CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Baptist Memorial Hospital Tipton

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 72125
  • Insurance Median: $175
  • Cash Discount Price: $843
  • vs. Medicare Baseline: 1.64x Medicare
The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Baptist Memorial Hospital Tipton is $175. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $843. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.64x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.
Cash / Self-Pay
$843

Average discount available for prompt cash payment at this facility.

Insurance Median
$175

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)
Cash / Self-Pay: $843 (789%)
Insurance Median: $175 (164%)
Cash: $843 (789% of Medicare)
Ins. Median: $175 (164% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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 $85 - $102 80%
Triwest $93 87%
Oscar $97 91%
Vaccn $97 91%
Veterans Evaluation Services $97 91%
Blue Cross Blue Shield $99 - $2,107 93%
Devoted Health $99 93%
Molina $99 - $1,756 93%
Aetna $102 - $1,053 95%
American Health Plan $102 95%
Humana $102 - $574 95%
Novasys $102 - $2,633 95%
Shared Health $102 95%
Tribute Health Plan $102 95%
Arlington Community Schools $161 151%
Bartlett City Schools $161 151%
City Of Bartlett $161 151%
City Of Lakeland $161 151%
Collierville Schools $161 151%
Eas Mssc Schools $161 151%
Lakeland School System $161 151%
Town Of Collierville $161 151%
Magnolia Tn $164 154%
First State Bank Trust $166 155%
Armstrong Relocation $175 164%
Ashley Furniture Stores $175 164%
Brimhall Foods $175 164%
Building Plastic $175 164%
Burch Food Services $175 164%
Cannon Motor Company $175 164%
Carlisle $175 164%
Crittenden County $175 164%
Davidson Hospitality $175 164%
Desoto Co Board Of Supervisors $175 164%
Dunn Investment Company $175 164%
First Choice Health Plan Of Ms $175 - $2,458 164%
First Community Bank $175 164%
French Camp Academy $175 164%
Gossett Motor Cars $175 164%
Hattiesburg Clinic $175 164%
Heartland Catfish Company $175 164%
Heavy Machines $175 164%
Hollowell Industries $175 164%
Hospitality Management Advisors $175 164%
Jas D Collier $175 164%
Malco Theaters $175 164%
Mechanical Systems $175 164%
Mid-South Transport $175 164%
Patterson Warehouses $175 164%
Radians $175 164%
Rei Nation $175 164%
Retzer Resources $175 164%
Ritchey Automotive $175 164%
Security One $175 164%
Silver Tree $175 164%
State Systems $175 164%
United Tn Holdings $175 164%
Vaughn Electric $175 164%
W G Yates $175 164%
W W Wood Products $175 164%
Watkins Uiberall $175 164%
Y K Auto Group $175 164%
Access Health Services $195 - $2,107 183%
Employers Health Network $195 183%
Harding Academy $195 183%
Cigna $663 - $730 621%
Ppo Holdings $1,334 1249%
Magnolia Regional Health Center $1,404 1314%
Multiplan $1,510 - $2,633 1414%
Littler $1,756 1644%
Butler Snow $2,107 1973%
UnitedHealthcare $2,107 1973%
Mpcn $2,633 2465%
Ppo Plus $2,984 2794%
Qca $3,160 2959%

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