62-1166050 BMH Carroll County
631 R.B. Wilson Drive, Huntingdon, TN · Baptistonline · · NPI 1710941356
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 |
|---|---|---|---|---|
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $56.12 | $244.00 | $10.14 – $312.94 | 60 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $31.97 | $139.00 | $12.38 – $97.58 | 60 |
| Cytopath smear oth prep screen & interp CPT 88161 | $14.49 | $63.00 | $5.62 – $44.72 | 60 |
| Cytp urine 3-5 probes cmptr CPT 88121 | $246.79 | $1,073.00 | $136.13 – $312.94 | 60 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | $7.83 | $34.05 | $4.27 – $17.77 | 4 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | $969.32 | $4,214.43 | $1.52 – $649.60 | 60 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $710.89 | $3,090.83 | $0.03 – $0.10 | 4 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | $28.72 | $124.87 | $0.03 – $0.08 | 60 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | $197.24 | $857.58 | $20.46 – $47.04 | 60 |
| D&c/diagnostic/therapeutic/non ob 58120 CPT 58120 | not published | not published | $2,364.00 – $5,806.58 | 59 |
| Dch validity tests CPT 81002 | $9.66 | $42.00 | $3.03 – $6.96 | 60 |
| Deamidated gliadin antibody iga CPT 86258 | $8.74 | $38.00 | $9.37 – $24.10 | 60 |
| Debrid ecz/inf skin up tp 10% body 11000 CPT 11000 | $165.60 | $720.00 | $486.29 – $1,117.90 | 59 |
| Debridement (>20 cm) charge pt CPT 97598 | $109.94 | $478.00 | $25.82 – $50.68 | 2 |
| Debridement bone <= 20 sq cm CPT 11044 | $478.17 | $2,079.00 | $1,287.14 – $2,958.94 | 59 |
| Debridement/bone/20 sq cm or less 11046 CPT 11046 | $176.87 | $769.00 | $44.57 – $98.00 | 2 |
| Debridement/bone/ea add 20 sq cm 11047 CPT 11047 | $478.17 | $2,079.00 | $78.04 – $98.00 | 2 |
| Debridement subcutaneous tissue <= 20 sq cm CPT 11042 | $168.59 | $733.00 | $317.39 – $729.64 | 59 |
| Debride nail1-5 11720 CPT 11720 | $60.26 | $262.00 | $47.19 – $108.48 | 59 |
| Debride nail6 or more 11721 CPT 11721 | $75.90 | $330.00 | $47.19 – $108.48 | 59 |
| Debride skin bone at fx site CPT 11012 | $789.82 | $3,434.00 | $2,273.66 – $5,226.80 | 59 |
| Debride/subq tissue/ea add 20sq cm 11045 CPT 11045 | $168.59 | $733.00 | $21.15 – $98.00 | 2 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $278.53 | $1,211.00 | $558.94 – $1,284.92 | 59 |
| Debr musc/fascia 20sq cm/< 11043 CPT 11043 | $176.87 | $769.00 | $486.29 – $1,117.90 | 59 |
| Decalcification CPT 88311 | $8.74 | $38.00 | $2.82 – $15.49 | 3 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | $563.56 | $2,450.27 | $1.63 – $9.46 | 4 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $102.81 | $447.00 | $263.50 – $605.74 | 59 |
| Decompression of lower leg CPT 27601 | not published | not published | $2,364.00 – $5,925.44 | 59 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | $65.76 | $285.92 | $6.78 – $13.29 | 4 |
| Delivery of placenta 59414 CPT 59414 | $765.67 | $3,329.00 | $2,364.00 – $5,806.58 | 59 |
| Dentoalveolar/drain abs/cyst/hema 41800 CPT 41800 | $59.80 | $260.00 | $102.40 – $235.40 | 59 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | $512.91 | $2,230.05 | $4.31 – $9.90 | 60 |
| Destroy cervthor facet jnt 64633 CPT 64633 | $742.90 | $3,230.00 | $1,551.31 – $3,566.22 | 59 |
| Destroy cth facet jnt addl 64634 CPT 64634 | $371.45 | $1,615.00 | $65.43 – $98.00 | 2 |
| Destroy premlg lesns;1st lesn 17000 CPT 17000 | $60.26 | $262.00 | $157.85 – $362.88 | 59 |
| Destruct cut vasl lesions <10cm 17106 CPT 17106 | $377.66 | $1,642.00 | $317.39 – $729.64 | 59 |
| Destruction 2-14 lesions 17003 CPT 17003 | $60.26 | $262.00 | $1.74 – $98.00 | 2 |
| Destruction benign lesions < 14 lesions CPT 17110 | $56.12 | $244.00 | $157.85 – $362.88 | 59 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral additional (both sides) CPT 64636 | $371.45 | $1,615.00 | $57.56 – $98.00 | 2 |
| Destruction by neurolytic agent w/imaging guidance lumbar/sacral (both sides) CPT 64635 | $742.90 | $3,230.00 | $1,551.31 – $3,566.22 | 59 |
| Detect agent nos dna dir CPT 87797 | $18.17 | $79.00 | $26.13 – $60.06 | 60 |
| Devlopment test interpt&rep HCPCS G0451 | $46.92 | $204.00 | $73.48 – $168.92 | 59 |
| Dexa bone density study >=1 sites appendicular skeleton (peripheral) CPT 77081 | $45.08 | $196.00 | $20.49 – $160.80 | 60 |
| Dexamethasone 4 mg tablet HCPCS J8540 | $93.08 | $404.68 | $0.04 – $0.10 | 3 |
| Dexamethasone in ns IV syringe 0.1 mg/ml (neonate) - cnr HCPCS J1100 | $54.18 | $235.57 | $0.11 – $0.69 | 4 |
| Dexrazoxane hcl 250 mg intravenous solution HCPCS J1190 | $125.11 | $543.96 | $70.37 – $161.76 | 60 |
| Dextrose 5 % and 0.9 % sodium chloride intravenous solution HCPCS J7042 | $52.90 | $230.00 | $1.14 – $13.42 | 3 |
| Dextrose 5 % and lactated ringers intravenous solution HCPCS J7121 | $58.19 | $253.00 | $7.95 – $9.55 | 2 |
| Dextrose 5 % in water (d5w) intravenous solution (non-pvc) HCPCS J7060 | $42.32 | $184.00 | $1.82 – $13.82 | 3 |
| Dextrose 5 % IV bolus HCPCS J7070 | $63.48 | $276.00 | $3.65 – $17.27 | 3 |
| Dhea-s (dehydroepiand sulfate) CPT 82627 | $153.41 | $667.00 | $19.34 – $44.46 | 60 |
| Diabetes (HbA1c) Test CPT 83036 | $37.95 | $165.00 | $8.45 – $19.42 | 60 |
| Diab manage trn ind/group HCPCS G0109 | $14.26 | $62.00 | $10.22 – $26.87 | 2 |
| Diag laparo separate proc 49320 CPT 49320 | not published | not published | $2,685.00 – $10,654.94 | 59 |
| Diagnostic digital breast tomosynthesis bil CPT 77062 | $24.15 | $105.00 | $68.50 – $131.44 | 2 |
| Diagnostic digital breast tomosynthesis unil CPT 77061 | $24.15 | $105.00 | $87.28 – $103.86 | 2 |
| Diagnostic laryngoscopy 31575 CPT 31575 | $50.60 | $220.00 | $154.22 – $354.54 | 59 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $165.60 | $720.00 | $88.85 – $131.44 | 2 |
| Diagnostic Mammogram (one breast) CPT 77065 | $126.50 | $550.00 | $69.43 – $103.86 | 2 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $106.29 | $462.12 | $1.60 – $7.32 | 4 |
| Dicyclomine injection HCPCS J0500 | $62.23 | $270.59 | $3.51 – $30.22 | 4 |
| Diffusing capacity CPT 94729 | $69.46 | $302.00 | $35.30 – $91.11 | 3 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $5.01 | $21.78 | $1.40 – $15.72 | 4 |
| Digoxin total therapeutic drug level CPT 80162 | $99.59 | $433.00 | $11.55 – $26.56 | 60 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | $209.61 | $911.34 | $13.74 – $108.52 | 4 |
| Dilate urethra stricture CPT 53600 | $83.26 | $362.00 | $193.21 – $444.16 | 59 |
| Dilation/urethral strict/male/ini 53620 CPT 53620 | $551.77 | $2,399.00 | $530.25 – $1,218.96 | 59 |
| Dimenhydrinate injection HCPCS J1240 | $9.27 | $40.31 | $0.90 – $10.84 | 4 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | $0.14 | $0.61 | $0.02 – $0.02 | 2 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $18.35 | $79.80 | $0.75 – $0.97 | 4 |
| Dipyridamole injection HCPCS J1245 | $30.01 | $130.50 | $3.82 – $38.15 | 4 |
| Disability dlco CPT 94727 | $69.46 | $302.00 | $23.32 – $285.74 | 60 |
| Disaccharidases CPT 82657 | $92.92 | $404.00 | $19.29 – $44.34 | 60 |
| Dna antibody native/double stranded CPT 86225 | $57.96 | $252.00 | $11.95 – $27.48 | 60 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | $61.67 | $268.12 | $7.93 – $41.25 | 4 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | $321.35 | $1,397.18 | $0.77 – $2.49 | 4 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | $36.22 | $157.50 | $0.72 – $0.94 | 4 |
| Doppler echo complete CPT 93320 | $341.55 | $1,485.00 | $52.30 – $53.68 | 2 |
| Doppler intravascular pressure flow initial vessel CPT 93571 | $350.75 | $1,525.00 | $98.00 – $202.39 | 2 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $111.78 | $486.00 | $67.09 – $285.74 | 60 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $280.83 | $1,221.00 | $35.49 – $235.40 | 60 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | $159.50 | $693.48 | $3.30 – $58.53 | 4 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | $797.90 | $3,469.13 | $103.43 – $272.10 | 60 |
| Drainage absc/cyst/hmtma/vestibule mouth smpl CPT 40800 | $198.03 | $861.00 | $558.94 – $1,284.92 | 59 |
| Drainage ext aud canal abscess 69020 CPT 69020 | $198.03 | $861.00 | $558.94 – $1,284.92 | 59 |
| Drainage external ear simple 69000 CPT 69000 | $198.03 | $861.00 | $558.94 – $1,284.92 | 59 |
| Drainage mouth roof lesion CPT 42000 | $122.82 | $534.00 | $184.47 – $424.08 | 59 |
| Drainage of arm bursa 23931 CPT 23931 | $838.58 | $3,646.00 | $1,287.14 – $2,958.94 | 59 |
| Drainage of eye CPT 65800 | $1,611.38 | $7,006.00 | $1,811.84 – $4,165.16 | 59 |
| Drainage of mouth lesion CPT 41017 | $1,891.98 | $8,226.00 | $2,364.00 – $5,922.62 | 59 |
| Drainage of nose lesion int 30000 CPT 30000 | $100.97 | $439.00 | $184.47 – $424.08 | 59 |
| Drainage of nose lesion sept 30020 CPT 30020 | $122.82 | $534.00 | $404.56 – $930.02 | 59 |
| Drain blood from under nail 11740 CPT 11740 | $37.26 | $162.00 | $102.40 – $235.40 | 59 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $302.68 | $1,316.00 | $550.14 – $1,264.70 | 60 |
| Drain finger abscess;simple 26010 CPT 26010 | $88.09 | $383.00 | $157.85 – $362.88 | 59 |
| Drain lower leg lesion 27603 CPT 27603 | not published | not published | $2,273.66 – $5,226.80 | 59 |
| Drain thigh/knee lesion 27301 CPT 27301 | $658.26 | $2,862.00 | $2,273.66 – $5,226.80 | 59 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $149.96 | $652.00 | $157.85 – $362.88 | 59 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $92.46 | $402.00 | $157.85 – $362.88 | 59 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $160.08 | $696.00 | $317.39 – $729.64 | 59 |
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.