CMS Price Transparency Data

Heart stent placement (inpatient stay)

Facility: Baptist Memorial Hospital Tipton

Billing Code: 322 (MS-DRG)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 322
  • Insurance Median: $25,972
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.03x Medicare
The contracted insurance negotiated median rate for a Heart stent placement (inpatient stay) at Baptist Memorial Hospital Tipton is $25,972. 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 $12,807.1, this hospital’s rate is 2.03x 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
$25,972

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$12,807.1

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $12,807.1 (100%)
Insurance Median: $25,972 (203%)
Ins. Median: $25,972 (203% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $12,807.1 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 203% of the Medicare baseline (a markup of 103%). 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 $9,568 - $32,449 75%
Humana $14,211 - $16,527 111%
Triwest $15,111 118%
Vaccn $15,740 123%
Devoted Health $16,055 125%
Aetna $16,527 129%
American Health Plan $16,527 129%
Shared Health $16,527 129%
Tribute Health Plan $16,527 129%
Wellpoint $16,527 129%
Novasys $16,842 132%
First Choice Health Plan Of Ms $16,916 - $19,582 132%
French Camp Academy $19,901 155%
Hattiesburg Clinic $19,901 155%
Heartland Catfish Company $19,901 155%
W G Yates $19,901 155%
Oscar $22,313 174%
Cigna $23,800 - $26,180 186%
Multiplan $24,146 189%
Arlington Community Schools $24,397 190%
Bartlett City Schools $24,397 190%
City Of Bartlett $24,397 190%
City Of Lakeland $24,397 190%
Collierville Schools $24,397 190%
Eas Mssc Schools $24,397 190%
Lakeland School System $24,397 190%
Town Of Collierville $24,397 190%
Armstrong Relocation $25,972 203%
Ashley Furniture Stores $25,972 203%
Brimhall Foods $25,972 203%
Building Plastic $25,972 203%
Cannon Motor Company $25,972 203%
Carlisle $25,972 203%
Crittenden County $25,972 203%
Davidson Hospitality $25,972 203%
Desoto Co Board Of Supervisors $25,972 203%
Dunn Investment Company $25,972 203%
First Community Bank $25,972 203%
Gossett Motor Cars $25,972 203%
Heavy Machines $25,972 203%
Hollowell Industries $25,972 203%
Hospitality Management Advisors $25,972 203%
Jas D Collier $25,972 203%
Malco Theaters $25,972 203%
Mechanical Systems $25,972 203%
Mid-South Transport $25,972 203%
Patterson Warehouses $25,972 203%
Radians $25,972 203%
Rei Nation $25,972 203%
Retzer Resources $25,972 203%
Ritchey Automotive $25,972 203%
Security One $25,972 203%
Silver Tree $25,972 203%
State Systems $25,972 203%
United Tn Holdings $25,972 203%
Vaughn Electric $25,972 203%
W W Wood Products $25,972 203%
Watkins Uiberall $25,972 203%
Y K Auto Group $25,972 203%
Magnolia Tn $26,574 207%
Burch Food Services $26,759 209%
First State Bank Trust $26,759 209%
Harding Academy $27,546 215%
Molina $29,120 227%
Access Health Services $31,481 246%
Employers Health Network $31,481 246%

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