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 |
|---|---|---|---|---|
| Clsd tx/metacarpal fx/sg without manip 26600 CPT 26600 | $256.95 | $571.00 | $209.91 – $214.11 | 3 |
| Clsd tx/metacarpal fx/sng/w manip 26605 CPT 26605 | $135.90 | $302.00 | $209.91 – $214.11 | 3 |
| Clsd tx metatarsal fracture w/manip 28475 CPT 28475 | $135.90 | $302.00 | $209.91 – $214.11 | 3 |
| Clsd tx of ankle fracture w/manip 28435 CPT 28435 | $831.15 | $1,847.00 | $1,400.49 – $1,428.50 | 3 |
| Clsd tx patella disloc without anes 27560 CPT 27560 | $103.95 | $231.00 | $209.91 – $214.11 | 3 |
| Clsd tx/patellar fx without manip 27520 CPT 27520 | $367.20 | $816.00 | $209.91 – $214.11 | 3 |
| Clsd tx prox fib/shaft fx w/manip 27781 CPT 27781 | $871.20 | $1,936.00 | $1,400.49 – $1,428.50 | 3 |
| Clsd tx/prox/mid phalnx fx/no manp 26720 CPT 26720 | $109.80 | $244.00 | $209.91 – $214.11 | 3 |
| Clsd tx radius fracture w/manip 24655 CPT 24655 | $125.55 | $279.00 | $1,400.49 – $1,428.50 | 3 |
| Clsd tx shoulder dislc/fx 23665 CPT 23665 | $871.20 | $1,936.00 | $1,400.49 – $1,428.50 | 3 |
| Clsd tx shoulder disloc w/anatom neck fx w/manip 23675 CPT 23675 | $871.20 | $1,936.00 | $1,400.49 – $1,428.50 | 3 |
| Clsd tx/shoulder dislo/manip/anest 23655 CPT 23655 | $1,974.15 | $4,387.00 | $1,400.49 – $1,428.50 | 3 |
| Clsd tx temporomandibular dislocat 21480 CPT 21480 | $117.90 | $262.00 | $209.91 – $214.11 | 3 |
| Clsd tx toe dislocation without anes28660 CPT 28660 | $103.95 | $231.00 | $209.91 – $214.11 | 3 |
| Clsd tx trimall ankle fx without manip 27816 CPT 27816 | $141.30 | $314.00 | $209.91 – $214.11 | 3 |
| Clsd tx trimall ankle fx w/manip 27818 CPT 27818 | $655.20 | $1,456.00 | $1,400.49 – $1,428.50 | 3 |
| Clsd tx wrist trans-scaph fx w/manip 25680 CPT 25680 | $136.35 | $303.00 | $209.91 – $214.11 | 3 |
| Cls tx of heel fracture w/manip 28405 CPT 28405 | $188.10 | $418.00 | $209.91 – $214.11 | 3 |
| Cltx carpl scphd fx w/mnpj CPT 25624 | $2,014.20 | $4,476.00 | $1,400.49 – $1,428.50 | 3 |
| Cltx gr hmrl tbrs fx w/mnpj CPT 23625 | $831.15 | $1,847.00 | $1,400.49 – $1,428.50 | 3 |
| Cltx humrl cndylr fx w/mnpj CPT 24577 | $871.20 | $1,936.00 | $1,400.49 – $1,428.50 | 3 |
| Cltx lunate dislc w/mnpj CPT 25690 | $2,094.75 | $4,655.00 | $1,400.49 – $1,428.50 | 3 |
| Cltx post ankle fx w/mnpj CPT 27768 | $871.20 | $1,936.00 | $1,400.49 – $1,428.50 | 3 |
| Cltx scap fx w/mnpj +-tractj CPT 23575 | $871.20 | $1,936.00 | $1,400.49 – $1,428.50 | 3 |
| Cmv pcr-sendout CPT 87496 | $321.30 | $714.00 | $35.09 – $54.13 | 4 |
| Collection blood specimen from completely implantable venous access device CPT 36591 | $101.70 | $226.00 | $112.80 – $182.57 | 4 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $101.70 | $226.00 | $112.80 – $182.57 | 4 |
| Collection of venous blood by venipuncture CPT 36415 | $12.15 | $27.00 | $3.80 – $9.27 | 4 |
| Colonoscopy (diagnostic) CPT 45378 | not published | not published | $610.00 – $813.78 | 4 |
| Colonoscopy submucous njx CPT 45381 | not published | not published | $610.00 – $1,052.43 | 4 |
| Colonoscopy w/control bleed CPT 45382 | not published | not published | $610.00 – $1,052.43 | 4 |
| Colonoscopy w/fb removal CPT 45379 | not published | not published | $610.00 – $1,052.43 | 4 |
| Colonoscopy (with biopsy) CPT 45380 | not published | not published | $610.00 – $1,052.43 | 4 |
| Colonoscopy (with polyp removal) CPT 45385 | not published | not published | $610.00 – $1,052.43 | 4 |
| Colonoscopy w/resection CPT 45390 | not published | not published | $610.00 – $2,447.81 | 4 |
| Colporrhapy/vag injury sut/non ob 57200 CPT 57200 | $4,128.30 | $9,174.00 | $2,782.34 – $2,837.99 | 3 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $68.40 | $152.00 | $21.00 – $152.95 | 4 |
| Compatibility test each unit electronic CPT 86923 | $153.00 | $340.00 | $54.83 – $152.95 | 4 |
| Compatibility test each unit immediate spin technique CPT 86920 | $153.00 | $340.00 | $27.00 – $152.95 | 4 |
| Compatibility test incubate CPT 86921 | $28.80 | $64.00 | $32.00 – $152.95 | 4 |
| Complement antigen each component c3 CPT 86160 | $97.20 | $216.00 | $12.00 – $20.47 | 4 |
| Complx repair enel 1.1-2.5 cm 13151 CPT 13151 | $416.70 | $926.00 | $535.66 – $546.37 | 3 |
| Complx repair enel 2.6-7.5 cm 13152 CPT 13152 | $227.70 | $506.00 | $535.66 – $546.37 | 3 |
| Complx repair fccmnaxghf 13131 CPT 13131 | $330.75 | $735.00 | $349.62 – $356.61 | 3 |
| Complx repair fccmnaxghf 13132 CPT 13132 | $283.95 | $631.00 | $535.66 – $546.37 | 3 |
| Complx repair sal addl 5 cm/> 13122 CPT 13122 | $141.30 | $314.00 | $455.00 – $455.00 | 1 |
| Complx repair trunk 1.1-2.5 cm 13100 CPT 13100 | $229.05 | $509.00 | $535.66 – $546.37 | 3 |
| Concentration infection agents any type CPT 87015 | $28.35 | $63.00 | $6.68 – $6.81 | 4 |
| Condylomata destruction 56420 CPT 56420 | $139.05 | $309.00 | $176.04 – $179.56 | 3 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | $117.45 | $261.00 | $34.35 – $79.54 | 4 |
| Contrast baths charges CPT 97034 | $32.85 | $73.00 | $15.06 – $15.06 | 1 |
| Control nosebleed pack+caut 30905 CPT 30905 | $113.40 | $252.00 | $112.80 – $115.06 | 3 |
| Control of nosebleed ant comp 30903 CPT 30903 | $97.20 | $216.00 | $112.80 – $115.06 | 3 |
| Control of nosebleedantersmpl 30901 CPT 30901 | $80.55 | $179.00 | $112.80 – $182.57 | 4 |
| Control oropharyngeal hemorr/simp 42960 CPT 42960 | $162.45 | $361.00 | $445.63 – $454.54 | 3 |
| Coombs direct CPT 86880 | $58.05 | $129.00 | $7.50 – $53.02 | 4 |
| Coronary thrombolysis/iv infusion 92977 CPT 92977 | $283.50 | $630.00 | $290.26 – $296.07 | 3 |
| Cortisol total am CPT 82533 | $162.90 | $362.00 | $16.30 – $30.77 | 4 |
| Co-treatment - group 15 mins, st CPT 92508 | $158.85 | $353.00 | $26.00 – $26.00 | 1 |
| Counseling smoke cess interm >10mins CPT 99407 | $53.10 | $118.00 | $26.07 – $26.59 | 3 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $58.50 | $130.00 | $36.33 – $37.06 | 3 |
| Covid-19 convalescent plasma HCPCS C9507 | $1,138.95 | $2,531.00 | $372.45 – $563.65 | 4 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 1st dose HCPCS M0249 | $710.55 | $1,579.00 | $394.22 – $402.10 | 3 |
| Covid-19 IV infusion and post admin monitoring tocilizumab 2nd dose HCPCS M0250 | $710.55 | $1,579.00 | $394.22 – $402.10 | 3 |
| Covid-19 lab test non-cdc HCPCS U0002 | $83.70 | $186.00 | $48.74 – $52.34 | 4 |
| #covid19rsv-rsv CPT 87634 | $102.60 | $228.00 | $70.20 – $105.73 | 4 |
| #coxa-coxsackie a serotype a16 CPT 86658 | $117.45 | $261.00 | $13.03 – $19.54 | 4 |
| C-peptide CPT 84681 | $137.70 | $306.00 | $20.81 – $29.74 | 4 |
| C-reactive protein CPT 86140 | $38.70 | $86.00 | $5.18 – $8.69 | 4 |
| C-reactive protein high sensitivity CPT 86141 | $15.75 | $35.00 | $12.95 – $18.88 | 4 |
| Creatine kinase CPT 82550 | $40.50 | $90.00 | $6.51 – $11.04 | 4 |
| Creatine kinase isoenzymes CPT 82552 | $65.25 | $145.00 | $13.39 – $23.46 | 4 |
| Creatine kinase mb CPT 82553 | $50.40 | $112.00 | $11.55 – $18.42 | 4 |
| Creatinine CPT 82565 | $27.00 | $60.00 | $5.12 – $9.31 | 4 |
| Creatinine 24 hour urine CPT 82570 | $84.15 | $187.00 | $5.18 – $8.69 | 4 |
| Creatinine clearance urine CPT 82575 | $58.50 | $130.00 | $9.46 – $15.82 | 4 |
| Critical care 30-74 minutes CPT 99291 | $553.95 | $1,231.00 | $737.35 – $752.10 | 3 |
| Cryptococcus abs qn - sendout CPT 86641 | $27.00 | $60.00 | $14.41 – $22.14 | 4 |
| Cryptosporidium antigen CPT 87272 | $58.95 | $131.00 | $11.98 – $21.09 | 4 |
| Crystal identification light microscopy CPT 89060 | $84.15 | $187.00 | $7.33 – $26.51 | 4 |
| Cta abdomen without & /or w/contrast CPT 74175 | $1,302.75 | $2,895.00 | $155.78 – $158.90 | 3 |
| Cta abdominal aorta & (both sides) ileofemoral lower extremity w runoff without & w/contrast CPT 75635 | $1,539.90 | $3,422.00 | $155.78 – $158.90 | 3 |
| Cta lower extremity without & w/contrast (both sides) CPT 73706 | $1,539.90 | $3,422.00 | $155.78 – $158.90 | 3 |
| Cta neck without &/or w/contrast CPT 70498 | $972.90 | $2,162.00 | $155.78 – $158.90 | 3 |
| CT Angiogram of Abdomen and Pelvis CPT 74174 | $1,362.60 | $3,028.00 | $312.52 – $318.77 | 3 |
| CT Angiogram of the Chest (for blood clot) CPT 71275 | $1,242.90 | $2,762.00 | $155.78 – $158.90 | 3 |
| CT Angiogram of the Head CPT 70496 | $972.90 | $2,162.00 | $155.78 – $158.90 | 3 |
| CT angio hrt w/3d image CPT 75574 | $1,184.40 | $2,632.00 | $312.52 – $318.77 | 3 |
| Cta upper extremity w &/or without contrast left CPT 73206 | $1,816.65 | $4,037.00 | $155.78 – $158.90 | 3 |
| CT bone density axial CPT 77078 | $364.05 | $809.00 | $77.05 – $78.59 | 3 |
| CT heart w/evaluation of calcium without contrast CPT 75571 | $121.05 | $269.00 | $77.05 – $78.59 | 3 |
| CT limited or localized follow-up study CPT 76380 | $162.00 | $360.00 | $77.05 – $78.59 | 3 |
| CT lower extremity w/contrast (both sides) CPT 73701 | $947.70 | $2,106.00 | $155.78 – $158.90 | 3 |
| CT lower extremity without contrast (both sides) CPT 73700 | $829.35 | $1,843.00 | $93.06 – $94.92 | 3 |
| CT lwr extremity w/o&w/dye CPT 73702 | $1,754.55 | $3,899.00 | $155.78 – $158.90 | 3 |
| CT neck soft tissue w/contrast CPT 70491 | $829.35 | $1,843.00 | $155.78 – $158.90 | 3 |
| CT neck soft tissue without contrast CPT 70490 | $769.50 | $1,710.00 | $93.06 – $94.92 | 3 |
| CT neck soft tissue without & w/contrast CPT 70492 | $887.85 | $1,973.00 | $155.78 – $158.90 | 3 |
| CT orbit/sella/fossa w/wo contrast CPT 70482 | $756.00 | $1,680.00 | $155.78 – $158.90 | 3 |
| CT orbit/sella/ or posterior outer inner or middle ear w/contrast CPT 70481 | $1,394.10 | $3,098.00 | $155.78 – $158.90 | 3 |
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.