CMS Price Transparency Data

CT scan, sinuses

Facility: Lawrence Memorial Hospital

Billing Code: 70486 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70486
  • Insurance Median: $121
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 1.13x Medicare
The contracted insurance negotiated median rate for a CT scan, sinuses at Lawrence Memorial Hospital is $121. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 1.13x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$121

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: $214 (200%)
Insurance Median: $121 (113%)
Cash: $214 (200% of Medicare)
Ins. Median: $121 (113% 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.

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 $37 - $259 35%
Humana $37 - $202 35%
Blue Cross Blue Shield $38 - $200 36%
Allwell $39 - $209 37%
Amerigroup $39 - $200 37%
Wellcare $39 - $350 37%
Arkansas Superior Select $40 - $195 37%
Provider Partners Health Plans $40 - $195 37%
Wellcare By Allwell $40 - $195 37%
Wellcare Health Plans $40 - $195 37%
Qualchoice $43 - $259 40%
Qualchoice Of Arkansas $43 - $241 40%
Cigna $44 - $200 41%
Covenant Healthcare $49 - $340 46%
Assured Benefits Administrators $60 - $297 56%
Arkansas Total Care $92 - $298 86%
Caresource $96 - $411 90%
Empower Healthcare Solutions $97 - $313 91%
Aetna $280 262%
Healthlink $326 305%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1309 West Main Street, Walnut Ridge, AR 72476
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals