Tennessee / Baptist Memorial Hospital Tipton
CMS certification 440131 · Covington, TN · 1 entry in CMS's price-transparency list
Baptist Memorial Hospital Tipton: charges and Medicare payments
Baptist Memorial Hospital Tipton reported 220 Medicare inpatient stays across 10 DRGs in 2024. Across them it charged 2.45 times what it was paid — among the lower ratios in Tennessee, number 56 of 65 hospitals with at least 100 stays (state median 4.42×, national 4.15×). Its most frequent stay was DRG 871, Septicemia or Severe Sepsis without MV >96 Hours with MCC: 54 stays at an average charge of $37,833, 58% below the national average. It also billed 192 outpatient services, charging 8.85 times what Medicare paid.
- 1Medicare inpatient stays 220
- 2Charge ÷ paid, inpatient 2.45×
- 3Rank in TN (highest ratio = 1) 56 of 65
- 4CMS price-transparency actions 1
Inpatient stays
For the 10 DRGs that can be compared with the national average, Baptist Memorial Hospital Tipton charged more than the national average in 0 (0%). Payments follow Medicare's rates, so they usually vary far less than charges.
| DRG | Stays | Avg charge | vs US | Avg paid |
|---|---|---|---|---|
| 871 Septicemia or Severe Sepsis without MV >96 Hours with MCC | 54 | $37,833 | -58% | $16,045 |
| 291 Heart Failure and Shock with MCC | 48 | $28,777 | -49% | $11,617 |
| 177 Respiratory Infections and Inflammations with MCC | 20 | $30,538 | -57% | $15,148 |
| 189 Pulmonary Edema and Respiratory Failure | 17 | $28,914 | -50% | $11,518 |
| 683 Renal Failure with CC | 16 | $21,678 | -47% | $8,947 |
| 641 Miscellaneous Disorders of Nutrition, Metabolism, Fluids and... | 14 | $21,412 | -42% | $7,981 |
| 689 Kidney and Urinary Tract Infections with MCC | 14 | $30,688 | -40% | $10,422 |
| 193 Simple Pneumonia and Pleurisy with MCC | 13 | $41,602 | -30% | $11,823 |
| 872 Septicemia or Severe Sepsis without MV >96 Hours without MCC | 13 | $29,306 | -40% | $10,032 |
| 884 Organic Disturbances and Intellectual Disability | 11 | $21,589 | -65% | $13,393 |
Outpatient services
| Service (APC) | Services | Avg charge | Medicare allowed |
|---|---|---|---|
| Comprehensive Observation Services | 94 | $22,571 | $2,250 |
| Level 3 Excision/ Biopsy/ Incision and Drainage | 83 | $5,537 | $1,981 |
| Level 2 Vascular Procedures | 15 | $13,054 | $1,353 |
Against the Tennessee average
For Septicemia or Severe Sepsis without MV >96 Hours with MCC (DRG 871), Baptist Memorial Hospital Tipton charged $37,833 on average, 46% less than the Tennessee average of $70,379, and was paid $16,045 against a state average of $15,065. For Heart Failure and Shock with MCC (DRG 291), Baptist Memorial Hospital Tipton charged $28,777 on average, 38% less than the Tennessee average of $46,128, and was paid $11,617 against a state average of $10,346. For Respiratory Infections and Inflammations with MCC (DRG 177), Baptist Memorial Hospital Tipton charged $30,538 on average, 43% less than the Tennessee average of $53,972, and was paid $15,148 against a state average of $12,921. For Pulmonary Edema and Respiratory Failure (DRG 189), Baptist Memorial Hospital Tipton charged $28,914 on average, 37% less than the Tennessee average of $46,082, and was paid $11,518 against a state average of $10,179. For Comprehensive Observation Services (outpatient APC 8011), its average charge of $22,571 was 13% above the state average of $19,917. For Level 3 Excision/ Biopsy/ Incision and Drainage (outpatient APC 5073), its average charge of $5,537 was 67% below the state average of $16,856. For Level 2 Vascular Procedures (outpatient APC 5182), its average charge of $13,054 was 41% above the state average of $9,252.
Price-transparency record
CMS's enforcement list records these actions for a hospital named Baptist Memorial Hospital Tipton in Covington, TN, under the federal hospital price-transparency rule (45 CFR part 180), which requires hospitals to post their standard charges online:
- Met Requirements — 2026-01-07 (CMS case 6771)
A warning notice or corrective-action request is not a finding of wrongdoing; "Met Requirements" and closure notices record that CMS's review ended. Matched to this hospital by exact name, city and state.
Charges are the hospital's list prices averaged over its 2024 Medicare cases; payments are what those cases actually brought in. Neither is what you will pay. For a planned procedure, ask the hospital for its price estimate or, if you are uninsured or self-paying, a good-faith estimate.
Sources: CMS Medicare Inpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Medicare Outpatient Hospitals — by Provider and Service / by Geography and Service, data year 2024; CMS Hospital Price Transparency Enforcement Activities and Outcomes, July 2026. Checked 2026-10-24. Methodology.