Supplies, drugs & other prices at Baptist Memorial Hospital-Leake
Carthage, MS · every code in this section with a posted price and a Medicare benchmark.
28 codes. Prices are the hospital's own posted facility charges.
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| Procedure | Cash price | Gross charge | × Medicare |
|---|---|---|---|
| 2019-ncov diagnostic p (U0001) | $58.95 | $131 | 1.6× |
| Adm tocilizu covid-19 1st (M0249) | $710.55 | $1,579 | 1.9× |
| Adm tocilizu covid-19 2nd (M0250) | $710.55 | $1,579 | 1.9× |
| Admin hepatitis b vaccine (G0010) | $22.95 | $51 | 0.6× |
| Admin influenza virus vac (G0008) | $10.35 | $23 | 0.3× |
| Admin pneumococcal vaccine (G0009) | $10.35 | $23 | 0.3× |
| Colon ca scrn not hi rsk ind (G0121) | $1,163.70 | $2,586 | 1.5× |
| Colorectal scrn; hi risk ind (G0105) | $775.35 | $1,723 | 1.0× |
| Covid-19 lab test non-cdc (U0002) | $83.70 | $186 | 1.6× |
| Diab manage trn per indiv (G0108) | $25.20 | $56 | 0.5× |
| Diab manage trn ind/group (G0109) | $15.30 | $34 | 1.0× |
| Direct refer hospital observ (G0379) | $289.35 | $643 | 0.6× |
| Elec stim other than wound (G0283) | $49.28 | $109.50 | 3.9× |
| Group mnt 2 or more 30 mins (G0271) | $34.20 | $76 | 2.0× |
| Hbot, full body chamber, 30m (G0277) | $267.30 | $594 | 2.3× |
| Hep c screen high risk/other (G0472) | $150.75 | $335 | 3.3× |
| Hpv combo assay ca screen (G0476) | $60.30 | $134 | 1.7× |
| Inj for sacroiliac jt anesth (G0260) | $650.70 | $1,446 | 1.1× |
| Mnt subs tx for change dx (G0270) | $34.20 | $76 | 1.1× |
| Pemivibart infusion (M0224) | $315.90 | $702 | 0.8× |
| Perc d-e cor revasc chro sin (C9607) likely a partial charge, not the full procedure |
$319.05 | $709 | 0.0× |
| Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral… (0627T) | $7,868.70 | $17,486 | 0.7× |
| Prolonged iv inf, req pump (C8957) | $356.40 | $792 | 1.9× |
| Psa screening (G0103) | $119.25 | $265 | 6.2× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $50.85 | $113 | 1.9× |
| Trauma respons w/hosp criti (G0390) | $1,287 | $2,860 | 1.1× |
| Trim nail(s) (G0127) | $43.65 | $97 | 0.9× |
| Unsched dialysis esrd pt hos (G0257) | $106.20 | $236 | 0.2× |