Supplies, drugs & other prices at Baptist Memorial Hospital-North Mississippi
Oxford, MS · every code in this section with a posted price and a Medicare benchmark.
65 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) | $30.13 | $131 | 0.8× |
| 2d tee w or w/o fol w/con,in (C8925) | $652.97 | $2,839 | 0.9× |
| 2d tte w or w/o fol w/con,co (C8923) | $562.12 | $2,444 | 0.8× |
| 2d tte w or w/o fol w/con,fu (C8924) | $279.68 | $1,216 | 0.9× |
| Adm tocilizu covid-19 1st (M0249) | $363.17 | $1,579 | 0.9× |
| Adm tocilizu covid-19 2nd (M0250) | $363.17 | $1,579 | 0.9× |
| Admin hepatitis b vaccine (G0010) | $22.08 | $96 | 0.5× |
| Admin influenza virus vac (G0008) | $24.96 | $108.50 | 0.6× |
| Admin pneumococcal vaccine (G0009) | $27.26 | $118.50 | 0.6× |
| Covid-19 lab test non-cdc (U0002) | $42.78 | $186 | 0.8× |
| Direct refer hospital observ (G0379) | $249.32 | $1,084 | 0.5× |
| Elec stim other than wound (G0283) | $63.71 | $277 | 5.0× |
| Extrnl counterpulse, per tx (G0166) | $174.11 | $757 | 1.5× |
| Hbot, full body chamber, 30m (G0277) | $90.39 | $393 | 0.7× |
| Home sleep test/type 4 porta (G0400) | $111.78 | $486 | 0.6× |
| Hospital outpt clinic visit (G0463) | $48.30 | $210 | 0.4× |
| Hpv combo assay ca screen (G0476) | $26.22 | $114 | 0.7× |
| Inj for sacroiliac jt anesth (G0260) | $332.58 | $1,446 | 0.5× |
| Intens cardiac rehab no exer (G0423) | $128.11 | $557 | 1.1× |
| Intens cardiac rehab w/exerc (G0422) | $93.38 | $406 | 0.8× |
| Mra w/cont, abd (C8900) | $1,128.15 | $4,905 | 3.6× |
| Mra w/cont, chest (C8909) | $967.38 | $4,206 | 3.1× |
| Mra w/cont, lwr ext (C8912) | $1,093.65 | $4,755 | 3.5× |
| Mra w/o cont, abd (C8901) | $1,089.51 | $4,737 | 5.1× |
| Mra w/o cont, chest (C8910) | $830.53 | $3,611 | 3.9× |
| Mra w/o cont, lwr ext (C8913) | $985.55 | $4,285 | 4.6× |
| Mra w/o fol w/cont, abd (C8902) | $1,547.21 | $6,727 | 4.9× |
| Mra w/o fol w/cont, chest (C8911) | $1,457.51 | $6,337 | 4.6× |
| Mra w/o fol w/cont, lwr ext (C8914) | $1,170.93 | $5,091 | 3.7× |
| Mra, w/dye, upper extremity (C8934) | $836.74 | $3,638 | 2.7× |
| Mra, w/o dye, upper extr (C8935) | $733.70 | $3,190 | 3.4× |
| Mra, w/o&w/dye, upper extr (C8936) | $1,192.78 | $5,186 | 3.8× |
| Mri w/cont, breast, bi (C8906) | $858.24 | $3,731.50 | 2.7× |
| Mri w/cont, breast, uni (C8903) | $844.56 | $3,672 | 5.3× |
| Mri w/o fol w/cont, breast, (C8908) | $846.40 | $3,680 | 2.7× |
| Mri w/o fol w/cont, brst, un (C8905) | $776.71 | $3,377 | 2.5× |
| Njx pltlt plasma w/img harvest/preparation (0232T) | $1,150 | $5,000 | 2.9× |
| Oth resp proc, group (G0239) | $24.84 | $108 | 0.7× |
| Oth resp proc, indiv (G0238) | $18.63 | $81 | 0.7× |
| Pemivibart infusion (M0224) | $322.92 | $1,404 | 0.8× |
| Perc d-e cor revasc chro sin (C9607) unusually low: confirm this is the full procedure |
$6,994.99 | $30,413 | 0.4× |
| Perc d-e cor revasc t cabg s (C9604) | $6,608.36 | $28,732 | 0.6× |
| Perc d-e cor stent ather s (C9602) | $14,740.47 | $64,089 | 0.9× |
| Perc drug-el cor stent sing (C9600) | $6,608.36 | $28,732 | 0.6× |
| Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries, including right heart… (0632T) likely a partial charge, not the full procedure |
$1,328.02 | $5,774 | 0.1× |
| Place device/marker, non pro (C9728) | $577.99 | $2,513 | 0.5× |
| Prolonged iv inf, req pump (C8957) | $189.52 | $824 | 1.0× |
| Prostate biopsy, any mthd (G0416) | $194.58 | $846 | 0.6× |
| Psa screening (G0103) | $76.13 | $331 | 3.9× |
| Revasc intra lithotrip-ather (C9766) | $13,961 | $60,700 | 0.8× |
| Revasc intra lithotrip-stent (C9765) | $12,872.18 | $55,966 | 0.8× |
| Revasc intravasc lithotripsy (C9764) | $7,261.10 | $31,570 | 0.7× |
| Revasc lith-sten-ath tib/per (C9775) | $21,883.35 | $95,145 | 1.3× |
| Revasc lithotr-ather tib/per (C9774) | $15,704.17 | $68,279 | 0.9× |
| Revasc lithotr-stent tib/per (C9773) | $14,479.42 | $62,954 | 0.9× |
| Revasc lithotrip tibi/perone (C9772) | $7,261.10 | $31,570 | 0.7× |
| Revasc lithotrip-stent-ather (C9767) | $20,714.14 | $90,061.50 | 1.3× |
| Scr c/v cyto,thinlayer,rescr (G0145) | $34.50 | $150 | 1.3× |
| Therapeutic procd strg endur (G0237) | $18.63 | $81 | 0.7× |
| Tomosynthesis, mammo (G0279) | $24.15 | $105 | 1.9× |
| Trauma respons w/hosp criti (G0390) | $1,040.52 | $4,524 | 0.9× |
| Trluml periph athrc w/rs&i brchiocphl ea vsl (0237T) | $6,123.52 | $26,624 | 0.6× |
| Trluml peripheral atherectomy iliac artery ea (0238T) unusually low: confirm this is the full procedure |
$6,123.52 | $26,624 | 0.4× |
| Tte w or wo fol wcon,doppler (C8929) | $771.19 | $3,353 | 1.1× |
| Unsched dialysis esrd pt hos (G0257) | $400.89 | $1,743 | 0.6× |