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 |
|---|---|---|---|---|
| Cyclophosphamide 25 mg capsule HCPCS J8530 | $3.82 | $15.90 | $0.88 – $0.88 | 1 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | $65.15 | $271.46 | $68.13 – $68.13 | 1 |
| Cyclosporine 2 hour CPT 80158 | $160.08 | $667.00 | $17.33 – $50.54 | 67 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | $1.17 | $4.89 | $0.85 – $0.85 | 1 |
| Cyclosporine oral 100 mg HCPCS J7502 | $36.02 | $150.06 | $2.39 – $2.39 | 1 |
| Cyp2d6 gene com variants CPT 81226 | $285.12 | $1,188.00 | $432.87 – $1,262.55 | 67 |
| Cystatin c CPT 82610 | $12.48 | $52.00 | $17.78 – $51.86 | 67 |
| Cystic fibrosis cftr CPT 81223 | $404.16 | $1,684.00 | $479.04 – $1,397.20 | 67 |
| Cystine urine quantitative CPT 82131 | $69.60 | $290.00 | $22.06 – $64.34 | 67 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $145.20 | $605.00 | $305.39 – $890.71 | 66 |
| Cystoscopy and treatment CPT 52310 | $1,315.92 | $5,483.00 | $1,751.70 – $5,109.13 | 66 |
| Cystoscopy (Bladder Scope) CPT 52000 | $385.92 | $1,608.00 | $570.76 – $1,664.71 | 66 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $637.92 | $2,658.00 | $1,751.70 – $5,109.13 | 66 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | $13.33 | $55.56 | $0.77 – $0.77 | 1 |
| Cytogenetics 25-99 CPT 88274 | $93.60 | $390.00 | $40.68 – $118.66 | 67 |
| Cytogenomic neo microra alys CPT 81277 | $977.28 | $4,072.00 | $1,113.60 – $3,248.00 | 67 |
| Cytogenom microarray copy nmbr var CPT 81228 | $1,302.48 | $5,427.00 | $864.00 – $2,520.00 | 67 |
| Cytog genom-wid alys hem mal CPT 81195 | $909.84 | $3,791.00 | $1,212.99 – $3,537.88 | 66 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $63.60 | $265.00 | $13.81 – $40.29 | 67 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $63.60 | $265.00 | $16.18 – $47.18 | 67 |
| Cytomegalovirus dfa CPT 87271 | $92.88 | $387.00 | $12.88 – $37.58 | 67 |
| Cytopath fl nongyn filter CPT 88106 | $15.12 | $63.00 | $20.94 – $67.55 | 67 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $45.84 | $191.00 | $45.69 – $133.25 | 67 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $60.48 | $252.00 | $19.45 – $56.73 | 67 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $15.12 | $63.00 | $33.56 – $97.89 | 67 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | $15.12 | $63.00 | $33.56 – $97.89 | 67 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $2.40 | $10.00 | $21.79 – $21.79 | 1 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $58.32 | $243.00 | $70.12 – $427.39 | 67 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $33.36 | $139.00 | $45.69 – $153.98 | 67 |
| Cytopath smear other source CPT 88160 | $29.04 | $121.00 | $20.94 – $72.47 | 67 |
| Cytopath smear oth prep screen & interp CPT 88161 | $15.12 | $63.00 | $20.94 – $79.31 | 67 |
| Cytopath tbs c/v manual CPT 88164 | $45.84 | $191.00 | $17.46 – $50.93 | 67 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $257.52 | $1,073.00 | $146.53 – $528.49 | 67 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $8.17 | $34.05 | $4.27 – $4.27 | 1 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,011.46 | $4,214.43 | $311.81 – $909.44 | 68 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $741.80 | $3,090.83 | $0.03 – $0.03 | 1 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | $29.97 | $124.87 | $0.04 – $0.50 | 67 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $205.82 | $857.58 | $22.58 – $65.86 | 68 |
| Dch pulmonary stress test CPT 94621 | $472.08 | $1,967.00 | $266.28 – $776.66 | 66 |
| Dch validity tests CPT 81002 | $48.48 | $202.00 | $3.34 – $9.74 | 67 |
| Deamidated gliadin antibody iga CPT 86258 | $9.12 | $38.00 | $11.57 – $33.74 | 67 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $394.08 | $1,642.00 | $523.44 – $1,526.70 | 66 |
| Debridement (>20 cm) charge pt CPT 97598 | $180.72 | $753.00 | $25.82 – $25.82 | 1 |
| Debridement bone <= 20 sq cm CPT 11044 | $498.96 | $2,079.00 | $1,385.48 – $4,040.99 | 66 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $184.56 | $769.00 | $44.57 – $44.57 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $498.96 | $2,079.00 | $78.04 – $78.04 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $175.92 | $733.00 | $341.64 – $996.46 | 66 |
| Debride nail1-5 11720 CPT 11720 | $79.20 | $330.00 | $50.79 – $148.15 | 67 |
| Debride nail6 or more 11721 CPT 11721 | $79.20 | $330.00 | $50.79 – $148.15 | 67 |
| Debride skin bone at fx site CPT 11012 | $834.24 | $3,476.00 | $2,447.37 – $7,138.15 | 66 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $175.92 | $733.00 | $21.15 – $21.15 | 1 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $290.64 | $1,211.00 | $601.65 – $1,754.82 | 66 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $271.20 | $1,130.00 | $523.44 – $1,526.70 | 66 |
| Decalcification CPT 88311 | $9.12 | $38.00 | $15.49 – $15.49 | 1 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $588.06 | $2,450.27 | $1.63 – $1.63 | 1 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $324.96 | $1,354.00 | $283.63 – $827.26 | 66 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $68.62 | $285.92 | $6.78 – $6.78 | 1 |
| Delivery of placenta 59414 CPT 59414 | $1,164.00 | $4,850.00 | $2,718.84 – $7,929.96 | 66 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $62.40 | $260.00 | $110.23 – $321.50 | 67 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $535.21 | $2,230.05 | $4.75 – $13.86 | 68 |
| Desoxycorticosterone CPT 82633 | $127.44 | $531.00 | $29.74 – $86.74 | 67 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $394.08 | $1,642.00 | $341.64 – $996.46 | 66 |
| Destruction anal lesion(s) CPT 46910 | not published | not published | $1,564.20 – $4,562.24 | 66 |
| Destruction benign lesions < 14 lesions CPT 17110 | $59.52 | $248.00 | $169.91 – $495.57 | 67 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | not published | not published | $57.56 – $57.56 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | not published | not published | $1,669.83 – $4,870.35 | 66 |
| Detect agent nos dna dir CPT 87797 | $18.00 | $75.00 | $28.83 – $84.08 | 67 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $97.12 | $404.68 | $0.04 – $0.04 | 1 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $56.54 | $235.57 | $0.11 – $0.11 | 1 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $130.55 | $543.96 | $77.64 – $226.46 | 68 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $55.20 | $230.00 | $1.14 – $1.14 | 1 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $60.72 | $253.00 | $7.95 – $7.95 | 1 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $44.16 | $184.00 | $1.82 – $1.82 | 1 |
| Dextrose 5 % IV bolus HCPCS J7070 | $66.24 | $276.00 | $3.65 – $3.65 | 1 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $142.80 | $595.00 | $21.34 – $62.24 | 67 |
| Diabetes (HbA1c) Test CPT 83036 | $44.88 | $187.00 | $9.32 – $27.19 | 67 |
| Diab manage trn ind/group HCPCS G0109 | $8.40 | $35.00 | $10.22 – $16.95 | 3 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $25.20 | $105.00 | $131.44 – $185.85 | 3 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $25.20 | $105.00 | $103.86 – $151.20 | 3 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $52.80 | $220.00 | $166.01 – $484.20 | 66 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $189.36 | $789.00 | $112.16 – $131.44 | 3 |
| Diagnostic Mammogram (one breast) CPT 77065 | $151.44 | $631.00 | $87.51 – $103.86 | 3 |
| Diagnostic radio unlisted proc CPT 76499 | $64.32 | $268.00 | $75.29 – $219.60 | 66 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $110.91 | $462.12 | $5.83 – $5.83 | 1 |
| Dicyclomine injection HCPCS J0500 | $64.94 | $270.59 | $15.87 – $15.87 | 1 |
| Diffusing capacity CPT 94729 | $101.52 | $423.00 | $58.63 – $58.63 | 1 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $5.23 | $21.78 | $15.72 – $15.72 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $71.04 | $296.00 | $12.75 – $37.18 | 67 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $218.72 | $911.34 | $48.08 – $48.08 | 1 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $801.72 – $2,338.34 | 66 |
| Dilate urethra stricture CPT 53600 | $187.44 | $781.00 | $207.97 – $606.59 | 66 |
| Dilation of anal sphincter CPT 45905 | not published | not published | $1,008.24 – $2,940.70 | 66 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $623.52 | $2,598.00 | $570.76 – $1,664.71 | 66 |
| Dilator fascial 10fx20cm HCPCS C2627 | $37.44 | $156.00 | $73.04 – $73.04 | 1 |
| Dimenhydrinate injection HCPCS J1240 | $9.67 | $40.31 | $8.30 – $8.30 | 1 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.15 | $0.61 | $0.02 – $0.02 | 1 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $19.15 | $79.80 | $0.75 – $0.75 | 1 |
| Dipyridamole injection HCPCS J1245 | $31.32 | $130.50 | $3.82 – $3.82 | 1 |
| Disability dlco CPT 94727 | $136.56 | $569.00 | $133.80 – $390.24 | 66 |
| Disaccharidases CPT 82657 | $179.52 | $748.00 | $21.28 – $62.08 | 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.