CMS Price Transparency Data

Digestive disorders treatment (inpatient stay)

Facility: Baptist Memorial Hospital Tipton

Billing Code: 392 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 392
  • Insurance Median: $12,735
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.24x Medicare
The contracted insurance negotiated median rate for a Digestive disorders treatment (inpatient stay) at Baptist Memorial Hospital Tipton is $12,735. 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 $5,675.87, this hospital’s rate is 2.24x 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
$12,735

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$5,675.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $5,675.87 (100%)
Insurance Median: $12,735 (224%)
Ins. Median: $12,735 (224% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $5,675.87 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 224% of the Medicare baseline (a markup of 124%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

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
Blue Cross Blue Shield $1,365 - $9,520 24%
Wellpoint $2,540 - $8,627 45%
Humana $6,129 - $8,627 108%
First Choice Health Plan Of Ms $7,296 - $8,446 129%
Triwest $7,888 139%
Vaccn $8,216 145%
Devoted Health $8,381 148%
French Camp Academy $8,583 151%
Hattiesburg Clinic $8,583 151%
Heartland Catfish Company $8,583 151%
W G Yates $8,583 151%
Aetna $8,627 152%
American Health Plan $8,627 152%
Shared Health $8,627 152%
Tribute Health Plan $8,627 152%
Novasys $8,791 155%
Oscar $9,623 170%
Cigna $10,265 - $11,291 181%
Multiplan $10,414 183%
Arlington Community Schools $12,735 224%
Bartlett City Schools $12,735 224%
City Of Bartlett $12,735 224%
City Of Lakeland $12,735 224%
Collierville Schools $12,735 224%
Eas Mssc Schools $12,735 224%
Lakeland School System $12,735 224%
Town Of Collierville $12,735 224%
Armstrong Relocation $13,557 239%
Ashley Furniture Stores $13,557 239%
Brimhall Foods $13,557 239%
Building Plastic $13,557 239%
Cannon Motor Company $13,557 239%
Carlisle $13,557 239%
Crittenden County $13,557 239%
Davidson Hospitality $13,557 239%
Desoto Co Board Of Supervisors $13,557 239%
Dunn Investment Company $13,557 239%
First Community Bank $13,557 239%
Gossett Motor Cars $13,557 239%
Heavy Machines $13,557 239%
Hollowell Industries $13,557 239%
Hospitality Management Advisors $13,557 239%
Jas D Collier $13,557 239%
Malco Theaters $13,557 239%
Mechanical Systems $13,557 239%
Mid-South Transport $13,557 239%
Patterson Warehouses $13,557 239%
Radians $13,557 239%
Rei Nation $13,557 239%
Retzer Resources $13,557 239%
Ritchey Automotive $13,557 239%
Security One $13,557 239%
Silver Tree $13,557 239%
State Systems $13,557 239%
United Tn Holdings $13,557 239%
Vaughn Electric $13,557 239%
W W Wood Products $13,557 239%
Watkins Uiberall $13,557 239%
Y K Auto Group $13,557 239%
Magnolia Tn $13,872 244%
Burch Food Services $13,968 246%
First State Bank Trust $13,968 246%
Harding Academy $14,378 253%
Molina $15,200 268%
Access Health Services $16,433 290%
Employers Health Network $16,433 290%

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