CMS Price Transparency Data
MRI, knee or other leg joint
Facility: Baptist Memorial Hospital Tipton
Billing Code: 73721 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 73721
- Insurance Median: $398
- Cash Discount Price: $975
- vs. Medicare Baseline: 1.63x Medicare
The contracted insurance negotiated median rate for a MRI, knee or other leg joint at Baptist Memorial Hospital Tipton is $398. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $975. Compared to the federal Medicare reimbursement reference rate of $243.77, this hospital’s rate is 1.63x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.
Cash / Self-Pay
$975
Average discount available for prompt cash payment at this facility.
Insurance Median
$398
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$243.77
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $243.77 (100%)
Cash / Self-Pay: $975 (400%)
Insurance Median: $398 (163%)
Cash: $975 (400% of Medicare)
Ins. Median: $398 (163% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $243.77 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 | $193 - $232 | 79% |
| Triwest | $212 | 87% |
| Oscar | $221 | 91% |
| Vaccn | $221 | 91% |
| Veterans Evaluation Services | $221 | 91% |
| Blue Cross Blue Shield | $224 - $2,438 | 92% |
| Devoted Health | $226 | 93% |
| Molina | $226 - $2,032 | 93% |
| Aetna | $232 - $1,219 | 95% |
| American Health Plan | $232 | 95% |
| Humana | $232 - $720 | 95% |
| Novasys | $232 - $3,048 | 95% |
| Shared Health | $232 | 95% |
| Tribute Health Plan | $232 | 95% |
| Arlington Community Schools | $365 | 150% |
| Bartlett City Schools | $365 | 150% |
| City Of Bartlett | $365 | 150% |
| City Of Lakeland | $365 | 150% |
| Collierville Schools | $365 | 150% |
| Eas Mssc Schools | $365 | 150% |
| Lakeland School System | $365 | 150% |
| Town Of Collierville | $365 | 150% |
| Magnolia Tn | $374 | 153% |
| First State Bank Trust | $376 | 154% |
| Armstrong Relocation | $398 | 163% |
| Ashley Furniture Stores | $398 | 163% |
| Brimhall Foods | $398 | 163% |
| Building Plastic | $398 | 163% |
| Burch Food Services | $398 | 163% |
| Cannon Motor Company | $398 | 163% |
| Carlisle | $398 | 163% |
| Crittenden County | $398 | 163% |
| Davidson Hospitality | $398 | 163% |
| Desoto Co Board Of Supervisors | $398 | 163% |
| Dunn Investment Company | $398 | 163% |
| First Choice Health Plan Of Ms | $398 - $2,845 | 163% |
| First Community Bank | $398 | 163% |
| French Camp Academy | $398 | 163% |
| Gossett Motor Cars | $398 | 163% |
| Hattiesburg Clinic | $398 | 163% |
| Heartland Catfish Company | $398 | 163% |
| Heavy Machines | $398 | 163% |
| Hollowell Industries | $398 | 163% |
| Hospitality Management Advisors | $398 | 163% |
| Jas D Collier | $398 | 163% |
| Malco Theaters | $398 | 163% |
| Mechanical Systems | $398 | 163% |
| Mid-South Transport | $398 | 163% |
| Patterson Warehouses | $398 | 163% |
| Radians | $398 | 163% |
| Rei Nation | $398 | 163% |
| Retzer Resources | $398 | 163% |
| Ritchey Automotive | $398 | 163% |
| Security One | $398 | 163% |
| Silver Tree | $398 | 163% |
| State Systems | $398 | 163% |
| United Tn Holdings | $398 | 163% |
| Vaughn Electric | $398 | 163% |
| W G Yates | $398 | 163% |
| W W Wood Products | $398 | 163% |
| Watkins Uiberall | $398 | 163% |
| Y K Auto Group | $398 | 163% |
| Access Health Services | $443 - $2,438 | 182% |
| Employers Health Network | $443 | 182% |
| Harding Academy | $443 | 182% |
| Cigna | $902 - $993 | 370% |
| Ppo Holdings | $1,544 | 633% |
| Magnolia Regional Health Center | $1,626 | 667% |
| Multiplan | $1,748 - $3,048 | 717% |
| Littler | $2,032 | 834% |
| Butler Snow | $2,438 | 1000% |
| UnitedHealthcare | $2,438 | 1000% |
| Mpcn | $3,048 | 1250% |
| Ppo Plus | $3,454 | 1417% |
| Qca | $3,658 | 1501% |