CMS Price Transparency Data
Sleep study (overnight, in lab)
Facility: Baptist Memorial Hospital Tipton
Billing Code: 95810 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 95810
- Insurance Median: $1,677
- Cash Discount Price: $1,283
- vs. Medicare Baseline: 1.91x Medicare
The contracted insurance negotiated median rate for a Sleep study (overnight, in lab) at Baptist Memorial Hospital Tipton is $1,677. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,283. Compared to the federal Medicare reimbursement reference rate of $877.34, this hospital’s rate is 1.91x the Medicare baseline. Located in 1995 Highway 51 S, Covington, TN.
Cash / Self-Pay
$1,283
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,677
Median negotiated contract rate across all mapped commercial carriers.
Medicare Reference Rate
$877.34
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Medicare Reference Baseline: $877.34 (100%)
Cash / Self-Pay: $1,283 (146%)
Insurance Median: $1,677 (191%)
Cash: $1,283 (146% of Medicare)
Ins. Median: $1,677 (191% of Medicare)
Understanding this gauge: We use the federal Medicare rate of $877.34 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.
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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 | $237 - $3,207 | 27% |
| Wellpoint | $811 - $978 | 92% |
| Cigna | $849 - $934 | 97% |
| Triwest | $894 | 102% |
| Vaccn | $932 | 106% |
| Veterans Evaluation Services | $932 | 106% |
| Devoted Health | $950 | 108% |
| Molina | $950 - $2,672 | 108% |
| Aetna | $978 - $1,604 | 111% |
| American Health Plan | $978 | 111% |
| Humana | $978 - $3,474 | 111% |
| Novasys | $978 - $4,009 | 111% |
| Shared Health | $978 | 111% |
| Tribute Health Plan | $978 | 111% |
| Arlington Community Schools | $1,537 | 175% |
| Bartlett City Schools | $1,537 | 175% |
| City Of Bartlett | $1,537 | 175% |
| City Of Lakeland | $1,537 | 175% |
| Collierville Schools | $1,537 | 175% |
| Eas Mssc Schools | $1,537 | 175% |
| Lakeland School System | $1,537 | 175% |
| Town Of Collierville | $1,537 | 175% |
| Oscar | $1,565 | 178% |
| Magnolia Tn | $1,573 | 179% |
| First State Bank Trust | $1,584 | 181% |
| Armstrong Relocation | $1,677 | 191% |
| Ashley Furniture Stores | $1,677 | 191% |
| Brimhall Foods | $1,677 | 191% |
| Building Plastic | $1,677 | 191% |
| Burch Food Services | $1,677 | 191% |
| Cannon Motor Company | $1,677 | 191% |
| Carlisle | $1,677 | 191% |
| Crittenden County | $1,677 | 191% |
| Davidson Hospitality | $1,677 | 191% |
| Desoto Co Board Of Supervisors | $1,677 | 191% |
| Dunn Investment Company | $1,677 | 191% |
| First Choice Health Plan Of Ms | $1,677 - $3,742 | 191% |
| First Community Bank | $1,677 | 191% |
| French Camp Academy | $1,677 | 191% |
| Gossett Motor Cars | $1,677 | 191% |
| Hattiesburg Clinic | $1,677 | 191% |
| Heartland Catfish Company | $1,677 | 191% |
| Heavy Machines | $1,677 | 191% |
| Hollowell Industries | $1,677 | 191% |
| Hospitality Management Advisors | $1,677 | 191% |
| Jas D Collier | $1,677 | 191% |
| Malco Theaters | $1,677 | 191% |
| Mechanical Systems | $1,677 | 191% |
| Mid-South Transport | $1,677 | 191% |
| Patterson Warehouses | $1,677 | 191% |
| Radians | $1,677 | 191% |
| Rei Nation | $1,677 | 191% |
| Retzer Resources | $1,677 | 191% |
| Ritchey Automotive | $1,677 | 191% |
| Security One | $1,677 | 191% |
| Silver Tree | $1,677 | 191% |
| State Systems | $1,677 | 191% |
| United Tn Holdings | $1,677 | 191% |
| Vaughn Electric | $1,677 | 191% |
| W G Yates | $1,677 | 191% |
| W W Wood Products | $1,677 | 191% |
| Watkins Uiberall | $1,677 | 191% |
| Y K Auto Group | $1,677 | 191% |
| Access Health Services | $1,863 - $3,207 | 212% |
| Employers Health Network | $1,863 | 212% |
| Harding Academy | $1,863 | 212% |
| Ppo Holdings | $2,031 | 231% |
| Magnolia Regional Health Center | $2,138 | 244% |
| Multiplan | $2,298 - $4,009 | 262% |
| Littler | $2,672 | 305% |
| Butler Snow | $3,207 | 366% |
| UnitedHealthcare | $3,207 | 366% |
| Mpcn | $4,009 | 457% |
| Ppo Plus | $4,543 | 518% |
| Qca | $4,810 | 548% |