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 |
|---|---|---|---|---|
| Inj, acetaminophen (hikma) HCPCS J0137 | $14.17 | $31.50 | $0.09 – $0.09 | 1 |
| Inj allopurinol sodium 1 mg HCPCS J0206 | $2,966.10 | $6,591.33 | $4.40 – $5.30 | 4 |
| Inj, bortezomib freseniuskab HCPCS J9048 | $1,601.91 | $3,559.80 | $16.50 – $41.22 | 4 |
| Inj, bortezomib, hospira HCPCS J9049 | $62.32 | $138.48 | $1.65 – $1.65 | 1 |
| Inj cefazolin sodium, baxter HCPCS J0689 | $39.15 | $87.00 | $1.93 – $1.93 | 1 |
| Inj cefazolin sodium, hikma HCPCS J0688 | $16.39 | $36.43 | $1.00 – $1.02 | 3 |
| Inj cefazolin (wg crit care) HCPCS J0687 | $12.15 | $26.99 | $1.11 – $1.17 | 4 |
| Inj. cefepime hcl (baxter) HCPCS J0701 | $179.55 | $399.00 | $9.41 – $9.41 | 1 |
| Inj, cefepime hcl (b braun) HCPCS J0703 | $93.20 | $207.11 | $6.75 – $6.75 | 1 |
| Inj, clindamycin (baxter) HCPCS J0737 | $20.59 | $45.75 | $3.39 – $3.39 | 1 |
| Inj cyclophos dr.reddy's 5mg HCPCS J9072 | $4,725.00 | $10,500.00 | $3.29 – $3.29 | 1 |
| Inj cyclophosphamd auromedic HCPCS J9071 | $314.70 | $699.33 | $0.70 – $2.85 | 4 |
| Inj cyclophosphamd (ingenus) HCPCS J9073 | $1,829.61 | $4,065.81 | $2.19 – $3.30 | 4 |
| Inj, daptomycin (hospira) HCPCS J0877 | $110.83 | $246.30 | $0.12 – $0.12 | 1 |
| Inj daptomycin (xellia) HCPCS J0873 | $40.60 | $90.22 | $0.04 – $0.04 | 3 |
| Inj, decitabine (sun pharma) HCPCS J0893 | $124.89 | $277.53 | $1.56 – $1.56 | 1 |
| Injection anesthetic agent(s) and/or steroid genicular nerve branches w/guidance (both sides) CPT 64454 | $413.10 | $918.00 | $455.00 – $618.13 | 4 |
| Injection carpal tunnel therapeutic (both sides) CPT 20526 | $226.35 | $503.00 | $258.31 – $455.00 | 4 |
| Injection, edaravone, 1 mg HCPCS J1301 | $449.55 | $999.00 | $20.83 – $22.11 | 4 |
| Injection epidural blood patch or clot CPT 62273 | $1,078.65 | $2,397.00 | $455.00 – $618.13 | 4 |
| Injection eye drug CPT 67028 | $222.75 | $495.00 | $290.26 – $296.07 | 3 |
| Injection for bladder x-ray CPT 51600 | $227.25 | $505.00 | $455.00 – $455.00 | 1 |
| Injection for shoulder arthrogram or enhanced ct/mri shoulder arthography (both sides) CPT 23350 | $197.10 | $438.00 | $455.00 – $455.00 | 1 |
| Injection, fulvestrant HCPCS J9395 | $2,159.62 | $4,799.16 | $6.66 – $9.16 | 4 |
| Injection glatiramer acetate HCPCS J1595 | $202.94 | $450.99 | $51.75 – $175.00 | 4 |
| Injection sacroiliac joint anesthesia/steroid without or w/arthrography (both sides) HCPCS G0260 | $650.70 | $1,446.00 | $455.00 – $618.13 | 4 |
| Injection(s) anesthetic agent(s) and/or steroid other peripheral nerve/branch (both sides) CPT 64450 | $475.20 | $1,056.00 | $455.00 – $618.13 | 4 |
| Injection(s) anesthetic agent(s)/steroid lumb/s transforaminal epidural w/img single (both sides) CPT 64483 | $900.90 | $2,002.00 | $455.00 – $794.65 | 4 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic 2nd level CPT 64491 | $234.00 | $520.00 | $455.00 – $455.00 | 1 |
| Injection(s) diagnostic/therapeutic agent facet cervical/thoracic single level CPT 64490 | $668.70 | $1,486.00 | $455.00 – $794.65 | 4 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral 2nd level w/image guidance CPT 64494 | $234.00 | $520.00 | $455.00 – $455.00 | 1 |
| Injection(s) diagnostic/therapeutic agent facet lumbar/sacral single level CPT 64493 | $695.25 | $1,545.00 | $455.00 – $794.65 | 4 |
| Injection(s) epidural/subarachnoid cervical/thoracic needle placement w/guidance CPT 62321 | $413.10 | $918.00 | $455.00 – $618.13 | 4 |
| Injection(s) epidural/subarachnoid lumbar/sacral needle placement w/guidance CPT 62323 | $413.10 | $918.00 | $455.00 – $618.13 | 4 |
| Injection(s) tendon sheath/ligament aponeurosis single (both sides) CPT 20550 | $300.15 | $667.00 | $258.31 – $263.48 | 3 |
| Injection(s) trigger point(s) single/multiple 1 or 2 muscle(s) CPT 20552 | $227.70 | $506.00 | $258.31 – $263.48 | 3 |
| Injection(s) trigger point(s) single/multiple >= 3 muscle(s) CPT 20553 | $369.45 | $821.00 | $258.31 – $455.00 | 4 |
| Injection therapeutic/prophylactic/diagnostic each addl sequential IV push new substance/drug CPT 96375 | $64.80 | $144.00 | $40.38 – $41.19 | 3 |
| Injection therapeutic/prophylactic/diagnostic IV push single/initial substance/drug CPT 96374 | $96.75 | $215.00 | $184.37 – $188.06 | 3 |
| Injection therapeutic/prophylactic/diagnostic subcutaneous/im CPT 96372 | $64.80 | $144.00 | $62.28 – $100.68 | 4 |
| Inject sacroiliac joint CPT 27096 | $413.10 | $918.00 | $89.62 – $455.00 | 2 |
| Inj, epinephrine (belcher) HCPCS J0173 | $2,743.03 | $6,095.62 | $0.86 – $0.86 | 1 |
| Inj, fosaprepitant (teva) HCPCS J1456 | $89.14 | $198.09 | $0.44 – $1.57 | 4 |
| Inj, fulvestrant (fresenius) HCPCS J9394 | $1,144.81 | $2,544.02 | $12.26 – $45.00 | 4 |
| Inj gemcitabine hcl (accord) HCPCS J9196 | $130.65 | $290.34 | $9.52 – $9.52 | 1 |
| Inj glycopyrrolate fres kabi HCPCS J1598 | $27.41 | $60.91 | $2.02 – $2.44 | 4 |
| Inj heparin, pfizer, 1000u HCPCS J1643 | $19.44 | $43.20 | $0.26 – $0.26 | 1 |
| Inj, idacio, 1 mg HCPCS Q5144 | $1,122.74 | $2,494.98 | $15.02 – $17.53 | 4 |
| Inj intralesional <= 7 lsn(s) CPT 11900 | $267.75 | $595.00 | $173.88 – $286.13 | 4 |
| Inj labetalol hcl hikma, 5mg HCPCS J1921 | $9.83 | $21.86 | $2.34 – $2.34 | 1 |
| Inj, lanreotide, (cipla) 1mg HCPCS J1932 | $7,618.20 | $16,929.33 | $30.68 – $52.92 | 4 |
| Inj levoleucovorin nos 0.5mg HCPCS J0641 | $215.05 | $477.90 | $0.07 – $0.07 | 1 |
| Inj, linezolid (hospira) HCPCS J2021 | $202.50 | $450.00 | $18.15 – $18.15 | 1 |
| Inj melpha hydroch nos 50 mg HCPCS J9245 | $1,292.73 | $2,872.73 | $133.69 – $160.59 | 4 |
| Inj, meropenem (b. braun) HCPCS J2184 | $93.39 | $207.52 | $3.20 – $3.20 | 1 |
| Inj meropenem (wg crit care) HCPCS J2183 | $97.60 | $216.88 | $1.58 – $1.68 | 4 |
| Inj, micafungin (par pharm) HCPCS J2247 | $121.88 | $270.85 | $1.17 – $1.17 | 1 |
| Inj. mycophenolate mofetil HCPCS J7519 | $226.35 | $503.01 | $0.79 – $0.79 | 1 |
| Inj pantoprazole(hikma) 40mg HCPCS J2471 | $41.06 | $91.25 | $6.24 – $6.24 | 1 |
| Inj pemetrexed (accord) 10mg HCPCS J9296 | $1,304.48 | $2,898.84 | $9.10 – $9.93 | 4 |
| Inj pemetrexed (sandoz) 10mg HCPCS J9297 | $61.96 | $137.70 | $1.41 – $1.41 | 1 |
| Inj pemetrexed (teva) 10mg HCPCS J9314 | $1,982.50 | $4,405.56 | $7.14 – $17.84 | 4 |
| Inj romidepsin non-lyo 0.1mg HCPCS J9318 | $9,938.78 | $22,086.17 | $28.52 – $29.09 | 4 |
| Inj. tigecycline (accord) HCPCS J3244 | $390.99 | $868.86 | $1.95 – $1.95 | 1 |
| Inj, vancomycin hcl (mylan) HCPCS J3371 | $132.27 | $293.93 | $6.27 – $6.27 | 1 |
| Inj, vancomycin hcl (xellia) HCPCS J3372 | $45.90 | $102.00 | $5.98 – $5.98 | 1 |
| Inj vasopressin (am reg) 1 u HCPCS J2599 | $78.02 | $173.38 | $1.95 – $1.95 | 1 |
| Insert cath pleura without image CPT 32556 | $959.40 | $2,132.00 | $1,660.02 – $1,693.22 | 3 |
| Insertion catheter bladder non indwelling CPT 51701 | $126.90 | $282.00 | $112.80 – $455.00 | 5 |
| Insertion catheter bladder temporary simple CPT 51702 | $144.00 | $320.00 | $112.80 – $455.00 | 5 |
| Insertion nontunneled centrally inserted central venous catheter >= 5 years old CPT 36556 | $1,869.30 | $4,154.00 | $455.00 – $2,809.40 | 4 |
| Insertion of heart electrode 33211 CPT 33211 | $8,167.05 | $18,149.00 | $1,185.00 – $7,386.98 | 4 |
| Insertion peripherally inserted central venous catheter (picc) without port/pump/img gud >= 5 years CPT 36569 | $1,869.30 | $4,154.00 | $455.00 – $1,386.57 | 4 |
| Insertion picc without port or pump with imaging guidance=>5y CPT 36573 | $2,108.70 | $4,686.00 | $610.00 – $1,386.57 | 4 |
| Insertion/replacement temporary single chamber electrode/pacemaker catheter CPT 33210 | $8,873.10 | $19,718.00 | $1,185.00 – $7,386.98 | 4 |
| Insertion tunneled centrally inserted central venous access device with port >= 5 years old (both sides) CPT 36561 | $3,655.35 | $8,123.00 | $860.00 – $2,809.40 | 4 |
| Ins/rplc spi npg/rcvr pocket CPT 63685 | $25,469.55 | $56,599.00 | $1,840.00 – $27,200.17 | 4 |
| Instillation anticarcinogenic agent bladder CPT 51720 | $456.75 | $1,015.00 | $455.00 – $595.77 | 4 |
| Insulin total CPT 83525 | $56.70 | $126.00 | $11.43 – $18.38 | 4 |
| Intrinsic factor antibody CPT 86340 | $27.45 | $61.00 | $15.08 – $26.56 | 4 |
| Intubation endotracheal emergency procedure CPT 31500 | $373.05 | $829.00 | $203.21 – $455.00 | 4 |
| Iron CPT 83540 | $93.60 | $208.00 | $6.47 – $11.02 | 4 |
| Iron binding capacity CPT 83550 | $50.40 | $112.00 | $8.74 – $15.58 | 4 |
| Irrigation implantable venous access device for drug delivery systems CPT 96523 | $117.45 | $261.00 | $51.98 – $87.42 | 4 |
| IV infusion therapy/prophylaxis/diagnosis addl sequential infusion new drug/substance > 1 hour CPT 96367 | $64.80 | $144.00 | $62.28 – $63.53 | 3 |
| IV infusion therapy/prophylaxis/diagnosis each additional 1 hour CPT 96366 | $24.30 | $54.00 | $40.38 – $41.19 | 3 |
| IV infusion therapy/prophylaxis/diagnosis initial up to 1 hour CPT 96365 | $240.75 | $535.00 | $184.37 – $188.06 | 3 |
| John cunningham antibody CPT 86711 | $26.10 | $58.00 | $16.89 – $22.10 | 4 |
| Ketamine and metabolite screen - quest CPT 80357 | $166.95 | $371.00 | $34.00 – $34.00 | 1 |
| Ketone body(s) beta-hydroxybutyrate quantitative CPT 82010 | $45.90 | $102.00 | $8.17 – $12.22 | 4 |
| Ketorolac 15 mg/ml injection (wrapper) HCPCS J1885 | $28.52 | $63.37 | $0.66 – $0.67 | 3 |
| Kidney (Retroperitoneal) Ultrasound (complete) CPT 76770 | $374.85 | $833.00 | $93.06 – $94.92 | 3 |
| Kit gene analys d816 variant CPT 81273 | $70.20 | $156.00 | $124.87 – $148.66 | 4 |
| Knee MRI (with and without contrast) CPT 73723 | $2,131.65 | $4,737.00 | $312.52 – $318.77 | 3 |
| Knee MRI (without contrast) CPT 73721 | $1,096.20 | $2,436.00 | $211.52 – $215.75 | 3 |
| Knee X-ray CPT 73564 | $130.50 | $290.00 | $93.06 – $94.92 | 3 |
| Kras gene variants exon 2 CPT 81275 | $175.95 | $391.00 | $193.25 – $213.25 | 4 |
| Labetalol 5 mg/ml IV (wrapper) HCPCS J1920 | $68.71 | $152.70 | $0.20 – $0.20 | 1 |
| Lactate dehydrogenase (ldh) CPT 83615 | $32.40 | $72.00 | $6.04 – $10.88 | 4 |
| Lactic acid CPT 83605 | $46.80 | $104.00 | $11.57 – $12.09 | 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.