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 |
|---|---|---|---|---|
| CT orbit/sella/ or posterior outer inner or middle ear without contrast CPT 70480 | $641.25 | $1,425.00 | $93.06 – $94.92 | 3 |
| Ctrl nosebld postir subsq 30906 CPT 30906 | $98.10 | $218.00 | $203.21 – $207.27 | 3 |
| CT Scan of Abdomen and Pelvis (with and without contrast) CPT 74178 | $1,391.85 | $3,093.00 | $312.52 – $318.77 | 3 |
| CT Scan of Abdomen and Pelvis (with contrast) CPT 74177 | $1,302.75 | $2,895.00 | $312.52 – $318.77 | 3 |
| CT Scan of Abdomen and Pelvis (without contrast) CPT 74176 | $1,012.50 | $2,250.00 | $211.52 – $215.75 | 3 |
| CT thoracic spine w/contrast CPT 72129 | $1,066.05 | $2,369.00 | $155.78 – $158.90 | 3 |
| CT thoracic spine without contrast CPT 72128 | $829.35 | $1,843.00 | $93.06 – $94.92 | 3 |
| CT thorax low dose for lung screening without contrast CPT 71271 | $57.60 | $128.00 | $93.06 – $94.92 | 3 |
| CT t-spine w /wo contrast CPT 72130 | $1,302.75 | $2,895.00 | $155.78 – $158.90 | 3 |
| CT upper extremity w/contrast (both sides) CPT 73201 | $947.70 | $2,106.00 | $312.52 – $318.77 | 3 |
| CT upper extremity without contrast (both sides) CPT 73200 | $829.35 | $1,843.00 | $93.06 – $94.92 | 3 |
| CT uppr extremity w/o&w/dye CPT 73202 | $953.10 | $2,118.00 | $155.78 – $158.90 | 3 |
| Culture aerobic additional method definitive id each CPT 87077 | $41.85 | $93.00 | $8.08 – $11.56 | 4 |
| Culture afb any source CPT 87116 | $46.80 | $104.00 | $10.80 – $17.53 | 4 |
| Culture anaerobic additional method definitive id each CPT 87076 | $95.40 | $212.00 | $8.08 – $10.93 | 4 |
| Culture anaerobic except blood CPT 87075 | $179.55 | $399.00 | $9.47 – $17.72 | 4 |
| Culture bact stool aero addl path ea CPT 87046 | $83.25 | $185.00 | $9.44 – $13.91 | 4 |
| Culture body fluid CPT 87070 | $53.55 | $119.00 | $8.62 – $14.27 | 4 |
| Culture fungi definitive id yeast CPT 87106 | $50.40 | $112.00 | $10.32 – $15.47 | 4 |
| Culture fungi other (except blood) CPT 87102 | $65.25 | $145.00 | $8.41 – $12.30 | 4 |
| Culture fungi skin/hair/nail CPT 87101 | $150.75 | $335.00 | $7.71 – $13.97 | 4 |
| Culture mycoplasma any source CPT 87109 | $53.55 | $119.00 | $15.39 – $21.60 | 4 |
| Culture quantitative aerobic other source CPT 87071 | $17.10 | $38.00 | $9.89 – $14.06 | 4 |
| Culture screening strep group a CPT 87081 | $222.30 | $494.00 | $6.63 – $10.44 | 4 |
| Culture typing immunologic CPT 87147 | $95.40 | $212.00 | $5.18 – $9.33 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate 6 or more targets CPT 87154 | $330.75 | $735.00 | $218.06 – $222.42 | 4 |
| Culture typing nucleic acid probe amplified per culture/isolate each organism CPT 87150 | $49.50 | $110.00 | $35.09 – $51.60 | 4 |
| Culture urine each isolate CPT 87088 | $41.40 | $92.00 | $8.09 – $13.46 | 4 |
| Cyanocobalamin unsat binding capacity CPT 82608 | $48.60 | $108.00 | $14.32 – $25.04 | 4 |
| Cyclic citrullinated peptide antibody CPT 86200 | $45.90 | $102.00 | $12.95 – $23.32 | 4 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | $1,448.21 | $3,218.24 | $0.88 – $1.82 | 4 |
| Cyclosporine 2 hour CPT 80158 | $100.80 | $224.00 | $18.05 – $31.35 | 4 |
| Cystatin c CPT 82610 | $45.90 | $102.00 | $18.52 – $25.81 | 4 |
| Cystic fibrosis cftr CPT 81223 | $757.80 | $1,684.00 | $499.00 – $1,055.53 | 4 |
| Cystine urine quantitative CPT 82131 | $489.15 | $1,087.00 | $22.98 – $27.93 | 4 |
| Cystoscopy and treatment CPT 52310 | $2,501.10 | $5,558.00 | $1,792.61 – $1,828.46 | 3 |
| Cystoscopy (Bladder Scope) CPT 52000 | $723.60 | $1,608.00 | $455.00 – $595.77 | 4 |
| Cystourethroscop/calib/dilat stric 52281 CPT 52281 | $1,150.20 | $2,556.00 | $1,792.61 – $1,828.46 | 3 |
| Cytogenomic neo microra alys CPT 81277 | $1,832.40 | $4,072.00 | $1,160.00 – $1,191.20 | 4 |
| Cytog genom-wid alys hem mal CPT 81195 | $994.50 | $2,210.00 | $1,263.53 – $1,288.80 | 3 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $17.10 | $38.00 | $14.39 – $21.26 | 4 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $125.55 | $279.00 | $16.85 – $23.98 | 4 |
| Cytomegalovirus dfa CPT 87271 | $174.15 | $387.00 | $13.42 – $17.14 | 4 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $84.15 | $187.00 | $46.76 – $78.18 | 4 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $54.45 | $121.00 | $26.61 – $35.28 | 4 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $24.75 | $55.00 | $20.26 – $28.62 | 4 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $482.85 | $1,073.00 | $149.95 – $528.49 | 4 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $1,896.49 | $4,214.43 | $324.80 – $725.70 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | $56.19 | $124.87 | $0.04 – $0.50 | 4 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $385.91 | $857.58 | $23.52 – $38.70 | 4 |
| Dch validity tests CPT 81002 | $43.20 | $96.00 | $3.48 – $5.59 | 4 |
| Deamidated gliadin antibody iga CPT 86258 | $17.10 | $38.00 | $12.05 – $31.09 | 4 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $340.65 | $757.00 | $535.66 – $546.37 | 3 |
| Debridement (>20 cm) charge pt CPT 97598 | $640.35 | $1,423.00 | $455.00 – $455.00 | 1 |
| Debridement bone <= 20 sq cm CPT 11044 | $1,717.20 | $3,816.00 | $455.00 – $1,446.20 | 4 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $640.35 | $1,423.00 | $455.00 – $455.00 | 1 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $1,717.20 | $3,816.00 | $455.00 – $455.00 | 1 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $481.05 | $1,069.00 | $349.62 – $455.00 | 4 |
| Debride nail1-5 11720 CPT 11720 | $117.90 | $262.00 | $51.98 – $455.00 | 5 |
| Debride nail6 or more 11721 CPT 11721 | $148.50 | $330.00 | $51.98 – $455.00 | 5 |
| Debride skin bone at fx site CPT 11012 | $1,641.15 | $3,647.00 | $2,504.52 – $2,554.61 | 3 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $640.35 | $1,423.00 | $455.00 – $455.00 | 1 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $749.25 | $1,665.00 | $615.70 – $628.01 | 3 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $640.35 | $1,423.00 | $455.00 – $546.37 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $489.15 | $1,087.00 | $290.26 – $455.00 | 4 |
| Delivery of placenta 59414 CPT 59414 | $1,216.35 | $2,703.00 | $700.00 – $2,837.99 | 4 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $108.00 | $240.00 | $112.80 – $182.57 | 4 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $1,003.52 | $2,230.05 | $4.95 – $6.87 | 4 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $1,154.25 | $2,565.00 | $700.00 – $1,743.01 | 4 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $561.60 | $1,248.00 | $455.00 – $455.00 | 1 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $117.90 | $262.00 | $173.88 – $455.00 | 5 |
| Destruct ben lesion 15/> 17111 CPT 17111 | $175.50 | $390.00 | $173.88 – $455.00 | 5 |
| Destruction 2-14 lesions 17003 CPT 17003 | $117.90 | $262.00 | $455.00 – $455.00 | 1 |
| Destruction benign lesions < 14 lesions CPT 17110 | $117.90 | $262.00 | $173.88 – $455.00 | 5 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $561.60 | $1,248.00 | $455.00 – $455.00 | 1 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $1,154.25 | $2,565.00 | $700.00 – $1,743.01 | 4 |
| Detect agent nos dna dir CPT 87797 | $65.25 | $145.00 | $30.03 – $35.98 | 4 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $244.78 | $543.96 | $80.88 – $117.18 | 4 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $30.15 | $67.00 | $22.23 – $41.61 | 4 |
| Diabetes (HbA1c) Test CPT 83036 | $52.20 | $116.00 | $9.71 – $13.37 | 4 |
| Diab manage trn ind/group HCPCS G0109 | $15.30 | $34.00 | $16.95 – $16.95 | 1 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $47.25 | $105.00 | $185.85 – $185.85 | 1 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $47.25 | $105.00 | $151.20 – $151.20 | 1 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $95.40 | $212.00 | $169.89 – $173.29 | 3 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $279.90 | $622.00 | $112.16 – $112.16 | 1 |
| Diagnostic Mammogram (one breast) CPT 77065 | $192.60 | $428.00 | $87.51 – $87.51 | 1 |
| Digoxin total therapeutic drug level CPT 80162 | $76.95 | $171.00 | $13.28 – $24.69 | 4 |
| Dilate esophagus 1/mult pass CPT 43450 | not published | not published | $610.00 – $836.85 | 4 |
| Dilate urethra stricture CPT 53600 | $296.55 | $659.00 | $212.83 – $455.00 | 4 |
| Disaccharidases CPT 82657 | $161.10 | $358.00 | $22.17 – $27.66 | 4 |
| Dna antibody native/double stranded CPT 86225 | $55.35 | $123.00 | $13.74 – $24.85 | 4 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $319.95 | $711.00 | $136.92 – $139.66 | 3 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $549.45 | $1,221.00 | $112.80 – $182.57 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $1,561.11 | $3,469.13 | $92.74 – $138.77 | 4 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $411.75 | $915.00 | $615.70 – $628.01 | 3 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $411.75 | $915.00 | $615.70 – $628.01 | 3 |
| Drainage external ear complex 69005 CPT 69005 | $1,025.55 | $2,279.00 | $1,417.84 – $1,446.20 | 3 |
| Drainage external ear simple 69000 CPT 69000 | $126.90 | $282.00 | $615.70 – $628.01 | 3 |
| Drainage mouth roof lesion CPT 42000 | $230.85 | $513.00 | $203.21 – $207.27 | 3 |
| Drainage of arm bursa 23931 CPT 23931 | $1,640.70 | $3,646.00 | $1,417.84 – $1,446.20 | 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.