CMS Price Transparency Data

Breast lump removal

Facility: Baptist Memorial Hospital Tipton

Billing Code: 19120 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 19120
  • Insurance Median: $6,224
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.56x Medicare
The contracted insurance negotiated median rate for a Breast lump removal at Baptist Memorial Hospital Tipton is $6,224. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $4,000.24, this hospital’s rate is 1.56x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,224

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$4,000.24

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $4,000.24 (100%)
Insurance Median: $6,224 (156%)
Ins. Median: $6,224 (156% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $4,000.24 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $1,275 - $3,682 32%
Blue Cross Blue Shield $1,421 - $4,814 36%
Multiplan $2,476 62%
Cigna $2,600 - $2,860 65%
Wellpoint $3,051 - $3,682 76%
Triwest $3,366 84%
Vaccn $3,506 88%
Veterans Evaluation Services $3,506 88%
Devoted Health $3,577 89%
Molina $3,577 - $6,487 89%
Aetna $3,682 92%
American Health Plan $3,682 92%
Novasys $3,682 92%
Shared Health $3,682 92%
Tribute Health Plan $3,682 92%
Oscar $4,722 118%
Arlington Community Schools $5,786 145%
Bartlett City Schools $5,786 145%
City Of Bartlett $5,786 145%
City Of Lakeland $5,786 145%
Collierville Schools $5,786 145%
Eas Mssc Schools $5,786 145%
Lakeland School System $5,786 145%
Town Of Collierville $5,786 145%
Magnolia Tn $5,920 148%
First State Bank Trust $5,961 149%
Armstrong Relocation $6,312 158%
Ashley Furniture Stores $6,312 158%
Brimhall Foods $6,312 158%
Building Plastic $6,312 158%
Burch Food Services $6,312 158%
Cannon Motor Company $6,312 158%
Carlisle $6,312 158%
Crittenden County $6,312 158%
Davidson Hospitality $6,312 158%
Desoto Co Board Of Supervisors $6,312 158%
Dunn Investment Company $6,312 158%
First Choice Health Plan Of Ms $6,312 158%
First Community Bank $6,312 158%
French Camp Academy $6,312 158%
Gossett Motor Cars $6,312 158%
Hattiesburg Clinic $6,312 158%
Heartland Catfish Company $6,312 158%
Heavy Machines $6,312 158%
Hollowell Industries $6,312 158%
Hospitality Management Advisors $6,312 158%
Jas D Collier $6,312 158%
Malco Theaters $6,312 158%
Mechanical Systems $6,312 158%
Mid-South Transport $6,312 158%
Patterson Warehouses $6,312 158%
Radians $6,312 158%
Rei Nation $6,312 158%
Retzer Resources $6,312 158%
Ritchey Automotive $6,312 158%
Security One $6,312 158%
Silver Tree $6,312 158%
State Systems $6,312 158%
United Tn Holdings $6,312 158%
Vaughn Electric $6,312 158%
W G Yates $6,312 158%
W W Wood Products $6,312 158%
Watkins Uiberall $6,312 158%
Y K Auto Group $6,312 158%
Access Health Services $7,013 175%
Employers Health Network $7,013 175%
Harding Academy $7,013 175%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1995 Highway 51 S, Covington, TN 38019
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals