CMS Price Transparency Data
Hip or knee replacement (inpatient stay)
Facility: Baptist Memorial Hospital Tipton
Billing Code: 470 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 470
- Insurance Median: $26,892
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.91x Medicare
The contracted insurance negotiated median rate for a Hip or knee replacement (inpatient stay) at Baptist Memorial Hospital Tipton is $26,892. 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 $14,044.15, this hospital’s rate is 1.91x 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
$26,892
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$14,044.15
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $14,044.15 (100%)
Insurance Median: $26,892 (191%)
Ins. Median: $26,892 (191% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $14,044.15 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 |
|---|---|---|
| Wellpoint | $6,872 - $17,113 | 49% |
| Blue Cross Blue Shield | $8,022 - $47,583 | 57% |
| Humana | $14,811 - $17,113 | 105% |
| Triwest | $15,646 | 111% |
| Vaccn | $16,298 | 116% |
| Devoted Health | $16,624 | 118% |
| Aetna | $17,113 | 122% |
| American Health Plan | $17,113 | 122% |
| Shared Health | $17,113 | 122% |
| Tribute Health Plan | $17,113 | 122% |
| Novasys | $17,439 | 124% |
| First Choice Health Plan Of Ms | $17,629 - $20,408 | 126% |
| French Camp Academy | $20,740 | 148% |
| Hattiesburg Clinic | $20,740 | 148% |
| Heartland Catfish Company | $20,740 | 148% |
| W G Yates | $20,740 | 148% |
| Oscar | $23,254 | 166% |
| Cigna | $24,804 - $27,284 | 177% |
| Multiplan | $25,164 | 179% |
| Arlington Community Schools | $25,262 | 180% |
| Bartlett City Schools | $25,262 | 180% |
| City Of Bartlett | $25,262 | 180% |
| City Of Lakeland | $25,262 | 180% |
| Collierville Schools | $25,262 | 180% |
| Eas Mssc Schools | $25,262 | 180% |
| Lakeland School System | $25,262 | 180% |
| Town Of Collierville | $25,262 | 180% |
| Armstrong Relocation | $26,892 | 191% |
| Ashley Furniture Stores | $26,892 | 191% |
| Brimhall Foods | $26,892 | 191% |
| Building Plastic | $26,892 | 191% |
| Cannon Motor Company | $26,892 | 191% |
| Carlisle | $26,892 | 191% |
| Crittenden County | $26,892 | 191% |
| Davidson Hospitality | $26,892 | 191% |
| Desoto Co Board Of Supervisors | $26,892 | 191% |
| Dunn Investment Company | $26,892 | 191% |
| First Community Bank | $26,892 | 191% |
| Gossett Motor Cars | $26,892 | 191% |
| Heavy Machines | $26,892 | 191% |
| Hollowell Industries | $26,892 | 191% |
| Hospitality Management Advisors | $26,892 | 191% |
| Jas D Collier | $26,892 | 191% |
| Malco Theaters | $26,892 | 191% |
| Mechanical Systems | $26,892 | 191% |
| Mid-South Transport | $26,892 | 191% |
| Patterson Warehouses | $26,892 | 191% |
| Radians | $26,892 | 191% |
| Rei Nation | $26,892 | 191% |
| Retzer Resources | $26,892 | 191% |
| Ritchey Automotive | $26,892 | 191% |
| Security One | $26,892 | 191% |
| Silver Tree | $26,892 | 191% |
| State Systems | $26,892 | 191% |
| United Tn Holdings | $26,892 | 191% |
| Vaughn Electric | $26,892 | 191% |
| W W Wood Products | $26,892 | 191% |
| Watkins Uiberall | $26,892 | 191% |
| Y K Auto Group | $26,892 | 191% |
| Magnolia Tn | $27,516 | 196% |
| Burch Food Services | $27,707 | 197% |
| First State Bank Trust | $27,707 | 197% |
| Harding Academy | $28,522 | 203% |
| Molina | $30,152 | 215% |
| Access Health Services | $32,597 | 232% |
| Employers Health Network | $32,597 | 232% |