CMS Price Transparency Data
Sepsis treatment (inpatient stay)
Facility: Baptist Memorial Hospital Tipton
Billing Code: 871 (MS-DRG)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 871
- Insurance Median: $26,158
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Sepsis treatment (inpatient stay) at Baptist Memorial Hospital Tipton is $26,158. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $14,116.91, this hospital’s rate is 1.85x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$26,158
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$14,116.91
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $14,116.91 (100%)
Insurance Median: $26,158 (185%)
Ins. Median: $26,158 (185% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $14,116.91 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 |
|---|---|---|
| Blue Cross Blue Shield | $4,080 - $24,201 | 29% |
| Wellpoint | $6,098 - $17,701 | 43% |
| Humana | $15,412 - $17,701 | 109% |
| Triwest | $16,184 | 115% |
| Vaccn | $16,858 | 119% |
| Devoted Health | $17,196 | 122% |
| Aetna | $17,701 | 125% |
| American Health Plan | $17,701 | 125% |
| Shared Health | $17,701 | 125% |
| Tribute Health Plan | $17,701 | 125% |
| Novasys | $18,038 | 128% |
| First Choice Health Plan Of Ms | $18,346 - $21,237 | 130% |
| French Camp Academy | $21,583 | 153% |
| Hattiesburg Clinic | $21,583 | 153% |
| Heartland Catfish Company | $21,583 | 153% |
| W G Yates | $21,583 | 153% |
| Oscar | $24,198 | 171% |
| Cigna | $25,812 - $28,393 | 183% |
| Arlington Community Schools | $26,131 | 185% |
| Bartlett City Schools | $26,131 | 185% |
| City Of Bartlett | $26,131 | 185% |
| City Of Lakeland | $26,131 | 185% |
| Collierville Schools | $26,131 | 185% |
| Eas Mssc Schools | $26,131 | 185% |
| Lakeland School System | $26,131 | 185% |
| Town Of Collierville | $26,131 | 185% |
| Multiplan | $26,186 | 185% |
| Armstrong Relocation | $27,816 | 197% |
| Ashley Furniture Stores | $27,816 | 197% |
| Brimhall Foods | $27,816 | 197% |
| Building Plastic | $27,816 | 197% |
| Cannon Motor Company | $27,816 | 197% |
| Carlisle | $27,816 | 197% |
| Crittenden County | $27,816 | 197% |
| Davidson Hospitality | $27,816 | 197% |
| Desoto Co Board Of Supervisors | $27,816 | 197% |
| Dunn Investment Company | $27,816 | 197% |
| First Community Bank | $27,816 | 197% |
| Gossett Motor Cars | $27,816 | 197% |
| Heavy Machines | $27,816 | 197% |
| Hollowell Industries | $27,816 | 197% |
| Hospitality Management Advisors | $27,816 | 197% |
| Jas D Collier | $27,816 | 197% |
| Malco Theaters | $27,816 | 197% |
| Mechanical Systems | $27,816 | 197% |
| Mid-South Transport | $27,816 | 197% |
| Patterson Warehouses | $27,816 | 197% |
| Radians | $27,816 | 197% |
| Rei Nation | $27,816 | 197% |
| Retzer Resources | $27,816 | 197% |
| Ritchey Automotive | $27,816 | 197% |
| Security One | $27,816 | 197% |
| Silver Tree | $27,816 | 197% |
| State Systems | $27,816 | 197% |
| United Tn Holdings | $27,816 | 197% |
| Vaughn Electric | $27,816 | 197% |
| W W Wood Products | $27,816 | 197% |
| Watkins Uiberall | $27,816 | 197% |
| Y K Auto Group | $27,816 | 197% |
| Magnolia Tn | $28,462 | 202% |
| Burch Food Services | $28,659 | 203% |
| First State Bank Trust | $28,659 | 203% |
| Harding Academy | $29,502 | 209% |
| Molina | $31,188 | 221% |
| Access Health Services | $33,717 | 239% |
| Employers Health Network | $33,717 | 239% |