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 |
|---|---|---|---|---|
| Ghs i and d pilonidal cyst complex CPT 10081 | $247.95 | $551.00 | $615.70 – $628.01 | 3 |
| Ghs i and d pilonidal cyst simple CPT 10080 | $206.10 | $458.00 | $455.00 – $628.01 | 4 |
| Ghs immun0electrophoresis CPT 86320 | $104.40 | $232.00 | $29.92 – $50.51 | 4 |
| Ghs incision thrombosed ext hemorrhoid CPT 46083 | $250.20 | $556.00 | $212.83 – $455.00 | 4 |
| Ghs init tx 1st degree burn CPT 16000 | $640.35 | $1,423.00 | $173.88 – $455.00 | 5 |
| Ghs inj transforaminal cerv single bil CPT 64479 | $949.05 | $2,109.00 | $455.00 – $794.65 | 4 |
| Ghs insertion of needle - bone CPT 36680 | $120.60 | $268.00 | $349.19 – $569.45 | 4 |
| Ghs intermed repair 12.6 - 20.0 cm-12035 CPT 12035 | $125.55 | $279.00 | $349.62 – $356.61 | 3 |
| Ghs intermed repair 20.1 - 30.0 cm-12036 CPT 12036 | $126.45 | $281.00 | $535.66 – $546.37 | 3 |
| Ghs intermed repair over 30 cm - 12037 CPT 12037 | $396.90 | $882.00 | $1,600.72 – $1,632.73 | 3 |
| Ghs irrigate corpora cavernosa for priapism CPT 54220 | $144.00 | $320.00 | $212.83 – $217.09 | 3 |
| Ghs IV infusion bamlanivimab/etesevimab HCPCS M0245 | $710.55 | $1,579.00 | $394.22 – $402.10 | 3 |
| Ghs IV infusion casirivimab/imdevimab HCPCS M0243 | $710.55 | $1,579.00 | $394.22 – $402.10 | 3 |
| Ghs IV infusion sotrovimab HCPCS M0247 | $710.55 | $1,579.00 | $394.22 – $402.10 | 3 |
| Ghs IV thrombolytics - cerebral CPT 37195 | $160.20 | $356.00 | $290.26 – $296.07 | 3 |
| Ghs lac repair mouth.ant tong 2.5cm/less CPT 41250 | $126.90 | $282.00 | $349.19 – $569.45 | 4 |
| Ghs layer closure 2.5 cm or less - 12031 CPT 12031 | $90.90 | $202.00 | $349.62 – $356.61 | 3 |
| Ghs layer closure 2.5 cm or less - 12041 CPT 12041 | $153.90 | $342.00 | $349.62 – $569.88 | 4 |
| Ghs layer closure 2.5cm or less - 12051 CPT 12051 | $179.55 | $399.00 | $349.62 – $356.61 | 3 |
| Ghs layer closure 2.6 - 5.0 cm - 12052 CPT 12052 | $186.30 | $414.00 | $349.62 – $356.61 | 3 |
| Ghs layer closure 2.6 - 7.5 cm - 12042 CPT 12042 | $147.60 | $328.00 | $349.62 – $356.61 | 3 |
| Ghs layer closure 5.1 - 7.5 cm - 12053 CPT 12053 | $186.30 | $414.00 | $349.62 – $356.61 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12034 CPT 12034 | $191.70 | $426.00 | $349.62 – $356.61 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12044 CPT 12044 | $147.60 | $328.00 | $535.66 – $546.37 | 3 |
| Ghs layer closure 7.6 - 12.5 cm - 12054 CPT 12054 | $141.30 | $314.00 | $349.62 – $569.88 | 4 |
| Ghs layered repair 12.6 - 20.0 cm -12045 CPT 12045 | $412.65 | $917.00 | $535.66 – $546.37 | 3 |
| Ghs layered repair 12.6 - 20.0 cm -12055 CPT 12055 | $187.65 | $417.00 | $349.62 – $356.61 | 3 |
| Ghs mbp CPT 83873 | $50.40 | $112.00 | $17.20 – $31.70 | 4 |
| Ghs nailbed repair/nail removal CPT 11760 | $111.60 | $248.00 | $535.66 – $546.37 | 3 |
| Ghs nerve blk intercostal, ea addtl level CPT 64421 | $744.75 | $1,655.00 | $455.00 – $794.65 | 4 |
| Ghs nerve block celiac plexus CPT 64530 | $544.95 | $1,211.00 | $455.00 – $794.65 | 4 |
| Ghs nerve block interscaline CPT 64510 | $931.50 | $2,070.00 | $455.00 – $794.65 | 4 |
| Ghs nerve block lumbar or thoracic symp CPT 64520 | $544.95 | $1,211.00 | $455.00 – $794.65 | 4 |
| Ghs nerve block suprascapular CPT 64418 | $917.55 | $2,039.00 | $606.01 – $618.13 | 3 |
| Ghs opcc repair cvp without subq port CPT 36575 | $722.25 | $1,605.00 | $455.00 – $551.85 | 4 |
| Ghs ot group caregiver training CPT 97552 | $13.95 | $31.00 | $11.88 – $11.88 | 1 |
| Ghs ot prosthetic training/15 min CPT 97761 | $50.40 | $112.00 | $35.00 – $35.00 | 1 |
| Ghs ot sensory integrative tech/15min CPT 97533 | $53.55 | $119.00 | $28.00 – $28.00 | 1 |
| Ghs ot work hardening-additional hours CPT 97546 | $58.95 | $131.00 | $40.95 – $40.95 | 1 |
| Ghs pacing - transcutaneous CPT 92953 | $205.65 | $457.00 | $572.63 – $930.15 | 4 |
| Ghs paravert facet/nerve cerv ea add bil CPT 64492 | $670.95 | $1,491.00 | $455.00 – $455.00 | 1 |
| Ghs paravert facet/nerve lumb ea add bil CPT 64495 | $234.00 | $520.00 | $455.00 – $455.00 | 1 |
| Ghs peritonsillar abscess i andd CPT 42700 | $230.85 | $513.00 | $203.21 – $207.27 | 3 |
| Ghs picc line insert < 5 CPT 36568 | $1,633.50 | $3,630.00 | $455.00 – $1,386.57 | 4 |
| Ghs plngl fx pm cl CPT 26725 | $135.90 | $302.00 | $209.91 – $214.11 | 3 |
| Ghs plt ct-manual CPT 85032 | $46.35 | $103.00 | $4.31 – $6.10 | 4 |
| Ghs ppd (tb intradermal) CPT 86580 | $12.60 | $28.00 | $10.21 – $21.86 | 4 |
| Ghs pt - work hardening/int 2hrs CPT 97545 | $118.35 | $263.00 | $99.75 – $99.75 | 1 |
| Ghs removal intranasal foreign body CPT 30300 | $136.35 | $303.00 | $112.80 – $182.57 | 4 |
| Ghs removal pharyngeal foreign body CPT 42809 | $88.65 | $197.00 | $349.19 – $569.45 | 4 |
| Ghs respiratory syncytical virus igg/m CPT 86756 | $83.25 | $185.00 | $15.89 – $25.56 | 4 |
| Ghs reticulocyte count CPT 85044 | $30.15 | $67.00 | $4.31 – $6.50 | 4 |
| Ghs sedimentation rate CPT 85651 | $19.80 | $44.00 | $4.27 – $6.49 | 4 |
| Ghs sensitivity (per antimicro) CPT 87184 | $33.75 | $75.00 | $7.48 – $12.63 | 4 |
| Ghs simple repair 12.6 - 20.0 cm - 12005 CPT 12005 | $136.35 | $303.00 | $349.62 – $569.88 | 4 |
| Ghs simple repair 12.6 - 20.0 cm - 12016 CPT 12016 | $143.10 | $318.00 | $349.62 – $569.88 | 4 |
| Ghs simple repair 20.1 - 30.0 cm - 12006 CPT 12006 | $136.35 | $303.00 | $349.62 – $569.88 | 4 |
| Ghs simple repair 20.1 - 30.0 cm - 12017 CPT 12017 | $223.20 | $496.00 | $349.62 – $569.88 | 4 |
| Ghs simple repair 5.1 - 7.5 cm - 12014 CPT 12014 | $118.80 | $264.00 | $173.88 – $286.13 | 4 |
| Ghs simple repair 7.6 - 12.5 cm - 12004 CPT 12004 | $127.35 | $283.00 | $173.88 – $286.13 | 4 |
| Ghs simple repair 7.6 - 12.5 cm - 12015 CPT 12015 | $143.10 | $318.00 | $173.88 – $286.13 | 4 |
| Ghs simple repair over 30 cm - 12007 CPT 12007 | $279.45 | $621.00 | $173.88 – $177.36 | 3 |
| Ghs simple repair over 30 cm - 12018 CPT 12018 | $245.70 | $546.00 | $173.88 – $286.13 | 4 |
| Ghs strapping shoulder - 29240 CPT 29240 | $225.45 | $501.00 | $112.80 – $182.57 | 4 |
| Ghs superficial wnd dehiscence simp12020 CPT 12020 | $279.45 | $621.00 | $535.66 – $546.37 | 3 |
| Ghs tx distal phalangeal fx with manipulation CPT 26755 | $135.90 | $302.00 | $209.91 – $214.11 | 3 |
| Ghs urine, porphyrins quant CPT 84120 | $83.70 | $186.00 | $14.71 – $25.17 | 4 |
| Ghs vaginal delivery only CPT 59409 | $1,362.60 | $3,028.00 | $2,782.34 – $2,837.99 | 3 |
| Giardia ag if CPT 87269 | $58.95 | $131.00 | $13.61 – $19.10 | 4 |
| Giardia lamblia antibody CPT 86674 | $95.85 | $213.00 | $14.72 – $22.91 | 4 |
| Gi inhouse confirmation CPT 87045 | $60.75 | $135.00 | $9.44 – $16.45 | 4 |
| Glucagon 1 mg solution for injection HCPCS J1610 | $671.29 | $1,491.75 | $154.44 – $187.86 | 4 |
| Glucagon hcl 1 mg/ml solution for injection HCPCS J1611 | $385.19 | $855.97 | $111.91 – $134.34 | 4 |
| Glucagon plasma - sendout CPT 82943 | $62.10 | $138.00 | $14.29 – $21.23 | 4 |
| Glucose 1 hr post dose CPT 82950 | $73.35 | $163.00 | $4.75 – $9.18 | 4 |
| Glucose blood by monitoring device cleared by fda for home use CPT 82962 | $15.30 | $34.00 | $3.28 – $4.89 | 4 |
| Glucose blood quantitative CPT 82947 | $32.40 | $72.00 | $3.93 – $5.74 | 4 |
| Glucose body fluid CPT 82945 | $32.85 | $73.00 | $3.93 – $7.01 | 4 |
| Glucose tolerance test (gtt) 3 specimens CPT 82951 | $70.20 | $156.00 | $12.87 – $24.56 | 4 |
| Glucose tolerance test (gtt) >3 specimens each additional CPT 82952 | $24.30 | $54.00 | $3.92 – $7.01 | 4 |
| Glycopyrrolate 0.2 mg/ml injection solution HCPCS J1596 | $393.12 | $873.60 | $0.58 – $0.59 | 3 |
| Gonadotropin follicle stimulating hormone (fsh) CPT 83001 | $123.75 | $275.00 | $18.58 – $27.73 | 4 |
| Gonadotropin luteinizing hormone (lh) CPT 83002 | $94.50 | $210.00 | $18.52 – $32.14 | 4 |
| Great toe with reduction 28495 CPT 28495 | $135.90 | $302.00 | $209.91 – $214.11 | 3 |
| Group mnt 2 or more 30 mins HCPCS G0271 | $34.20 | $76.00 | $16.62 – $16.62 | 1 |
| Handle/convey/speciman/office-lab 99000 CPT 99000 | $17.10 | $38.00 | $10.50 – $10.50 | 1 |
| Hand X-ray CPT 73130 | $112.95 | $251.00 | $77.05 – $78.59 | 3 |
| Haptoglobin quantitative CPT 83010 | $101.70 | $226.00 | $12.58 – $20.66 | 4 |
| Hbb gene dup/del variants CPT 81363 | $283.95 | $631.00 | $202.40 – $240.80 | 4 |
| Hbot, full body chamber, 30m HCPCS G0277 | $267.30 | $594.00 | $120.67 – $123.08 | 3 |
| Hcg qualitative CPT 84703 | $41.40 | $92.00 | $7.52 – $13.91 | 4 |
| Hcg quantitative CPT 84702 | $137.70 | $306.00 | $15.05 – $20.22 | 4 |
| Head CT scan (with and without contrast) CPT 70470 | $887.85 | $1,973.00 | $155.78 – $158.90 | 3 |
| Head CT scan (with contrast) CPT 70460 | $710.55 | $1,579.00 | $155.78 – $158.90 | 3 |
| Head CT scan (without contrast) CPT 70450 | $666.90 | $1,482.00 | $93.06 – $94.92 | 3 |
| Helicobacter pylori antibody igm CPT 86677 | $101.70 | $226.00 | $16.85 – $30.95 | 4 |
| Hematocrit CPT 85014 | $18.00 | $40.00 | $2.37 – $3.96 | 4 |
| Hemoglobin CPT 85018 | $16.20 | $36.00 | $2.37 – $3.96 | 4 |
| Hemoglobin methemoglobin quantitative CPT 83050 | $39.15 | $87.00 | $8.20 – $11.60 | 4 |
| Hemoglobin plasma CPT 83051 | $53.55 | $119.00 | $7.31 – $10.04 | 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.