45-2896080 MBMC Leake
1100 MS-16 East, Carthage, MS · Baptistonline · · NPI 1205112539
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 |
|---|---|---|---|---|
| 17-hydroxypregnenolone CPT 84143 | $90.90 | $202.00 | $22.81 – $35.47 | 4 |
| 2019-ncov diagnostic p HCPCS U0001 | $58.95 | $131.00 | $34.12 – $36.64 | 4 |
| 5' nucleotidase - sendout CPT 83915 | $22.50 | $50.00 | $11.15 – $20.18 | 4 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $1,124.55 | $2,499.00 | $155.78 – $158.90 | 3 |
| Abdominal CT scan (with contrast) CPT 74160 | $947.70 | $2,106.00 | $155.78 – $158.90 | 3 |
| Abdominal CT scan (without contrast) CPT 74150 | $829.35 | $1,843.00 | $93.06 – $94.92 | 3 |
| Abdominal MRI (with and without contrast) CPT 74183 | $2,131.65 | $4,737.00 | $312.52 – $318.77 | 3 |
| Abdominal MRI (with contrast) CPT 74182 | $1,223.55 | $2,719.00 | $312.52 – $318.77 | 3 |
| Abdominal MRI (without contrast) CPT 74181 | $1,090.80 | $2,424.00 | $211.52 – $215.75 | 3 |
| Abdominal paracentesis w/image guidance CPT 49083 | $379.80 | $844.00 | $820.44 – $836.85 | 3 |
| Abdominal Ultrasound (complete) CPT 76700 | $369.90 | $822.00 | $93.06 – $94.92 | 3 |
| Abdominal Ultrasound (limited) CPT 76705 | $401.85 | $893.00 | $93.06 – $94.92 | 3 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $845.10 | $1,878.00 | $610.00 – $836.85 | 4 |
| Ablation cryo abd perit om CPT 49999 | $1,568.25 | $3,485.00 | $820.44 – $836.85 | 3 |
| Ablation of upper extremity nerves rf CPT 64999 | $354.60 | $788.00 | $258.31 – $263.48 | 3 |
| Acetaminophen level CPT 80143 | $34.65 | $77.00 | $18.64 – $19.88 | 4 |
| Acetone qualitative CPT 82009 | $50.85 | $113.00 | $4.52 – $7.21 | 4 |
| Acetylcholine receptor modulating antibody CPT 86043 | $16.65 | $37.00 | $12.05 – $31.88 | 4 |
| Aco med nutria tx/group, ea 30 min 97804aco CPT 97804 | $19.80 | $44.00 | $16.62 – $16.62 | 1 |
| Acute hepatitis panel CPT 80074 | $146.70 | $326.00 | $47.63 – $62.11 | 4 |
| #acylcarnitineprfl CPT 82017 | $157.50 | $350.00 | $16.87 – $25.89 | 4 |
| Adh-sendout CPT 84588 | $60.75 | $135.00 | $33.94 – $49.31 | 4 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $106.20 | $236.00 | $62.28 – $63.53 | 3 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $831.60 | $1,848.00 | $290.26 – $296.07 | 3 |
| Administration immunization 1 vaccine CPT 90471 | $45.00 | $100.00 | $62.28 – $100.68 | 4 |
| Administration rsv monoclonal ab seasonal dose im w/counseling CPT 96380 | $28.80 | $64.00 | $23.82 – $23.82 | 1 |
| Administration vaccine hepatitis b HCPCS G0010 | $35.10 | $78.00 | $40.38 – $41.19 | 3 |
| Administration vaccine influenza virus HCPCS G0008 | $10.35 | $23.00 | $20.50 – $41.19 | 4 |
| Administration vaccine pneumococcal HCPCS G0009 | $10.35 | $23.00 | $40.38 – $41.19 | 3 |
| Administration vaccine rsv monoclonal ab seasonal dose im CPT 96381 | $24.75 | $55.00 | $20.43 – $20.43 | 1 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | $8,617.59 | $19,150.20 | $27.02 – $41.79 | 4 |
| After cataract laser surgery CPT 66821 | $697.50 | $1,550.00 | $455.00 – $489.67 | 4 |
| Albumin body fluid quantitative each specimen CPT 82042 | $27.00 | $60.00 | $7.78 – $9.56 | 4 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $99.63 | $221.40 | $40.50 – $40.50 | 1 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $99.90 | $222.00 | $41.90 – $54.14 | 4 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $88.65 | $197.00 | $5.78 – $10.79 | 4 |
| Albumin serum plasma or whole blood CPT 82040 | $31.05 | $69.00 | $4.95 – $9.25 | 4 |
| Alkaline phosphatase CPT 84075 | $32.85 | $73.00 | $5.18 – $9.96 | 4 |
| Allergen alpha lactalbumin ige CPT 86008 | $26.10 | $58.00 | $17.93 – $30.68 | 4 |
| Allergen egg white ige CPT 86003 | $16.20 | $36.00 | $5.22 – $7.44 | 4 |
| Alpha-fetoprotein tumor marker CPT 82105 | $55.35 | $123.00 | $16.77 – $17.11 | 4 |
| Alprostadil for injection HCPCS J0270 | $479.57 | $1,065.71 | $7.06 – $7.06 | 1 |
| Alt/sgpt CPT 84460 | $25.65 | $57.00 | $5.30 – $9.37 | 4 |
| Aluminum - quest CPT 82108 | $66.15 | $147.00 | $25.48 – $36.49 | 4 |
| Aminolevulinic acid delta CPT 82135 | $93.60 | $208.00 | $16.45 – $29.55 | 4 |
| Amitriptyline (elavil) -sendout CPT 80335 | $150.75 | $335.00 | $38.00 – $38.00 | 1 |
| Ammonia CPT 82140 | $70.20 | $156.00 | $14.57 – $23.22 | 4 |
| Amp f/th 1/2 jt/phalanx w/neurect local flap CPT 26952 | $1,791.00 | $3,980.00 | $2,839.29 – $2,896.08 | 3 |
| Amphetamine confirm urine -sendout CPT 80324 | $17.10 | $38.00 | $46.00 – $46.00 | 1 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | $633.82 | $1,408.50 | $23.98 – $28.92 | 4 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | $207.00 | $460.00 | $262.99 – $268.25 | 3 |
| Amylase CPT 82150 | $53.10 | $118.00 | $6.48 – $11.03 | 4 |
| Anabolic steroid 1 or 2 CPT 80327 | $159.30 | $354.00 | $51.00 – $51.00 | 1 |
| Ana ds-dna CPT 86226 | $40.50 | $90.00 | $12.11 – $18.60 | 4 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | $94.50 | $210.00 | $49.00 – $49.00 | 1 |
| Analysis gene f2 20210g>a variant CPT 81240 | $90.00 | $200.00 | $65.69 – $79.53 | 4 |
| Analysis gene f5 leiden variant CPT 81241 | $90.00 | $200.00 | $73.37 – $96.02 | 4 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $50.85 | $113.00 | $35.09 – $57.03 | 4 |
| Ankle X-ray CPT 73610 | $118.35 | $263.00 | $77.05 – $78.59 | 3 |
| Anora (draw only) CPT 99001 | $17.10 | $38.00 | $12.60 – $12.60 | 1 |
| Anoscopy remove fb 46608 CPT 46608 | $1,128.15 | $2,507.00 | $797.82 – $813.78 | 3 |
| Antibody elution rbc reference CPT 86860 | $80.10 | $178.00 | $22.00 – $152.95 | 4 |
| Antibody htlv/hiv confirm test CPT 86689 | $113.85 | $253.00 | $19.35 – $32.42 | 4 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $421.65 | $937.00 | $18.37 – $18.74 | 4 |
| Antibody id rbc panel CPT 86870 | $247.05 | $549.00 | $27.00 – $321.08 | 4 |
| Antibody screen rbc CPT 86850 | $68.40 | $152.00 | $13.39 – $47.70 | 4 |
| Antibody tetanus CPT 86774 | $20.70 | $46.00 | $14.80 – $22.03 | 4 |
| Antidepressant tricyclic 3-5 CPT 80336 | $73.80 | $164.00 | $38.00 – $38.00 | 1 |
| Anti mog serum - sendout CPT 86362 | $18.00 | $40.00 | $12.05 – $31.09 | 4 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $18.00 | $40.00 | $12.05 – $31.09 | 4 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $18.00 | $40.00 | $12.05 – $31.88 | 4 |
| Antinuclear antibodies CPT 86038 | $76.50 | $170.00 | $12.09 – $18.60 | 4 |
| Antinuclear antibodies titer CPT 86039 | $54.00 | $120.00 | $11.16 – $18.29 | 4 |
| Antiphosphatidylserine antibody CPT 86148 | $62.55 | $139.00 | $16.07 – $24.36 | 4 |
| Antipsychotics nos 1-3 CPT 80342 | $93.60 | $208.00 | $32.00 – $32.00 | 1 |
| Antistreptolysin o titer CPT 86060 | $80.10 | $178.00 | $7.30 – $7.50 | 4 |
| Antithrombin iii activity CPT 85300 | $13.05 | $29.00 | $11.85 – $17.88 | 4 |
| Apheresis plasma CPT 36514 | $1,333.35 | $2,963.00 | $1,434.50 – $1,463.19 | 3 |
| Apomorphine hydrochloride HCPCS J0364 | $542.00 | $1,204.44 | $34.13 – $34.13 | 1 |
| App high cost ss f/n/g/h/f >100sq cm 1st 100sq cm CPT 15277 | $1,290.60 | $2,868.00 | $610.00 – $1,632.73 | 4 |
| App high cost ss f/n/g/h/f >100sq cm addl 100sq cm CPT 15278 | $129.15 | $287.00 | $455.00 – $455.00 | 1 |
| App high cost ss f/n/g/h/f <100sq cm addl <25sq cm CPT 15276 | $1,290.60 | $2,868.00 | $455.00 – $455.00 | 1 |
| App high cost ss t/a/l >100sq cm 1st 100sq cm CPT 15273 | $832.05 | $1,849.00 | $860.00 – $3,267.71 | 4 |
| App high cost ss t/a/l >100sq cm addl 100sq cm CPT 15274 | $1,290.60 | $2,868.00 | $455.00 – $455.00 | 1 |
| App high cost ss t/a/l <100sq cm addl <25sq cm CPT 15272 | $583.65 | $1,297.00 | $455.00 – $455.00 | 1 |
| Application finger splntstatic 29130 CPT 29130 | $14.40 | $32.00 | $112.80 – $182.57 | 4 |
| Application long leg splint 29505 CPT 29505 | $94.50 | $210.00 | $138.08 – $140.84 | 3 |
| Application lower leg splint 29515 CPT 29515 | $71.10 | $158.00 | $138.08 – $140.84 | 3 |
| Application multi layer compression below knee (both sides) CPT 29581 | $38.70 | $86.00 | $138.08 – $455.00 | 4 |
| Application of cylinder cast 29365 CPT 29365 | $153.00 | $340.00 | $232.40 – $237.05 | 3 |
| Application of forearm cast 29075 CPT 29075 | $141.75 | $315.00 | $232.40 – $237.05 | 3 |
| Application of long arm cast 29065 CPT 29065 | $180.00 | $400.00 | $232.40 – $237.05 | 3 |
| Application of long leg cast 29345 CPT 29345 | $148.05 | $329.00 | $232.40 – $237.05 | 3 |
| Application of paste boot 29580 CPT 29580 | $640.35 | $1,423.00 | $138.08 – $455.00 | 4 |
| Application short leg cast 29405 CPT 29405 | $130.50 | $290.00 | $232.40 – $237.05 | 3 |
| Application skin substitute graft face/scalp/neck/genit/hnd/ft <100 sq cm 1st 25 sq cm CPT 15275 | $1,290.60 | $2,868.00 | $610.00 – $1,632.73 | 4 |
| Application skin substitute graft trunk/arms/legs <100 sq cm 1st 25 sq cm CPT 15271 | $1,290.60 | $2,868.00 | $610.00 – $1,632.73 | 4 |
| Appl modality 1/> areas paraffin bath 97018 CPT 97018 | $39.60 | $88.00 | $5.92 – $5.92 | 1 |
| Appl modality 1/> areas vasopneumatic devices 97016 CPT 97016 | $18.00 | $40.00 | $12.57 – $12.57 | 1 |
| Apply forearm splintdynamic 29126 CPT 29126 | $65.25 | $145.00 | $112.80 – $182.57 | 4 |
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.