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 |
|---|---|---|---|---|
| Repair rpr lip full thickness vermilion only CPT 40650 | $647.55 | $1,439.00 | $445.63 – $454.54 | 3 |
| Repair throat wound CPT 42900 | $1,233.00 | $2,740.00 | $1,296.24 – $1,322.16 | 3 |
| Repair tongue lac <2.5cm past 1/3 tongue 41251 CPT 41251 | $124.65 | $277.00 | $203.21 – $207.27 | 3 |
| Replace duod/jej tube perc CPT 49451 | $534.60 | $1,188.00 | $820.44 – $836.85 | 3 |
| Replace g/c tube perc CPT 49450 | $1,050.30 | $2,334.00 | $610.00 – $836.85 | 4 |
| Reptilase test CPT 85635 | $85.95 | $191.00 | $9.85 – $15.28 | 4 |
| #resp virpnl dfa-adenovirus CPT 87260 | $15.75 | $35.00 | $14.43 – $22.14 | 4 |
| Resuscitation cardiopulmonary CPT 92950 | $473.40 | $1,052.00 | $272.50 – $277.95 | 3 |
| Reticulocyte automated CPT 85045 | $88.65 | $197.00 | $3.99 – $7.03 | 4 |
| Revision of cervix CPT 57720 | $3,667.05 | $8,149.00 | $2,782.34 – $2,837.99 | 3 |
| Rev-rem impl neurostim gen-rec CPT 63688 | $2,985.30 | $6,634.00 | $860.00 – $3,069.60 | 4 |
| Rheumatoid factor qualitative CPT 86430 | $40.05 | $89.00 | $6.14 – $10.28 | 4 |
| Rheumatoid factor quantitative CPT 86431 | $40.05 | $89.00 | $5.67 – $10.76 | 4 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | $2,871.15 | $6,380.33 | $7.62 – $11.21 | 4 |
| Rmvl fb upr arm/elbow deep CPT 24201 | $3,337.20 | $7,416.00 | $2,504.52 – $2,554.61 | 3 |
| Rmvl foreign body upper arm/elbow subcutaneous CPT 24200 | $503.55 | $1,119.00 | $1,417.84 – $1,446.20 | 3 |
| Rmvl subq card rhythm mntr CPT 33286 | $881.55 | $1,959.00 | $615.70 – $628.01 | 3 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | $3,933.99 | $8,742.21 | $28.52 – $31.00 | 4 |
| Rsv assay w/optic CPT 87807 | $39.60 | $88.00 | $13.10 – $18.93 | 4 |
| Rubella antibody igg CPT 86762 | $96.75 | $215.00 | $14.39 – $19.36 | 4 |
| Rubeola antibody igg CPT 86765 | $58.05 | $129.00 | $12.88 – $18.86 | 4 |
| Russell viper venom diluted CPT 85613 | $50.40 | $112.00 | $9.58 – $13.33 | 4 |
| Rx metab gen seq alys pnl 6 CPT 81418 | $238.95 | $531.00 | $917.08 – $1,019.69 | 4 |
| Salmonella antibody CPT 86768 | $19.80 | $44.00 | $13.19 – $24.03 | 4 |
| Sarscov coronavirus ag ia CPT 87426 | $83.70 | $186.00 | $35.33 – $40.28 | 4 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $225.45 | $501.00 | $70.29 – $71.70 | 4 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $306.00 | $680.00 | $211.52 – $215.75 | 3 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $430.65 | $957.00 | $93.06 – $94.92 | 3 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $319.05 | $709.00 | $93.06 – $94.92 | 3 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $319.95 | $711.00 | $93.06 – $94.92 | 3 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $459.00 | $1,020.00 | $211.52 – $215.75 | 3 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $266.40 | $592.00 | $93.06 – $94.92 | 3 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $266.40 | $592.00 | $93.06 – $94.92 | 3 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | $50.85 | $113.00 | $26.49 – $30.46 | 4 |
| Screening Colonoscopy (average risk) HCPCS G0121 | $1,163.70 | $2,586.00 | $455.00 – $813.78 | 4 |
| Screening Colonoscopy (high risk) HCPCS G0105 | $775.35 | $1,723.00 | $455.00 – $813.78 | 4 |
| Screening hepatitis c antibody high risk HCPCS G0472 | $150.75 | $335.00 | $15.10 – $47.28 | 4 |
| Screening Mammogram CPT 77067 | $218.25 | $485.00 | $92.46 – $92.46 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | $119.25 | $265.00 | $19.31 – $22.21 | 4 |
| Sedimentation rate erythrocyte automated CPT 85652 | $62.55 | $139.00 | $2.70 – $3.43 | 4 |
| Semen analysis presence/motility CPT 89321 | $58.95 | $131.00 | $12.05 – $18.58 | 4 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $2.43 | $5.39 | $0.01 – $0.01 | 1 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | $4.92 | $10.93 | $0.04 – $0.04 | 1 |
| Shoulder MRI (with and without contrast) CPT 73223 | $2,131.65 | $4,737.00 | $312.52 – $318.77 | 3 |
| Shoulder MRI (without contrast) CPT 73221 | $1,096.20 | $2,436.00 | $211.52 – $215.75 | 3 |
| Shoulder X-ray CPT 73030 | $105.30 | $234.00 | $77.05 – $78.59 | 3 |
| Sickling rbc CPT 85660 | $62.55 | $139.00 | $5.51 – $10.07 | 4 |
| Sigmoidoscopy and biopsy CPT 45331 | not published | not published | $455.00 – $813.78 | 4 |
| Sinus CT scan (with and without contrast) CPT 70488 | $739.80 | $1,644.00 | $155.78 – $158.90 | 3 |
| Sinus CT scan (with contrast) CPT 70487 | $681.30 | $1,514.00 | $155.78 – $158.90 | 3 |
| Sinus CT scan (without contrast) CPT 70486 | $666.90 | $1,482.00 | $93.06 – $94.92 | 3 |
| Skel musc relaxant 3 or more CPT 80370 | $166.95 | $371.00 | $32.00 – $32.00 | 1 |
| Skin Biopsy CPT 11102 | $288.00 | $640.00 | $173.88 – $455.00 | 4 |
| Slitting of prepuce CPT 54001 | $1,196.55 | $2,659.00 | $1,792.61 – $1,828.46 | 3 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $90.45 | $201.00 | $5.39 – $7.50 | 4 |
| Smear gram stain CPT 87205 | $85.95 | $191.00 | $4.27 – $7.12 | 4 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $48.60 | $108.00 | $5.99 – $24.80 | 4 |
| Smear wet mount CPT 87210 | $19.80 | $44.00 | $5.82 – $7.64 | 4 |
| Sodium 24 hour urine CPT 84300 | $12.15 | $27.00 | $5.06 – $9.29 | 4 |
| Sodium serum/plasma/whole blood CPT 84295 | $25.65 | $57.00 | $4.81 – $7.30 | 4 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | $334.12 | $742.50 | $0.60 – $0.60 | 1 |
| Spirometry bronchodilation responsiveness pre/post bronchodilator administration CPT 94060 | $229.05 | $509.00 | $272.50 – $277.95 | 3 |
| Split blood or products CPT 86985 | $93.60 | $208.00 | $33.00 – $152.95 | 4 |
| St analysis behavior qualitative voice/resonance CPT 92524 | $91.80 | $204.00 | $108.00 – $108.00 | 1 |
| St cognitve performance testing healthcare professional each hour CPT 96125 | $78.75 | $175.00 | $111.12 – $111.12 | 1 |
| St evaluate speech sound production CPT 92522 | $73.80 | $164.00 | $105.00 – $105.00 | 1 |
| St evaluate speech sound production comprehensive/expressive CPT 92523 | $177.30 | $394.00 | $217.00 – $217.00 | 1 |
| St evaluation motion fluoroscopic swallow function cine/video CPT 92611 | $78.75 | $175.00 | $98.70 – $98.70 | 1 |
| St evaluation swallow function CPT 92610 | $118.80 | $264.00 | $76.84 – $76.84 | 1 |
| Strapping of ankle and/or ft 29540 CPT 29540 | $88.65 | $197.00 | $138.08 – $140.84 | 3 |
| Strapping of chest CPT 29200 | $103.05 | $229.00 | $138.08 – $140.84 | 3 |
| Strapping of elbow or wrist 29260 CPT 29260 | $88.65 | $197.00 | $51.98 – $87.42 | 4 |
| Strapping of hand or finger CPT 29280 | $88.65 | $197.00 | $51.98 – $87.42 | 4 |
| Strapping of knee CPT 29530 | $68.85 | $153.00 | $112.80 – $182.57 | 4 |
| Strapping of toes 29550 CPT 29550 | $68.85 | $153.00 | $51.98 – $87.42 | 4 |
| Strep a ag ia CPT 87430 | $58.95 | $131.00 | $16.81 – $22.70 | 4 |
| Streptokinase antibody CPT 86590 | $71.55 | $159.00 | $12.66 – $20.22 | 4 |
| Stress test pulmonary CPT 94618 | $100.80 | $224.00 | $112.80 – $182.57 | 4 |
| St treatment speech individual CPT 92507 | $103.95 | $231.00 | $81.00 – $81.00 | 1 |
| St treatment swallow dysfunction/oral CPT 92526 | $91.80 | $204.00 | $91.64 – $91.64 | 1 |
| Surgical pathology level 1 gross examination only CPT 88300 | $24.30 | $54.00 | $20.23 – $21.86 | 4 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | $9.90 | $22.00 | $34.35 – $35.04 | 4 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | $60.75 | $135.00 | $46.28 – $47.70 | 4 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | $65.70 | $146.00 | $46.76 – $78.91 | 4 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | $98.10 | $218.00 | $306.33 – $321.08 | 4 |
| Susceptibility agar dilution per agent CPT 87181 | $7.20 | $16.00 | $4.75 – $5.38 | 4 |
| Susceptibility enzyme detection per enzyme CPT 87185 | $62.10 | $138.00 | $4.75 – $5.38 | 4 |
| Susceptibility mic per plate CPT 87186 | $41.85 | $93.00 | $8.65 – $13.02 | 4 |
| Suscept studies macrobroth dilution ea CPT 87188 | $9.45 | $21.00 | $6.64 – $10.88 | 4 |
| Sweat collection by iontophoresis CPT 89230 | $72.90 | $162.00 | $4.16 – $47.70 | 4 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $4.95 | $11.00 | $4.40 – $6.53 | 4 |
| T3 (triiodothyronine) free CPT 84481 | $93.15 | $207.00 | $16.94 – $29.71 | 4 |
| T3 (triiodothyronine) total CPT 84480 | $73.35 | $163.00 | $14.18 – $24.99 | 4 |
| T4 (thyroxine) free CPT 84439 | $45.00 | $100.00 | $9.02 – $12.51 | 4 |
| T4 (thyroxine) total CPT 84436 | $34.20 | $76.00 | $6.87 – $11.16 | 4 |
| Tacrolimus therapeutic drug level CPT 80197 | $101.25 | $225.00 | $13.73 – $24.21 | 4 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | $1,847.47 | $4,105.50 | $11.52 – $14.25 | 4 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $56.70 | $126.00 | $61.98 – $110.59 | 4 |
| Tc-99m non-heu per study dose HCPCS Q9969 | $4.95 | $11.00 | $10.00 – $10.20 | 4 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | $27.45 | $61.00 | $46.98 – $47.92 | 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.