CMS Price Transparency Data

New patient office visit (30-44 min)

Facility: Baptist Memorial Hospital Tipton

Billing Code: 99203 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 99203
  • Insurance Median: $234
  • Cash Discount Price: $94
  • vs. Medicare Baseline: 1.99x Medicare
The contracted insurance negotiated median rate for a New patient office visit (30-44 min) at Baptist Memorial Hospital Tipton is $234. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $94. Compared to the federal Medicare reimbursement reference rate of $117.57, this hospital’s rate is 1.99x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.
Cash / Self-Pay
$94

Average discount available for prompt cash payment at this facility.

Insurance Median
$234

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$117.57

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $117.57 (100%)
Cash / Self-Pay: $94 (80%)
Insurance Median: $234 (199%)
Cash: $94 (80% of Medicare)
Ins. Median: $234 (199% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $117.57 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

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
Magnolia Tn $30 26%
Aetna $66 - $117 56%
Blue Cross Blue Shield $86 - $402 73%
Oscar $136 116%
Ppo Holdings $148 126%
Magnolia Regional Health Center $156 133%
Multiplan $168 - $292 143%
Cigna $169 144%
Littler $195 166%
Molina $195 166%
Access Health Services $234 199%
Butler Snow $234 199%
UnitedHealthcare $234 199%
Humana $254 216%
First Choice Health Plan Of Ms $273 232%
Mpcn $292 248%
Novasys $292 248%
Ppo Plus $332 282%
Qca $351 299%

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