CMS Price Transparency Data

CT scan, head (with contrast)

Facility: Lawrence Memorial Hospital

Billing Code: 70460 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 70460
Insurance Median: $141
Cash Discount Price: $217
vs. Medicare Baseline: 0.79x Medicare

The contracted insurance negotiated median rate for a CT scan, head (with contrast) at Lawrence Memorial Hospital is $141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $217. Compared to the federal Medicare reimbursement reference rate of $179.2, this hospital’s rate is 0.79x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.

Cash / Self-Pay

$217

Average discount available for prompt cash payment at this facility.

Insurance Median

$141

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$179.2

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $179.2 (100%)

Cash / Self-Pay: $217 (121%)

Insurance Median: $141 (79%)

Cash: $217 (121% of Medicare)

Ins. Median: $141 (79% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $179.2 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	$49 - $263	27%
Humana	$49 - $204	27%
Allwell	$51 - $212	28%
Blue Cross Blue Shield	$51 - $231	28%
Wellcare	$51 - $355	28%
Amerigroup	$52 - $202	29%
Arkansas Superior Select	$52 - $198	29%
Provider Partners Health Plans	$52 - $198	29%
Wellcare By Allwell	$52 - $198	29%
Wellcare Health Plans	$52 - $198	29%
Qualchoice	$56 - $263	31%
Qualchoice Of Arkansas	$57 - $245	32%
Cigna	$59 - $202	33%
Covenant Healthcare	$64 - $444	36%
Assured Benefits Administrators	$80 - $301	45%
Arkansas Total Care	$102 - $341	57%
Caresource	$106 - $480	59%
Empower Healthcare Solutions	$107 - $358	60%
Aetna	$284	158%
Healthlink	$330	184%

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 $217.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 70460.

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 70460.
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.