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 |
|---|---|---|---|---|
| Heparin assay CPT 85520 | $104.40 | $232.00 | $13.09 – $23.36 | 4 |
| Hepatitis a antibody igm CPT 86709 | $150.75 | $335.00 | $11.26 – $15.79 | 4 |
| Hepatitis b core antibody igm CPT 86705 | $64.80 | $144.00 | $11.77 – $17.86 | 4 |
| Hepatitis b core antibody total CPT 86704 | $62.55 | $139.00 | $12.05 – $21.12 | 4 |
| Hepatitis b surface ag quan CPT 87467 | $22.05 | $49.00 | $24.00 – $25.83 | 4 |
| Hepatitis b surface antibody CPT 86706 | $123.30 | $274.00 | $10.74 – $18.78 | 4 |
| Hepatitis c antibody CPT 86803 | $71.55 | $159.00 | $14.27 – $23.12 | 4 |
| Hepatitis d quantification CPT 87523 | $60.30 | $134.00 | $42.84 – $47.85 | 4 |
| Hepatobiliary system imaging CPT 78226 | $710.55 | $1,579.00 | $351.63 – $358.66 | 3 |
| Herpes simplex 2 ag if CPT 87273 | $45.45 | $101.00 | $11.98 – $18.56 | 4 |
| Herpes simplex type 1 antibody igg CPT 86695 | $32.85 | $73.00 | $13.19 – $24.03 | 4 |
| Herpes simplex type 2 antibody igg CPT 86696 | $32.85 | $73.00 | $19.35 – $34.95 | 4 |
| Herpes simplex virus isolation CPT 87255 | $123.30 | $274.00 | $33.86 – $46.75 | 4 |
| Heterophile antibodies screening CPT 86308 | $28.35 | $63.00 | $5.18 – $9.96 | 4 |
| Hip X-ray CPT 73502 | $124.20 | $276.00 | $77.05 – $78.59 | 3 |
| Histamine CPT 83088 | $95.40 | $212.00 | $29.53 – $49.11 | 4 |
| Hiv-1 ag ia CPT 87390 | $101.70 | $226.00 | $24.06 – $33.99 | 4 |
| Hla class ii semiquant panel CPT 86835 | $471.60 | $1,048.00 | $322.96 – $504.32 | 4 |
| Hla class i semiquant panel CPT 86834 | $522.45 | $1,161.00 | $357.56 – $558.52 | 4 |
| Hla ii typing 1 loc hr CPT 81382 | $112.50 | $250.00 | $123.68 – $171.69 | 4 |
| Hla i typing 1 locus hr CPT 81380 | $248.85 | $553.00 | $177.25 – $245.92 | 4 |
| Hla i typing complete lr CPT 81372 | $330.30 | $734.00 | $403.59 – $465.86 | 4 |
| Homocysteine CPT 83090 | $70.20 | $156.00 | $17.92 – $29.41 | 4 |
| Homogenization tissue CPT 87176 | $108.45 | $241.00 | $5.88 – $10.19 | 4 |
| Hpv combo assay ca screen HCPCS G0476 | $60.30 | $134.00 | $35.09 – $40.35 | 4 |
| Hpv types 16 & 18 only CPT 87625 | $61.65 | $137.00 | $40.55 – $56.58 | 4 |
| H pylori (c-13) breath CPT 83013 | $119.25 | $265.00 | $67.36 – $96.55 | 4 |
| H pylori drug admin CPT 83014 | $11.25 | $25.00 | $7.86 – $14.65 | 4 |
| Hydration IV infusion each additional hour CPT 96361 | $44.10 | $98.00 | $40.38 – $41.19 | 3 |
| Hydration IV infusion initial 31minutes - 1 hour CPT 96360 | $24.30 | $54.00 | $184.37 – $188.06 | 3 |
| Hydromorphone 0.2 mg/ml in 0.9% nacl IV pca opioid naive - 4 hr dose limit (wrapper) HCPCS J1171 | $637.03 | $1,415.62 | $0.09 – $0.09 | 3 |
| Hymenotomy CPT 56442 | $3,526.20 | $7,836.00 | $2,782.34 – $2,837.99 | 3 |
| Ia infect ag ab qual/semiquant sgl step CPT 86318 | $58.05 | $129.00 | $18.09 – $26.30 | 4 |
| Ia nfct ab sarscov2 covid19 CPT 86328 | $83.70 | $186.00 | $45.28 – $46.19 | 4 |
| Ibmfs seq alys pnl 30 genes CPT 81441 | $3,575.70 | $7,946.00 | $2,448.56 – $3,020.19 | 4 |
| Ibutilide fumarate 0.1 mg/ml intravenous solution HCPCS J1742 | $931.36 | $2,069.70 | $186.97 – $268.47 | 4 |
| Icatibant injection HCPCS J1744 | $5,032.83 | $11,184.06 | $104.21 – $137.76 | 4 |
| Igh@/bcl2 translocation alys CPT 81278 | $137.25 | $305.00 | $207.31 – $219.75 | 4 |
| Igh gene rearrang dir probe CPT 81262 | $104.40 | $232.00 | $68.55 – $84.85 | 4 |
| Igh gene rearrange amp meth CPT 81261 | $289.80 | $644.00 | $197.99 – $309.33 | 4 |
| Igk rearrangeabn clonal pop CPT 81264 | $289.80 | $644.00 | $172.73 – $276.24 | 4 |
| Ihc/icc per specimen each multiplex antibody stain CPT 88344 | $247.05 | $549.00 | $194.63 – $321.08 | 4 |
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $62.55 | $139.00 | $122.22 – $152.95 | 4 |
| Immune complex assay CPT 86332 | $169.20 | $376.00 | $24.37 – $39.16 | 4 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | $1,101.33 | $2,447.40 | $48.96 – $50.29 | 4 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $126.45 | $281.00 | $20.81 – $29.10 | 4 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $40.50 | $90.00 | $20.81 – $29.10 | 4 |
| Immunofixation electrophoresis serum CPT 86334 | $128.70 | $286.00 | $22.34 – $46.08 | 4 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $63.00 | $140.00 | $135.50 – $152.95 | 4 |
| Immunoglobulin assay CPT 86023 | $114.30 | $254.00 | $12.46 – $18.72 | 4 |
| Impl neurostim electr perc CPT 63650 | $4,088.70 | $9,086.00 | $1,185.00 – $5,857.92 | 4 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $2,561.76 | $5,692.80 | $772.64 – $788.09 | 3 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $515.25 | $1,145.00 | $610.00 – $1,446.20 | 4 |
| Incision of breast lesion CPT 19020 | $2,014.65 | $4,477.00 | $1,417.84 – $1,446.20 | 3 |
| Incision of burn scab initi CPT 16035 | $476.10 | $1,058.00 | $349.62 – $356.61 | 3 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | $55.35 | $123.00 | $70.20 – $71.60 | 3 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $375.75 | $835.00 | $257.45 – $371.82 | 4 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $140.85 | $313.00 | $128.73 – $208.21 | 4 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $652.95 | $1,451.00 | $257.45 – $357.52 | 4 |
| Infect ag ia optc obs influenza CPT 87804 | $95.40 | $212.00 | $16.55 – $17.55 | 4 |
| Infect ag if legionella pneumophila CPT 87278 | $16.20 | $36.00 | $15.60 – $22.53 | 4 |
| Infect ag na herpes simplex quant CPT 87530 | $62.55 | $139.00 | $42.84 – $59.25 | 4 |
| Infect ag na hpv high-risk types CPT 87624 | $60.30 | $134.00 | $35.09 – $49.70 | 4 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $53.10 | $118.00 | $51.31 – $67.00 | 4 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $657.90 | $1,462.00 | $416.78 – $429.29 | 4 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $713.70 | $1,586.00 | $488.66 – $762.89 | 4 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $37.80 | $84.00 | $26.07 – $40.69 | 4 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $66.60 | $148.00 | $41.38 – $42.29 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $58.50 | $130.00 | $11.98 – $21.09 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | $16.20 | $36.00 | $11.98 – $22.36 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $142.20 | $316.00 | $14.38 – $21.26 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $27.45 | $61.00 | $10.33 – $12.94 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $56.25 | $125.00 | $24.08 – $32.09 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $65.25 | $145.00 | $11.98 – $21.09 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $58.95 | $131.00 | $11.98 – $21.09 | 4 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $31.50 | $70.00 | $11.98 – $21.73 | 4 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $153.45 | $341.00 | $35.09 – $49.70 | 4 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $153.45 | $341.00 | $35.09 – $47.16 | 4 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $62.55 | $139.00 | $37.27 – $52.32 | 4 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $791.55 | $1,759.00 | $416.78 – $578.87 | 4 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $193.50 | $430.00 | $35.09 – $54.76 | 4 |
| Infectious agent nucleic acid amplified probe neisseria gonorrhoeae CPT 87591 | $153.45 | $341.00 | $35.09 – $47.16 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/covid-19 CPT 87635 | $83.70 | $186.00 | $51.31 – $52.34 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a & b CPT 87636 | $225.45 | $501.00 | $142.63 – $145.48 | 4 |
| Infectious agent nucleic acid amplified probe sars-cov-2/inf a&b/rsv CPT 87637 | $225.45 | $501.00 | $142.63 – $145.48 | 4 |
| Infectious agent nucleic acid amplified probe streptococcus group a CPT 87651 | $42.30 | $94.00 | $35.09 – $45.00 | 4 |
| Infectious agent nucleic acid amplified probe trichomonas vaginalis CPT 87661 | $41.85 | $93.00 | $35.09 – $49.06 | 4 |
| Infectious agent nucleic acid amp probe mycobacterium tuberculosis rifampin resistance CPT 87564 | $60.30 | $134.00 | $76.77 – $78.31 | 3 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 12-25 targets CPT 87507 | $585.90 | $1,302.00 | $416.78 – $785.56 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 3-5 targets CPT 87505 | $193.50 | $430.00 | $128.29 – $244.10 | 4 |
| Infectious agent nucleic acid multiplex amplified probe gi pathogen 6-11 targets CPT 87506 | $399.60 | $888.00 | $262.99 – $409.40 | 4 |
| Infectious agent nucleic acid quantification bk virus CPT 87799 | $184.50 | $410.00 | $42.84 – $43.70 | 4 |
| Infectious agent nucleic acid quantification hepatitis b CPT 87517 | $90.45 | $201.00 | $42.84 – $59.25 | 4 |
| Infectious agent nucleic acid quantification hepatitis c CPT 87522 | $90.00 | $200.00 | $42.84 – $47.85 | 4 |
| Infectious agent nucleic acid quantification hiv-1 CPT 87536 | $75.60 | $168.00 | $85.10 – $105.63 | 4 |
| Infliximab 100 mg intravenous solution HCPCS J1745 | $592.92 | $1,317.60 | $30.53 – $32.20 | 4 |
| Inhalation aerosol pentamidine pneumocystis pneumonia treatment/prophylaxis CPT 94642 | $290.25 | $645.00 | $177.98 – $304.83 | 4 |
| Initiation & management bipap/cpap initial day CPT 94660 | $166.05 | $369.00 | $177.98 – $304.83 | 4 |
| Inj, acetaminophen (b braun) HCPCS J0136 | $19.07 | $42.38 | $0.08 – $0.08 | 1 |
| Inj acetaminophen -fresenius HCPCS J0134 | $18.90 | $42.00 | $0.09 – $0.09 | 1 |
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.