CMS Price Transparency Data

Screening mammogram (both breasts)

Facility: Baptist Memorial Hospital Tipton

Billing Code: 77067 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 77067
Insurance Median: $295
Cash Discount Price: $141
vs. Medicare Baseline: 2.34x Medicare

The contracted insurance negotiated median rate for a Screening mammogram (both breasts) at Baptist Memorial Hospital Tipton is $295. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $141. Compared to the federal Medicare reimbursement reference rate of $126.25, this hospital’s rate is 2.34x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.

Cash / Self-Pay

$141

Average discount available for prompt cash payment at this facility.

Insurance Median

$295

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$126.25

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $126.25 (100%)

Cash / Self-Pay: $141 (112%)

Insurance Median: $295 (234%)

Cash: $141 (112% of Medicare)

Ins. Median: $295 (234% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $126.25 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 234% of the Medicare baseline (a markup of 134%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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	$45	36%
Blue Cross Blue Shield	$93 - $353	74%
Aetna	$106 - $177	84%
Oscar	$206	163%
Ppo Holdings	$224	177%
Magnolia Regional Health Center	$236	187%
Humana	$240	190%
Multiplan	$253 - $442	200%
Cigna	$255	202%
Littler	$294	233%
Molina	$294	233%
Access Health Services	$353	280%
Butler Snow	$353	280%
UnitedHealthcare	$353	280%
First Choice Health Plan Of Ms	$412	326%
Mpcn	$442	350%
Novasys	$442	350%
Ppo Plus	$501	397%
Qca	$530	420%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $141.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 77067.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Baptist Memorial Hospital Tipton is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 77067.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.