CMS Price Transparency Data

MRI, brain (with and without contrast)

Facility: Lawrence Memorial Hospital

Billing Code: 70553 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 70553
  • Insurance Median: $305
  • Cash Discount Price: $625
  • vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a MRI, brain (with and without contrast) at Lawrence Memorial Hospital is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $625. Compared to the federal Medicare reimbursement reference rate of $356.43, this hospital’s rate is 0.86x the Medicare baseline. Located in 1309 West Main Street, Walnut Ridge, AR.
Cash / Self-Pay
$625

Average discount available for prompt cash payment at this facility.

Insurance Median
$305

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: $625 (175%)
Insurance Median: $305 (86%)
Cash: $625 (175% of Medicare)
Ins. Median: $305 (86% 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.

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 $99 - $760 28%
Humana $99 - $590 28%
Blue Cross Blue Shield $103 - $584 29%
Allwell $104 - $613 29%
Wellcare $104 - $1,025 29%
Amerigroup $105 - $584 29%
Arkansas Superior Select $106 - $570 30%
Provider Partners Health Plans $106 - $570 30%
Wellcare By Allwell $106 - $570 30%
Wellcare Health Plans $106 - $570 30%
Qualchoice $114 - $760 32%
Qualchoice Of Arkansas $116 - $706 33%
Cigna $119 - $584 33%
Covenant Healthcare $130 - $1,270 36%
Assured Benefits Administrators $161 - $869 45%
Arkansas Total Care $182 - $835 51%
Caresource $189 - $1,335 53%
Empower Healthcare Solutions $191 - $877 54%
Aetna $820 230%
Healthlink $953 267%

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