CMS Price Transparency Data

CT scan, abdomen and pelvis (with contrast)

Facility: Lawrence Memorial Hospital

Billing Code: 74177 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 74177
Insurance Median: $250
Cash Discount Price: $408
vs. Medicare Baseline: 0.70x Medicare

The contracted insurance negotiated median rate for a CT scan, abdomen and pelvis (with contrast) at Lawrence Memorial Hospital is $250. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $408. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.70x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.

Cash / Self-Pay

$408

Average discount available for prompt cash payment at this facility.

Insurance Median

$250

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$356.43

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $356.43 (100%)

Cash / Self-Pay: $408 (114%)

Insurance Median: $250 (70%)

Cash: $408 (114% of Medicare)

Ins. Median: $250 (70% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $356.43 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Ambetter / Centene	$79 - $545	22%
Humana	$79 - $423	22%
Blue Cross Blue Shield	$82 - $449	23%
Allwell	$83 - $440	23%
Wellcare	$83 - $735	23%
Amerigroup	$84 - $419	24%
Arkansas Superior Select	$84 - $331	24%
Provider Partners Health Plans	$84 - $331	24%
Wellcare By Allwell	$84 - $331	24%
Wellcare Health Plans	$84 - $331	24%
Qualchoice	$91 - $545	26%
Qualchoice Of Arkansas	$92 - $410	26%
Cigna	$95 - $419	27%
Covenant Healthcare	$103 - $1,233	29%
Arkansas Total Care	$118 - $315	33%
Caresource	$122 - $476	34%
Empower Healthcare Solutions	$123 - $331	35%
Assured Benefits Administrators	$128 - $505	36%
Aetna	$476	134%
Healthlink	$553 - $684	155%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $408.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 74177.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lawrence Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 74177.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.