CMS Price Transparency Data
Breathing treatment (nebulizer)
Facility: Baptist Memorial Hospital Tipton
Billing Code: 94640 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 94640
- Insurance Median: $226
- Cash Discount Price: $60
- vs. Medicare Baseline: 1.01x Medicare
The contracted insurance negotiated median rate for a Breathing treatment (nebulizer) at Baptist Memorial Hospital Tipton is $226. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $60. Compared to the federal Medicare reimbursement reference rate of $223.72, this hospital’s rate is 1.01x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.
Cash / Self-Pay
$60
Average discount available for prompt cash payment at this facility.
Insurance Median
$226
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$223.72
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $223.72 (100%)
Cash / Self-Pay: $60 (27%)
Insurance Median: $226 (101%)
Cash: $60 (27% of Medicare)
Ins. Median: $226 (101% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $223.72 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Cross Blue Shield | $19 - $196 | 8% |
| Aetna | $65 - $196 | 29% |
| Ppo Holdings | $95 | 42% |
| Magnolia Regional Health Center | $100 | 45% |
| Multiplan | $108 - $188 | 48% |
| Littler | $126 | 56% |
| Molina | $126 - $345 | 56% |
| Access Health Services | $151 - $372 | 67% |
| Butler Snow | $151 | 67% |
| UnitedHealthcare | $151 | 67% |
| Cigna | $153 - $169 | 68% |
| Wellpoint | $162 - $196 | 72% |
| Humana | $163 - $196 | 73% |
| First Choice Health Plan Of Ms | $176 - $335 | 79% |
| Triwest | $179 | 80% |
| Vaccn | $186 | 83% |
| Veterans Evaluation Services | $186 | 83% |
| Mpcn | $188 | 84% |
| Novasys | $188 - $196 | 84% |
| Devoted Health | $190 | 85% |
| American Health Plan | $196 | 88% |
| Shared Health | $196 | 88% |
| Tribute Health Plan | $196 | 88% |
| Ppo Plus | $213 | 95% |
| Qca | $226 | 101% |
| Arlington Community Schools | $307 | 137% |
| Bartlett City Schools | $307 | 137% |
| City Of Bartlett | $307 | 137% |
| City Of Lakeland | $307 | 137% |
| Collierville Schools | $307 | 137% |
| Eas Mssc Schools | $307 | 137% |
| Lakeland School System | $307 | 137% |
| Town Of Collierville | $307 | 137% |
| Oscar | $313 | 140% |
| Magnolia Tn | $314 | 140% |
| First State Bank Trust | $317 | 142% |
| Armstrong Relocation | $335 | 150% |
| Ashley Furniture Stores | $335 | 150% |
| Brimhall Foods | $335 | 150% |
| Building Plastic | $335 | 150% |
| Burch Food Services | $335 | 150% |
| Cannon Motor Company | $335 | 150% |
| Carlisle | $335 | 150% |
| Crittenden County | $335 | 150% |
| Davidson Hospitality | $335 | 150% |
| Desoto Co Board Of Supervisors | $335 | 150% |
| Dunn Investment Company | $335 | 150% |
| First Community Bank | $335 | 150% |
| French Camp Academy | $335 | 150% |
| Gossett Motor Cars | $335 | 150% |
| Hattiesburg Clinic | $335 | 150% |
| Heartland Catfish Company | $335 | 150% |
| Heavy Machines | $335 | 150% |
| Hollowell Industries | $335 | 150% |
| Hospitality Management Advisors | $335 | 150% |
| Jas D Collier | $335 | 150% |
| Malco Theaters | $335 | 150% |
| Mechanical Systems | $335 | 150% |
| Mid-South Transport | $335 | 150% |
| Patterson Warehouses | $335 | 150% |
| Radians | $335 | 150% |
| Rei Nation | $335 | 150% |
| Retzer Resources | $335 | 150% |
| Ritchey Automotive | $335 | 150% |
| Security One | $335 | 150% |
| Silver Tree | $335 | 150% |
| State Systems | $335 | 150% |
| United Tn Holdings | $335 | 150% |
| Vaughn Electric | $335 | 150% |
| W G Yates | $335 | 150% |
| W W Wood Products | $335 | 150% |
| Watkins Uiberall | $335 | 150% |
| Y K Auto Group | $335 | 150% |
| Employers Health Network | $372 | 166% |
| Harding Academy | $372 | 166% |