CMS Price Transparency Data
MRI, brain (with and without contrast)
Facility: Baptist Memorial Hospital Tipton
Billing Code: 70553 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 70553
- Insurance Median: $589
- Cash Discount Price: $1,451
- vs. Medicare Baseline: 1.65x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Baptist Memorial Hospital Tipton is $589. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,451. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 1.65x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.
Cash / Self-Pay
$1,451
Average discount available for prompt cash payment at this facility.
Insurance Median
$589
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$356.43
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $356.43 (100%)
Cash / Self-Pay: $1,451 (407%)
Insurance Median: $589 (165%)
Cash: $1,451 (407% of Medicare)
Ins. Median: $589 (165% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $356.43 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 | $285 - $343 | 80% |
| Triwest | $314 | 88% |
| Oscar | $327 | 92% |
| Vaccn | $327 | 92% |
| Veterans Evaluation Services | $327 | 92% |
| Blue Cross Blue Shield | $334 - $3,628 | 94% |
| Devoted Health | $334 | 94% |
| Molina | $334 - $3,024 | 94% |
| Aetna | $343 - $1,814 | 96% |
| American Health Plan | $343 | 96% |
| Humana | $343 - $720 | 96% |
| Novasys | $343 - $4,535 | 96% |
| Shared Health | $343 | 96% |
| Tribute Health Plan | $343 | 96% |
| Arlington Community Schools | $540 | 152% |
| Bartlett City Schools | $540 | 152% |
| City Of Bartlett | $540 | 152% |
| City Of Lakeland | $540 | 152% |
| Collierville Schools | $540 | 152% |
| Eas Mssc Schools | $540 | 152% |
| Lakeland School System | $540 | 152% |
| Town Of Collierville | $540 | 152% |
| Magnolia Tn | $552 | 155% |
| First State Bank Trust | $556 | 156% |
| Armstrong Relocation | $589 | 165% |
| Ashley Furniture Stores | $589 | 165% |
| Brimhall Foods | $589 | 165% |
| Building Plastic | $589 | 165% |
| Burch Food Services | $589 | 165% |
| Cannon Motor Company | $589 | 165% |
| Carlisle | $589 | 165% |
| Crittenden County | $589 | 165% |
| Davidson Hospitality | $589 | 165% |
| Desoto Co Board Of Supervisors | $589 | 165% |
| Dunn Investment Company | $589 | 165% |
| First Choice Health Plan Of Ms | $589 - $4,233 | 165% |
| First Community Bank | $589 | 165% |
| French Camp Academy | $589 | 165% |
| Gossett Motor Cars | $589 | 165% |
| Hattiesburg Clinic | $589 | 165% |
| Heartland Catfish Company | $589 | 165% |
| Heavy Machines | $589 | 165% |
| Hollowell Industries | $589 | 165% |
| Hospitality Management Advisors | $589 | 165% |
| Jas D Collier | $589 | 165% |
| Malco Theaters | $589 | 165% |
| Mechanical Systems | $589 | 165% |
| Mid-South Transport | $589 | 165% |
| Patterson Warehouses | $589 | 165% |
| Radians | $589 | 165% |
| Rei Nation | $589 | 165% |
| Retzer Resources | $589 | 165% |
| Ritchey Automotive | $589 | 165% |
| Security One | $589 | 165% |
| Silver Tree | $589 | 165% |
| State Systems | $589 | 165% |
| United Tn Holdings | $589 | 165% |
| Vaughn Electric | $589 | 165% |
| W G Yates | $589 | 165% |
| W W Wood Products | $589 | 165% |
| Watkins Uiberall | $589 | 165% |
| Y K Auto Group | $589 | 165% |
| Access Health Services | $654 - $3,628 | 183% |
| Employers Health Network | $654 | 183% |
| Harding Academy | $654 | 183% |
| Cigna | $902 - $993 | 253% |
| Ppo Holdings | $2,298 | 645% |
| Magnolia Regional Health Center | $2,419 | 679% |
| Multiplan | $2,600 - $4,535 | 729% |
| Littler | $3,024 | 848% |
| Butler Snow | $3,628 | 1018% |
| UnitedHealthcare | $3,628 | 1018% |
| Mpcn | $4,535 | 1272% |
| Ppo Plus | $5,140 | 1442% |
| Qca | $5,442 | 1527% |