CMS Price Transparency Data

CT scan, pelvis

Facility: Lawrence Memorial Hospital

Billing Code: 72192 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 72192
Insurance Median: $124
Cash Discount Price: $195
vs. Medicare Baseline: 1.16x Medicare

The contracted insurance negotiated median rate for a CT scan, pelvis at Lawrence Memorial Hospital is $124. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $195. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.16x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.

Cash / Self-Pay

$195

Average discount available for prompt cash payment at this facility.

Insurance Median

$124

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: $195 (183%)

Insurance Median: $124 (116%)

Cash: $195 (183% of Medicare)

Ins. Median: $124 (116% 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	$47 - $237	44%
Humana	$47 - $184	44%
Allwell	$49 - $192	46%
Blue Cross Blue Shield	$49 - $206	46%
Wellcare	$49 - $320	46%
Amerigroup	$50 - $182	47%
Arkansas Superior Select	$50 - $178	47%
Provider Partners Health Plans	$50 - $178	47%
Wellcare By Allwell	$50 - $178	47%
Wellcare Health Plans	$50 - $178	47%
Qualchoice	$54 - $237	51%
Qualchoice Of Arkansas	$55 - $220	51%
Cigna	$56 - $182	52%
Covenant Healthcare	$62 - $423	58%
Assured Benefits Administrators	$77 - $271	72%
Arkansas Total Care	$89 - $349	83%
Caresource	$93 - $527	87%
Empower Healthcare Solutions	$93 - $366	87%
Aetna	$256	240%
Healthlink	$298	279%

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 $195.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 72192.

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 72192.
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.