CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Baptist Memorial Hospital Tipton

Billing Code: 99203 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$83
about 0.7× the $118 Medicare rate · typically $61–$183
modeled estimate · not a bill or quote
What this hospital charges insurers
$93
About the fair price
about $10 over the fair price · 0.8× Medicare
Medicare pays $118 Fair price $83 This hospital $93 Cash price $94 Hospital's list price $390

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

Highest price of the 9 TN hospitals we have prices for — worth calling around.

Cheapest $42 Priciest $93

Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.

A fair price for a New patient office visit (30-44 min) is about $83 (about 0.7× the $118 Medicare rate). Baptist Memorial Hospital Tipton charges insurers about $93, or about $94 in cash — about the fair price. Located in Covington, TN.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company Price range vs. Medicare
UnitedHealthcaremajor $234 199%
Blue Cross Blue Shieldmajor $86 - $402 73%
Aetnamajor $66 - $117 56%
Cignamajor $169 144%
Humanamajor $254 216%
Molina $195 166%
Oscar Health $136 116%
+ 8 smaller / regional plans $30 - $351
Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 1995 Highway 51 S, Covington, TN 38019
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals