CMS Price Transparency Data

CT scan, neck (cervical spine)

Facility: Lawrence Memorial Hospital

Billing Code: 72125 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72125
Insurance Median: $123
Cash Discount Price: $326
vs. Medicare Baseline: 1.15x Medicare

The contracted insurance negotiated median rate for a CT scan, neck (cervical spine) at Lawrence Memorial Hospital is $123. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $326. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.15x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.

Cash / Self-Pay

$326

Average discount available for prompt cash payment at this facility.

Insurance Median

$123

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $326 (305%)

Insurance Median: $123 (115%)

Cash: $326 (305% of Medicare)

Ins. Median: $123 (115% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 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	$43 - $396	40%
Humana	$43 - $308	40%
Allwell	$45 - $320	42%
Blue Cross Blue Shield	$45 - $305	42%
Wellcare	$45 - $535	42%
Amerigroup	$46 - $305	43%
Arkansas Superior Select	$46 - $298	43%
Provider Partners Health Plans	$46 - $298	43%
Wellcare By Allwell	$46 - $298	43%
Wellcare Health Plans	$46 - $298	43%
Qualchoice	$49 - $396	46%
Qualchoice Of Arkansas	$51 - $369	48%
Cigna	$52 - $305	49%
Covenant Healthcare	$57 - $423	53%
Assured Benefits Administrators	$70 - $454	66%
Arkansas Total Care	$106 - $352	99%
Caresource	$110 - $497	103%
Empower Healthcare Solutions	$111 - $370	104%
Aetna	$428	401%
Healthlink	$498	466%

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 $326.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72125.

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 72125.
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.