Baptist Memorial Hospital-Tipton
Baptist Memorial Hospital-Tipton in Covington, TN publishes cash prices for 38 common procedures listed here, from its own machine-readable price file updated Feb 27, 2026. Click a procedure to compare it with other hospitals nearby.
1995 Highway 51, South, Covington, TN 38019 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT ABD AND PELVIS W CONTRAST | $1,844.88 | $7,687.00 | 76% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 HC CT ABD AND PELVIS W CONTRAST | $1,844.88 | $7,687.00 | 76% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT HEAD WO CONTRAST | $758.88 | $3,162.00 | 76% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 HC CT HEAD WO CONTRAST | $758.88 | $3,162.00 | 76% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT PELVIS W CONTRAST | $1,067.28 | $4,447.00 | 76% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 HC CT PELVIS W CONTRAST | $1,067.28 | $4,447.00 | 76% |
| Diagnostic mammogram, both breasts both sides CPT 77066 HC DX MAMMO INCLUDING CAD BILATERAL | $190.08 | $792.00 | 76% |
| Diagnostic mammogram, both breasts inpatient both sides CPT 77066 HC DX MAMMO INCLUDING CAD BILATERAL | $190.08 | $792.00 | 76% |
| Diagnostic mammogram, one breast CPT 77065 HC MAMMO DIGITAL BREAST LIMITED | $38.16 | $159.00 | 76% |
| Diagnostic mammogram, one breast one side CPT 77065 HC DX MAMMO INCLUDING CAD UNILATERAL | $153.12 | $638.00 | 76% |
| Diagnostic mammogram, one breast inpatient CPT 77065 HC MAMMO DIGITAL BREAST LIMITED | $38.16 | $159.00 | 76% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 HC DX MAMMO INCLUDING CAD UNILATERAL | $153.12 | $638.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 HC MR LOWER EXTREM JOINT WO CONTRAST | $975.36 | $4,064.00 | 76% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 HC MR LOWER EXTREM JOINT WO CONTRAST | $975.36 | $4,064.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 HC MR LOWER EXTREM JT W WO CONTRAST | $1,256.16 | $5,234.00 | 76% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 HC MR LOWER EXTREM JT W WO CONTRAST | $1,256.16 | $5,234.00 | 76% |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN LTD WO CONTRAST | $281.76 | $1,174.00 | 76% |
| MRI of the brain, no contrast dye CPT 70551 HC MR BRAIN WO CONTRAST | $975.36 | $4,064.00 | 76% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN LTD WO CONTRAST | $281.76 | $1,174.00 | 76% |
| MRI of the brain, no contrast dye inpatient CPT 70551 HC MR BRAIN WO CONTRAST | $975.36 | $4,064.00 | 76% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MR BRAIN W WO CONTRAST | $1,451.28 | $6,047.00 | 76% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 HC MR BRAIN W WO CONTRAST | $1,451.28 | $6,047.00 | 76% |
| MRI of the lower back, no contrast dye CPT 72148 HC MR SPINE LUMBAR WO CONTRAST | $975.36 | $4,064.00 | 76% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 HC MR SPINE LUMBAR WO CONTRAST | $975.36 | $4,064.00 | 76% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 HC US OB PREGNANT SINGLE >OR=14WK | $400.80 | $1,670.00 | 76% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 HC US OB PREGNANT SINGLE >OR=14WK | $400.80 | $1,670.00 | 76% |
| Screening mammogram, both breasts both sides CPT 77067 HC SCREENING MAMMOGRAPHY BILATERAL 2 VW WITH CAD | $141.36 | $589.00 | 76% |
| Screening mammogram, both breasts inpatient both sides CPT 77067 HC SCREENING MAMMOGRAPHY BILATERAL 2 VW WITH CAD | $141.36 | $589.00 | 76% |
| Sleep study in a lab (polysomnography) CPT 95810 HC POLYSOMNOGRAPHY WO CPAP 6YR OR > | $1,282.80 | $5,345.00 | 76% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 HC POLYSOMNOGRAPHY WO CPAP 6YR OR > | $1,282.80 | $5,345.00 | 76% |
| Transvaginal pelvic ultrasound CPT 76830 HC US TRANSVAGINAL NON OB | $230.64 | $961.00 | 76% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 HC US TRANSVAGINAL NON OB | $230.64 | $961.00 | 76% |
| Ultrasound of the abdomen, complete CPT 76700 HC US ABDOMINAL SCAN | $267.36 | $1,114.00 | 76% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 HC US ABDOMINAL SCAN | $267.36 | $1,114.00 | 76% |
| X-ray of the lower back, 4 or more views CPT 72110 HC XR SPINE LUMBAR MIN 4 VW | $168.72 | $703.00 | 76% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 HC XR SPINE LUMBAR MIN 4 VW | $168.72 | $703.00 | 76% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $156.24 | $651.00 | 76% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $156.24 | $651.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $105.12 | $438.00 | 76% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $105.12 | $438.00 | 76% |
| Complete blood count (CBC) with differential CPT 85025 CBC WITH DIFF | $41.04 | $171.00 | 76% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC WITH DIFF | $41.04 | $171.00 | 76% |
| Complete blood count (CBC), no differential CPT 85027 CBC WITHOUT DIFF | $35.28 | $147.00 | 76% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WITHOUT DIFF | $35.28 | $147.00 | 76% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $207.60 | $865.00 | 76% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $207.60 | $865.00 | 76% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $130.56 | $544.00 | 76% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $130.56 | $544.00 | 76% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $181.20 | $755.00 | 76% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $181.20 | $755.00 | 76% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $38.64 | $161.00 | 76% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $38.64 | $161.00 | 76% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA FREE | $48.00 | $200.00 | 76% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA FREE | $48.00 | $200.00 | 76% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA DIAGNOSTIC | $132.00 | $550.00 | 76% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA DIAGNOSTIC | $132.00 | $550.00 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT LA | $39.60 | $165.00 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT WITH HEPZYME | $55.44 | $231.00 | 76% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PTT | $55.44 | $231.00 | 76% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT LA | $39.60 | $165.00 | 76% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT WITH HEPZYME | $55.44 | $231.00 | 76% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PTT | $55.44 | $231.00 | 76% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $56.40 | $235.00 | 76% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $56.40 | $235.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 THYROID STIMULATING HORMONE | $88.80 | $370.00 | 76% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 THYROID STIMULATING HORMONE | $88.80 | $370.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 PH URINE | $21.60 | $90.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 BILIRUBIN URINE | $36.72 | $153.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 GLUCOSE DIPSTICK URINE | $37.68 | $157.00 | 76% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS | $52.32 | $218.00 | 76% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 PH URINE | $21.60 | $90.00 | 76% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 BILIRUBIN URINE | $36.72 | $153.00 | 76% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 GLUCOSE DIPSTICK URINE | $37.68 | $157.00 | 76% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS | $52.32 | $218.00 | 76% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS DIPSTICK | $2.16 | $9.00 | 76% |
| Urinalysis without microscope exam, manual CPT 81002 REDUCING SUBSTANCE URINE | $21.60 | $90.00 | 76% |
| Urinalysis without microscope exam, manual CPT 81002 ACETONE KETONE URINE | $21.60 | $90.00 | 76% |
| Urinalysis without microscope exam, manual CPT 81002 SPECIFIC GRAVITY | $32.64 | $136.00 | 76% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS DIPSTICK | $2.16 | $9.00 | 76% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 ACETONE KETONE URINE | $21.60 | $90.00 | 76% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 REDUCING SUBSTANCE URINE | $21.60 | $90.00 | 76% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 SPECIFIC GRAVITY | $32.64 | $136.00 | 76% |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN L OR S W IMG | $453.84 | $1,891.00 | 76% |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN L OR S W IMG | $453.84 | $1,891.00 | 76% |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN L OR S W/O IMG | $199.68 | $832.00 | 76% |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ DX/THERAPEUTIC SUBSTCE INTERLAM,EPIDURAL SUBARAC IN L OR S W/O IMG | $199.68 | $832.00 | 76% |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC ED INJECTION NERVE BLOCK/STEROID LUMBAR/SACRAL SINGLE LEVEL | $506.16 | $2,109.00 | 76% |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC ED INJECTION NERVE BLOCK/STEROID LUMBAR/SACRAL SINGLE LEVEL | $506.16 | $2,109.00 | 76% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 HC NEW PT OP VISIT LEVEL THREE | $93.60 | $390.00 | 76% |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC NEW PT OP VISIT LEVEL THREE | $93.60 | $390.00 | 76% |
| New patient office visit, about 45 minutes CPT 99204 HC NEW PT OP VISIT LEVEL FOUR | $117.36 | $489.00 | 76% |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC NEW PT OP VISIT LEVEL FOUR | $117.36 | $489.00 | 76% |
| New patient office visit, about 60 minutes CPT 99205 HC NEW PT OP VISIT LEVEL FIVE | $126.24 | $526.00 | 76% |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC NEW PT OP VISIT LEVEL FIVE | $126.24 | $526.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC PT EXERCISE I EA 15 MIN | $48.96 | $204.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC OT EXERCISE I EA 15 MIN | $48.96 | $204.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC OT EXERCISE I EA 15 MIN | $48.96 | $204.00 | 76% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 HC PT EXERCISE I EA 15 MIN | $48.96 | $204.00 | 76% |
Source file: https://sites.bmhcc.org/-/media/Pricing-Documents/TN/621113167_baptist-memorial-hospitaltipton_standardcharges.zip