How many shoppable procedure prices are published for Baptist Memorial Hospital Tipton?

Baptist Memorial Hospital Tipton in Covington, TN currently has 96 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Baptist Memorial Hospital Tipton's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Baptist Memorial Hospital Tipton's median negotiated commercial rate is 1.4× the regionally adjusted fair BaseRate benchmark.

What is Baptist Memorial Hospital Tipton's CMS Care Compare overall star rating?

CMS Care Compare assigns Baptist Memorial Hospital Tipton an overall hospital quality rating of 3 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Church 48 Beds · urban Updated: 2026-02-27

Baptist Memorial Hospital Tipton

1995 Highway 51 S, Covington, TN 38019 · 96 Priced Procedures · 72% Patient Recommendation

CMS Overall Rating 3 / 5 Stars

Above Fair Market · Negotiate

1.41×vs. Fair Market Price

Typical commercial prices here are +41% above the fair benchmark (1.41×) even after accounting for local nurse/doctor wages and patient complexity.

81/100 · Corroborated

81/100Self-Pay Cash Beats Insurance 54% of the Time

File Completeness61

Price Logic94

Peer Alignment82

Clean Billing69

Real Cash Discount100

High-Markup · Check Safety

4-Star CMS clinical quality rating paired with 1.41× fair market pricing.

Behavioral Pricing FingerprintHigh Insurer Rate · Deep Cash Discount

Cash-Arbitrage Bifurcated Pricer

Baptist Memorial Hospital Tipton maintains elevated commercial insurance contracts (1.41× Fair BaseRate) while offering direct self-pay cash discounts that beat commercial negotiated medians on 54% of procedures. High-deductible and uninsured patients should always request the self-pay cash rate prior to billing.

#78 of 84 in TN · 91st State Percentile#2,483 of 3,385 in U.S. · 73rd National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Bottom-quartile procedures (Q25) price at 1.10× the peer BaseRate benchmark
Self-pay cash beats commercial insurance on 54% of shoppable procedures (99/100 Cash Honesty)
CMS clinical safety score (72/100 safety score) with 72% patient recommendation
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (22.8% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Outpatient surgery & OR suites carry a 1.8× markup over Medicare rates
Captive ER (2.0×) & laboratory (4.0×) services average 1.29× higher multiples than routine shoppable care (1.4×)
Specialty infusion drugs (J-codes) average 1.6× Medicare — verify per-unit billing on itemized statements
Unnegotiated chargemaster list prices average 15.1× Medicare (14¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.4× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.29× Divergence

1.8× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+9% Upper Tail

Q25 1.10× · Q50 1.55× · Q75 1.69×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.4× MedicareGood

Outpatient Surgery & ORBack-Door Captive

1.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

1.8× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

2.0× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

4.0× MedicareElevated

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

1.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

54% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

3 CMS · 72/100Fair

Procedure Prices at Baptist Memorial Hospital Tipton

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 96 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	—	$33,946	$30,775	1.1×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	—	$27,001	$19,087	1.4×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	—	$26,892	$19,432	1.4×
Heart stent placement (inpatient stay) MS-DRG Code: `322`	—	$25,972	$17,936	1.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	—	$12,735	$8,223	1.5×
Breast lump removal CPT Code: `19120`	—	$6,312	$3,875	unverified
Knee arthroscopy with meniscus repair CPT Code: `29881`	—	$5,348	$3,372	1.6×
Colonoscopy with biopsy CPT Code: `45380`	—	$1,943	$1,256	1.5×
Sleep study (overnight, in lab) CPT Code: `95810`	$1,283	$1,677	$1,021	1.6×
Upper endoscopy with biopsy CPT Code: `43239`	—	$1,545	$987	1.6×
Colonoscopy (diagnostic) CPT Code: `45378`	—	$1,503	$981	1.5×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$758	$904	$583	1.6×
Blood transfusion CPT Code: `36430`	$297	$721	$498	1.4×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,451	$589	$511	1.2×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$1,845	$589	$448	unverified
Ultrasound, leg veins (duplex) CPT Code: `93970`	$385	$398	$272	1.5×
MRI, lower back (no contrast) CPT Code: `72148`	$975	$398	$338	1.2×
MRI, brain (no contrast) CPT Code: `70551`	$629	$398	$343	1.2×
MRI, knee or other leg joint CPT Code: `73721`	$975	$398	$369	1.1×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$1,545	$398	$303	unverified
CT scan, head (with contrast) CPT Code: `70460`	$1,067	$293	$242	1.2×
CT scan, head (with and without contrast) CPT Code: `70470`	$1,209	$293	$258	1.1×
X-ray, pelvis CPT Code: `72170`	$86	$175	$110	1.6×
X-ray, lower back CPT Code: `72110`	$169	$175	$112	1.6×
Ultrasound, abdomen (limited) CPT Code: `76705`	$187	$175	$126	1.4×
Ultrasound, pelvis CPT Code: `76856`	$231	$175	$130	1.3×
Ultrasound, thyroid and neck CPT Code: `76536`	$180	$175	$132	1.3×
Ultrasound, abdomen (complete) CPT Code: `76700`	$267	$175	$134	1.3×
CT scan, head (no contrast) CPT Code: `70450`	$759	$175	$160	1.1×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$190	$159	$148	1.1×
CT scan, pelvis CPT Code: `72192`	$730	$175	$163	1.1×
CT scan, sinuses CPT Code: `70486`	$542	$175	$166	1.1×
CT scan, chest (no contrast) CPT Code: `71250`	$419	$175	$167	1.0×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$843	$175	$168	1.0×
CT scan, neck (cervical spine) CPT Code: `72125`	$843	$175	$169	1.0×
X-ray, chest (single view) CPT Code: `71045`	$96	$145	$92	1.6×
X-ray, foot CPT Code: `73630`	$102	$145	$92	1.6×
X-ray, neck (cervical spine) CPT Code: `72040`	$117	$145	$93	1.6×
X-ray, hand CPT Code: `73130`	$79	$145	$93	1.6×
X-ray, hip CPT Code: `73502`	$123	$145	$93	1.6×
X-ray, ankle CPT Code: `73610`	$102	$145	$93	1.6×
Screening mammogram (both breasts) CPT Code: `77067`	$141	$131	$123	1.1×
X-ray, chest (two views) CPT Code: `71046`	$110	$145	$93	unverified
X-ray, shoulder CPT Code: `73030`	$111	$145	$92	unverified
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$83	$98	$64	1.5×
New patient office visit (30-44 min) CPT Code: `99203`	$94	$93	$110	0.8×
Hospital observation (per hour) HCPCS Code: `G0378`	—	—	$86	—
Blood antibody screen CPT Code: `86850`	$67	$88	$46	1.9×
Flu vaccine injection HCPCS Code: `G0008`	$26	$76	$48	1.6×
Pneumonia vaccine injection HCPCS Code: `G0009`	$28	$76	$49	1.6×
Colorectal cancer screening HCPCS Code: `G0010`	$28	$76	$49	1.6×
Office visit, established patient (30-39 min) CPT Code: `99214`	$201	$79	$123	0.6×
Drug screening test HCPCS Code: `G0480`	$72	$72	$116	0.6×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$132	$35	$20	1.8×
Diagnostic procedure preparation HCPCS Code: `G0279`	$48	$41	$35	1.2×
Orthotic fitting and training CPT Code: `97760`	$48	$45	$51	0.9×
Office visit, established patient (20-29 min) CPT Code: `99213`	$145	$57	$87	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$60	$60	$201	unverified
Blood test, clotting time (PTT) CPT Code: `85730`	$48	$11	$6	1.8×
Blood test, creatinine (kidney) CPT Code: `82565`	$53	$9	$5	1.8×
Blood test, potassium CPT Code: `84132`	$35	$9	$5	1.8×
Blood test, ferritin (iron stores) CPT Code: `82728`	$82	$25	$14	1.8×
Culture, bacterial CPT Code: `87070`	$143	$16	$9	1.8×
Blood test, complete blood count (CBC) CPT Code: `85025`	$41	$14	$8	1.8×
Blood test, PSA (prostate screen) CPT Code: `84153`	$132	$33	$19	1.7×
Blood test, vitamin D CPT Code: `82306`	$120	$53	$31	1.7×
Physical therapy (functional capacity test) CPT Code: `97750`	$48	$34	$38	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$42	$7	$4	1.8×
Hepatitis C antibody test CPT Code: `86803`	$72	$26	$15	1.7×
Occupational therapy (self-care training) CPT Code: `97535`	$49	$30	$38	0.8×
Speech therapy (language evaluation) CPT Code: `92507`	$198	$46	$86	0.5×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$2	$6	$3	2.0×
Blood test, calcium CPT Code: `82310`	$35	$9	$5	1.8×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$208	$19	$11	1.7×
Culture, blood CPT Code: `87040`	$160	$19	$11	1.7×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$105	$24	$14	1.7×
Prosthetic fitting and training CPT Code: `97761`	$38	$40	$45	0.9×
Blood test, amylase CPT Code: `82150`	$76	$12	$7	1.7×
Blood test, lipase CPT Code: `83690`	$86	$12	$7	1.7×
Blood test, magnesium CPT Code: `83735`	$64	$12	$7	1.7×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$66	$17	$10	1.7×
Blood test, vitamin B12 CPT Code: `82607`	$77	$27	$16	1.7×
Blood test, basic metabolic panel CPT Code: `80048`	$156	$15	$9	1.7×
Blood test, liver function panel CPT Code: `80076`	$181	$15	$9	1.7×
Colorectal cancer screening (alternative) HCPCS Code: `G0145`	$36	$36	$27	1.3×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$54	$37	$40	0.9×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$56	$8	$5	1.6×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$49	$31	$35	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$51	$30	$38	0.8×
Blood test, hemoglobin CPT Code: `85018`	$34	$4	$3	1.3×
Electrical stimulation therapy HCPCS Code: `G0283`	$52	$12	$14	0.9×
Physical therapy (manual therapy) CPT Code: `97140`	$49	$29	$34	0.9×
Physical therapy (gait training) CPT Code: `97116`	$54	$26	$33	0.8×
Blood test, sodium CPT Code: `84295`	$46	$9	$5	unverified
Blood test, thyroid (TSH) CPT Code: `84443`	$48	$30	$18	unverified
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$45	$7	$4	unverified

Showing top 25 high-impact procedures of 96 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 22.8%

Audit a Bill or Quote at Baptist Memorial Hospital Tipton (Zero PHI Required)

CMS CCN: 440131

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash Request Quote

Insurer Median $33,946

1. Amount on Your Bill or Quote ($) Pre-filled with Baptist Memorial Hospital Tipton’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $18,559 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $18,559

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (22.8% of gross = $18,559).

Step 2 · Cash vs. Insurance Arbitrage Request Prompt-Pay Quote

Compare Prompt-Pay Cash Rate Against Remaining Deductible

Ask Baptist Memorial Hospital Tipton's billing desk for their written 45 CFR § 180 discounted self-pay cash price and Good Faith Estimate under the No Surprises Act.

Step 3 · Fair BaseRate Target +$50,695 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($81,470) is $50,695 above the denoised Fair BaseRate ($30,775) and 3.5× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 621113167

Filing Period: 198203

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (22.8% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite72/100

Would Recommend72%

Rated 9 or 10 (HCAHPS)74%

Median ER Wait149 min

Left ER Before Seen1%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

C. diff Hospital-Onset Infectionsame

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Baptist Memorial Hospital Tipton. Prior administrative notices do not necessarily reflect current compliance status.

2026-01-07·administrative_or_closure
Met Requirements
Recorded

Source: CMS Hospital Care Compare (153 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Higher-Quality, Above-Median Price Tier

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Baptist Memorial Hospital Tipton.

Price Index: 1.13× regional baseline

Quality: 69/100 CMS composite

Notable Payer Contract Outliers (SVD Matrix Anomalies)

Mpcn

+100.5%

Median Household Income$71,736U.S. Census ACS

Local Uninsured Share8.8%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 81/100 · Corroborated CMS CCN 440131 EIN 621113167

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

MRF Portal Indexed (CMS_45_CFR_180_FILING.json) Verify on CMS Medicare.gov (CCN 440131) ↗ Verify IRS Form 990 (EIN 621113167) ↗ CMS HCRIS Cost Reports ↗

Published MRF FileCMS_45_CFR_180_FILING.json

Publication / Vintage2026-02-27

Validated Rate Rows9,576 (CMS v3.0.0)

File Integrity DigestVerified · CCN 440131

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy