb w/manip CPT 26641 | $75.36 | $314.00 | $205.12 – $598.28 | 66 |
| Closed carpo/metacarpal fx disl thumb w/manip CPT 26645 | $750.24 | $3,126.00 | $1,368.53 – $3,991.54 | 66 |
| Closed tx/acetabululm without manip 27220 CPT 27220 | $68.88 | $287.00 | $205.12 – $598.28 | 66 |
| Closed tx humerus fx with manip 23605 CPT 23605 | $600.96 | $2,504.00 | $1,368.53 – $3,991.54 | 66 |
| Closed tx humerus fx without manip 23600 CPT 23600 | $75.36 | $314.00 | $205.12 – $598.28 | 66 |
| Closed tx humerus fx w/manip 24505 CPT 24505 | $439.68 | $1,832.00 | $1,368.53 – $3,991.54 | 66 |
| Closed tx metatarsophalangeal jnt disl without anes CPT 28630 | $79.44 | $331.00 | $205.12 – $598.28 | 66 |
| Close lac/mouth vest/2.5 cm or < 40830 CPT 40830 | $128.16 | $534.00 | $198.58 – $579.18 | 66 |
| Clos txnose fx without stablz 21315 CPT 21315 | $623.52 | $2,598.00 | $1,266.66 – $3,694.43 | 66 |
| Closure laceration vestibule mouth > 2.5 cm cmplx CPT 40831 | $227.28 | $947.00 | $435.47 – $1,270.11 | 66 |
| Clot factor fletcher fact CPT 85292 | $14.64 | $61.00 | $18.17 – $53.00 | 67 |
| Clot factor wght kininogen CPT 85293 | $14.64 | $61.00 | $18.17 – $53.00 | 67 |
| Clot factor xii hageman CPT 85280 | $69.60 | $290.00 | $18.58 – $54.18 | 67 |
| Clot factor xiii fibrin scrn CPT 85291 | $66.00 | $275.00 | $8.75 – $25.51 | 67 |
| Clotting assay whole blood CPT 85396 | $47.52 | $198.00 | $14.90 – $14.90 | 1 |
| Clsd/shoulder dislo/manip/no anest 23650 CPT 23650 | $75.36 | $314.00 | $205.12 – $598.28 | 66 |
| Clsd tx carpo/metacarpl disl thmb manip ea without anes CPT 26670 | $251.28 | $1,047.00 | $205.12 – $598.28 | 66 |
| Clsd tx/clavicular fx without manip 23500 CPT 23500 | $99.36 | $414.00 | $205.12 – $598.28 | 66 |
| Clsd tx/dis phalan fx without manip/ea 26750 CPT 26750 | $251.28 | $1,047.00 | $205.12 – $598.28 | 66 |
| Clsd tx dist fib fx w/manip 27788 CPT 27788 | $75.36 | $314.00 | $205.12 – $598.28 | 66 |
| Clsd tx elbow dislocation child 24640 CPT 24640 | $75.36 | $314.00 | $205.12 – $598.28 | 66 |
| Clsd tx/fem shaft fx/manipulation 27502 CPT 27502 | $461.04 | $1,921.00 | $1,368.53 – $3,991.54 | 66 |
| Clsd tx/fx/phalanx/phalang/manip 28515 CPT 28515 | $75.36 | $314.00 | $205.12 – $598.28 | 66 |
| Clsd tx fx radius/ulna dist without manip 25600 CPT 25600 | $75.36 | $314.00 | $205.12 – $598.28 | 66 |
| Clsd tx fx radius/ulna dist w/manip 25605 CPT 25605 | $439.68 | $1,832.00 | $1,368.53 – $3,991.54 | 66 |
| Clsd tx fx radius/ulna w/manip 25565 CPT 25565 | $750.24 | $3,126.00 | $1,368.53 – $3,991.54 | 66 |
| Clsd tx hip disloc without anes 27265 CPT 27265 | $75.36 | $314.00 | $205.12 – $598.28 | 66 |
| Clsd tx humerus fract without manip 24500 CPT 24500 | $251.28 | $1,047.00 | $205.12 – $598.28 | 66 |
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $75.36 | $314.00 | $205.12 – $598.28 | 66 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $75.36 | $314.00 | $205.12 – $598.28 | 66 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $75.36 | $314.00 | $205.12 – $598.28 | 66 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $461.04 | $1,921.00 | $1,368.53 – $3,991.54 | 66 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $60.00 | $250.00 | $205.12 – $598.28 | 66 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $75.36 | $314.00 | $205.12 – $598.28 | 66 |
| Clsd tx pelvic ring fx CPT 27197 | $77.28 | $322.00 | $205.12 – $598.28 | 66 |
| Clsd tx pelvic ring fx CPT 27198 | $77.28 | $322.00 | $205.12 – $598.28 | 66 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $439.68 | $1,832.00 | $1,368.53 – $3,991.54 | 66 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $251.28 | $1,047.00 | $205.12 – $598.28 | 66 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $750.24 | $3,126.00 | $1,368.53 – $3,991.54 | 66 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $439.68 | $1,832.00 | $1,368.53 – $3,991.54 | 66 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $439.68 | $1,832.00 | $1,368.53 – $3,991.54 | 66 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,025.04 | $4,271.00 | $1,368.53 – $3,991.54 | 66 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $147.12 | $613.00 | $205.12 – $598.28 | 66 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $204.96 | $854.00 | $205.12 – $598.28 | 66 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $75.36 | $314.00 | $205.12 – $598.28 | 66 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $439.68 | $1,832.00 | $1,368.53 – $3,991.54 | 66 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $68.88 | $287.00 | $205.12 – $598.28 | 66 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $95.52 | $398.00 | $205.12 – $598.28 | 66 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $1,074.24 | $4,476.00 | $1,368.53 – $3,991.54 | 66 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $461.04 | $1,921.00 | $1,368.53 – $3,991.54 | 66 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $439.68 | $1,832.00 | $1,368.53 – $3,991.54 | 66 |
| Cltx lunate dislc w/mnpj CPT 25690 | $1,117.20 | $4,655.00 | $1,368.53 – $3,991.54 | 66 |
| Cltx post ankle fx w/mnpj CPT 27768 | $439.68 | $1,832.00 | $1,368.53 – $3,991.54 | 66 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $439.68 | $1,832.00 | $1,368.53 – $3,991.54 | 66 |
| #cmvcul-virus inoculation shell CPT 87254 | $32.40 | $135.00 | $18.78 – $54.77 | 67 |
| Cmv pcr-sendout CPT 87496 | $27.36 | $114.00 | $33.69 – $98.25 | 67 |
| Cocaine 4 % nasal solution HCPCS C9046 | $1,386.75 | $5,778.12 | $1.53 – $1.53 | 1 |
| Cold agglutinin titer CPT 86157 | $89.04 | $371.00 | $7.74 – $22.57 | 67 |
| Colistimethate sodium inj HCPCS J0770 | $46.63 | $194.29 | $12.28 – $12.28 | 1 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $104.40 | $435.00 | $110.23 – $321.50 | 67 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $109.68 | $457.00 | $110.23 – $321.50 | 67 |
| Collection of venous blood by venipuncture CPT 36415 | $9.12 | $38.00 | $3.80 – $25.45 | 67 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $779.62 – $2,273.88 | 66 |
| Colonoscopy flex w/rem of tumor(s)/polyp(s)/lesion(s) by hot biopsy(s) forceps (rest meth ii cah) CPT 45384 | not published | not published | $1,008.24 – $2,940.70 | 66 |
| Colonoscopy stoma w/snare 44394 CPT 44394 | not published | not published | $1,008.24 – $2,940.70 | 66 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $1,008.24 – $2,940.70 | 66 |
| Colonoscopy w/control bleed CPT 45382 | $310.08 | $1,292.00 | $1,008.24 – $2,940.70 | 66 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $1,008.24 – $2,940.70 | 66 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $1,008.24 – $2,940.70 | 66 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $2,201.76 | $9,174.00 | $2,718.84 – $7,929.96 | 66 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $72.48 | $302.00 | $21.00 – $427.39 | 67 |
| Compatibility test each unit electronic CPT 86923 | $58.80 | $245.00 | $54.83 – $427.39 | 67 |
| Compatibility test each unit immediate spin technique CPT 86920 | $84.96 | $354.00 | $27.00 – $427.39 | 67 |
| Complement antigen each component c3 CPT 86160 | $175.92 | $733.00 | $11.52 – $33.60 | 67 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $739.92 | $3,083.00 | $523.44 – $1,526.70 | 66 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $739.92 | $3,083.00 | $523.44 – $1,526.70 | 66 |
| Complx repair enel addl 5cm/< 13153 CPT 13153 | $100.32 | $418.00 | $110.70 – $110.70 | 1 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $473.04 | $1,971.00 | $341.64 – $996.46 | 66 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $739.92 | $3,083.00 | $523.44 – $1,526.70 | 66 |
| Complx repair fccmnaxghf 13133 CPT 13133 | $473.04 | $1,971.00 | $102.21 – $102.21 | 1 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $161.28 | $672.00 | $67.04 – $67.04 | 1 |
| Concentration infection agents any type CPT 87015 | $62.88 | $262.00 | $6.41 – $18.70 | 67 |
| Condylomata destruction 56420 CPT 56420 | $68.88 | $287.00 | $172.02 – $501.73 | 66 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $252.48 | $1,052.00 | $112.76 – $2,037.42 | 67 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $9.12 | $38.00 | $40.39 – $40.39 | 1 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $68.88 | $287.00 | $124.91 – $427.39 | 67 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $62.64 | $261.00 | $33.56 – $97.89 | 67 |
| Contrast baths charges CPT 97034 | $47.76 | $199.00 | $9.40 – $15.06 | 3 |
| Contrast x-ray gallbladder CPT 74290 | $137.28 | $572.00 | $152.23 – $444.00 | 66 |
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.