CMS Price Transparency Data

Colonoscopy with biopsy

Facility: Baptist Memorial Hospital Tipton

Billing Code: 45380 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 45380
  • Insurance Median: $1,943
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Colonoscopy with biopsy at Baptist Memorial Hospital Tipton is $1,943. 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 $1,222.56, this hospital’s rate is 1.59x 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
$1,943

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$1,222.56

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $1,222.56 (100%)
Insurance Median: $1,943 (159%)
Ins. Median: $1,943 (159% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $1,222.56 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
Wellpoint $939 - $1,134 77%
Blue Cross Blue Shield $1,006 - $3,775 82%
Triwest $1,036 85%
Vaccn $1,080 88%
Veterans Evaluation Services $1,080 88%
Devoted Health $1,101 90%
Molina $1,101 - $1,997 90%
Humana $1,115 - $1,134 91%
Aetna $1,134 93%
American Health Plan $1,134 93%
Novasys $1,134 93%
Shared Health $1,134 93%
Tribute Health Plan $1,134 93%
Arlington Community Schools $1,781 146%
Bartlett City Schools $1,781 146%
City Of Bartlett $1,781 146%
City Of Lakeland $1,781 146%
Collierville Schools $1,781 146%
Eas Mssc Schools $1,781 146%
Lakeland School System $1,781 146%
Town Of Collierville $1,781 146%
Magnolia Tn $1,823 149%
First State Bank Trust $1,835 150%
Armstrong Relocation $1,943 159%
Ashley Furniture Stores $1,943 159%
Brimhall Foods $1,943 159%
Building Plastic $1,943 159%
Burch Food Services $1,943 159%
Cannon Motor Company $1,943 159%
Carlisle $1,943 159%
Crittenden County $1,943 159%
Davidson Hospitality $1,943 159%
Desoto Co Board Of Supervisors $1,943 159%
Dunn Investment Company $1,943 159%
First Choice Health Plan Of Ms $1,943 159%
First Community Bank $1,943 159%
French Camp Academy $1,943 159%
Gossett Motor Cars $1,943 159%
Hattiesburg Clinic $1,943 159%
Heartland Catfish Company $1,943 159%
Heavy Machines $1,943 159%
Hollowell Industries $1,943 159%
Hospitality Management Advisors $1,943 159%
Jas D Collier $1,943 159%
Malco Theaters $1,943 159%
Mechanical Systems $1,943 159%
Mid-South Transport $1,943 159%
Patterson Warehouses $1,943 159%
Radians $1,943 159%
Rei Nation $1,943 159%
Retzer Resources $1,943 159%
Ritchey Automotive $1,943 159%
Security One $1,943 159%
Silver Tree $1,943 159%
State Systems $1,943 159%
United Tn Holdings $1,943 159%
Vaughn Electric $1,943 159%
W G Yates $1,943 159%
W W Wood Products $1,943 159%
Watkins Uiberall $1,943 159%
Y K Auto Group $1,943 159%
Access Health Services $2,159 177%
Employers Health Network $2,159 177%
Harding Academy $2,159 177%
Cigna $2,175 - $2,393 178%
Multiplan $2,227 182%
Oscar $4,722 386%

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