62-1519754 BMH Golden Triangle
2520 5th St N, Columbus, MS · Baptistonline · · NPI 1609830173
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 |
|---|---|---|---|---|
| Lead capillary CPT 83655 | $115.75 | $463.00 | $11.63 – $33.91 | 68 |
| Lefort i-1 piece without graft CPT 21141 | not published | not published | $1,738.00 – $15,150.63 | 67 |
| Leg Vein Ultrasound (DVT study, both legs) CPT 93970 | $723.25 | $2,893.00 | $212.26 – $619.08 | 67 |
| Leishmania antibody CPT 86717 | $10.00 | $40.00 | $11.76 – $34.30 | 68 |
| Leucovorin calcium 100 mg solution for injection (1 mg rounding) HCPCS J0640 | $59.80 | $239.19 | $4.07 – $4.07 | 1 |
| Leuprolide acetate injeciton HCPCS J9218 | $1,237.58 | $4,950.33 | $9.20 – $14.91 | 4 |
| Levetiracetam 500 mg/5 ml intravenous solution HCPCS J1953 | $41.44 | $165.75 | $0.06 – $0.06 | 1 |
| Levetiracetam therapeutic drug level CPT 80177 | $69.00 | $276.00 | $12.72 – $37.10 | 68 |
| Levofloxacin 250 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J1956 | $36.96 | $147.83 | $1.15 – $1.15 | 1 |
| Liberta rc ipg HCPCS C1820 | not published | $0.01 | $1,630.18 – $1,630.18 | 1 |
| Lidocaine therapeutic drug level CPT 80176 | $132.75 | $531.00 | $14.10 – $41.13 | 68 |
| Ligation/biopsy of temporal artery 37609 CPT 37609 | not published | not published | $1,277.00 – $4,149.60 | 67 |
| Lig/band angioaccess av fistula CPT 37607 | not published | not published | $1,986.00 – $8,061.09 | 67 |
| Lincomycin injection HCPCS J2010 | $164.81 | $659.25 | $9.36 – $9.36 | 1 |
| Linezolid in 5% dextrose in water 600 mg/300 ml intravenous piggyback HCPCS J2020 | $43.31 | $173.25 | $3.08 – $3.08 | 1 |
| Lipase CPT 83690 | $15.50 | $62.00 | $6.61 – $19.29 | 68 |
| Lipoprotein blood high res frac & quant CPT 83701 | $101.75 | $407.00 | $32.51 – $94.81 | 68 |
| Lipoprotein blood quant CPT 83704 | $43.75 | $175.00 | $32.82 – $95.73 | 68 |
| Lipoprotein direct measurement hdl CPT 83718 | $76.50 | $306.00 | $7.86 – $22.93 | 68 |
| Lipoprotein direct measurement ldl CPT 83721 | $39.25 | $157.00 | $10.08 – $29.40 | 68 |
| Lip surgery procedure CPT 40799 | $76.25 | $305.00 | $203.91 – $594.75 | 66 |
| Lithium therapeutic drug level CPT 80178 | $63.00 | $252.00 | $6.35 – $18.51 | 68 |
| Lithotripsy transluminal coronary percutaneous CPT 92972 | not published | $0.01 | $143.43 – $1,471.00 | 2 |
| Liver ds alys 3 bmrk srm alg CPT 81517 | $392.50 | $1,570.00 | $169.14 – $493.33 | 68 |
| Liver Function Test CPT 80076 | $145.50 | $582.00 | $7.84 – $22.88 | 68 |
| Liver/spleen imag static only CPT 78215 | $255.50 | $1,022.00 | $352.85 – $1,087.00 | 67 |
| Liver/spleen imag w/vasclr flow CPT 78216 | $358.75 | $1,435.00 | $352.85 – $1,087.00 | 67 |
| Lngth/shrt tendon leg/ankle 1 tendon CPT 27685 | not published | not published | $1,986.00 – $8,309.78 | 67 |
| Lorazepam 2 mg/ml injection (wrapper) HCPCS J2060 | $37.66 | $150.62 | $1.46 – $1.46 | 1 |
| Low back disk surgery CPT 63030 | not published | not published | $4,968.00 – $18,295.84 | 67 |
| Low cost skin substitute app HCPCS C5271 | $370.50 | $1,482.00 | $426.00 – $1,567.72 | 67 |
| Low cost skin substitute app HCPCS C5273 | $444.50 | $1,778.00 | $1,277.00 – $4,684.85 | 67 |
| Low cost skin substitute app HCPCS C5275 | $321.25 | $1,285.00 | $426.00 – $1,567.72 | 67 |
| Low cost skin substitute app HCPCS C5277 | $444.50 | $1,778.00 | $426.00 – $1,567.72 | 67 |
| Low cost skin substitute app HCPCS C5272 | $246.50 | $986.00 | $36.00 – $426.00 | 2 |
| Low cost skin substitute app HCPCS C5274 | $444.50 | $1,778.00 | $426.00 – $426.00 | 1 |
| Low cost skin substitute app HCPCS C5276 | $107.75 | $431.00 | $426.00 – $426.00 | 1 |
| Low cost skin substitute app HCPCS C5278 | $292.50 | $1,170.00 | $426.00 – $426.00 | 1 |
| Lower Back (Lumbar Spine) CT scan (with and without contrast) CPT 72133 | $891.00 | $3,564.00 | $156.32 – $924.00 | 67 |
| Lower Back (Lumbar Spine) CT scan (with contrast) CPT 72132 | $928.25 | $3,713.00 | $313.59 – $924.00 | 67 |
| Lower Back (Lumbar Spine) CT scan (without contrast) CPT 72131 | $840.75 | $3,363.00 | $93.38 – $924.00 | 67 |
| Lower Back (Lumbar Spine) MRI (with and without contrast) CPT 72158 | $1,701.50 | $6,806.00 | $313.59 – $1,130.00 | 67 |
| Lower Back (Lumbar Spine) MRI (with contrast) CPT 72149 | $1,191.25 | $4,765.00 | $313.59 – $1,130.00 | 67 |
| Lower Back (Lumbar Spine) MRI (without contrast) CPT 72148 | $1,132.00 | $4,528.00 | $212.26 – $1,130.00 | 67 |
| Lower Back (Lumbar Spine) X-ray CPT 72100 | $70.75 | $283.00 | $93.38 – $310.00 | 67 |
| L/s ratio fetal lung CPT 83661 | $136.50 | $546.00 | $21.11 – $61.57 | 68 |
| Lumbar diskogram s&i CPT 72295 | $1,042.50 | $4,170.00 | $310.00 – $5,001.25 | 67 |
| Lumbar Spinal Fusion (single level) CPT 22612 | not published | not published | $4,968.00 – $47,098.83 | 67 |
| Lung Function Test (Spirometry) CPT 94010 | $174.50 | $698.00 | $137.39 – $547.00 | 67 |
| Lung perfusion imaging CPT 78580 | $243.50 | $974.00 | $352.85 – $1,087.00 | 67 |
| Lymphatics/lymph node imaging CPT 78195 | $313.00 | $1,252.00 | $472.65 – $1,378.55 | 67 |
| Macroscopic exam parasite CPT 87169 | $14.00 | $56.00 | $4.14 – $12.07 | 68 |
| Magnesium CPT 83735 | $196.25 | $785.00 | $6.43 – $18.76 | 68 |
| Magnesium sulfate 2 gram/50 ml (4 %) in water intravenous piggyback HCPCS J3475 | $61.22 | $244.88 | $0.47 – $0.47 | 1 |
| Manipulation chest wall demonstration/evaluation subsequent CPT 94668 | $48.25 | $193.00 | $113.18 – $330.12 | 68 |
| Manipulation chest wall initial demonstration/evaluation CPT 94667 | $48.25 | $193.00 | $113.18 – $330.12 | 68 |
| Mannitol 12.5 gm/50 ml inj HCPCS J2150 | $10.50 | $42.00 | $2.61 – $2.61 | 1 |
| Marker biop eviva buckle ss HCPCS A4648 | $423.25 | $1,693.00 | $102.14 – $102.14 | 1 |
| Mastectomy partial CPT 19301 | not published | not published | $1,489.00 – $9,807.20 | 67 |
| Mast mod rad CPT 19307 | not published | not published | $2,554.00 – $16,702.14 | 67 |
| Mastoids complete CPT 70130 | $128.50 | $514.00 | $93.38 – $310.00 | 67 |
| Mast simple complete CPT 19303 | not published | not published | $1,986.00 – $16,702.14 | 67 |
| M.avium-intra dna amp prob CPT 87561 | $31.50 | $126.00 | $33.69 – $98.25 | 68 |
| Mayo a1app alpha 1 antitrypsin phenotype CPT 82104 | $133.50 | $534.00 | $13.88 – $40.49 | 68 |
| Mayo aathr protein s free CPT 85306 | $133.50 | $534.00 | $14.71 – $42.90 | 68 |
| Mayo activated protein c resistance assay CPT 85307 | $66.25 | $265.00 | $14.71 – $42.90 | 68 |
| Mayo adalimumab (humira) therapeutic drug level CPT 80145 | $30.25 | $121.00 | $37.03 – $108.00 | 68 |
| Mayo alcohol biomarkers definitive assay 1 or 2 phosphatidylethanol confirmation CPT 80321 | $54.50 | $218.00 | $0.01 – $29.00 | 4 |
| Mayo alcohol definitive assay volatile screen CPT 80320 | $97.75 | $391.00 | $0.01 – $29.00 | 4 |
| Mayo alkaline phosphatase isoenzyme CPT 84080 | $26.50 | $106.00 | $14.19 – $41.38 | 68 |
| Mayo alkaloids definitive assay nicotine/cotinine CPT 80323 | $124.75 | $499.00 | $0.01 – $76.00 | 4 |
| Mayo alpha 1 antitrypsin CPT 82103 | $198.00 | $792.00 | $12.90 – $37.63 | 68 |
| Mayo amikacin trough therapeutic drug level CPT 80150 | $132.75 | $531.00 | $14.48 – $42.22 | 68 |
| Mayo amphu amphetamines definitive assay 3 or 4 urine CPT 80325 | $80.25 | $321.00 | $0.01 – $46.00 | 4 |
| Mayo amphu methylenedioxyamphetamines definitive assay urine CPT 80359 | $80.25 | $321.00 | $0.01 – $46.00 | 4 |
| Mayo analysis gene calr common variants exon 9 CPT 81219 | $261.50 | $1,046.00 | $116.76 – $340.56 | 68 |
| Mayo analysis gene jak2 p.val617phe variant CPT 81270 | $349.00 | $1,396.00 | $87.99 – $256.65 | 68 |
| Mayo analysis gene smn1 dosage/deletion CPT 81329 | $124.75 | $499.00 | $131.52 – $383.60 | 68 |
| Mayo analysis microarray cytogenomic copy number/snp variants CPT 81229 | $657.50 | $2,630.00 | $1,113.60 – $3,248.00 | 68 |
| Mayo androstenedione CPT 82157 | $277.25 | $1,109.00 | $28.11 – $81.98 | 68 |
| Mayo angiotensin 1 converting enzyme (ace) csf CPT 82164 | $97.75 | $391.00 | $14.02 – $40.88 | 68 |
| Mayo antithrombin iii antigen CPT 85301 | $8.50 | $34.00 | $10.38 – $30.27 | 68 |
| Mayo aspergillus fumigatus antibody CPT 86606 | $47.75 | $191.00 | $14.45 – $42.14 | 68 |
| Mayo avwpr vw factor activity CPT 85397 | $434.25 | $1,737.00 | $29.63 – $86.41 | 68 |
| Mayo babpb infectious agent nucleic acid amplified probe babesia microti CPT 87469 | $28.25 | $113.00 | $33.69 – $98.25 | 68 |
| Mayo barbiturates definitive assay confirmation urine CPT 80345 | $80.25 | $321.00 | $0.01 – $23.00 | 4 |
| Mayo bart bartonella henselae antibody igg CPT 86611 | $130.25 | $521.00 | $9.77 – $28.50 | 68 |
| Mayo bcrfx analysis translocation bcr/abl1 minor breakpoint qualitative/quantitative CPT 81207 | $140.50 | $562.00 | $139.05 – $405.55 | 68 |
| Mayo blastomyces antibody immunodiffusion CPT 86612 | $40.75 | $163.00 | $12.38 – $36.12 | 68 |
| Mayo bnzu sedative hypnotics definitive urine CPT 80368 | $80.25 | $321.00 | $0.01 – $45.00 | 4 |
| Mayo bordetella pertussis antibody igg CPT 86615 | $79.25 | $317.00 | $12.66 – $36.93 | 68 |
| Mayo brcmg brucella antibody igm CPT 86622 | $10.50 | $42.00 | $8.57 – $25.00 | 68 |
| Mayo c1 esterase inhibitor CPT 83883 | $59.00 | $236.00 | $13.06 – $38.08 | 68 |
| Mayo cannabinoids natural definitive assay thc confirmation urine CPT 80349 | $80.25 | $321.00 | $0.01 – $38.00 | 4 |
| Mayo carnitine total and free quantitative each specimen plasma CPT 82379 | $125.25 | $501.00 | $16.20 – $47.24 | 68 |
| Mayo cd20b mononuclear cell antigen nos quantitative each CPT 86356 | $18.75 | $75.00 | $25.71 – $74.98 | 68 |
| Mayo cdcom hla class ii typing low resolution one locus each CPT 81376 | $86.00 | $344.00 | $117.33 – $342.22 | 68 |
| Mayo ceruloplasmin CPT 82390 | $101.50 | $406.00 | $10.31 – $30.07 | 68 |
| Mayo chemiluminescent parathyroid related peptide CPT 82397 | $58.75 | $235.00 | $13.56 – $39.54 | 68 |
| Mayo chikv chikungunya antibodies igg CPT 86790 | $156.00 | $624.00 | $12.36 – $36.06 | 68 |
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.